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Advancing patient care for
Japan's most common cancer

Using nQuery to optimize clinical trials


Calculating the appropriate sample size
for a first of its kind stage-II colon cancer trial

As Chairman of the Department of Biostatistics, Professor Satoshi Teramukai leads a variety of investigator-initiated clinical trials at the Kyoto Prefectural University of Medicine.

With over 35 years experience, hundreds of published papers and thousands of citations, Professor Satoshi Teramukai's innovative work ranges from a Bayesian predictive sample size design for a single-arm exploratory clinical trial, to designing and implementing SACURA, the only randomized-controlled trial focused on adjuvant therapy for stage II colon cancer.

Colorectal cancer has been the most common cancer in Japan since 2015. While adjuvant chemotherapy is the internationally accepted standard of care with established efficacy for stage III colon cancer, its usefulness for stage II disease remains controversial.

To ensure patients are receiving the best treatment following stage II colon cancer surgery, Professor Satoshi Teramukai and his team set out to verify the benefit of adjuvant chemotherapy for stage II colon cancer compared with observation without any adjuvant treatment and to investigate which subgroups benefit from adjuvant chemotherapy.

The challenge they faced was a large sample size would be necessary to confirm any benefit of adjuvant chemotherapy over surgery alone because the recurrence rate is generally low


  • Increasing trial complexity
  • Changing regulations
  • Spiraling costs
  • Patient access


nQuery is one of the most reliable tools for sample size in
clinical trial design. It is accurate, easy to use and saves us time.


"I have been using nQuery for about 20 years. Reliability is so important in statistical software when implementing complex calculations."

"nQuery is one of the most reliable tools for sample size calculation in clinical trial design. It is easy to use and very useful for calculating the critical values for group sequential designs such as alpha spending function.”

Professor Satoshi Teramukai

Chairman Of The Department Of Biostatistics At Kyoto Prefectural University Of Medicine & Graduate School Of Medical Science

nQuery is a complete solution for
optimizing clinical trial design

At the study planning and protocol development phase, Professor Satoshi Teramukai and his team objectively assessed all ethical and scientific appropriateness of the study.

Should the sample size be too small it may produce inconclusive results, whereas if the sample size was too large it would waste scarce resources and could expose more participants than necessary to any related risk.

nQuery was used to calculate the appropriate target sample size of 2000 patients, determined with two-sided alpha of 0.05, power of 0.9 and assumed hazard ratio (HR) 0.729. Professor Satoshi Teramuka knew that he could trust nQuery for optimizing his trial design with the appropriate sample size.

Using nQuery for reliable and accurate results, he could further save time on study protocols for both this and future SAPs by also using the various nQuery outputs such as the sample size statement


Leveraging nQuery, as a reliable digital tool for clinical trial design and sample size calculations in adaptive, Bayesian and fixed-term trials, Professor Satoshi Teramukai has developed hundreds of clinical trials and programs that complete the essential role of evaluating and developing new treatments for all diseases.

nQuery Logo January 2017 (WHITE TEXT - Bitmap - Transparent Background)-914790-edited


Achieve regulatory approval

✔ Reduce costs & improve
rates of success

✔ Increase flexibility for better
and earlier decision-making

✔ Design ethical and efficient
clinical trials by reducing the
risk to patients


Further Case Studies

Case Study

Adaptive Designs in nQuery
Effective and Efficient Drug Development