The Effect of Colon Cancer on Muscle Gene Expression, Body Composition, Muscle Function, and Muscle Metabolism

NCT ID: NCT03789136

Last Updated: 2021-06-29

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

Total Enrollment

55 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-02-24

Study Completion Date

2022-12-31

Brief Summary

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Rationale: Cancer cachexia is a complex metabolic syndrome characterized by clinically relevant loss of muscle mass with or without loss of fat mass. To determine how treatment methods can be most effective, full insight in changes in gene expression, body composition, muscle function and muscle metabolism are of great importance.

Objective: Main aim of the study is to investigate the differences in gene expression, body composition, muscle function and muscle metabolism in colon cancer patients compared to controls.

Study design: Observational study Study population: 40 colon cancer patients undergoing a tumor resection (30 primary tumor and 10 liver metastases) and 15 control patients undergoing an inguinal hernia repair (♂, 10) or an abdominal hysterectomy (♀, 5).

Main study parameters/endpoints: Primary study parameter will be gene expression (transcriptomic and polymerase chain reaction analyses of muscle biopsies). Secondary parameters will be body composition (determined in available CT scans and bio impedance analysis and with DEXA), muscle function parameters (grip and knee flexion/extension strength and measured in a biopsy), metabolic markers (measured in fat and muscle biopsies), biochemical markers (measured in blood/serum) and gene expression of fat biopsies.

Nature and extent of the burden and risks associated with participation, benefit and group relatedness: The investigators expect no additional risk for the subjects due to the proposed measurements. Biopsies will be taken during the planned operation and therefore is not expected to cause a significant increase in burden for the patient. All other measurements are non-invasive, observational measurements with no risk of any harmful side effects.

Detailed Description

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Conditions

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Cachexia; Cancer

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Primary colon cancer

Not applicable, observational study

Intervention Type OTHER

Not applicable, observational study

Liver metastases

Not applicable, observational study

Intervention Type OTHER

Not applicable, observational study

Inguinal hernia (control)

Not applicable, observational study

Intervention Type OTHER

Not applicable, observational study

Abdominal hysterectomy (control)

Not applicable, observational study

Intervention Type OTHER

Not applicable, observational study

Interventions

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Not applicable, observational study

Not applicable, observational study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* CC patients:


* Diagnosed with primary colon cancer (30) or liver metastases due to colon cancer(10)
* Eligible for a primary tumor or liver metastases resection procedure

* Controls:
* Eligible for an inguinal hernia repair (♂, 10) or an abdominal hysterectomy (♀, 5)

Exclusion Criteria

* CC patients:

A potential subject who meets any of the following criteria will be excluded from participation in this study:

* Having had chemotherapy or an operational procedure of the abdomen in the past 6 months
* Suffering from malabsorption

* Controls:
* Having had treatment for previous or current tumors
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gelderse Vallei Hospital

OTHER

Sponsor Role collaborator

Top Institute Food and Nutrition

OTHER

Sponsor Role collaborator

Wageningen University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Klaske van Norren, PhD

Role: PRINCIPAL_INVESTIGATOR

Wageningen University and Research

Locations

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Gelderse Vallei Hospital

Ede, Gelderland, Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Klaske van Norren, PhD

Role: CONTACT

+31317485790

Facility Contacts

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Dik Snijdelaar, md

Role: primary

Other Identifiers

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NL58188.081.16

Identifier Type: -

Identifier Source: org_study_id

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