Symptoms Burden in Lung Cancer Patients Undergoing Definitive Chemoradiotherapy: Insights From Electronic Patient-Reported Outcomes

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorQian Chu

About this trial

This prospective observational study aims to evaluate symptom burden and symptom clusters among lung cancer patients undergoing definitive concurrent chemoradiotherapy (CRT), based on electronic patient-reported outcomes (ePROs). Patients will complete the validated MDASI-LC and EQ-5D instruments weekly from baseline through the end of CRT and for 12 weeks post-treatment. The study will characterize the longitudinal trajectories of symptom severity and interference, identify distinct symptom clusters and their temporal patterns, and explore patient-level predictors of symptom burden. The findings may support the development of personalized symptom management strategies and improve quality of life during and after CRT.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Pathologically confirmed unresectable stage III NSCLC or limited-stage SCLC

Age ≥ 18 years

Receiving definitive chemoradiotherapy

Able and willing to complete electronic questionnaires

Disqualifiers

Severe comorbidities (heart, liver, kidney)

Psychiatric illness or cognitive impairment

Prior chest or mediastinal radiotherapy

Trial population

Lung cancer patients aged ≥18 years scheduled to receive definitive chemoradiotherapy at Tongji Hospital.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Electronic Patient-Reported Outcome Monitoring

    Other intervention

    Participants complete the MDASI-LC and EQ-5D questionnaires electronically on a weekly basis during CRT and for 12 weeks after CRT. The data are used to evaluate symptom burden, symptom clusters, and symptom trajectories.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Longitudinal trajectory of symptom burden over time based on M. D. Anderson Symptom Inventory-Lung Cancer

M. D. Anderson Symptom Inventory-Lung Cancer:Scale range 0-10, with higher scores indicating worse symptom burden.

Time frame
Baseline, weekly during CRT (weeks 1-6), and weekly for 12 weeks after CRT.

Secondary outcomes

1

Questionnaire response rate

The response rate of the M. D. Anderson Symptom Inventory-Lung Cancer( MDASI-LC) questionnaire will be assessed weekly during chemoradiotherapy (CRT) and up to 12 weeks post-CRT. This measure will reflect the percentage of patients who completed the MDASI-LC questionnaire each week, with higher response rates indicating better engagement and data quality.

Time frame
From baseline to 12 weeks post-CRT
2

Trajectory of symptom interference over time based on M. D. Anderson Symptom Inventory-Lung Cancer

M. D. Anderson Symptom Inventory-Lung Cancer: scale range 0-10, with higher scores indicating worse interference

Time frame
From baseline to 12 weeks post-CRT
3

Change of Quality of life over time

Quality of life will be assessed using the EuroQoL-5 Dimension Health Outcome Survey (EQ-5D) Questionnaire, a widely used instrument for measuring general health status. The EQ-5D includes five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The change in scores will be evaluated from baseline to 12 weeks after completion of chemoradiotherapy . Higher scores on the EQ-5D reflect better quality of life.

Time frame
From baseline to 12 weeks post-CRT

Other outcomes

Sponsors and contacts

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Qian Chu

Lead sponsor

Tongji Hospital

Sponsor institution