Effect of Preoperative Chemoradiotherapy on Exercise Capacity as Measured by Cardiopulmonary Exercise Testing
1 other identifier
interventional
40
1 country
1
Brief Summary
This study will investigate the effect of preoperative chemoradiotherapy on exercise capacity as measured by cardiopulmonary exercise testing in patients with colorectal cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable colorectal-cancer
Started Jan 2009
Typical duration for not_applicable colorectal-cancer
1 active site
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
January 1, 2009
CompletedFirst Submitted
Initial submission to the registry
January 30, 2009
CompletedFirst Posted
Study publicly available on registry
February 2, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2011
CompletedFebruary 17, 2016
February 1, 2016
2.7 years
January 30, 2009
February 15, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change of Anaerobic threshold of 1.5ml/min/kg or more
6 weeks
Secondary Outcomes (1)
Operative outcome
6-10 weeks
Study Arms (1)
Test arm
EXPERIMENTALPatients undergoing preoperative chemoradiotherapy will have their exercise capacity measured before and after chemoradiotherapy.
Interventions
Cardiopulmonary exercise testing involves cycling on an exercise bicycle whilst oxygen consumption and carbon dioxide generation are measured from expired gases. This is used to calculate patient fitness from their peak oxygen consumption and their anaerobic threshold.
Eligibility Criteria
You may qualify if:
- Age greater than 65
- Colorectal cancer requiring preoperative chemoradiotherapy
You may not qualify if:
- Inability to walk, or exercise on a bicycle or treadmill
- Inability to understand instructions for CPET testing
- ASA grade 4 or 5 (indicating severe cardiovascular co-morbidity and not expected to survive surgery)
- Contraindications to Exercise Testing
- Myocardial infarction occurring 10 days or less before CPX testing
- Symptomatic arrythmias
- Left Main Stem coronary disease of \>50%
- Severe hypertension (SBP\>180mmHg)
- Resting SpO2 \<85%
- Acute cardiac inflammatory conditions (myocarditis, pericarditis)
- Unstable angina with symptoms within 4 days
- Dissecting aneurysm of aorta
- Acute pyrexial illness
- Thyrotoxicosis
- Syncopal episodes
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Imperial NHS Trust, St Mary's Hospital, Praed Street
London, W2 1NY, United Kingdom
Related Publications (1)
Older P, Smith R, Courtney P, Hone R. Preoperative evaluation of cardiac failure and ischemia in elderly patients by cardiopulmonary exercise testing. Chest. 1993 Sep;104(3):701-4. doi: 10.1378/chest.104.3.701.
PMID: 8365279BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Christopher Stonell, FRCA MBBCh
Imperial NHS Trust at St Mary's Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 30, 2009
First Posted
February 2, 2009
Study Start
January 1, 2009
Primary Completion
October 1, 2011
Study Completion
October 1, 2011
Last Updated
February 17, 2016
Record last verified: 2016-02