Sarcopenia in Colorectal Cancer Patients, Intervention Study

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age70+
SponsorHospital Universitari de Bellvitge

About this trial

The sarcopenia is a new concept for evaluating the functional status of patients, introduced during the last 20 years. This is defined as the relationship between the deterioration of muscle mass and the decrease in strength, the metabolic rate, the aerobic capacity and subsequently the evaluation of the functional status. The sarcopenia has been estimated to affect 5% to 13% of people aged between 60 and 70 years, increasing from 11% to 50% in those aged 80 years and older. In a study by Lieffers et al. of a total of 234 patients with colorectal cancer, with a mean age of 63 years according to the values observed by Prado et al., the prevalence of sarcopenia would be around 39%, being able to reach up to 60% in patients with chronic diseases.

The goal of this study is to compare the cumulative incidence of post-surgical complications due to infection at 30 days between the group of patients without sarcopenia and the group of patients with sarcopenia with an intervention based on a nutritional supplement + physical exercise.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 70 years old,

Colon adenocarcinoma without synchronous metàstasis,

No urgent surgery,

ECOG performance status ≤ 2,

Disqualifiers

rectal càncer,

Concomitant neoplastic disease in the last 5 years

medical or mental condition of the patient that compromises the authorization of informed consent,

Concomitant uncontrolled or stable medical condition,

Trial design

Design model

Crossover

Treatments tested in this trial

  • Protein supplement

    Dietary supplement

    One líquid brick every day during 3 weeks

Treatment groups

370 Participants
are divided into 2 treatment groups
Group A: ControlNo intervention 0 interventions
Group B: ExperimentalExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

to evaluate the rate of post-surgical infectious complications between the group of sarcopenic and non-sarcopenic patients

Evaluate the cumulative incidence of post-surgical complications due to infection at 30 days between the group of patients without sarcopenia and the group of patients with sarcopenia with an intervention based on a nutritional supplement + physical exercise in the latter group

Time frame
30 days

Secondary outcomes

1

To asess the rate of post-surgical complications between the group of sarcopenic and non-sarcopenic patients

All complications, not just infectious

Time frame
30 days
2

Overall survival at one year

To study survival one year after surgery in patients considered preoperatively as having sarcopenia.

Time frame
One year
3

Quality of life of surgical patients

Evaluate the quality of life according the QLQ EORTC QlQ C-30 y ClQ CR29

Time frame
At 3 months, 6 months and one year after surgery

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.