Clinical Trials Logo

Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06332664
Other study ID # 2023-2330
Secondary ID
Status Recruiting
Phase Early Phase 1
First received
Last updated
Start date January 1, 2024
Est. completion date July 1, 2025

Study information

Verified date March 2024
Source West China Hospital
Contact XingChen Peng, Ph.D
Phone +8618980606753
Email pxx2014@163.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

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.


Recruitment information / eligibility

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

Study Design


Related Conditions & MeSH terms


Intervention

Combination Product:
Early Nutrition Intervention
This involves a multidisciplinary team intervention, including oncologists, nutritionists, and nurses. Additionally, the intervention introduces a team-developed mobile application (APP) for the purpose of regular patient follow-ups to identify nutritional risks promptly and facilitate timely interventions. Patients identified as at risk through the app follow-up will be referred to the nutrition clinic for consultation to address nutritional concerns. For advanced-stage cancer patients undergoing monthly chemotherapy hospitalizations, comprehensive assessments encompassing nutrition, psychological aspects, and other facets will be conducted during hospital stays. When deemed necessary, patients will receive dietary guidance and nutritional support.

Locations

Country Name City State
China West China Hospital, Sichuan Universit Chengdu Sichuan

Sponsors (1)

Lead Sponsor Collaborator
Xingchen Peng

Country where clinical trial is conducted

China, 

Outcome

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
See also
  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