UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062500
Receipt number R000071339
Scientific Title A Review of the Current Status of Personalized Medicine for Lung Cancer in the AYA Population and Challenges in Improving Prognosis
Date of disclosure of the study information 2026/08/07
Last modified on 2026/08/07 09:48:48

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Basic information

Public title

A Review of the Current Status of Personalized Medicine for Lung Cancer in the AYA Population and Challenges in Improving Prognosis

Acronym

NLCTG2501

Scientific Title

A Review of the Current Status of Personalized Medicine for Lung Cancer in the AYA Population and Challenges in Improving Prognosis

Scientific Title:Acronym

NLCTG2501

Region

Japan


Condition

Condition

Locally Advanced or Advanced Non-Small Cell Lung Cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

This study aims to clarify the current status of driver gene mutation frequencies and treatment outcomes among AYA (ages 15-39) lung cancer patients following the introduction of multiplex testing, with the goal of improving the prognosis of AYA lung cancer.

Basic objectives2

Others

Basic objectives -Others

The purpose is to clarify the actual state and outcomes of treatment, as well as the status of social support and whether fertility is taken into consideration.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Frequency of Driver Gene Mutations in Patients Aged 15-39 with Advanced Lung Cancer

Key secondary outcomes



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

15 years-old <=

Age-upper limit

39 years-old >=

Gender

Male and Female

Key inclusion criteria

Cases of locally advanced or advanced non-small cell lung cancer diagnosed by histology or cytology in patients aged 15-39 years for whom curative surgery is not an option (including cases of postoperative recurrence)

Key exclusion criteria

Cases in which curative surgery was performed for early-stage non-small cell lung cancer and in which there has been no recurrence

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Satoshi
Middle name
Last name Watanabe

Organization

Niigata University Graduate School of Medical and Dental Sciences

Division name

Department of Respiratory Medicine and Infectious Diseases

Zip code

951-8510

Address

1-757 Asahimachidori, Chuouku, Niigata

TEL

+81-25-368-9325

Email

satoshi7@med.niigata-u.ac.jp


Public contact

Name of contact person

1st name Shinji
Middle name
Last name Hirose

Organization

Niigata University Graduate School of Medical and Dental Sciences

Division name

Department of Respiratory Medicine and Infectious Diseases

Zip code

951-8510

Address

1-757 Asahimachidori, Chuouku, Niigata

TEL

09054264593

Homepage URL


Email

res.hirose.08081@gmail.com


Sponsor or person

Institute

Niigata University Graduate School of Medical and Dental Sciences

Institute

Department

Personal name



Funding Source

Organization

None

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

Ethics Committee for Human Research, Niigata University

Address

1-757 Asahimachidori, Chuouku, Niigata

Tel

025-227-2625

Email

ethics@adm.niigata-u.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 08 Month 07 Day


Related information

URL releasing protocol


Publication of results

Partially published


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 02 Month 16 Day

Date of IRB

2026 Year 03 Month 04 Day

Anticipated trial start date

2026 Year 03 Month 31 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

[Background] Lung cancer in adolescents and young adults (AYAs; 15-39 years) is characterized by frequent driver gene mutations, but outcomes after the introduction of multiplex genomic testing remain unclear. We investigated current treatments and outcomes. [Subjects and Methods] We retrospectively reviewed patients aged 15-39 years with pathologically confirmed locally advanced or advanced non-small cell lung cancer treated at participating institutions of the Niigata Lung Cancer Treatment Study Group between June 2019 and June 2025. [Results] Twenty-two patients were included (median age, 37 years; range, 24-39; 9 males, 13 females). PS 0/1/2/3/4 was 12/7/1/1/1. Histology was adenocarcinoma in 20 and other in 2; stages IIIA/IIIB/IVA/IVB were 4/1/4/13. Two patients were diagnosed during pregnancy. Driver testing was performed in 21 patients, with mutations detected in 19 (EGFR, n=10; ALK, 3; RET, 3; ROS1, 2; KRAS, 1). Initial treatment was surgery (n=2), chemoradiotherapy (n=2), targeted therapy (n=11), or cytotoxic chemotherapy (n=7). Median OS and PFS were 85.6 months (95% CI, 37.4-85.6) and 28.3 months (95% CI, 4.1-42.2). In 16 stage IV patients receiving targeted therapy, median OS and PFS were 61.6 months (95% CI, 25.9-85.6) and 28.3 months (95% CI, 4.1-NE). Educational/employment support was provided to 2 patients and fertility preservation to 1. [Conclusion] Driver mutations were common, and favorable outcomes were achieved. However, few patients used social support services, suggesting the need to improve assessment of support needs and access to relevant information.


Management information

Registered date

2026 Year 08 Month 07 Day

Last modified on

2026 Year 08 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071339