NCT07805642

Brief Summary

This study aims to develop, train, and validate a machine learning-based prediction model (PROTEGER) to provide treatment decision recommendations for older adults diagnosed with solid tumor cancers. The study has a two-phase observational design: a retrospective cohort using anonymized data from an oncogeriatric telecommittee to train the predictive model, followed by a prospective multicenter cohort across Chile, Peru, and Brazil. Information from Comprehensive Geriatric Assessments (CGA), treatment decisions, and 3- and 6-month clinical outcomes will be collected to evaluate and validate the decision-support platform's performance in assisting oncology teams.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
412

participants targeted

Target at P75+ for all trials

Timeline
9mo left

Started Sep 2026

Shorter than P25 for all trials

Geographic Reach
1 country

2 active sites

Status
not yet recruiting

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

Study Progress11%
Sep 2026Jul 2027

First Submitted

Initial submission to the registry

August 24, 2026

Completed
8 days until next milestone

Study Start

First participant enrolled

September 1, 2026

Completed
3 days until next milestone

First Posted

Study publicly available on registry

September 4, 2026

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2027

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2027

Last Updated

September 4, 2026

Status Verified

August 1, 2026

Enrollment Period

4 months

First QC Date

August 24, 2026

Last Update Submit

September 1, 2026

Conditions

Keywords

Oncogeriatrics

Outcome Measures

Primary Outcomes (1)

  • Predictive Accuracy of the PROTEGER Machine Learning Model

    Discrimination performance of the machine learning predictive model in recommending oncogeriatric treatment decisions (standard treatment, dose-adjusted treatment, or supportive care/no treatment) based on Comprehensive Geriatric Assessment (CGA) data, measured by the Area Under the Receiver Operating Characteristic Curve (AUC-ROC), with scores ranging from 0.5 (no discrimination/chance) to 1.0 (perfect discrimination).

    Up to 6 months post-enrollment.

Secondary Outcomes (6)

  • Incidence of High-Grade Chemotherapy-Related Adverse Events

    At 3 and 6 months post-enrollment.

  • General Quality of Life Score (EORTC QLQ-C30)

    Baseline, 3 months, and 6 months post-enrollment.

  • Elderly-Specific Quality of Life Score (EORTC QLQ-ELD14)

    Baseline, 3 months, and 6 months post-enrollment.

  • Incidence of Hospitalizations

    At 3 and 6 months post-enrollment.

  • Treatment Discontinuation and Dose Reduction Rates

    At 3 and 6 months post-enrollment.

  • +1 more secondary outcomes

Study Arms (2)

Retrospective Training Cohort (Chile)

Anonymized data from cases submitted to the Oncogeriatrics Telecommittee from 2021 to the end of 2023, obtained from the Chilean Ministry of Health's Digital Hospital database, along with patient survival data, will be used to train and validate the predictive model using machine learning techniques.

Prospective Validation Cohort (Chile, Brasil, Peru)

Older adults with cancer receive a comprehensive geriatric assessment at their respective centers and are introduced to an oncogeriatric team. They will share their baseline characteristics, the results of their CGA, clinical data related to cancer treatment, and 3- and 6-month follow-up for the development and validation of a predictive model using machine learning techniques.

Eligibility Criteria

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

The study population consists of older adults (aged 65 years and older) diagnosed with solid tumor cancers who receive care in public and private health institutions in South America (Chile, Brazil, and Peru). The retrospective cohort includes anonymized historical data from patients evaluated by the Oncogeriatric Tele-Committee of the Chilean Ministry of Health. The prospective cohort comprises consecutive patients seen in routine oncological care who undergo a Comprehensive Geriatric Assessment (CGA) and are managed by local oncogeriatric teams.

You may qualify if:

  • Age 65 years or older.
  • Diagnosis of solid tumor cancer.
  • Must have been evaluated and followed up by a local oncology team.
  • Signed Informed Consent Form (ICF) applied in accordance with the local ethics committee.
  • Must have undergone a Comprehensive Geriatric Assessment (CGA).

You may not qualify if:

  • \- Patients who are unable or unwilling to consent to providing information will be excluded.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

BR192 HCOR - Hospital do Coração

São Paulo, São Paulo, 04004-060, Brazil

Location

HIAE - Hospital Israelita Albert Einstein

São Paulo, São Paulo, 05653-000, Brazil

Location

Study Officials

  • Luciola Pontes Leite de Barros

    Hospital do Coração (HCOR)

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Head of Clinical Operations

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
OTHER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 24, 2026

First Posted

September 4, 2026

Study Start

September 1, 2026

Primary Completion (Estimated)

January 1, 2027

Study Completion (Estimated)

July 1, 2027

Last Updated

September 4, 2026

Record last verified: 2026-08

Locations