Tolerance of Anti-Cancer Therapy in the Elderly

NCT ID: NCT05251922

Last Updated: 2022-02-23

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

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-11-01

Study Completion Date

2023-06-01

Brief Summary

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This is a multicentre observational study evaluating frailty and tolerance of chemotherapy in the elderly.

Detailed Description

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This is a multicentre observational study evaluating frailty and tolerance of chemotherapy in the elderly.

The number of people with cancer over the age of 65 years is increasing and more older patients are being treated with chemotherapy. Previous research has shown that patients living with frailty are more likely to experience significant toxicity from chemotherapy.

A scoring system exists, the CARG (Cancer Aging Research Group) score), which using sociodemographics, tumour/treatment variables, laboratory test results (haemoglobin and creatinine clearance), geriatric assessment variables (function, co-morbidity, cognition, psychological state, social activity/support and nutritional status) predicts the likelihood of patients in this population developing a grade 3-5 toxicity. The CARG score ranges from 0 (lowest toxicity risk) to 19 (highest toxicity risk).

This scoring system was developed and validated in the USA (United States of America). It was not however found to be predictive of toxicity in Australia. To date it has not been evaluated, nor is used in routine practice in oncology in the UK (United Kingdom).

This study is looking at markers of frailty in patients \>65years. The investigators seek to predict those who are at a higher risk of side effects from chemotherapy. The investigators are looking to validate the CARG score in a UK NHS (National Health Service) population and show feasibility of using this in routine practice. The investigators are also evaluating if other scoring systems which are routinely used to assess frailty (but have never been assessed for predicting toxicity) are useful in predicting toxicity.

Secondary objectives include describing frailty in this population, exploring patients' perceptions of risk associated with chemotherapy and demonstrating the added value of risk prediction tools compared to clinicians estimates of toxicity risk.

Conditions

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Frailty Chemotherapeutic Toxicity

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Age \>65years
* About to start first line chemotherapy for a solid tumour based malignancy
* Chemotherapy given for any intent eg. adjuvant or palliative
* Estimated survival of \>3months
* Able to comprehend and complete questionnaire.

Exclusion Criteria

* Medical or psychiatric condition impairing ability to consent
* Participant is enrolled in another clinical trial
* Prior chemotherapy for any indication
* Receiving concurrent radiotherapy (RT) or immunotherapy (IT)
* Unable to provide informed consent
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Leeds Teaching Hospitals NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Helen C Dearden

Role: PRINCIPAL_INVESTIGATOR

[email protected]

Locations

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Leeds NHS Teaching Hospitals

Leeds, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Helen C Dearden

Role: CONTACT

01132433144

Anne Gowing

Role: CONTACT

01132433144

Facility Contacts

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Helen C Dearden

Role: primary

01132433144

Anne Gowing

Role: backup

01132433144

Other Identifiers

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MO19/127559

Identifier Type: -

Identifier Source: org_study_id

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