Routine Evaluation of People Living With Cancer - Surgery

Status: Recruiting
Location: See location...
Study Type: Observational
SUMMARY

Some people with cancer suffer from muscle wasting, lose weight and feel tired. This process, termed cachexia, is a significant problem and can lead to a reduction in both quality and quantity of life. Cachexia is caused by interactions between the tumour and the patient. Historically, it was considered to be a purely end-stage phenomenon of advanced cancer, however, it is now known that early signs of cachexia can even influence the outcomes of patients with potentially curative pathology, including those planned for a surgical resection. This study aims to collect information, from patients who are at risk of cachexia, about body composition, physical activity, quality of life and the body's immune response to cancer. Previously these measures have been most frequently studied in isolation, or at one single time-point, and are therefore likely to give an incomplete picture. A more holistic characterisation of surgical patients at risk of cancer cachexia, across their treatments, is currently lacking. Participants with cancer will be recruited to the study from surgical services in the United Kingdom (UK). A small number of 'control' patients without cancer, who are undergoing surgery for a benign condition, will also be recruited for comparison. Those recruited will have their height and weight measured, answer questionnaires about quality of life, undergo assessment of their physical function and levels of activity, have blood taken to analyse markers of inflammation and have their body composition measured by a variety of methods. A subgroup of patients will also undergo an additional magnetic resonance imaging (MRI) scan of their abdomen and thighs. At the time of their operation, participants will also have small biopsies of muscle, fat, tumour and urine taken for biochemical analysis. Patients with cancer, will be asked to return for three follow up appointments during the year after their operation where these assessments will be repeated.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
View:

• Patients with cancer (Clinical, histological, cytological or radiological evidence) planned for surgical resection of a malignancy of the oesophagus, stomach, pancreas, colon, or rectum

• Aged 18-years and over

• Able to give written informed consent

• Patients identified at surgical clinic as being planned for an open abdominal operation for a non-inflammatory, benign condition (e.g. donor nephrectomy)

• Aged 18-years and over

• Able to give written informed consent

Locations
Other Locations
United Kingdom
University of Edinburgh
RECRUITING
Edinburgh
Contact Information
Primary
Richard JE Skipworth, MD FRCS
Richard.Skipworth@nhslothian.scot.nhs.uk
01312423176
Backup
Leo R Brown, MBChB MRCS
leorbrown@doctors.org.uk
01312423614
Time Frame
Start Date: 2023-10-01
Estimated Completion Date: 2027-12
Participants
Target number of participants: 200
Treatments
Cancer Resection
* Patients with cancer (clinical, histological, cytological or radiological evidence) planned for surgical resection of a malignancy of the oesophagus, stomach, pancreas, colon, or rectum~* Aged 18-years and over~* Able to give written informed consent
Healthy Controls
* Patients identified at surgical clinic as being planned for an open abdominal operation for a non-inflammatory, benign condition (e.g. donor nephrectomy)~* Aged 18-years and over~* Able to give written informed consent
Sponsors
Collaborators: NHS Lothian
Leads: University of Edinburgh

This content was sourced from clinicaltrials.gov