Cancer Clinical Trial
— ONCO-EHPADOfficial title:
Optimization and Improvement of Care Course for 75 Years and Over Patient With Cancer and Living in Nursing Home on the Marseille Agglomeration
According to data from the French National Cancer Institute (INCA), almost one third of the
cancers were diagnosed in overs 75 years patients in France in 2008. The elderly patients
management is an important part in oncology daily practice.
These last years, through the geriatric oncology development, collaboration between
oncologists and geriatricians, the anti-cancer management and supportive care for elderly
patients has evolved. The assessement of potential fragility helps to determine the cancers
appropriate treatment plan.
Studies have shown that alterations in geriatric fields, found through Comprehensive
Geriatric Assessment (CGA) are associated with poorer survival, increased risk of
chemotherapy severe toxicity and autonomy loss.
Nursing home residents have often more frailties and functional problems than living at home
elderly resulting in diagnostic and therapeutic cancer delay. In addition, nursing home
residents must have appropriate treatment to preserve as much as possible their quality of
life.
Transversal Onco-Geriatrics Unit (UTOG), Day Hospital (HDJ), External Geriatric Mobile Unit
(EMGE) of the Internal Medicine, Geriatric and Therapeutic Department of the Marseille
hospital propose to organize a personalized care course for nursing home residents with
cancer to minimize the diagnostics delay, facilitate their management in oncology and
maintain their quality of life.
Elderly patient with suspected cancer is oriented by EMGE to HDJ to realize an oncological
and geriatric assessment. Patient would be supported by UTOG and would have access to
technical platform.
According to his cancer and nursing home location, the nearest reference center would be
offered.
Treatment or course of action (monitoring, palliative care …) would be decided in
onco-geriatric multidisciplinary meeting (RCP) (organized by Onco-Geriatric Coordination
Unit UCOG PACA west) and programmed and fast hospitalization would be organized in the
reference center.
When returning in nursing homes, elderly patient would be revalued by EMGE to continue
therapeutic management and personalized care plan. The aim of this management is to allow a
shorter hospitalization and maintain the quality of life of frailty patient during cancer
treatment.
| Status | Not yet recruiting |
| Enrollment | 50 |
| Est. completion date | April 27, 2019 |
| Est. primary completion date | April 27, 2018 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 75 Years and older |
| Eligibility |
Inclusion Criteria: - Elderly patients with new diagnosis of cancer or follow-up breakdown or progression of the cancer disease Exclusion Criteria: - Elderly patients with cognitive impairment. |
| Country | Name | City | State |
|---|---|---|---|
| France | Assistance Publique Hôpitaux de Marseille | Marseille |
| Lead Sponsor | Collaborator |
|---|---|
| Assistance Publique Hopitaux De Marseille |
France,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Time frame between diagnosis and access to oncologies care facilities | Number of days | 6 months |
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT05346796 -
Survivorship Plan HEalth REcord (SPHERE) Implementation Trial
|
N/A | |
| Recruiting |
NCT05094804 -
A Study of OR2805, a Monoclonal Antibody Targeting CD163, Alone and in Combination With Anticancer Agents
|
Phase 1/Phase 2 | |
| Completed |
NCT04867850 -
Effect of Behavioral Nudges on Serious Illness Conversation Documentation
|
N/A | |
| Enrolling by invitation |
NCT04086251 -
Remote Electronic Patient Monitoring in Oncology Patients
|
N/A | |
| Completed |
NCT01285037 -
A Study of LY2801653 in Advanced Cancer
|
Phase 1 | |
| Completed |
NCT00680992 -
Study of Denosumab in Subjects With Giant Cell Tumor of Bone
|
Phase 2 | |
| Completed |
NCT00062842 -
Study of Irinotecan on a Weekly Schedule in Children
|
Phase 1 | |
| Active, not recruiting |
NCT04548063 -
Consent Forms in Cancer Research: Examining the Effect of Length on Readability
|
N/A | |
| Completed |
NCT04337203 -
Shared Healthcare Actions and Reflections Electronic Systems in Survivorship
|
N/A | |
| Recruiting |
NCT04349293 -
Ex-vivo Evaluation of the Reactivity of the Immune Infiltrate of Cancers to Treatments With Monoclonal Antibodies Targeting the Immunomodulatory Pathways
|
N/A | |
| Terminated |
NCT02866851 -
Feasibility Study of Monitoring by Web-application on Cytopenia Related to Chemotherapy
|
N/A | |
| Active, not recruiting |
NCT05304988 -
Development and Validation of the EFT for Adolescents With Cancer
|
||
| Completed |
NCT04448041 -
CRANE Feasibility Study: Nutritional Intervention for Patients Undergoing Cancer Surgery in Low- and Middle-Income Countries
|
||
| Completed |
NCT00340522 -
Childhood Cancer and Plexiform Neurofibroma Tissue Microarray for Molecular Target Screening and Clinical Drug Development
|
||
| Recruiting |
NCT04843891 -
Evaluation of PET Probe [64]Cu-Macrin in Cardiovascular Disease, Cancer and Sarcoidosis.
|
Phase 1 | |
| Active, not recruiting |
NCT03844048 -
An Extension Study of Venetoclax for Subjects Who Have Completed a Prior Venetoclax Clinical Trial
|
Phase 3 | |
| Completed |
NCT03167372 -
Pilot Comparison of N-of-1 Trials of Light Therapy
|
N/A | |
| Completed |
NCT03109041 -
Initial Feasibility Study to Treat Resectable Pancreatic Cancer With a Planar LDR Source
|
Phase 1 | |
| Terminated |
NCT01441115 -
ECI301 and Radiation for Advanced or Metastatic Cancer
|
Phase 1 | |
| Recruiting |
NCT06206785 -
Resting Energy Expenditure in Palliative Cancer Patients
|