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Trial Title: MalnutritiOn Assessment With biOelectrical impedaNce Analysis in gastRic Cancer patIentS Undergoing Multimodal trEatment

NCT ID: NCT05723718

Condition: Gastric Cancer
Gastric Adenocarcinoma
Malnutrition
Cachexia

Conditions: Official terms:
Stomach Neoplasms
Malnutrition
Wasting Syndrome
Cachexia

Conditions: Keywords:
gastric cancer
bioelectrical impedance analysis
body composition
nutritional status
malnutrition
cachexia
multimodal treatment
tumor regression grade

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Other
Intervention name: Observational Survey
Description: Evaluation of the nutritional status and body composition on tumor regression grade in gastric cancer patients scheduled for multimodal treatment. Nutritional status assessment will include: selected clinical variables evaluation (weight, BMI, nutritional status scales), bioelectrical impedance analysis and selected laboratory parameter assessment. After inclusion in the study, each patient will have four consecutive nutritional status assessments: (1) one day prior staging laparoscopy or during qualification to neoadjuvant chemotherapy, (2) one day before the gastrectomy, (3) one month after the gastrectomy, (4) after the last cycle of adjuvant chemotherapy.

Other name: Nutritional Status and Body Composition Assessment

Summary: The aim of this single-arm prospective, multicenter, cross-sectional study is to evaluate the nutritional status and body composition on tumor regression grade with bioelectrical impedance analysis in gastric cancer patients undergoing multimodal treatment. Results of this study will reveal whether nutritional status and body composition assessment based on bioelectrical impedance analysis will become a validated and objective tool to support clinical decisions in gastric cancer patients undergoing multimodal treatment.

Detailed description: Up to 20% of gastric cancer patients experience unintentional loss of their pretreatment body weight. Malnutrition contributes to increased morbidity, higher risk of perioperative complications and systemic toxicity. A standardized approach to evaluate the nutritional status of gastric cancer patients is yet to be established. Bioelectrical impedance analysis is a non-invasive technique estimating changes in body composition over time. 125 patients with locally advanced gastric adenocarcinoma scheduled for multimodal treatment will be included in the study. Four consecutive nutritional status assessments will be performed throughout the treatment.

Criteria for eligibility:

Study pop:
This study will include a western population of patients with histologically confirmed, potentially curative esophageal gastro junction and gastric adenocarcinoma scheduled for multimodal treatment.

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: 1. Age ≥ 18 years 2. Histologically confirmed gastric adenocarcinoma (or undifferentiated carcinoma) 3. Stage II - III disease (cT2 cN+ and cT3-T4 cN+/-) based on the 8th edition of TNM classification 4. Qualification for multimodal treatment by the decision of the multidisciplinary tumor board Exclusion Criteria: 1. Early gastric cancer (cT1N0-3M0) scheduled for endoscopic treatment by multidisciplinary team 2. Gastric stump carcinoma 3. Distant metastasis 4. Upfront surgery 5. Other malignancies 6. Contraindications to bioelectrical impedance analysis (e.g., implanted cardiac devices, metal implants or pregnancy)

Gender: All

Minimum age: 18 Years

Maximum age: 100 Years

Healthy volunteers: No

Locations:

Facility:
Name: Medical University of Lublin

Address:
City: Lublin
Zip: 20-080
Country: Poland

Status: Recruiting

Contact:
Last name: Karol RawiczPruszyński, Professor

Phone: 81 531 81 26
Email: karol.rawicz-pruszynski@umlub.pl

Start date: December 20, 2022

Completion date: December 31, 2028

Lead sponsor:
Agency: Medical University of Lublin
Agency class: Other

Collaborator:
Agency: Erasmus Medical Center
Agency class: Other

Collaborator:
Agency: Ohio State University
Agency class: Other

Collaborator:
Agency: Poznan University of Medical Sciences
Agency class: Other

Collaborator:
Agency: Jagiellonian University
Agency class: Other

Source: Medical University of Lublin

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05723718

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