UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000060553
Receipt number R000069265
Scientific Title A Multicenter Collaborative Study on Molecular Profiling and Biomarker Analysis for the Development of Personalized Perioperative Treatment in Resectable Solid Tumors
Date of disclosure of the study information 2026/02/02
Last modified on 2026/02/02 15:32:18

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Basic information

Public title

A Multicenter Collaborative Study on Molecular Profiling and Biomarker Analysis for the Development of Personalized Perioperative Treatment in Resectable Solid Tumors

Acronym

MONSTAR-3.5: MONSTAR-KRONOS

Scientific Title

A Multicenter Collaborative Study on Molecular Profiling and Biomarker Analysis for the Development of Personalized Perioperative Treatment in Resectable Solid Tumors

Scientific Title:Acronym

MONSTAR-3.5: MONSTAR-KRONOS

Region

Japan


Condition

Condition

Resectable solid tumor

Classification by specialty

Gastroenterology Hepato-biliary-pancreatic medicine Gastrointestinal surgery
Hepato-biliary-pancreatic surgery Breast surgery Obstetrics and Gynecology
Urology Radiology Laboratory medicine

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

The aim of this study is to perform molecular profiling of blood and tissue samples in patients with resectable solid tumors undergoing curative treatment, and to integrate these data with clinical information to identify biomarkers that reflect the molecular biological characteristics.

Basic objectives2

Others

Basic objectives -Others

The study will investigate the relationships among molecular profiles in blood and tumor tissue such as genomic alterations, RNA expression, and molecular residual disease (MRD), and their associations with therapeutic efficacy, treatment course, imaging findings, pathological findings, and other clinicopathological factors.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The association between molecular profiles in blood and tumor tissue such as genomic alterations, RNA expression, and molecular residual disease (MRD), and recurrence status or clinical outcomes.

Key secondary outcomes

The relationships among molecular profiles in blood and tumor tissue such as genomic alterations, RNA expression, and molecular residual disease (MRD), and their associations with therapeutic efficacy, treatment course, imaging findings, pathological findings, and other clinicopathological factors.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. The patient is 18 years of age or older at the time of obtaining consent.
2. The patient has been diagnosed with one of the following resectable malignant solid tumors, at clinical stage I-IV
Gastric cancer, pancreatic cancer, liver cancer, breast cancer, ovarian cancer, bladder cancer, or endometrial cancer
3. The patient is scheduled to undergo curative resection or curative chemotherapy and or chemoradiotherapy. *1
4. The patient has an Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or 1.
5. Written informed consent for participation in this study has been obtained from the patient.

*1 Patients who are scheduled for curative resection are eligible even if they undergo preoperative chemoradiotherapy or chemotherapy.

Key exclusion criteria

1. The patient has double cancer.*1
2. The patient is pregnant.
3. The patient has a history of, or concurrent, other malignancies within 3 years prior to enrollment.
4. The patient has serious comorbidities (e.g., uncontrolled diabetes or infections, symptomatic interstitial pneumonia or pulmonary fibrosis, etc.).
5. The patient is deemed by the principal investigator to be otherwise inappropriate for participation in this study.

*1: Includes synchronous or multiple cancers, as well as metachronous cancers with a disease-free interval of less than 3 years.
However, the following histories are not considered active double/multiple cancers, even if the disease-free interval is less than 3 years, provided they have been completely resected and correspond to the pathological stages listed below:

Gastric cancer (adenocarcinoma, common type): Stage 0-I
Colon cancer (adenocarcinoma): Stage 0-I
Rectal cancer (adenocarcinoma): Stage 0-I
Esophageal cancer (squamous cell carcinoma, adenosquamous carcinoma, basaloid carcinoma): Stage 0
Breast cancer (DCIS, LCIS): Stage 0
Breast cancer (invasive ductal carcinoma, invasive lobular carcinoma, Paget disease): Stage 0-IIA
Endometrial cancer (endometrioid adenocarcinoma, mucinous adenocarcinoma): Stage I
Prostate cancer (adenocarcinoma): Stage I-II
Cervical cancer (squamous cell carcinoma): Stage 0
Thyroid cancer (papillary carcinoma, follicular carcinoma): Stage I-III
Renal cancer (clear cell carcinoma, chromophobe carcinoma): Stage I
Other lesions equivalent to carcinoma in situ of mucosal origin

Staging is based on the UICC-TNM Classification, 8th Edition.

Target sample size

1400


Research contact person

Name of lead principal investigator

1st name Takayuki
Middle name
Last name Yoshino

Organization

National Cancer Center Hospital East

Division name

Department for the Promotion of Drug and Diagnostic Development

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa-shi Chiba, Japan

TEL

04-7133-1111

Email

tyoshino@east.ncc.go.jp


Public contact

Name of contact person

1st name Tadayoshi
Middle name
Last name Hashimoto

Organization

National Cancer Center Hospital East

Division name

Department for the Promotion of Drug and Diagnostic Development

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa-shi Chiba, Japan

TEL

04-7133-1111

Homepage URL


Email

tadhashi@east.ncc.go.jp


Sponsor or person

Institute

National Cancer Center

Institute

Department

Personal name



Funding Source

Organization

iTMS Co., Ltd.
Tempus AI, Inc.
National Cancer Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo, Japan

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

国立がん研究センター東病院(千葉県)、国立がん研究センター中央病院(東京都)、岐阜大学医学部附属病院(岐阜県)、岡山大学病院(岡山県)、関西医科大学附属病院(大阪府)、大阪大学医学部附属病院(大阪府)、神奈川県立がんセンター(神奈川県)、独立行政法人国立病院機構大阪医療センター(大阪府)、金沢大学附属病院(石川県)、名古屋市立大学(愛知県)、九州がんセンター(福岡県)、近畿大学医学部(大阪府)、埼玉県立がんセンター(埼玉県)、聖マリアンナ医科大学病院(神奈川県)、東北大学病院(宮城県)、筑波大学附属病院(茨城県)、関西労災病院(兵庫県)、九州大学病院(福岡県)、高知大学医学部(高知県)、独立行政法人国立病院機構四国がんセンター(愛媛県)、広島大学病院(広島県)、埼玉医科大学国際医療センター(埼玉県)、愛知県がんセンター(愛知県)、静岡県立静岡がんセンター(静岡県)、大阪国際がんセンター(大阪府)、福島県立医科大学(福島県)


Other administrative information

Date of disclosure of the study information

2026 Year 02 Month 02 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2026 Year 01 Month 05 Day

Date of IRB

2026 Year 01 Month 15 Day

Anticipated trial start date

2026 Year 02 Month 02 Day

Last follow-up date

2034 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a multicenter, exploratory, prospective, non-interventional study.
In this study, blood samples will primarily be collected in addition to blood draws performed for routine clinical purposes. However, blood collection solely for research purposes is also permitted. Research specimens will also be prepared from surplus samples obtained during biopsy and surgery.
These specimens will be analyzed, and the results will be integrated with clinical data collected via an Electronic Data Capture (EDC) system, including imaging profiles such as pathological and radiological image profiles.


Management information

Registered date

2026 Year 02 Month 02 Day

Last modified on

2026 Year 02 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069265