- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04746768
Frailty Syndrome of Post-cancer Treatment Eldery Patients (PANACEE)
June 3, 2021 updated by: University Hospital, Grenoble
Impact of Exercise and Nutritional Support on the Frailty Syndrome of Eldery Patients in Phase of Post-cancer Treatment
Decrease the prevalence of frailty syndrome in individuals with complete response of cancer.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
100
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Gaëtan Gavazzi, MD, PhD
- Phone Number: +33 (0)476765421
- Email: ggavazzi@chu-grenoble.fr
Study Contact Backup
- Name: Stéphane Mouret, PhD
- Phone Number: +33 (0)476767081
- Email: smouret1@chu-grenoble.fr
Study Locations
-
-
-
Grenoble, France
- Recruiting
- CHU de Grenoble
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
70 years and older (Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- in complete remission from cancer (all type of cancer)
- have a frailty syndrome (positive GFST score)
- ability to provide signed informed consent
- be affiliated with social security or beneficiary of such a scheme
Exclusion Criteria:
- patient with active cancer or any other pathology affecting the prognosis at 5 years
- currently participating or having participated in the month preceding inclusion in another interventional clinical research that may impact the study. This impact is left to the investigator discretion
- subjects referred to articles L1121-5 to L1121-8 of CSP (corresponds to all protected persons: person deprived of liberty by judicial or administrative decision, person subject to legal protection measure)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: exercise and nutritional support
exercise and nutritional support program during an active support phase (0 to 6 months) followed by an empowerment phase (from 6 to 12 months)
|
exercise and nutritional support program during an active support phase (0 to 6 months) followed by an empowerment phase (from 6 to 12 months)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of the prevalence of frailty syndrome in individuals with complete response of cancer
Time Frame: 0, 6 and 12 months
|
evolution of individual frailty during a multimodal intervention (physical and nutritional activity) according to the Fried's criteria
|
0, 6 and 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
evaluation of predicitive variables of frailty syndrome reversion
Time Frame: Month 0, 6 and 12
|
The criterion determining the frail status is the Fried score classified into 3 categories: not frail; pre-frail; frail.
A change from frail to pre-frail or to not frail will be considered as an improvement.
Measurements of the Frailty score and other markers on nutrition and APA will be carried out at month 0 (basic measurements), then measured at month 6 (end of APA and nutritionist support) and at month12 (6 months after empowerment).
All of health markers collected during the basic assessment, changes in parameters (month 6) and compliance with APA and nutrition support (from Month 1 to Month 6 then between Month 6 and Month 12) will be tested as variables potentially predictive of an improvement in the frailty syndrome.
|
Month 0, 6 and 12
|
Correlations between physical performance and frailty syndrome and their evolutions
Time Frame: Month 0, 6 and 12
|
measurement of VO2peak + ventilatory thresholds measured in a stress test, muscle strength/endurance (number of chair raises for 30 seconds), walking speed (10-meter walking test, 6-minute walk test), balance (Tinette score), coordination (functional mobility test), cardio-respiratory endurance (heart rate measurement in relation to pedaling power)
|
Month 0, 6 and 12
|
Change from baseline nutritional status during nutritionist support (month 3 and 6) and at the end of empowerment (month 12)
Time Frame: Month 0, 3, 6 and 12
|
nutritional parameters measured at each time frame for weight, VAS appetite score, MNA score, nutritional calculation (food survey and self-questionnaire), bio impedancemetry and biomarkers of nutrition (levels of albumin, prealbumin, C reactive protein, CBC, liver and kidney function)
|
Month 0, 3, 6 and 12
|
Measure adherence to APA interventions and exercise practices
Time Frame: between month 1 to 6 and between month 6 to 12
|
Adherence to APA support program throughout the study will be evaluated by measurements and sum of multiple parameters: number of sessions recorded on the heart rate monitor, average energy expenditure (in kcal) measured by the heart rate monitor,number of sets of exercises performed relative to the number of exercises recommended for muscle strengthening recorded in the patient notebook, CESS scale to assess beliefs about cancer patients and physical activity
|
between month 1 to 6 and between month 6 to 12
|
Estimation of adherence to nutritional interventions
Time Frame: Month 6 and 12
|
comparison between active support phase and empowerment phase with food self-questionnaire
|
Month 6 and 12
|
Measure the durability of long-term activities
Time Frame: Month 6 and 12
|
number of monthly patient connections to heart rate monitor; evaluation of the completion of patient notebook
|
Month 6 and 12
|
Measure health related quality of life on mobility, personal autonomy, current activities, pain/discomfort and anxiety/depression
Time Frame: Month 0, 6 and 12
|
Assessment of quality of life with EQ-5D questionnaire by comparison to the basal state (M0).
|
Month 0, 6 and 12
|
Sociological study on motivation: evaluation of the perception and experience of treating patients
Time Frame: Month 6 and 12
|
a series of qualitative interviews with a panel of 15 patients, during 2 interview sessions: 1 after support phase and 1 at the end of autonomy phase.
Interview will collect past/current socio-professional life, socialization in physical activity and nutrition.
|
Month 6 and 12
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Gaëtan Gavazzi, MD, PhD, University Hospital, Grenoble
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 4, 2021
Primary Completion (Anticipated)
January 1, 2023
Study Completion (Anticipated)
January 1, 2024
Study Registration Dates
First Submitted
November 26, 2020
First Submitted That Met QC Criteria
February 4, 2021
First Posted (Actual)
February 10, 2021
Study Record Updates
Last Update Posted (Actual)
June 8, 2021
Last Update Submitted That Met QC Criteria
June 3, 2021
Last Verified
February 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 38RC19.144
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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