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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04127981
Registration number
NCT04127981
Ethics application status
Date submitted
23/04/2019
Date registered
16/10/2019
Titles & IDs
Public title
Medical Imaging of Cachexia
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Scientific title
A Pilot Bioimaging Trial of Cancer Cachexia
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Secondary ID [1]
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ONJ2018-002
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cancer Cachexia
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Condition category
Condition code
Diet and Nutrition
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Diagnosis / Prognosis - 18F-FDG PET + Dexa Scan
Active comparator: Patients with cancer cachexia - 20 patients with advanced/metastatic colorectal, non-small cell lung cancer (NSCLC), or pancreatic cancer with documented cachexia.
Active comparator: Patients without cancer cachexia - 20 patients with advanced/metastatic colorectal, non-small cell lung cancer (NSCLC) or pancreatic cancer without cachexia.
Diagnosis / Prognosis: 18F-FDG PET + Dexa Scan
18F-FDG PET will be compared with Dexa Scan result within and between arms.
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Intervention code [1]
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Diagnosis / Prognosis
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Correlation of a clinical diagnosis of cachexia with the metabolic activity of brown adipose tissue, bone density and muscle mass.
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Assessment method [1]
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Quantitation of the metabolic activity of brown adipose tissue, bone density and muscle mass using 18F-FDG uptake and bone densitometry will be correlated with a diagnosis of clinical cachexia.
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Timepoint [1]
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7 days post enrollment
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Secondary outcome [1]
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Optimization of PET scanning methods for imaging of brown adipose tissue.
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Assessment method [1]
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Optimization of the patient environment (ie. ambient temperature) and metabolic state (ie. Heart rate, dietary state) to minimize the impact of these factors and allow direct comparison of metabolic activity of brown adipose tissue between cachectic and non-cachectic patients.
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Timepoint [1]
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7 days post enrollment
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Secondary outcome [2]
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To quantify change from normal of inflammatory blood biomarkers
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Assessment method [2]
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To validate change from normal laboratory range of inflammatory blood based proteins and enzymes in cachectic vs non-cachectic patients.
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Timepoint [2]
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7 days post enrollment
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Secondary outcome [3]
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To quantify change from normal of immune blood biomarkers
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Assessment method [3]
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To validate change from normal laboratory range immune blood based proteins and enzymes in cachectic vs non-cachectic patients.
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Timepoint [3]
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7 days post enrollment
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Eligibility
Key inclusion criteria
* Patients with malignant disease;
* ECOG Performance score of 0-2;
* Age = 18 years;
* Life expectancy of >4 months at screening;
* Cachexia patient group only: Fulfils diagnostic criteria for cachexia: unintentional weight loss more than 5% over the previous 6 months, or more than 2% in individuals with a decreased body-mass index of <20kg/m2, or skeletal muscle wasting (sarcopenia).
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with uncontrolled Diabetes Mellitus;
* Psychological unstable persons presumed unfit to perform the investigations;
* Persons unable to lie or sit still for 1-2 hours;
* Pregnant patients;
* Patients who received high doses of radiotherapeutic radiation of the neck and/or upper chest in their medical history limiting nutritional intake;
* Patients who are receiving any chemotherapeutic agents which is limiting nutritional intake;
* Persons that received cervical or thoracic sympathectomy or have a nerve dysfunction which is likely to influence sympathetic nerves;
* The use of medication that influences the sympathetic nerve system: ß-blockers, a-blockers, central anti-hypertensives, certain anti-depression drugs (MAO inhibitors, tricyclic antidepressives), reserpine, cocaine, calcium channel blockers, labetalol, and certain tranquillizers (fenothiazines).
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/03/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
28/12/2023
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Austin Health - Heidelberg
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Recruitment postcode(s) [1]
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3078 - Heidelberg
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Funding & Sponsors
Primary sponsor type
Other
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Name
Olivia Newton-John Cancer Research Institute
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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La Trobe University
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Address [1]
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Country [1]
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Other collaborator category [2]
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Government body
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Name [2]
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Austin Health
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a pilot trial using 18F-FDG PET and DXA scans to determine whether these investigations are objective tools to assess cachexia.
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Trial website
https://clinicaltrials.gov/study/NCT04127981
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Andrew M Scott, MD
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Address
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Austin Health/ONJCRI
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jodie Palmer, PhD
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Address
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Country
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Phone
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0394963573
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Cohort data will be shared via journal and conference presentations
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04127981