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NCT03061370

Sarcopenia and Visceral Obesity in Esophageal and Gastric Cancer

Completed Last updated 26 March 2020
What this trial tests

trial testing Esophagectomy or Gastrectomy in Esophageal Cancer in 317 participants. Completed in 1 January 2019.

Timeline
1 January 2010
Primary endpoint
1 January 2017
1 January 2019

Quick facts

Lead sponsorSt. James's Hospital, Ireland
StatusCompleted
Study typeOBSERVATIONAL
Enrollment317
Start date1 January 2010
Primary completion1 January 2017
Estimated completion1 January 2019
Sites2 locations across Ireland

Drugs / interventions tested

Conditions studied

Sponsor

St. James's Hospital, Ireland

Who can join

18 and older, any sex, with Esophageal Cancer or Gastric Cancer. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

In line with improvements in oncologic outcome for patients with esophageal cancer, the attritional impact of curative treatment with respect to functional status and health-related quality of life (HR-QL) in survivorship is increasingly an important focus. Functional recovery after surgery for esophageal cancer is commonly confounded by anorexia and early satiety, which may reduce oral nutrient intake with consequent malnutrition and weight loss. One in three disease-free patients has more than fifteen percent body weight loss at three years after esophagectomy. The ESPEN Special Interest Group on cachexia-anorexia in chronic wasting diseases has defined sarcopenia as skeletal muscle index (SMI) of ≤39 cm2/m2 for women and ≤55cm2/m2 for men, while similar cut-off points have been validated in upper gastrointestinal and respiratory malignancies (less than 38.5 cm2/m2 for women and 52.4 cm2/m2 for men). The European Working Group on Sarcopenia in Older People (EWGSOP) additionally recommends that assessment should also include determination of muscle function, for example gait speed or grip strength, where possible. The presence of sarcopenia is associated with increase treatment-associated morbidity, impaired HR-QL, reduced physical and role functioning, and increased pain scores in older adults. In addition, a previous longitudinal study demonstrated that the decline in HR-QL over a six year period in older adults was accelerated in the presence of sarcopenia. As such, sarcopenia may represent a modifiable barrier to recovery and subsequent retention of HR-QL and functional status, and may reinforce a persistent illness identity, among patients following potentially curative treatment for esophageal cancer.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other recruiting trials for Esophageal Cancer

Currently open trials in the same condition.

Other St. James's Hospital, Ireland trials

Trials by the same sponsor.

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Data sources for this page

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