Cancer Clinical Trial
— SaVeOfficial title:
The SaVe Project-Sarcopenia and Vertigo in Aging Patients With Colorectal Cancer
The goal of this clinical trial is to learn about the cause of dizziness and decline in walking ability in in older adults ≥65 years during chemotherapy treatment for colorectal cancer. Another goal is to investigate if a comprehensive geriatric assessment and three months' specialized physical group-based exercise three times/week can counteract muscle weakness, vertigo, instability, impaired walking balance, and neuropathy
Status | Recruiting |
Enrollment | 150 |
Est. completion date | September 2026 |
Est. primary completion date | July 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years and older |
Eligibility | Inclusion Criteria: - Meet the criteria of the oncological departments of receiving neoadjuvant, adjuvant or first line palliative chemotherapy for colorectal cancer - =65 years of age at the time of signing the informed consent form - Able to speak and read Danish, and to provide a signed informed consent form - Have an Eastern Cooperative Oncology Group (ECOG) performance status score of =2 Exclusion Criteria: - Chemotherapy treatment within two years and sequelae of neuropathy, or symptoms of dizziness or vertigo, or balance disturbance - Severe physical disability that hinders physical exercise - Dementia, psychotic disorders, or other cognitive diseases or conditions that hinder participation in a clinical exercise-based trial - Inability to sign informed content - Patients who have had a consultation in the geriatric outpatient clinic within the past six months |
Country | Name | City | State |
---|---|---|---|
Denmark | Copenhagen University Hospital - Rigshospitalet | Copenhagen | |
Denmark | Copenhagen University Hospital - Herlev and Gentofte Hospital | Herlev |
Lead Sponsor | Collaborator |
---|---|
Rigshospitalet, Denmark | Copenhagen University Hospital - Amager and Hvidovre Hospital, Copenhagen University Hospital - Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospital - Herlev and Gentofte Hospital, Department of Medicine, Copenhagen University Hospital - Herlev and Gentofte Hospital, Department of Oncology, Copenhagen University Hospital - Rigshospitalet, Department of Occupational Therapy and Physiotherapy, Odense University Hospital, Department of Geriatric Medicine |
Denmark,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Walking speed | Changes in walking speed using 10 meter walk test measuring gaitspeed in meters per second | Baseline, three and six months | |
Other | Postural control | Changes in postural control (standing balance) using HUR SmartBalance platform | Baseline, three and six months | |
Other | Vestibular function | Changes in peripheral vestibular function using Video Head Impulse Test (vHIT) | Baseline, three and six months | |
Other | Orthostatic blood pressure | Changes in orthostatic blood pressure measured from lying to standing and every minute for five minutes | Baseline, three and six months | |
Other | Body composition | Changes in body composition using bioimpedance (BIA) | Baseline, three and six months | |
Other | Muscle quality | Changes in muscle quality using ultrasound | Baseline and three months | |
Other | Frailty | Presence of frailty using Geriatric-8 (G8) scored on a 0-17 point scale. Higher score means better outcome | Baseline | |
Other | Frailty | Presence of frailty using Clinical Frailty Scale (CFS) scored on a 1-9 point scale. Higher score means worse outcome | Baseline | |
Other | Activity level | Description of activity level using activity tracker | Baseline and three months | |
Other | Cessation of chemotherapy | Description of cessation of chemotherapy | After 6, 12, and 24 weeks (from baseline) | |
Other | Prescribed rehabilitation plan | Recording of exercise through a prescribed rehabilitation plan | Follow-up at 1, 2, 3, and 5 years | |
Other | Overall survival | Recording of overall survival | Follow-up at 1, 2, 3, and 5 years | |
Other | Hospitalisations | Recording of hospitalisations | Follow-up at 1, 2, 3, and 5 years | |
Other | Progression of cancer | Recording of progression of cancer | Follow-up at 1, 2, 3, and 5 years | |
Other | Recurrence of cancer | Recording of recurrence of cancer | Follow-up at 1, 2, 3, and 5 years | |
Other | Biomarkers of sarcopenia and inflammation | Biomarkers of sarcopenia and inflammation collected through blood samples. To determine concentration of inflammatory cytokines; High-sensitivity C-reactive Protein (hsCRP), tumour necrosis factor alpha (TNF- a), interleukin 6 (IL6), interleukin 13 (IL-13), and of muscle atrophy and muscle wasting (growth differentiation factor 11 (GDF11), and growth differentiation factor 15 (GDF-15). Blood samples are analysed by standard ELISA-analyses for plasma samples. | Baseline, three and six months | |
Other | Vision | Measurement of vision using a Snellen chart | Baseline | |
Primary | Dynamic Gait Index (DGI) | Between-group difference in change in walking balance assessed with Dynamic Gait Index (DGI) scored on a 0-24 point total scale. Higher score means better outcome | Three months | |
Primary | 30 second Sit-to-Stand Test (30STS) | Between-group difference in lower limb muscle strength and endurance | Three months | |
Secondary | Falls | Self-reported falls | Baseline, two, four, six, eight, ten, twelve, fourteen, sixteen, eighteen, twenty, twenty-two, and twenty-four weeks | |
Secondary | Hospital contacts due to falls | Hospital contacts due to falls | Baseline, three and six months | |
Secondary | Balance disabilities/dizziness | Changes in self-perceived balance disabilities/dizziness using the patient reported outcome measure Dizziness Handicap Inventory (DHI) scored on a 0-100 point total scale. Higher score means worse outcome | Baseline, three and six months | |
Secondary | Fear of falling | Changes in fear of falling using the patient reported outcome measure Short Falls Efficacy Scale International (Short FES-I) scored on a 0-28 point total scale. Higher score means worse outcome | Baseline, three and six months | |
Secondary | Health related quality of life | Changes in health related quality of life using the patient reported outcome measure EORTC QLQ-C30. The total score is converted to a 0-100 scale. Higher score means better outcome | Baseline, three and six months | |
Secondary | Peripheral nerve function | Changes in peripheral nerve function using biothesiometer mesured in 0-50 volts. Higher volts means worse outcome | Baseline, three and six months | |
Secondary | Autonomic function | Changes in autonomic function using Vagus device | Baseline, three and six months | |
Secondary | Chemotherapy induced peripheral neuropathy | Severity of chemotherapy induced peripheral neuropathy using the patient reported outcome measure EORTC QLQ-CIPN-20. The total score is converted to a 0-100 scale. Higher score means worse outcome | Baseline, three and six months | |
Secondary | Muscle strength | Changes in muscle strength using HUR Leg Press Rehab performance recorder measuring weight in kilograms | Baseline, three and six months | |
Secondary | Body composition | Changes in body composition using DXA | Baseline, three and six months | |
Secondary | Muscle strength | Changes in muscle strength using handgrip test measuring weight in kilograms | Baseline, three and six 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 |
NCT03109041 -
Initial Feasibility Study to Treat Resectable Pancreatic Cancer With a Planar LDR Source
|
Phase 1 | |
Completed |
NCT03167372 -
Pilot Comparison of N-of-1 Trials of Light Therapy
|
N/A | |
Terminated |
NCT01441115 -
ECI301 and Radiation for Advanced or Metastatic Cancer
|
Phase 1 | |
Recruiting |
NCT06206785 -
Resting Energy Expenditure in Palliative Cancer Patients
|