NCT00740961

Brief Summary

RATIONALE: Learning about changes over time in older patients' ability to function after receiving chemotherapy for breast or colon cancer may help doctors learn about the long-term effects of treatment and plan the best treatment. PURPOSE: This clinical trial is studying older patients with newly diagnosed breast cancer or colon cancer.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
63

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Mar 2008

Typical duration for all trials

Geographic Reach
1 country

5 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2008

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

August 22, 2008

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 25, 2008

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2011

Completed
Last Updated

July 27, 2020

Status Verified

July 1, 2020

Enrollment Period

3.5 years

First QC Date

August 22, 2008

Last Update Submit

July 23, 2020

Conditions

Keywords

psychosocial effects of cancer and its treatmentcognitive/functional effectsbreast cancercolon cancer

Outcome Measures

Primary Outcomes (5)

  • Number of impaired domains on Comprehensive Geriatric Assessment (CGA)

    at baseline and 12 months later.

  • Chemotherapy adherence as measured by dose reduction, dose delay, and grade 3-5 toxicities

    Patients are followed for 1 year for chemotherapy adherence and survival.

  • Vulnerable Elders Survey scores

    at baseline and 12 months later.

  • Functional decline

    at baseline and 12 months later.

  • Time to death

    Patients are followed for 1 year for chemotherapy adherence and survival.

Secondary Outcomes (1)

  • Scores of individual battery of tools included in the CGA

    at baseline and 12 months later

Study Arms (2)

Patients with cancer

Patients ≥ 65 years with new stage I-III breast or colon cancer seeking care. Patients will be matched on baseline scores, age and sex. Patients will be age and sex matched due to the known relation between inflammatory markers and demographic characteristics39,40, and will be matched on baseline VES scores to ensure similar baseline VES-13 scores between groups and which will then allow us to then assess effect of cancer treatment on outcomes.

Behavioral: compliance monitoringDrug: systemic chemotherapyOther: medical chart reviewOther: study of socioeconomic and demographic variablesOther: survey administrationProcedure: cognitive assessmentProcedure: psychosocial assessment and care

Patients without cancer

non-cancer patients, seeking care at out-patient clinics

Behavioral: compliance monitoringOther: medical chart reviewOther: study of socioeconomic and demographic variablesOther: survey administrationProcedure: cognitive assessmentProcedure: psychosocial assessment and care

Interventions

Patients complete the Vulnerable Elders Survey (VES-13) and a Comprehensive Geriatric Assessment at baseline and 12 months later. Variables collected include sociodemographics; cognitive, nutritional, psychosocial, and emotional status; tumor characteristics; therapy; and mortality.

Patients with cancerPatients without cancer

Learning about changes over time in older patients' ability to function after receiving chemotherapy for breast or colon cancer

Patients with cancer

A limited review of medical records for the sole purpose of evaluating patients for study eligibility will be undertaken by the research team.

Patients with cancerPatients without cancer

Patients complete the Vulnerable Elders Survey (VES-13) and a Comprehensive Geriatric Assessment at baseline and 12 months later. Variables collected include sociodemographics; cognitive, nutritional, psychosocial, and emotional status; tumor characteristics; therapy; and mortality.

Patients with cancerPatients without cancer

Patients complete the Vulnerable Elders Survey (VES-13) and a Comprehensive Geriatric Assessment at baseline and 12 months later. Variables collected include sociodemographics; cognitive, nutritional, psychosocial, and emotional status; tumor characteristics; therapy; and mortality.

Patients with cancerPatients without cancer

Patients complete the Vulnerable Elders Survey (VES-13) and a Comprehensive Geriatric Assessment at baseline and 12 months later. Variables collected include sociodemographics; cognitive, nutritional, psychosocial, and emotional status; tumor characteristics; therapy; and mortality.

Patients with cancerPatients without cancer

Patients complete the Vulnerable Elders Survey (VES-13) and a Comprehensive Geriatric Assessment at baseline and 12 months later. Variables collected include sociodemographics; cognitive, nutritional, psychosocial, and emotional status; tumor characteristics; therapy; and mortality.

Patients with cancerPatients without cancer

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)
Sampling MethodProbability Sample
Study Population

Primary Care clinic

DISEASE CHARACTERISTICS: * Histologically confirmed breast or colon cancer * Newly diagnosed disease * Any stage disease * Undergoing treatment at the Ireland Cancer Center, University Hospitals Case Medical Center Site * Scheduled to start a new chemotherapy regimen (objective II only) * Not concurrently enrolled in a GEM trial (objectives II, III, and IV) * Hormone receptor status not specified PATIENT CHARACTERISTICS: * Understands English * Menopausal status not specified PRIOR CONCURRENT THERAPY: * See Diseases Characteristics

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (5)

Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center

Cleveland, Ohio, 44106, United States

Location

UH-LUICC

Mentor, Ohio, 44060, United States

Location

UH-Chagrin Highlands

Orange, Ohio, 44122, United States

Location

UH-Green Road

South Euclid, Ohio, 44121, United States

Location

UH-Westlake

Westlake, Ohio, 44145, United States

Location

Biospecimen

Retention: SAMPLES WITHOUT DNA

Approximately 13mls of blood will be drawn at each of the three time-points for testing for biologic correlates of frailty (pre study, mid-study and post-study).

MeSH Terms

Conditions

Breast NeoplasmsColorectal NeoplasmsColonic Neoplasms

Interventions

Neoadjuvant TherapyMental Status and Dementia TestsPsychiatric Rehabilitation

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Intervention Hierarchy (Ancestors)

Combined Modality TherapyTherapeuticsNeuropsychological TestsPsychological TestsBehavioral Disciplines and ActivitiesRehabilitationHealth ServicesHealth Care Facilities Workforce and Services

Study Officials

  • Cynthia Owusu, MD, MSC

    Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center

    STUDY CHAIR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 22, 2008

First Posted

August 25, 2008

Study Start

March 1, 2008

Primary Completion

September 1, 2011

Study Completion

September 1, 2011

Last Updated

July 27, 2020

Record last verified: 2020-07

Locations