UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062667
Receipt number R000071739
Scientific Title Multicenter Collaborative Registry Study of Lynch Syndrome
Date of disclosure of the study information 2026/08/24
Last modified on 2026/08/24 20:58:36

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Basic information

Public title

Multicenter Collaborative Registry Study of Lynch Syndrome

Acronym

JSHT LS Registry

Scientific Title

Multicenter Collaborative Registry Study of Lynch Syndrome

Scientific Title:Acronym

JSHT LS Registry

Region

Japan


Condition

Condition

Lynch syndrome

Classification by specialty

Medicine in general Gastroenterology Hepato-biliary-pancreatic medicine
Hematology and clinical oncology Nephrology Surgery in general
Gastrointestinal surgery Hepato-biliary-pancreatic surgery Breast surgery
Obstetrics and Gynecology Pediatrics Dermatology
Urology Neurosurgery Operative medicine
Adult

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

This study aims to clarify the malignant tumor profile, cancer risk, treatment course, recurrence, and prognosis in Lynch syndrome, and to establish appropriate surveillance.

Basic objectives2

Others

Basic objectives -Others

the malignant tumor profile, cancer risk, treatment course, recurrence, and prognosis

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Incidence of Lynch syndrome-associated tumors by causative gene

Key secondary outcomes

Number of death events (proportion)
Cumulative mortality rate by causative gene
Distribution of causes of death
Standardized mortality ratio
Exploration of factors associated with lesion incidence using multivariate analysis and machine learning
Development of a prognostic prediction model using machine learning
Treatment rate (chemoprevention, endoscopic treatment, surgical treatment, etc.)
Surveillance methods
Age at surveillance initiation
Surveillance interval
Marriage rate
Pregnancy rate (or partner's pregnancy, for male patients)
Childbirth rate (or partner's childbirth, for male patients)


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

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Individuals diagnosed with Lynch syndrome by genetic testing 1)
or individuals judged to be genetically appropriate as having Lynch syndrome 2)
1) Carriers of a pathogenic variant in a mismatch repair gene that, as of the time of registration, has been judged pathogenic or likely pathogenic by any public database (excluding in silico analysis) or by the ACMG/AMP guidelines
2) Cases judged to be appropriate as having Lynch syndrome
- When a second-degree relative has been diagnosed with Lynch syndrome based on the same variant, the first-degree relatives of both individuals (e.g., the father, when the individual and the paternal grandfather have been diagnosed)
2. Individuals aged 16 years or older at the time of consent
3. Individuals who have undergone surveillance for Lynch syndrome at least once at a collaborating institution 3)
3) "Surveillance" refers to examinations and tests performed to check for the presence or absence of tumor development, and does not include consultations, genetic counseling, genetic testing, etc.
4. For the "prospective observational study," individuals who, after receiving a full explanation regarding participation in this study and gaining full understanding, provided written consent of their own free will
Note: Participation in this study does not depend on the timing of Lynch syndrome diagnosis, participation in other clinical studies, or the presence or absence of tumor development.
Note: Individuals whose tumor tissue showed microsatellite instability or loss of mismatch repair protein expression (in the case of colorectal cancer, this also includes BRAF wild-type cases), as well as first-degree relatives of individuals with Lynch syndrome who have developed a Lynch syndrome-associated tumor, are excluded from eligibility.

Key exclusion criteria

1. Individuals whose genetic testing identified a variant classified as a Variant of Unknown Significance (VUS)
2. For the "retrospective observational study," individuals who declined to participate in the study
3. Other individuals judged by the principal investigator to be inappropriate as study subjects

Target sample size

400


Research contact person

Name of lead principal investigator

1st name Tatsuro
Middle name
Last name Yamaguchi

Organization

Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital

Division name

Department of Clinical Genetics

Zip code

113-8677

Address

3-18-22, Honkomagome, Bunkyo-ku, Tokyo

TEL

03-3823-2101

Email

tatsuro@yamaguchi.email.ne.jp


Public contact

Name of contact person

1st name Tatsuro
Middle name
Last name Yamaguchi

Organization

Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital

Division name

Department of Clinical Genetics

Zip code

113-8677

Address

3-18-22, Honkomagome, Bunkyo-ku, Tokyo

TEL

03-3823-2101

Homepage URL


Email

tatsuro@yamaguchi.email.ne.jp


Sponsor or person

Institute

Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital

Institute

Department

Personal name

Tatsuro Yamaguchi


Funding Source

Organization

The Japanese Society for Hereditary Tumors

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokyo Metropolitan Hospital Organization

Address

2-8-1, Nishi-Shinjuku, Shinjuku-ku, Tokyo

Tel

03-5320-5812

Email

tatsuro@yamaguchi.email.ne.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

がん・感染症センター都立駒込病院(東京都)
東北医科薬科大学 腫瘍内科学教室(宮城県)
埼玉県立がんセンター 遺伝科(埼玉県)
国立がん研究センター東病院 遺伝子診療部門(千葉県)
東京大学医学部附属病院 ゲノム診療部(東京都)
がん研有明病院(東京都)
富山県立中央病院 皮膚科・遺伝診療科(富山県)
三重大学医学部附属病院(三重県)
京都大学医学部附属病院 腫瘍内科(京都府)
京都府立医科大学 分子標的予防医学(京都府)
医療法人いちょう会 石川消化器内科 消化器内科(大阪府)
岡山大学病院 臨床遺伝子診療科(岡山県)
広島大学病院 遺伝子診療科(広島県)
広島大学病院 消化器内科(広島県)
岩国医療センター 外科(山口県)
産業医科大学 第1外科(福岡県)
九州大学病院 消化管外科/臨床遺伝医療部(福岡県)
埼玉医科大学総合医療センター(埼玉県)


Other administrative information

Date of disclosure of the study information

2026 Year 08 Month 24 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

2026 Year 02 Month 10 Day

Date of IRB

2026 Year 02 Month 10 Day

Anticipated trial start date

2026 Year 02 Month 10 Day

Last follow-up date

2036 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

- retrospective observational study
- prospective observational study


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=R000071739