UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062051
Receipt number R000070998
Scientific Title Prospective observational exploratory study on the association between chewing behavior and symptoms and nutritional status after upper gastrointestinal resection
Date of disclosure of the study information 2026/07/01
Last modified on 2026/06/24 21:16:56

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Basic information

Public title

Prospective observational study of postoperative symptoms and nutritional status after upper gastrointestinal resection using a wearable chewing monitoring device

Acronym

Bitescan-UGI Study

Scientific Title

Prospective observational exploratory study on the association between chewing behavior and symptoms and nutritional status after upper gastrointestinal resection

Scientific Title:Acronym

Bitescan-UGI Study

Region

Japan


Condition

Condition

Gastric cancer, esophageal cancer

Classification by specialty

Surgery in general Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to exploratorily evaluate the association between chewing behavior measured using a wearable chewing monitoring device (bitescan) and postoperative symptoms, quality of life, body weight change, and nutritional status after upper gastrointestinal resection for gastric or esophageal cancer.

Basic objectives2

Others

Basic objectives -Others

To exploratorily evaluate the association between chewing behavior and postoperative symptoms, quality of life, body weight change, and nutritional status.

Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

The total symptom score of the Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45) at 3 months after surgery in the gastrectomy group.

Key secondary outcomes

Key secondary outcomes include dumping-related subscale scores, postoperative body weight loss rate, nutritional status, postoperative quality of life measures, dietary intake, the association between chewing behavior indices and skeletal muscle mass or body composition, and the association between chewing behavior indices and postoperative outcomes. In the esophagectomy group, quality of life measures including PGSAS-45, body weight loss rate, and nutritional status will be exploratorily evaluated. The association between oral function measures, including tongue pressure and maximum occlusal force, and chewing behavior indices will also be exploratorily assessed.


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.Patients scheduled to undergo elective gastrectomy for gastric cancer or related diseases, or elective esophagectomy for esophageal cancer.
2.Patients aged 18 years or older.
3.Patients who are able to take food orally, understand the study, and provide written informed consent.

Key exclusion criteria

1.Patients with severe dysphagia or those judged to be at high risk of aspiration and unable to safely consume the standardized test meal.
2.Patients with oral or temporomandibular joint disorders that may substantially affect chewing assessment.
3.Patients judged by the investigator to be inappropriate for participation in this study.
4.InBody body composition analysis will not be performed in patients with a pacemaker or implantable cardioverter-defibrillator.

Target sample size

70


Research contact person

Name of lead principal investigator

1st name Yutaka
Middle name
Last name Kimura

Organization

Kindai University Nara Hospital

Division name

Department of Gastroenterological Surgery

Zip code

630-0293

Address

1248-1 Ototacho, Ikoma, Nara 630-0293, Japan

TEL

0743-77-0880

Email

agakuhara@med.kindai.ac.jp


Public contact

Name of contact person

1st name Atsushi
Middle name
Last name Gakuhara

Organization

Kindai University Nara Hospital

Division name

Department of Gastroenterological Surgery

Zip code

630-0293

Address

1248-1 Ototacho, Ikoma, Nara 630-0293, Japan

TEL

0743-77-0880

Homepage URL


Email

agakuhara@med.kindai.ac.jp


Sponsor or person

Institute

Kindai University Nara Hospital

Institute

Department

Personal name



Funding Source

Organization

Self-funded

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

Institutional Review Board of Kindai University Nara Hospital

Address

1248-1 Ototacho, Ikoma, Nara 630-0293, Japan

Tel

0743-77-0880

Email

agakuhara@med.kindai.ac.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



Other administrative information

Date of disclosure of the study information

2026 Year 07 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 04 Month 28 Day

Date of IRB

2026 Year 05 Month 18 Day

Anticipated trial start date

2026 Year 07 Month 01 Day

Last follow-up date

2030 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a single-center prospective observational study with no therapeutic intervention. Chewing behavior during consumption of a standardized test meal will be measured using a wearable chewing monitoring device (bitescan) before surgery and at 3 months after surgery. The association between chewing behavior and postoperative symptoms, quality of life, body weight change, and nutritional status will be exploratorily evaluated using questionnaires, body weight measurement, handgrip strength measurement, InBody body composition analysis, routinely obtained laboratory and CT data, and oral function tests.


Management information

Registered date

2026 Year 06 Month 24 Day

Last modified on

2026 Year 06 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070998