UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063314
Receipt number R000072469
Scientific Title Association Between Early Dynamics of Chronic Stress and Inflammation and Treatment Response and Mortality in Patients with Unresectable or Advanced Cancer Receiving Immune Checkpoint Inhibitor Therapy: A Multicenter Cohort Study
Date of disclosure of the study information 2026/10/16
Last modified on 2026/10/16 13:50:24

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Basic information

Public title

A Study on Early Stress and Inflammatory Dynamics for Predicting Outcomes in Immune Checkpoint Inhibitor Therapy

Acronym

SIP-ICI Study

Scientific Title

Association Between Early Dynamics of Chronic Stress and Inflammation and Treatment Response and Mortality in Patients with Unresectable or Advanced Cancer Receiving Immune Checkpoint Inhibitor Therapy: A Multicenter Cohort Study

Scientific Title:Acronym

SIP-ICI Study

Region

Japan


Condition

Condition

Unresectable and Advanced Cancer

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate whether chronic stress status and early inflammatory dynamics are associated with treatment response and prognosis in unresectable or advanced cancer patients undergoing immune checkpoint inhibitor therapy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The objective response rate (ORR) at 12 weeks after treatment initiation, comparing ORR between the high risk and non high risk groups defined by the Hospital Anxiety and Depression Scale (HADS)

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with unresectable or advanced cancer confirmed to be clinically incurable, based on radiologic, histologic, or cytologic assessment.
Patients receiving immune checkpoint inhibitor (ICI) therapy as first line treatment, either as monotherapy or in combination regimens, for metastatic, recurrent, or advanced disease.
Prior surgery or radiotherapy is allowed, but patients who have received ICI as neoadjuvant or adjuvant therapy are excluded.
Presence of evaluable disease according to RECIST version 1.1 measurable disease is not required.
Patients aged 18 years or older, with no restrictions on sex.
ECOG performance status (PS) 0 to 2.
Written informed consent obtained from the patient after adequate explanation of the study prior to enrollment.

Key exclusion criteria

Patients with severe comorbidities, including but not limited to severe infections, major cerebrovascular disease, poorly controlled diabetes, severe cardiac disease, interstitial lung disease or pulmonary fibrosis, active small bowel disease, severe hepatic impairment, or severe renal impairment.
Patients scheduled to receive other forms of immunotherapy.
Patients with synchronous or metachronous multiple malignancies, except for carcinoma in situ of the uterine cervix, adequately treated basal cell carcinoma of the skin, or malignancies treated more than 5 years earlier with no evidence of recurrence.
Patients receiving continuous systemic corticosteroid therapy.
Patients with coexisting autoimmune diseases.
Patients with coexisting psychiatric disorders.
Any patient deemed unsuitable for participation by the treating physician.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Keita
Middle name
Last name Uchino

Organization

Toranomon Hospital

Division name

Medical Oncology

Zip code

105-8470

Address

2-2-2 Toranomon, Minato City, Tokyo, Japan

TEL

03-3588-1111

Email

keita-u4907@toranomon.gr.jp


Public contact

Name of contact person

1st name Keita
Middle name
Last name Uchino

Organization

Toranomon Hospital

Division name

Medical Oncology

Zip code

105-8470

Address

2-2-2 Toranomon, Minato City, Tokyo, Japan

TEL

03-3588-1111

Homepage URL


Email

keita-u4907@toranomon.gr.jp


Sponsor or person

Institute

Toranomon Hospital

Institute

Department

Personal name



Funding Source

Organization

Federation of National Public Service Personnel Mutual Aid Associations

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Toranomon Hospital Institutional Review Board

Address

2-2-2 Toranomon, Minato City, Tokyo, Japan

Tel

03-3588-1111

Email

chiken-jim@toranomon.gr.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 16 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

Open public recruiting

Date of protocol fixation

2026 Year 03 Month 01 Day

Date of IRB

2026 Year 03 Month 18 Day

Anticipated trial start date

2026 Year 03 Month 18 Day

Last follow-up date

2029 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

No specific remarks


Management information

Registered date

2026 Year 10 Month 16 Day

Last modified on

2026 Year 10 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072469