Nutrition Clinical Trial
Official title:
Early Nutrition Intervention for M1 Stage Cancer Patients:a Single-center,Open,Randomized Controlled Trial
In China, the treatment of advanced-stage cancer often follows a pattern where the management of patients is primarily overseen by oncologists who focus on addressing the main clinical symptoms and intervening accordingly. However, symptoms such as appetite loss, weight loss, and anxiety are often overlooked. It is common for clinical nutritionists to passively enter oncology wards to conduct comprehensive nutritional assessments and develop nutrition plans only when patients exhibit significant malnutrition, upon request from oncologists or patients and their families. Against this background, the investigators integrated clinical nutritionists into the oncology treatment team and established a proactive nutritional intervention team specifically targeting M1 advanced-stage cancer patients. This initiative aims to conduct a single-center, open-label, randomized parallel-group prospective study, with the following objectives: 1) to evaluate the impact of this model on the nutritional status, survival, and quality of life of advanced-stage cancer patients, and 2) to further optimize this model for widespread replication in clinical practice.
Status | Recruiting |
Enrollment | 194 |
Est. completion date | July 1, 2025 |
Est. primary completion date | January 1, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: 1. The patients should be at the range of 18-80 years old, Eastern Cooperative Oncology Group (ECOG) 0-1. 2. The patients should be diagnosed, untreated M1 advanced cancer patients requiring chemotherapy; 3. The patients should have good cognitive and reading abilities to complete questionnaires; 4. The patients should have =3 months expected survival period Exclusion Criteria: 1. Patients with neurological or psychiatric disorders affecting cognitive function, including central nervous system metastases from tumors; 2. Patients with severe diseases affecting digestion, metabolism, or food intake; 3. Presence of contraindications to chemotherapy; 4. Patients in a cachectic state or refractory cachexia; 5. Patients requiring primary tumor radiation therapy. 6. Patients with PG-SGA score =9 points |
Country | Name | City | State |
---|---|---|---|
China | West China Hospital, Sichuan Universit | Chengdu | Sichuan |
Lead Sponsor | Collaborator |
---|---|
Xingchen Peng |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | the incidence of cachexia | The definition and classification of cancer cachexia was used by an international consensus [9, 10]: (1) weight loss > 5% over the past 6 months (in the absence of simple starvation), (2) BMI < 20 and any degree of weight loss > 2%, or (3) appendicular skeletal muscle index consistent with sarcopenia and any degree of weight loss > 2%. The assessment of skeletal muscle depletion was used by mid-upper arm muscle area by anthropometry (men < 32 cm2, women < 18 cm2) | every month, up to half year | |
Secondary | overall survival ;progression-free survival | Progression-free survival (PFS) was assessed from the first day of treatment with ICIs to the earliest signs of disease progression or death from any cause. Patients who were alive but without progression were censored at the time of last follow-up.
OS was calculated from the date of starting ICI to the date of death due to all-cause. Patients who are alive at the date of data cutoff were censored at the time of last follow-up. |
every month, up to half year | |
Secondary | Physical Fitness Status | Karnofsky Performance Score,the minimum value is 0 and maximum value is 100, and higher scores mean a better outcome. | every month, up to half year | |
Secondary | BMI | Changes in body weight and Body Mass Index (BMI) | every month, up to half year | |
Secondary | Nutritional risk and malnutrition status | Nutrition Risk Screening 2002 (NRS2002) ,the minimum value is 0 and maximum value is 7, and higher scores mean a worse outcome. | every month, up to half year | |
Secondary | Patient's emotional changes | Evaluation through Hospital Anxiety and Depression Scale (HADS),the minimum value is 0 and maximum value is 42, and higher scores mean a worse outcome. | every month, up to half year | |
Secondary | Caregiver psychological burden | Assessment via Caregiver Burden Scale,the minimum value is 0 and maximum value is 7, and higher scores mean a worse outcome. | every month, up to half year | |
Secondary | Patient's physical, social, and cognitive functioning | Assessed using Patient Health Questionnaire-9 (PHQ-9),the minimum value is 0 and maximum value is 27, and higher scores mean a worse outcome. | every month, up to half year | |
Secondary | incidence of Sarcopenia | while muscle function alterations are assessed via the Short Physical Performance Battery (SPPB), including sit-to-stand tests, the 400-meter walk test, and grip strength measurements. | every month, up to half year | |
Secondary | Nutritional risk and malnutrition status | Patient-Generated Subjective Global Assessment (PG-SGA),the minimum value is 0 and maximum value is 20, and higher scores mean a worse outcome. | every month, up to half year | |
Secondary | Patient's emotional changes | Distress Thermometer (DT),the minimum value is 0 and maximum value is 10 and higher scores mean a worse outcome. | every month, up to half year |
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT05934318 -
L-ArGinine to pRevent advErse prEgnancy Outcomes (AGREE)
|
N/A | |
Recruiting |
NCT05867433 -
Strong Teens for Healthy Schools Change Club: A Civic Engagement Approach to Improving Physical Activity and Healthy Eating Environments
|
N/A | |
Completed |
NCT02376530 -
Price Changes and Nutrient Profiling Among Adult Grocery Shoppers
|
N/A | |
Completed |
NCT01040975 -
Teen CHAT: Improving Physician Communication With Adolescents About Healthy Weight
|
N/A | |
Completed |
NCT00957814 -
Nutritional Orientations and Adherence, Nutritional Status, Clinical and Life Quality Parameters of Heart Failure (HF) Patients
|
N/A | |
Completed |
NCT00808756 -
Study on Fermentable Carbohydrates in Healthy Infants
|
N/A | |
Completed |
NCT03290118 -
The Efficacy of Front-of-package Labelling Schemes: an Experimental Study
|
N/A | |
Completed |
NCT03575884 -
Fit 5 Kids Screen Time Reduction Curriculum for Latino Preschoolers
|
N/A | |
Completed |
NCT03963778 -
Organisational Culture and Nutritional Care
|
||
Completed |
NCT05633251 -
Using Reinforcement Schedules to Increase Fruit&Vegetable Intake, Reduce Waste, and Increase School Lunch Participation
|
N/A | |
Recruiting |
NCT05977959 -
Optimizing the Impact of the Healthy School Recognized Campus Program on Youth's CVD Risk Factors
|
N/A | |
Recruiting |
NCT05138276 -
Effect of Autologous Cord Blood Mononuclear Cells for Digestive System in Preterm Neonates
|
Early Phase 1 | |
Completed |
NCT03906851 -
Active and Healthy Kids in Telemark - a School Based Health Promoting Intervention
|
N/A | |
Not yet recruiting |
NCT02950779 -
Assessment of Handgrip Strength in Adults With Inflammatory Bowel Disease
|
N/A | |
Completed |
NCT02486588 -
Increasing Engagement With a Healthy Food Benefit
|
N/A | |
Withdrawn |
NCT01184027 -
Impact of Nutrition and Swallowing Function of Head and Neck Cancer Patients During the Course of Treatment
|
N/A | |
Completed |
NCT01178398 -
Understanding Fish Consumption Habits During Pregnancy
|
N/A | |
Completed |
NCT01249508 -
Nutrition Labeling Program to Promote Healthy Dietary Patterns
|
N/A | |
Terminated |
NCT00577499 -
Effect of Lubiprostone on Nutritional Status and Pulmonary Function in Adults With Cystic Fibrosis
|
N/A | |
Completed |
NCT00109551 -
Community Trial of Zinc Supplementation on Preschool Child Mortality and Morbidity in Southern Nepal
|
Phase 3 |