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Radiation Adherence/Toxicity in Patients With Non-Ovarian Gynecological Cancers

22. januar 2018 opdateret af: UNC Lineberger Comprehensive Cancer Center

Functional Assessment and Radiation Adherence/Toxicity in Older and Younger Patients With Non-Ovarian Gynecological Cancers

The purpose of this study is to investigate the association between the Independent Activities of Daily Living (I-ADL) component of the Comprehensive Geriatric Assessment (CGA) and poor tolerance to radiation treatment in older and younger patients with non-ovarian gynecological cancers.

Studieoversigt

Status

Afsluttet

Detaljeret beskrivelse

There are little data regarding the impact of functional age on tolerance to radiotherapy for gynecologic cancers. A comprehensive geriatric assessment (CGA) tool which measures functional status (including the Instrumental Activities of Daily Living (I-ADL)), among many other important geriatric related conditions, was developed by Hurria and colleagues. Geriatric assessment variables including functional status predicted for toxicity in older patients receiving chemotherapy and surgery for multiple cancer types., 2 We hypothesize that I-ADL can be used to predict treatment tolerance in patients of all ages receiving pelvic and/or paraaortic region radiation therapy for gynecologic malignancies.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

15

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • North Carolina
      • Chapel Hill, North Carolina, Forenede Stater, 27599
        • UNC Department of Radiation Oncology Clinic

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Kvinde

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Patients age 18 years of age or above with a diagnosis of cervical, vaginal, vulvar, or endometrial cancer with either pelvic radiotherapy or chemoradiotherapy planned as part of standard treatment with curative intent at the Department of Radiation Oncology at UNC Chapel Hill.

Beskrivelse

Inclusion Criteria:

  • ≥Age 18 years (no upper age limit)
  • Diagnosis of cervical, vaginal, vulvar, or endometrial cancer with either pelvic radiotherapy or chemoradiotherapy planned as part of standard treatment.
  • Consented for receipt of External Beam Radiation Therapy (EBRT) at the University of North Carolina Chapel Hill
  • Ability to read English (required for CGA)
  • Curative treatment intent as defined by their radiation oncologist
  • Negative serum pregnancy test in women of childbearing potential

Exclusion Criteria:

  • < Age 18 years
  • Incurable cancer as defined by their radiation oncologist
  • Planned radiation for palliative intent only
  • Inability to complete the I-ADL section of the CGA
  • Prior radiation to areas targeted by radiotherapy within this study
  • Other active, invasive malignancy requiring active ongoing therapy during their radiotherapy with the exception of:
  • Localized squamous cell carcinoma of the skin
  • Basal-cell carcinoma of the skin
  • Other malignancies requiring locally ablative therapy only

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
≥65 years old
20 patients greater than or equal to 65 years of age
<65 years old
20 patients less than 65 years of age

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pre-treatment I-ADL dependency
Tidsramme: Pre-treatment
Pre-treatment I-ADL dependency is defined as scoring less than 14 on the I-ADL scale of the CGA.
Pre-treatment

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Poor adherence to treatment
Tidsramme: During or 4-8 weeks post-treatment

Poor adherence to treatment is defined by at least one of the following:

  1. > 3 day treatment delay secondary to treatment related toxicity during radiation therapy.
  2. Hospitalization secondary to treatment related toxicity during or up to 4-8 weeks post radiation therapy.
  3. Unplanned dose reductions in either radiation or concurrent chemotherapy secondary to treatment related toxicity during radiation therapy
  4. Unplanned change in concurrent chemotherapy regimen secondary to treatment related toxicity during radiation therapy.
During or 4-8 weeks post-treatment

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Patient-reported acute grade 3-5 radiation related toxicities
Tidsramme: During treatment and 4-8 weeks post-treatment
Patient-reported acute grade 3-5 radiation related toxicities will be based on the PRO-CTCAE questionnaire during and 4-8 weeks post radiation therapy and at 6 months.
During treatment and 4-8 weeks post-treatment
Provider-reported grade 3-5 acute radiation related toxicities
Tidsramme: During treatment and 4-8 weeks post-treatment
Provider-reported grade 3-5 acute radiation related toxicities will be based on the CTCAE (Common Toxicity Criteria for Adverse Effects) v4.03 during and 4-8 weeks post radiation therapy
During treatment and 4-8 weeks post-treatment

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Mahesh Varia, MD, ChB, Department of Radiation Oncology, University of North Carolina Chapel Hill
  • Studieleder: Noam VanderWalde, MD, Department of Radiation Oncology, Unverisity of North Carolina Chapel Hill

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. september 2013

Primær færdiggørelse (Faktiske)

1. oktober 2017

Studieafslutning (Faktiske)

1. oktober 2017

Datoer for studieregistrering

Først indsendt

18. november 2013

Først indsendt, der opfyldte QC-kriterier

2. december 2013

Først opslået (Skøn)

6. december 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

24. januar 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

22. januar 2018

Sidst verificeret

1. januar 2018

Mere information

Begreber relateret til denne undersøgelse

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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