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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00210249
Other study ID # IB2002-26
Secondary ID PHRC OncoG
Status Completed
Phase
First received
Last updated
Start date September 2002
Est. completion date September 2008

Study information

Verified date January 2022
Source Institut Bergonié
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Incidence of cancer in 75+ years old is 16,500 new cases per year, more than fifty percent of people with cancerThey are very few therapeutic trials dedicated. Oncologists hesitate to treat them because they are either afraid of inducing toxicity or of breaking down quality of life. Consequently, we decided to launch a protocol with both oncologists and geriatricians which principal aim is to find out if geriatric assessment data can help to better predict for chemotherapy toxicity, loss of autonomy and survival. We plan to accrue 360 patients diagnosed for cancer, including digestive, pulmonary, prostate, lymphoma, bladder, ovary cancer for whom first-line chemotherapy is planned. Patients are initially classified according to usual methods of medical oncology practice into three groups: patients who can receive standard treatment, reduced standard treatment or treatment adapted to the frail condition. Around Aquitaine, , we organised seven teams composed of one geriatrician and one nurse. Two kind of teams were activated: one which cover ten treatment sites in Bordeaux area and six sedentary teams which worked half a day a week in designated hospitals . Geriatric evaluation included test of cognitive functions (MMS), nutritional status (MNA), co-morbidity (CIRS-G), mobility (Get up and Go), activities (ADL;IADL), quality of life (QLQ-C30), depression (GDS-15) and Lachs-Balducci screening. Patients have four geriatric evaluations : before treatment, day 1 cycle 2, day 1 cycle 4, day 1 cycle 7 and/or end of chemotherapy. Since September 2002, 177 patients have been included, 112 have finished: 47.3% have received four evaluations, 16.1% died before the end of protocol, 14.3% stopped because they were in progression and changed their treatment, 11.6% met administrative problem that didn't allow all evaluations, 7.1% declined after inclusion and 3.6% finished their treatment before. The following results have been obtained: before treatment, 73% of these patients were at risk of undernutrition (MNA< 23.5), about 1/3 had one or more inability or a risk of falls (38% IADL<6, 29% get up and go>20seconds, 27% ADL>1, 34% PS<1), 28% of them had altered cognitive functions (MMS<24), 29% were depressive (GDS-15>6), 25% thought they had poor quality of life (QLQ-C30<4). Protocol will be closed in September 2005.


Recruitment information / eligibility

Status Completed
Enrollment 364
Est. completion date September 2008
Est. primary completion date September 2007
Accepts healthy volunteers No
Gender All
Age group 70 Years and older
Eligibility Inclusion criteria: - Age = 70 years - First line of chemotherapy - Cancer previously mentioned

Study Design


Locations

Country Name City State
France Centre de radiothérapie d'Agen Agen
France Centre Hospitalier Universitaire d'Agen Agen
France Clinique Esquirol Saint Hilaire Agen
France Centre Hospitalier de la Côte Basque Bayonne
France Centre Hospitalier Universitaire de Bayonne Bayonne
France Clinique Saint Etienne du Pays Basque Bayonne
France Centre Hospitalier Universitaire de Bordeaux Bordeaux
France Clinique Tivoli Bordeaux
France Institut Bergonié - Centre Régional de Luttre Contre le Cancer de Bordeaux et du Sud Ouest Bordeaux
France Centre Hospitalier Universitaire de Dax Dax
France Hopital Sub-Urbain du Bouscat Le Bouscat
France Hôpital Robert Boulin Libourne
France Centre Hospitalier Universitaire de Mont de Marsan Mont de Marsan
France Centre Hospitalier Universitaire de Pau Pau
France Centre Hospitalier Universitaire de Perigueux Perigueux
France Clinique Francheville Perigueux
France Maison de Santé Protestante Bagatelle Talence
France Centre Hospitalier Universitaire de Villeneuve sur Lot Villeneuve sur Lot

Sponsors (6)

Lead Sponsor Collaborator
Institut Bergonié Amgen, Aventis Pharmaceuticals, Bristol-Myers Squibb, Chugai Pharmaceutical, Sanofi-Synthelabo

Country where clinical trial is conducted

France, 

References & Publications (1)

Soubeyran P, Fonck M, Blanc-Bisson C, Blanc JF, Ceccaldi J, Mertens C, Imbert Y, Cany L, Vogt L, Dauba J, Andriamampionona F, Houédé N, Floquet A, Chomy F, Brouste V, Ravaud A, Bellera C, Rainfray M. Predictors of early death risk in older patients treate — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Participant Deaths Number of participant deaths observed during the course of the study 6 months after inclusion
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