Status:

COMPLETED

Prospective Evaluation of a Program for Early Identification of Needs and Multidisciplinary Intervention in Supportive Care in Digestive Oncology

Lead Sponsor:

Institut Curie

Conditions:

Non-colorectal Cancer (Esophagus, Stomach, Liver/Bile Ducts, Pancreas, Neuroendocrine Carcinoma)

Colorectal With Associated Risk Factors

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Patients with advanced gastrointestinal (GI) cancers are very often sarcopenic/malnourished at diagnosis (\> 60% of cases) and at high risk of rapid clinical deterioration. These patients have importa...

Detailed Description

All patients will receive usual care including: * Chemotherapy at the investigator's choice, * Outpatient clinical visits according to the regular schedule, * Tumor evaluation based on tumor marker s...

Eligibility Criteria

Inclusion

  • Signed and dated informed consent,
  • Age ≥ 18 years (no superior limit),
  • Histologically confirmed (1) non-colorectal cancer (esophagus, stomach, liver/bile ducts, pancreas, neuroendocrine carcinoma) or (2) colorectal with associated risk factors i.e. ECOG PS 2 (defining significant limitation in daily activities), and/or weight loss ≥ 5% in 1 month or ≥ 10% in 6 months (defining malnutrition/HAS 2019),
  • Advanced disease not amenable to surgery, radiation, or combined modality therapy with curative intent (previous resection of primary tumor allowed), treated with first-line chemotherapy for advanced disease (previous \[neo\]adjuvant chemo\[radio\]therapy allowed); or resectable/potentially resectable disease receiving a triplet chemotherapy regimen in a peri-operative setting (e.g. FOLFIRINOX, FLOT) (moderate risk at frailty score)
  • Patients able to attend for administration of chemotherapy,
  • Life expectancy ≥ 3 months,
  • Registration in a National Health Care System (Couverture Maladie Universelle \[CMU\] included).

Exclusion

  • Other active non gastro-intestinal cancers
  • Any medical (including psychiatric, musculoskeletal, or neurological) condition contra-indicating exercise practice,
  • Pregnancy or breastfeeding,
  • Protected adults (individuals under guardianship by court order).
  • Note: participation to another concomitant clinical trial is allowed, but the patient must inform the Investigator and get an authorization from the Sponsor.

Key Trial Info

Start Date :

April 29 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 5 2022

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT04478175

Start Date

April 29 2021

End Date

October 5 2022

Last Update

November 17 2022

Active Locations (1)

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1

Institut Curie

Paris, France, 75005