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A Longitudinal Study of Cancer-related Fatigue Among Colorectal Cancer Patients During Adjuvant Chemotherapy

2017年1月6日 更新者:Hsi-Hsien Hsu、Mackay Memorial Hospital

Worldwide, nearly 1.25 million patients are diagnosed with and more than 600,000 patients die from colorectal cancer each year. The third leading cause of death is colorectal cancer in Taiwan 2012. The current treatments for colorectal cancer including surgery, chemotherapy and/or radiotherapy are prescribed to improve survival and lower the risk of recurrence. However, disease and treatment-related toxicities in cancer patients may result in fatigue and interfered quality of life (QoL). Previous studies have reported that cancer-related fatigue (CRF) is the most common symptom experienced by patients at all stage of diseases, it can occur during treatment, in advanced disease and in disease-free survivors; the prevalence of fatigue is reported to be between 59-96% in patients undergoing chemotherapy, 65-100% in patients receiving radiation therapy, and 30% in long term survivors. Also, CRF has been reported as the most frequent and distressing toxicity of colon and rectal chemotherapy. The National Comprehensive Cancer Network (NCCN) has published guidelines for the definition of CRF as ''a persistent subjective sense of physical, emotional, and/or cognitive tiredness or exhaustion related to cancer or cancer treatment that is not proportional to recent activity and that significantly interferes with usual functioning." Besides, CRF could dynamically change with the interactions among disease progression, treatment regimen, tumor site, nutrition, infection or other factors. Therefore, to minimize the impact of CRF on cancer patients, more in-depth researches on CRF are needed.

The aim of this longitudinal study is to examine the dynamic changes, correlated factors and QoL of CRF among colorectal cancer patients during adjuvant chemotherapy. Furthermore, the results will supply physicians with more understanding about CRF, and help them to enhance the quality on cancer care to being perfected in the future.

研究概览

地位

未知

条件

详细说明

This study will enroll colorectal cancer patients with adjuvant chemotherapy about 1 year (estimated 60 patients). Brief fatigue inventory-Taiwanese form (BFI-T) and functional assessment of cancer therapy-general 7 (FACT-G7) will be used to evaluate patients' fatigue and quality of life. Patients will be thoroughly informed about all aspects of the study activity schedule and all regulatory requirements that must be satisfied for informed consent. Only patients who give consent to participate in this study and meet all other inclusion and exclusion criteria will be eligible to enroll into this study. The questionnaire survey will be carried out before first chemotherapy treatment (baseline), and every four chemotherapy cycles (i.e. at cycle 4, 8 and 12) after chemotherapy treatment at outpatient department (OPD) or ward during adjuvant chemotherapy treatment period. All patients will receive standard chemotherapy which continued for 24 weeks (12 cycles) or until disease progression, whichever came first. Subject demographic and disease-related information will also be collected for analysis.

研究类型

观察性的

注册 (预期的)

60

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Taipei、台湾、104
        • 招聘中
        • MacKay Memorial Hospital
        • 接触:
        • 首席研究员:
          • Hsi-Hsien Hsu, M.D., Ph.D.
        • 副研究员:
          • Ming-Jen Chen, M.D., Ph.D.
        • 副研究员:
          • Chien-Kuo Liu, M.D.

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

20年 及以上 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

取样方法

非概率样本

研究人群

Colorectal cancer patients during adjuvant chemotherapy

描述

Inclusion Criteria:

  1. Patients who signed the informed consent form
  2. Aged 20 years and older
  3. Patients who have been given a diagnosis of stage II-IV colorectal cancer
  4. Scheduled to receive adjuvant chemotherapy
  5. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
  6. Able to communicate verbally and completely fill out the questionnaires

Exclusion Criteria:

  1. Female patients are pregnant or breast-feeding
  2. Patients have enrolled or have not yet completed other investigational drug trials within 30 days before screening
  3. Patients who have been given a diagnosis of cognitive impairment are unable to complete the questionnaires

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

队列和干预

团体/队列
Colorectal cancer patients
Colorectal cancer patients during adjuvant chemotherapy

研究衡量的是什么?

主要结果指标

结果测量
大体时间
Cancer-related fatigue evaluation by brief fatigue inventory-Taiwanese form(BFI-T)
大体时间:Change from baseline cancer-related fatigue at 12 chemotherapy cycles(24 weeks).
Change from baseline cancer-related fatigue at 12 chemotherapy cycles(24 weeks).

次要结果测量

结果测量
大体时间
Quality of life assessments by functional assessment of cancer therapy-general 7 (FACT-G7)
大体时间:Change from baseline quality of life at 12 chemotherapy cycles(24 weeks).
Change from baseline quality of life at 12 chemotherapy cycles(24 weeks).

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Hsi-Hsien Hsu, M.D., Ph.D.、MacKay Memorial Hospital

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2015年11月1日

初级完成 (预期的)

2017年11月1日

研究完成 (预期的)

2018年2月1日

研究注册日期

首次提交

2016年11月16日

首先提交符合 QC 标准的

2017年1月6日

首次发布 (估计)

2017年1月9日

研究记录更新

最后更新发布 (估计)

2017年1月9日

上次提交的符合 QC 标准的更新

2017年1月6日

最后验证

2017年1月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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