C22 C24 C25 C23
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Histologically proven ductal adenocarcinoma of the pancreas (PDAC) or Biliary System (CCC) Metastatic Disease (Stage IV) ECOG = 2, Starting a new chemotherapy line (= 1st line), Age = 18 years, Fearon Cachexia (20), Written consent, Fluent German
Exclusion criteria
Exclusion criteria: Serious cardiopulmonary disease (EF <45%, NYHA III-IV heart failure, respiratory partial or global insufficiency, uncontrolled hypertension) CNS metastases, Life expectancy <3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility analysis: Recruitment rate Number and cause of dropouts (drop-out) Adverse events Compliance of the movement units (min. 75%) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Body composition via BIA Body cell mass, lean body mass, fat mass. Phase angle, body weigh, BMI Baseline measurment after enrollment, post-measurement after 8 weeks - Muscle strength HandGrip dynamometer (JAMAR) Timed Up and Go Test (TUG) 1RM test of large muscle groups Sit-to-Stand test, 1min Baseline measurment after enrollment, measurement after 4 weeks, post-measurement after 8 weeks - Karnovsky index / ECOG Weekly measurement after enrollment - Blood panel: Diff. Blood count / neutrophil-lymphocyte ratio (NLR), electrolytes, kidney values, liver values, LDH, CK, CK-MB, CRP, HbA1c, cholesterol, HDL, LDL, triglycerides, IL6, glucose, lactate, BNP, albumin, CA19-9 , Testosterone (men only), TSH, fT3, fT4 Baseline measurment after enrollment, every two weeks measurement until end of studies - Tumor tissue diagnosis: Grading WTZ NGS cancer gene panel "MAPK1" Transcriptome analysis (Illumina HT12 microarray-based) MCT1, MCT4, LC3, beclin-1 (immunohistochemistry) Baseline measurment after enrollment, post-measurement after 8 weeks - Questionnaires Quality of life (EORTC QLQ-C30) Fatigue (MFI 20) Physical Activity (BSA) Depression & Anxiety (HADS) Cachexia (FAACT) Baseline measurment after enrollment, post-measurement after 8 weeks | — |
Countries
Germany
Contacts
Universitätsklinikum Essen, Westdeutsches Tumorzentrum, Innere Klinik (Tumorforschung)