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Creating a new tool to predict side effects of chemotherapy in older patients with stomach and bowel cancers a study done at multiple hospitals

Development of a new prediction score (CARG-GI) for chemotherapy toxicity in older patients with gastrointestinal cancer- A multicenter, prospective study - CARG-GI

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2025/10/096342
Enrollment
408
Registered
2025-10-22
Start date
Unknown
Completion date
Unknown
Last updated
2026-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: C260- Malignant neoplasm of intestinal tract, part unspecified

Interventions

Intervention1: Nil: Nil Intervention2: Nil: Nil Intervention3: Nil: Nil Intervention4: NIL: NIL Control Intervention1: NA: NA

Sponsors

Tata Memorial Centre
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients with the following primary histological and anatomical diagnosis including stage I to IV, Squamous cell carcinoma of the esophagus or GE junction, Adenocarcinoma of the esophagus or GE junction/stomach, Cholangiocarcinoma or gallbladder cancer with adenocarcinoma histology, Pancreatic adenocarcinoma, Colorectal carcinoma 2. Other rarer GI cancers receiving chemotherapy, eg GI NEC, metastatic anal canal SCC etc. 3. Patients who have previously received chemotherapy can be included in the study if they have received chemotherapy for more than 6 months prior to enrolment. 4. Patients can receive a combination of chemotherapy and immunotherapy or targeted therapy. However, patients receiving only targeted therapy or only immunotherapy will not be included in the study. 5. Age more than or equal to 60 years 6. ECOG performance status 0 to 2 7. Patients who can give informed consent for the study. 8. Patients do not have any contraindications to receive chemotherapy 9. Adequate Hematological, hepatic, and renal function parameters as ascertained by the treating physician. There will be no individualized cut off for end-organ dysfunction

Exclusion criteria

Exclusion criteria: 1. Known hypersensitivity or contraindications against chemotherapy drugs used in the study 2. Clinically significant medical or surgical comorbidities that preclude the use of chemotherapy as per treating physician decision

Design outcomes

Primary

MeasureTime frame
To assess the overall incidence of grade 3-5 TRAEs and its association with CARG-GI score stratification (Low, medium, high)Timepoint: From Baseline to upto four cycles

Secondary

MeasureTime frame
To compare the standard CARG score with the newly formed CARG GI score via the AUC method. To assess the dose modifications and treatment delays in all the three risk groups Timepoint: From Baseline to end of systemic chemotherapy

Countries

India

Contacts

Public ContactDr Anant Ramaswamy

Tata Memorial Hospital

anantr13@gmail.com9833034802

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Mar 14, 2026