UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061703
Receipt number R000070605
Scientific Title A Multicenter Prospective Observational Study on Surveillance After Non-Curative Endoscopic Resection for Esophageal Cancer
Date of disclosure of the study information 2026/06/01
Last modified on 2026/05/27 12:36:57

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Basic information

Public title

A Multicenter Prospective Observational Study on Surveillance After Non-Curative Endoscopic Resection for Esophageal Cancer

Acronym

A Multicenter Prospective Observational Study on Surveillance After Non-Curative Endoscopic Resection for Esophageal Cancer

Scientific Title

A Multicenter Prospective Observational Study on Surveillance After Non-Curative Endoscopic Resection for Esophageal Cancer

Scientific Title:Acronym

A Multicenter Prospective Observational Study on Surveillance After Non-Curative Endoscopic Resection for Esophageal Cancer

Region

Japan


Condition

Condition

superficial esophageal cancer

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To clarify the outcomes of surveillance without additional treatment after non-curative endoscopic resection for esophageal cancer

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

3-year overall survival in the primary analysis population

Key secondary outcomes

5-year overall survival in the primary analysis population
Distant recurrence-free survival and esophagus-preservation survival at 3 and 5 years in the primary analysis population
Treatment for recurrent lesions and recurrence-free survival after recurrence treatment in patients with recurrence in the primary analysis population
Patterns of metastatic recurrence in the recommended surveillance cohort
Metastatic recurrence rates at 3 and 5 years in the overall study population


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Histologically confirmed squamous cell carcinoma or basaloid squamous cell carcinoma after endoscopic resection (ER) for esophageal cancer.
After ER for esophageal cancer, the primary lesion is pathologically diagnosed as pVM0 and either pMM with lymphovascular invasion or pSM. In patients with multiple lesions, the lesion with the deepest invasion is defined as the primary lesion.
En bloc resection has been achieved.
Within 60 days after ER of the primary lesion.
No additional treatment is planned after ER.
No evidence of lymph node metastasis or distant metastasis on cervical, thoracic, and abdominal CT performed within 90 days before ER or after ER for esophageal cancer.
No prior history of radiotherapy to the cervical region, thorax, lung fields, or mediastinum before the target ER, including radiotherapy for other malignancies.
No prior treatment history for esophageal cancer before the target ER. However, prior ER for esophageal cancer is permitted if the pathological findings were pT1a-EP/LPM with negative lymphovascular invasion and negative vertical margin.
Age >= 20 years at registration.
Patients must agree to undergo either of the following surveillance strategies:
a. Recommended surveillance
0-3 years after ER: contrast-enhanced CT of the neck, chest, and abdomen every 4 (3-5) months, and EGD (+EUS) at least once yearly
3-5 years after ER: contrast-enhanced CT of the neck, chest, and abdomen every 6 (4-8) months, and EGD (+EUS) at least once yearly
Non-contrast CT is permitted in patients unable to receive contrast agents because of renal dysfunction, contrast allergy, or other reasons.
b. Outpatient follow-up at least once yearly with CT examinations as clinically indicated.
Written informed consent for study participation has been obtained from the patient.

Key exclusion criteria

Presence of a prior or synchronous double cancer within the past 3 years; however, this does not include cancers with an estimated 5-year relative survival rate of >=95%.
Presence of psychiatric disorders or psychiatric symptoms that significantly interfere with activities of daily living and are judged to make study participation difficult.
Judged by the principal investigator or sub-investigator to be inappropriate for inclusion in the study.

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Ryu
Middle name
Last name Ishihara

Organization

Osaka International Cancer Institute

Division name

Department of Gastrointestinal Oncology

Zip code

541-8567

Address

1-69, Otemae 3-chome, Chuo-ku, Osaka, 541-8567, Japan

TEL

+81-6-6945-1181

Email

ryu1486@gmail.com


Public contact

Name of contact person

1st name Shunsuke
Middle name
Last name Yoshii

Organization

Osaka International Cancer Institute

Division name

Department of Gastrointestinal Oncology

Zip code

541-8567

Address

1-69, Otemae 3-chome, Chuo-ku, Osaka, 541-8567, Japan

TEL

+81-6-6945-1181

Homepage URL


Email

shunsuke.yoshii@oici.jp


Sponsor or person

Institute

Osaka International Cancer institute

Institute

Department

Personal name



Funding Source

Organization

NA

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka International Cancer Institute Institutional Review Board

Address

1-69, Otemae 3-chome, Chuo-ku, Osaka, Japan

Tel

06-6945-1181

Email

rinri01@opho.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

--- Select One ---


Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 06 Month 01 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

Preinitiation

Date of protocol fixation

2026 Year 05 Month 12 Day

Date of IRB

2026 Year 05 Month 12 Day

Anticipated trial start date

2026 Year 06 Month 01 Day

Last follow-up date

2033 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a multicenter prospective observational study evaluating the outcomes of surveillance without additional treatment after endoscopic resection in patients with esophageal cancer with pMM and lymphovascular invasion or pSM disease.
In routine clinical practice, patients who choose not to undergo additional treatment will be offered the recommended surveillance strategy, and their subsequent clinical outcomes will be evaluated.


Management information

Registered date

2026 Year 05 Month 27 Day

Last modified on

2026 Year 05 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070605