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Lung Cancer Surgery in Sarcopenia Patients With Old Age (LUCAS-PEN)

10. mai 2022 oppdatert av: In Kyu Park, Seoul National University Hospital

Association of Preoperative Sarcopenia on Postoperative Outcomes After Lung Cancer Surgery: Prospective Observational Study

The presence of sarcopenia before lung resection surgery might be an important factor of short-term and long-term prognosis in lung cancer patients. Through this study, investigators plan to demonstrate evidence whether sarcopenia is a useful clinical biomarker for risk stratification in elderly patients undergoing lung cancer surgery.

Studieoversikt

Status

Rekruttering

Forhold

Detaljert beskrivelse

Sarcopenia is a syndrome characterized by a decrease in the amount and function of skeletal muscle, and is known to have a prevalence of about 6-10% in 65 years of age or older and about 20-25% in 70 years of age or older. Recently, many studies have been conducted on the clinical importance of sarcopenia, and it has been reported that sarcopenia is significantly associated with a decline in quality of life and physical activity in the elderly population, as well as harmful clinical outcomes in postoperative patients and poor long-term outcomes in various solid cancer patients. Due to the promising result of lung cancer screening trial, lung cancer has been included in national cancer screening in South Korea since last year. As a result, more people are being diagnosed with lung cancer early. Furthermore, the number of patients having surgical resection for lung cancer is steadily growing, and as life expectancy rises, even older patients are increasingly considering surgical treatment. It's critical to appropriately assess risk in older individuals before and after surgery, and sarcopenia is considered a significant fartor for major surgery. According to studies on the association between sarcopenia and the postoperative clinical outcome of lung cancer surgery, sarcopenia evaluated by computed tomography has demonstrated to be associated with a poor surgical outcome and long-term prognosis. However, according to two recognized guidelines for sarcopenia (European Working Group on Sarcopenia in Elder People, and Asian Working Group for Sarcopenia), sarcopenia is supposed to comprehensively evaluate muscle mass, muscle strength, and physical activity. Regarding muscle mass, it is recommended to measure through dual energy-ray absoptiometery or bioelectrial impedance analysis. However, so far, there are no studies that have conducted an accurate evaluation of sarcopenia in elderly lung cancer patients and analyzed the relationship between them and the clinical outcome after lung cancer surgery.

Studietype

Observasjonsmessig

Registrering (Forventet)

400

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

  • Navn: Kwon Joong Na, MD
  • Telefonnummer: 82-10-3329-9392
  • E-post: kjna85@gmail.com

Studer Kontakt Backup

Studiesteder

  • Korea, Republikken
      • Seoul, Korea, Republikken, 03080
        • Rekruttering
        • Seoul National University Hospital
        • Ta kontakt med:

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

70 år og eldre (Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Patients above the age of 70 who are planning to undergo curative surgery for proven lung cancer or pulmonary nodules suspected for lung cancer

Beskrivelse

Inclusion Criteria:

  • Patients planning to perform curative surgery for confirmed lung cancer and pulmonary nodules suspected for lung cancer
  • Patients or legal representatives who could understand and write written consent prior to the initiation of the clinical trial and are able to comply with the requirements for the clinical trial

Exclusion Criteria:

  • Patients with treatment history for lung cancer or other solid cancer within 5 years (except patients with adenocarcinoma in situ for lung cancer)
  • Patients who need simultaneous surgery with lung caner surgery for other accompanying diseases
  • Patients who are not eligible to participate in the study judged by the researcher

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
overall survival
Tidsramme: 5 years after the day of lung cancer surgery
survival status during the follow-up after the lung cancer surgery
5 years after the day of lung cancer surgery

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
recurrence free survival
Tidsramme: up to 5 years after the day of lung cancer surgery
any recurrence or death during the follow-up after the lung cancer surgery
up to 5 years after the day of lung cancer surgery
non-cancer related mortality
Tidsramme: up to 5 years after the day of lung cancer surgery
any death not related to lung cancer during the follow-up after the lung cancer surgery
up to 5 years after the day of lung cancer surgery
postoperative change of pulmonary function
Tidsramme: at postoperative 1 year, 5 year
pulmonary function during the follow-up after the lung cancer surgery
at postoperative 1 year, 5 year
postoperative complication rate
Tidsramme: from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
complication after lung cancer surgery
from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
operative mortality
Tidsramme: from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
mortality related to lung cancer surgery
from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
length of stays
Tidsramme: from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
length of hospital stays after lung cancer surgery
from the day of lung cancer surgery to the discharge after lung cancer surgery (up to 6 months)
quality of life questionnaire
Tidsramme: before the surgery, at postoperative 1 year, and at postoperative 5 year
EQ-5D-5L (5-level European quality of life Five Dimension)
before the surgery, at postoperative 1 year, and at postoperative 5 year
quality of life questionnaire
Tidsramme: before the surgery, at postoperative 1 year, and at postoperative 5 year
EQ-VAS (European quality of life visual analogue score)
before the surgery, at postoperative 1 year, and at postoperative 5 year
geriatric depression scale questionnaire
Tidsramme: before the surgery, at postoperative 1 year, and at postoperative 5 year
Korean version geriatric depression scale (0-15, higher number indicates normal mood)
before the surgery, at postoperative 1 year, and at postoperative 5 year
cognitive function questionnaire
Tidsramme: before the surgery, and at postoperative 5 year
Korean version Montreal Cognitive Assessment
before the surgery, and at postoperative 5 year

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Seoul National University Hospital

Etterforskere

  • Hovedetterforsker: In Kyu Park, MD, PhD, Seoul National University Hospital, Department of Thoracic and Cardiovascular Surgery

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

13. april 2021

Primær fullføring (Forventet)

30. juni 2023

Studiet fullført (Forventet)

30. juni 2028

Datoer for studieregistrering

Først innsendt

20. april 2022

Først innsendt som oppfylte QC-kriteriene

20. april 2022

Først lagt ut (Faktiske)

26. april 2022

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

17. mai 2022

Siste oppdatering sendt inn som oppfylte QC-kriteriene

10. mai 2022

Sist bekreftet

1. mai 2022

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • 800-20210011

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

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Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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