UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062673
Receipt number R000071387
Scientific Title Performance evaluation study of the POPLAR system, a diagnostic gene panel testing system for molecular subtype classification of endometrial cancer
Date of disclosure of the study information 2026/08/26
Last modified on 2026/08/24 20:45:12

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Basic information

Public title

Performance study of the POPLAR system, a diagnostic system for molecular subtype classification of endometrial cancer

Acronym

POPLAR System Performance Study

Scientific Title

Performance evaluation study of the POPLAR system, a diagnostic gene panel testing system for molecular subtype classification of endometrial cancer

Scientific Title:Acronym

POPLAR System Performance Study

Region

Japan


Condition

Condition

Endometrial cancer

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

The objective of this study is to verify that the analytical performance of the POPLAR system, a diagnostic gene panel testing system for molecular subtype classification of endometrial cancer, is equivalent to that of existing testing methods used as reference methods.
The results of this study will be used for regulatory application of the POPLAR system as Software as a Medical Device (SaMD).

Basic objectives2

Others

Basic objectives -Others

Evaluation of the analytical performance of a diagnostic gene panel testing system

Trial characteristics_1

Confirmatory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Sensitivity and specificity will be independently evaluated for the positive/negative results of the POPLAR system compared with the following four reference methods. Overall percent agreement, positive predictive value, and negative predictive value will also be evaluated as reference measures.

1. Presence or absence of 11 pathogenic POLE variants based on POLE mutation testing by Sanger sequencing
2. MSI-high or MSI-negative status based on dMMR assessment using MSI testing by PCR
3. dMMR or pMMR status based on dMMR assessment using MMR immunohistochemistry
4. Presence or absence of hotspot pathogenic variants in exons 4-9 based on TP53 mutation analysis by Sanger sequencing

Key secondary outcomes

1. The sensitivity, specificity, overall percent agreement, positive predictive value, and negative predictive value of p53 immunohistochemistry will be evaluated in comparison with TP53 mutation status determined by the POPLAR system and by Sanger sequencing.
2. Among cases with pathogenic POLE variants detected by the POPLAR system, the sensitivity, specificity, overall percent agreement, positive predictive value, and negative predictive value of MSI and TP53 results from the POPLAR system will be evaluated in comparison with the reference methods 2-4.
3. Among cases without pathogenic POLE variants detected by the POPLAR system, the sensitivity, specificity, overall percent agreement, positive predictive value, and negative predictive value of MSI and TP53 results from the POPLAR system will be evaluated in comparison with the reference methods 2-4.
4. The concordance rate will be evaluated between molecular subtype classification based on the POPLAR system algorithm, in the order of POLEmut > MSI-high > TP53 wild-type > TP53 mutant, and molecular subtype classification based on reference methods 1, 2, and 4.
5. The concordance rate between the reference MSI test and MMR immunohistochemistry will be evaluated. In addition, among specimens with concordant reference test results, namely MSI-high and dMMR or MSI-negative and pMMR, the concordance rate of MSI classification between the POPLAR system and each of the MSI test kit and MMR immunohistochemistry will be evaluated.


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

Female

Key inclusion criteria

1. Patients aged 18 years or older at the time of consent
2. Patients pathologically diagnosed with endometrial cancer
3. Patients from whom a sufficient amount of tumor tissue required for the tests in this study can be provided
4. Patients who have provided written informed consent to participate in this study of their own free will, or patients for whom consent has been obtained for the use of samples and information in future medical research under a comprehensive consent system or equivalent framework at the participating institution

Key exclusion criteria

Patients judged by the principal investigator to be inappropriate for participation in this study

Target sample size

550


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name Asano

Organization

Hokkaido University

Division name

Department of Obstetrics, Hokkaido University Hospital

Zip code

060-8648

Address

Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido, Japan

TEL

011-706-5941

Email

asano.hj@pop.med.hokudai.ac.jp


Public contact

Name of contact person

1st name Staff
Middle name
Last name POPLAR System Study Office

Organization

Hokkaido University

Division name

Department of Obstetrics and Gynecology, Faculty of Medicine and Graduate School of Medicine

Zip code

060-8648

Address

Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido, Japan

TEL

011-706-5941

Homepage URL


Email

POPLAR@pop.med.hokudai.ac.jp


Sponsor or person

Institute

Hokkaido University

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development (AMED)

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

1.Collaborating research institution responsible for nucleic acid extraction, analysis using the POPLAR system, and validation by digital PCR and whole-exome sequencing
DNA Chip Research Inc.
Responsible person: Ryo Matoba
KDX Musashi-Kosugi Building 9F, 3-1200 Shinmaruko-higashi, Nakahara-ku, Kawasaki, Kanagawa 211-0004, Japan
TEL: +81-44-982-1330

2. Collaborating research institutions responsible for central pathology review
*Center for Development of Advanced Diagnostics, Hokkaido University Hospital: Kanako Hatanaka
*Department of Diagnostic Pathology, Teikyo University School of Medicine: Yuko Sasajima
*Department of Pathology, Okayama University Hospital: Hiroyuki Yanai

3. Collaborating research institutions responsible for case registration
*Hokkaido University Hospital
*Hokkaido Cancer Center
*National Cancer Center Hospital

Name of secondary funder(s)

DNA Chip Research Inc.


IRB Contact (For public release)

Organization

Research Ethics Review Committee for Life Science and Medical Research, Hokkaido University Hospital

Address

Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido, Japan

Tel

011-706-7636/+81-11-706-7636

Email

crjimu@huhp.hokudai.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

北海道大学病院(北海道)、北海道がんセンター(北海道)、国立がん研究センター中央病院(東京都)
Hokkaido University Hospital (Hokkaido), Hokkaido Cancer Center (Hokkaido), National Cancer Center Hospital (Tokyo)


Other administrative information

Date of disclosure of the study information

2026 Year 08 Month 26 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

Enrolling by invitation

Date of protocol fixation

2025 Year 11 Month 28 Day

Date of IRB

2025 Year 12 Month 03 Day

Anticipated trial start date

2025 Year 12 Month 24 Day

Last follow-up date

2027 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is an observational study using tumor tissue specimens from patients with endometrial cancer to evaluate the concordance between molecular subtype classification by the POPLAR system, a diagnostic gene panel testing system, and classification or test results obtained by existing reference methods. The factors to be evaluated are POLE mutation status, MSI status, TP53 mutation status, and molecular subtype classification determined by the POPLAR system. The outcomes are sensitivity, specificity, overall percent agreement, positive predictive value, negative predictive value, and the concordance rate of molecular subtype classification compared with the respective reference methods.


Management information

Registered date

2026 Year 08 Month 24 Day

Last modified on

2026 Year 08 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071387