Identifying Modifiable PAtient Centered Therapeutics (IMPACT) Frailty

NCT ID: NCT04717869

Last Updated: 2026-01-30

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

RECRUITING

Total Enrollment

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-09-22

Study Completion Date

2026-07-31

Brief Summary

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Frailty, the decline in physical and cognitive reserves leading to vulnerability to stressors is increasingly being recognized as a public health concern. Although multiple measures exist that can identify frail patients, very little is known about how or when to intervene. Sarcopenia, or the degree of muscle wasting, is closely correlated to frailty and patient outcomes. This is a prospective cohort study of critically ill patients to identify modifiable risk factors of sarcopenia, as potential targets to reduce frailty.

Detailed Description

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Frailty is the decline in physical and cognitive reserves leading to increased vulnerability to stressors such as surgery or disease states. Frailty is not a disease, but a syndrome with a distinct frail phenotype that includes decreased status in mobility, muscle mass, nutritional status, strength, and endurance. Frail patients are at greater risk of adverse outcomes, such as functional decline, prolonged hospitalization with associated increases in healthcare costs and death. Multiple measures of frailty exist and although they are important for understanding risk for a given patient population or resource utilization, they do not provide any insight as to how to manage or treat frail patients.

In critically ill patients, sarcopenia has long been tied to poor outcomes, poor nutrition status, and decreased ability to perform activities of daily living (ADLs). We hypothesize that sarcopenia as a marker for frailty in critically ill patients can be used to track development and recovery of frailty.

The objective of this proposal to create a prospective cohort study of critically ill patients to identify modifiable risk factors of sarcopenia as potential targets for therapeutic measures to improve or reverse frailty.

The primary aim of the study is to track sarcopenia in critically ill patients. Sarcopenia is a measure of frailty and is associated with worse outcomes in critically ill patients. The aim to understand how the kinetics of sarcopenia differ in critically ill population given the heterogeneity of with various disease process which may affect the degree and rate of muscle wasting. Understanding the disease process is important in identifying when or how to intervene to obtain meaningful recovery.

Secondary aims are to assess the role biomarkers in patients across the frailty spectrum to understand their role frailty. Additionally nutrition is well known to affect sarcopenia and nutritional status is a key component in frailty. Nutrition status will be tracked to understand development of sarcopenia.

Conditions

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Frailty Sarcopenia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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ICU Patients

Adult Surgical, Cardiothoracic, and Neuro- ICU patients will be enrolled within 48 hrs of admission

Ultrasound

Intervention Type DIAGNOSTIC_TEST

2D ultrasound image collection

Biomarker Analysis

Intervention Type DIAGNOSTIC_TEST

Inflammatory and nutritional biomarker analysis

Frailty Index

Intervention Type OTHER

A Frailty Index Questionnaire be completed by patients or their surrogates to determine the presence of frailty at ICU admission

Interventions

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Ultrasound

2D ultrasound image collection

Intervention Type DIAGNOSTIC_TEST

Biomarker Analysis

Inflammatory and nutritional biomarker analysis

Intervention Type DIAGNOSTIC_TEST

Frailty Index

A Frailty Index Questionnaire be completed by patients or their surrogates to determine the presence of frailty at ICU admission

Intervention Type OTHER

Other Intervention Names

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Questionnaire

Eligibility Criteria

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Inclusion Criteria

* Adult patients admitted to the Surgical, Cardiothoracic or Neuro ICU
* ICU stay longer than 24 hours

Exclusion Criteria

* Patients with muscular or mitochondrial diseases affecting muscle quality or mass
* Preexisting paralysis
* Absence of lower limbs
* Ongoing discussions about goals of care
* Transfers from a skilled nursing facility
* Children under the age of 18
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of California, Los Angeles

OTHER

Sponsor Role lead

Responsible Party

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Cecilia Canales

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Cecilia Canales, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

UCLA Department of Anesthesiology and Perioperative Medicine

Locations

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Ronald Reagan UCLA Medical Center, Department of Anesthesiology & Perioperative Medicine

Los Angeles, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jennifer Scovotti, MA

Role: CONTACT

3102064484

Facility Contacts

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Jennifer Scovotti, MA

Role: primary

3102064484

References

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Other Identifiers

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20-002271

Identifier Type: -

Identifier Source: org_study_id

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