Impact of Exercise and Hyperlipidic Meal on Free Circulating DNA in Patients With Metastatic Colonic Cancer and Healthy Subjects
ASRHACOLS
Impact of Sport Practice and Hyperlipidic Meal on Free Circulating DNA in Patients With Metastatic Colonic Cancer and Healthy Subjects. Physiological Pilot Study
2 other identifiers
interventional
60
1 country
1
Brief Summary
The study of circulating tumoral DNA makes it possible to study, without invasive procedures or pathological studies, the tumoral DNA circulating in the blood of a patient and its various alterations. In patients with colon-rectal cancer with resected tumor, circulating tumor DNA can be used as a predictive biomarker of metastatic relapse of cancer. However, the routine extension of circulating tumoral DNA remains limited due to several difficulties. One of the pifalls that circulating tumor DNA is greatly diluted by healthy circulating DNA from non-tumor cells. The amount of healthy circulating DNA has been described as being influenced by certain physiological parameters. The aim of the study is to increase knowledge on the influence of physiological factors associated with sports activity and meal on the release kinetics of circulating DNA.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2023
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 15, 2021
CompletedFirst Posted
Study publicly available on registry
December 7, 2021
CompletedStudy Start
First participant enrolled
September 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2024
CompletedApril 18, 2023
April 1, 2023
9 months
November 15, 2021
April 14, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in circulating DNA induced by moderate effort in subjects free of malignacy
Variation in the concentration of circulating DNA between the value measured after 1 hour of rest, during and at recovery of moderate intensity physical effort
0, 3, 15 minutes of exercise, 15, 30 and 60 minutes of recovery.
Secondary Outcomes (3)
Change in circulating DNA induced by hyperlipidic meal in subjects free of malignacy
0 minutes (before eating) and 120 minutes after eating
Change in circulating DNA induced by moderate effort in patients with colon cancer
0, 15, 30 and 60 minutes of recovery.
Change in circulating DNA induced by hyperlipidic meal in patients with colon cancer
0 minutes (before eating) and 120 minutes after eating
Study Arms (2)
Subjects free of malignancy
EXPERIMENTALModerate intensity physical effort and meal (once)
Patients with colon cancer
EXPERIMENTALLow intensity physical effort and meal (visit 1, day of cycle 1 chemotherapy) and low intensity physical effort (visit 2, day of cycle 2 chemotherapy)
Interventions
Pedaling 15 minutes at 75 Watt then 100 Watt of the ergometer
Pedaling 3 minutes at the 30 Watt level of the ergometer
Eating an hyperlipidic meal 60 minutes after a physical effort
Multiple measure of circulating DNA: on an empty stomach, at the end of the physical effort, after 15, 30 and 60 minutes of rest, 120 minutes after an hyperlipidic meal. An additional measure will occur for subjects free of malignancy during the effort.
Eligibility Criteria
You may qualify if:
- Subjects free of malignancy
- men or women 40-70 yrs aged
- Patients with colon cancer
- men or women 18-85 yrs aged
- Biopsy-proven colon cancer with indication to chemiotherapy
- Chemiotherapy (first line or second line) not started
You may not qualify if:
- All subjects
- Ischemic cardiac history
- known heart disease
- blood hemoglobin concentration \<8g / dl
- Acute or chronic systemic illnesses, (apart from diabetes, essential or secondary hypertension for patients)
- Pregnancy or breastfeeding or in progress
- Subjects free of malignancy
- Cardiovascular risk factor (active smoking or greater than 10 pack-years, diabetes, hypertension or known dyslipidemia not controlled by the diet)
- Glomerular filtration rate estimated by the CKD epi (Chronic Kidney Disease - Epidemiology Collaboration) formula \< 60 ml.min-1.1.73 m-²
- Contraindication to exercise
- Drug taking in progress (except estrogen-progestogen contraception)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Assistance Publique - Hôpitaux de Parislead
- Eurofins Biomniscollaborator
Study Sites (1)
Assistance Publique Hôpitaux de Paris, Hôpital européen Georges Pompidou
Paris, Île-de-France Region, 75015, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Pierre LAURENT-PUIG, MD-PhD
Assistance Publique - Hôpitaux de Paris
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 15, 2021
First Posted
December 7, 2021
Study Start
September 1, 2023
Primary Completion
June 1, 2024
Study Completion
June 1, 2024
Last Updated
April 18, 2023
Record last verified: 2023-04
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, ICF
- Time Frame
- Two years after the last publication
- Access Criteria
- Individual participant data (IPD) that underlie results in publication could be shared. IPD detailed in the protocol of a planned metaanalysis could be shared Supporting Information: Study Protocol Informed Consent Form (ICF) Time Frame: Two years after the last publication Access Criteria: Data sharing must be accepted by the sponsor and the PI based on a scientific project and scientific involvement of the PI team. Collaboration will be fostered. Data sharing must respect the agreements made with funders. Teams wishing obtain IPD must meet the sponsor and IP team to present scientific (and commercial) purpose, IPD needed, format of data transmission, and timeframe. Technical feasibility and financial support will be discussed before mandatory contractual agreement. Processing of shared data must comply with European General Data Protection Regulation (GDPR).
Individual participant data (IPD) that underlie results in publication could be shared. IPD detailed in the protocol of a planned metaanalysis could be shared