Screening to Predict Weight Loss in Patients With Cancer

NCT ID: NCT00710632

Last Updated: 2013-09-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-09-30

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Cachexia Gastrointestinal Cancer Hematopoietic/Lymphoid Cancer Lung Cancer Unspecified Adult Solid Tumor, Protocol Specific

Keywords

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cachexia lung cancer gastrointestinal cancer unspecified adult solid tumor, protocol specific hematopoietic/lymphoid cancer

Study Design

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Primary Study Purpose

SUPPORTIVE_CARE

Interventions

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laboratory biomarker analysis

Intervention Type OTHER

physiologic testing

Intervention Type OTHER

questionnaire administration

Intervention Type OTHER

management of therapy complications

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Queen's Medical Center

OTHER

Sponsor Role lead

Principal Investigators

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Vanessa Halliday, MSC

Role: PRINCIPAL_INVESTIGATOR

University of Nottingham

Locations

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Queen's Medical Centre

Nottingham, England, United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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QMC-WEIGHT

Identifier Type: -

Identifier Source: secondary_id

EU-20831

Identifier Type: -

Identifier Source: secondary_id

CDR0000590278

Identifier Type: -

Identifier Source: org_study_id