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CachexiaNCT00710632

Screening to Predict Weight Loss in Patients With Cancer

A study testing laboratory biomarker analysis, physiologic testing and questionnaire administration in people with Cachexia and Gastrointestinal Cancer, run by Queen's Medical Center at 1 site in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record

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Trial summary

RATIONALE: Screening tests may identify people with cancer who are at high risk of losing weight and help doctors plan better treatment. PURPOSE: This clinical trial is studying how well a new screening tool works in predicting weight loss in patients with cancer. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
laboratory biomarker analysis, physiologic testing and questionnaire administration
Type of treatment
Surgery or procedure
How many people
220 participants
Where
1 siteUnited Kingdom
Study dates
Sep 2007to Aug 2008
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

DISEASE CHARACTERISTICS:

  • Meets 1 of the following criteria, depending on part of study:
  • Part 1:
  • Receiving radiotherapy for cancer at Nottingham City Hospital
  • Likely to be clinically stable over the duration of one week (i.e., not at high risk of disease or treatment-related appetite and weight loss)
  • Stable weight and appetite
  • Part 2:
  • Outpatient at Nottingham City Hospital with a confirmed diagnosis of primary lung or gastrointestinal cancer
  • Lost no more than 10% of pre-illness stable body weight
  • Lost no more than 5% of pre-illness stable body weight if body mass index (BMI) was less than 20 kg/m^2
  • BMI ≥ 18.5 kg/m^2

PATIENT CHARACTERISTICS:

  • No condition impairing the ability to swallow
  • Not receiving enteral tube feeding or parenteral nutrition (part 2)
  • Able to be weighed (part 2)

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • No concurrent radiotherapy to the head, neck or upper gastrointestinal tract area

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Queen's Medical Centre

    Nottingham, England, NG7 2UH

Other trials in United Kingdom

About this study

Official title: Predicting Weight Loss in People With Cancer: Development of a Screening Tool

RATIONALE: Screening tests may identify people with cancer who are at high risk of losing weight and help doctors plan better treatment.

PURPOSE: This clinical trial is studying how well a new screening tool works in predicting weight loss in patients with cancer.

Read the detailed description

OBJECTIVES:

  • To identify people with cancer who are at greatest risk of future weight loss by the development of a simple and practical screening tool.
  • To estimate the reliability of the Appetite and Symptom Questionnaire (part 1).
  • To develop a screening tool based on the ability of the optimal combination of items from the three measures (ASQ, MUST, CRP) to predict clinically significant weight loss over three months (part 2).
  • To estimate the sensitivity and specificity at various cut-points of the developed screening tool in predicting clinically significant weight loss (> 10% weight loss or between 5% and 10% weight loss with a BMI < 20 kg/m^2) over three months (part 2).

OUTLINE: This is a two-part study.

  • Part 1: Patients are asked to complete the Appetite and Symptom Questionnaire (ASQ) on two occasions, one week apart.
  • Part 2: Patients are screened at baseline for risk of malnutrition using the Malnutrition Universal Screening Tool. Blood samples are also taken at this time to establish the level of C-reactive protein and patients complete the ASQ. Patients are weighed using calibrated scales and height measurements are obtained. Patients are asked about unplanned weight loss over the previous 3-6 months. Patients are weighed again at 3 months. Percentage weight loss is calculated at 3 months.
Being tested
laboratory biomarker analysis, physiologic testing, questionnaire administration, management of therapy complications
Keywords
cachexia, lung cancer, gastrointestinal cancer, unspecified adult solid tumor, protocol specific, hematopoietic/lymphoid cancer
Medical subject headings
Cachexia, Gastrointestinal Neoplasms, Hematologic Neoplasms, Lung Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • laboratory biomarker analysisOther

  • physiologic testingOther

  • questionnaire administrationOther

  • management of therapy complicationsProcedure or surgery

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage weight loss by measuring height and weight at baseline and at 3 months

  2. Malnutrition Universal Screening Tool Score at initial screening

  3. Response to the Appetite and Symptom Questionnaire at baseline

  4. Level of blood C-reactive protein at baseline

  5. Clinical condition, defined as diagnosis and stage of disease, treatment, and performance status at baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Jul 2008 (estimated)
  2. Study startSep 2007
  3. Primary completionAug 2008 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Enrolment
220 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00710632
Sponsor's protocol ID
CDR0000590278
Other IDs
QMC-WEIGHT, EU-20831
Status last verified
Jul 2009
First submitted
3 Jul 2008
Last updated
17 Sep 2013
Results posted
No

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