UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063197
Receipt number R000072335
Scientific Title Prevalence and Clinical Characteristics of KRAS Mutations in Patients with Non-Small Cell Lung Cancer Undergoing Multiplex Genetic Testing in Northern Hokkaido: A Multicenter Retrospective Study
Date of disclosure of the study information 2026/10/07
Last modified on 2026/10/07 00:57:59

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Basic information

Public title

Prevalence and Clinical Characteristics of KRAS Mutations in Non-Small Cell Lung Cancer in Northern Hokkaido

Acronym

Prevalence and Clinical Characteristics of KRAS Mutations in Non-Small Cell Lung Cancer in Northern Hokkaido

Scientific Title

Prevalence and Clinical Characteristics of KRAS Mutations in Patients with Non-Small Cell Lung Cancer Undergoing Multiplex Genetic Testing in Northern Hokkaido: A Multicenter Retrospective Study

Scientific Title:Acronym

Prevalence and Clinical Characteristics of KRAS Mutations in Patients with Non-Small Cell Lung Cancer Undergoing Multiplex Genetic Testing in Northern Hokkaido: A Multicenter Retrospective Study

Region

Japan


Condition

Condition

Non-small cell lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

This multicenter retrospective observational study aims to determine the prevalence, subtype distribution, clinical characteristics, and prognosis of KRAS-mutant non-small cell lung cancer among patients residing in Northern Hokkaido who underwent multiplex genetic testing in routine clinical practice. The findings will also be exploratively compared with previously reported Japanese and international data to investigate potential regional differences in the distribution of KRAS mutations.

Basic objectives2

Others

Basic objectives -Others

Retrospective observational study of the prevalence and clinical characteristics of KRAS mutations

Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

The prevalence of KRAS mutations among patients with non-small cell lung cancer residing in the predefined Northern Hokkaido area at the time of multiplex genetic testing and evaluable for KRAS mutation status.

Key secondary outcomes

Distribution of KRAS mutation subtypes among KRAS-mutant cases.

Proportion of KRAS G12C among KRAS-mutant cases.

Distribution of KRAS mutations according to nucleotide substitution type.

Association between transversion-type KRAS mutations and individual smoking exposure.

Absolute prevalence of KRAS G12C mutations in the entire study population.

Clinical characteristics and prognosis of patients with KRAS-mutant non-small cell lung cancer.


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

Patients with pathologically confirmed non-small cell lung cancer (NSCLC).
Patients who underwent multiplex genetic testing at Asahikawa Medical University Hospital or one of the participating institutions between January 1, 2023 and December 31, 2025.
Patients aged 20 years or older at the time of multiplex genetic testing.

Key exclusion criteria

Patients who declined participation in the study, either personally or through an appropriate representative.
Patients considered unsuitable for inclusion in the study by the principal investigator or study investigators.

Target sample size

1500


Research contact person

Name of lead principal investigator

1st name Takaaki
Middle name
Last name Sasaki

Organization

Asahikawa Medical University

Division name

Department of Respiratory Medicine and Neurology

Zip code

078-8510

Address

2-1-1-1 Midorigaoka Higashi, Asahikawa, Hokkaido, Japan

TEL

0166-69-3290

Email

takaaki6@asahikawa-med.ac.jp


Public contact

Name of contact person

1st name Ryotaro
Middle name
Last name Kida

Organization

Asahikawa Medical University

Division name

Department of Respiratory Medicine and Neurology

Zip code

0166-69-3290

Address

2-1-1-1 Midorigaoka Higashi, Asahikawa, Hokkaido, Japan

TEL

0166-69-3290

Homepage URL


Email

rkida@asahikawa-med.ac.jp


Sponsor or person

Institute

Asahikawa Medical University

Institute

Department

Personal name



Funding Source

Organization

nothing

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

Asahikawa Medical University Research Ethics Committee

Address

2-1-1-1 Midorigaoka Higashi, Asahikawa, Hokkaido, Japan

Tel

0166-68-2297

Email

rs-kp.g@asahikawa-med.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 10 Month 07 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 07 Month 31 Day

Date of IRB

2026 Year 09 Month 16 Day

Anticipated trial start date

2026 Year 10 Month 16 Day

Last follow-up date

2028 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 multicenter retrospective observational study. Eligible patients with non-small cell lung cancer who underwent multiplex genetic testing in routine clinical practice at participating institutions between January 1, 2023 and December 31, 2025 will be comprehensively identified. The primary analysis population will consist of patients residing in the predefined Northern Hokkaido area at the time of multiplex genetic testing. The prevalence, subtype distribution, and nucleotide substitution patterns of KRAS mutations will be evaluated, together with their associations with smoking exposure, occupational history, patient characteristics, and testing methods. Prognostic outcomes according to KRAS mutation status and other major driver alterations will also be explored among patients with unresectable advanced or recurrent disease.


Management information

Registered date

2026 Year 10 Month 07 Day

Last modified on

2026 Year 10 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072335