Gastric Carcinoma, Liver and Intrahepatic Bile Duct Carcinoma, Unresectable Esophageal Carcinoma, Unresectable Pancreatic Carcinoma
Conditions
Brief summary
This randomized study examines how well zinc works in improving quality of life in patients with gastrointestinal cancer that cannot be removed by surgery who are receiving chemotherapy. Zinc may help to improve patient's quality of life by preventing zinc deficiency.
Detailed description
PRIMARY OBJECTIVE: I. Assess the effects on quality of life (QOL) when supplementing zinc in upper gastrointestinal (GI) cancer patients while they are receiving chemotherapy. SECONDARY OBJECTIVES: I. Correlate hypoalbuminemia with serum zinc deficiency. II. Correlate zinc deficiency with neutropenia. OUTLINE: Patients are randomized into 1 of 2 groups. GROUP I: Patients receive zinc orally (PO) thrice daily (TID) for months 1 and 2 only of the first 4 months on therapy. GROUP II: Patients receive zinc orally (PO) TID for months 3 and 4 only of the first 4 months on therapy.
Interventions
Given PO
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who present to adult medical oncology outpatient clinic with new diagnosis of non-resectable gastric, gastro-esophageal, pancreas or biliary cancer * Patients plan to receive chemotherapy at an Emory Cancer Center * No prior chemotherapy or radiation therapy for newly diagnosed gastric, gastro-esophageal, pancreas or biliary cancer * Patients must sign informed consent
Exclusion criteria
* Zinc supplementation is not indicated for pregnant or lactating women therefore, this is an
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life scores | Up to 4 months after study start | Quality of life (QOL) will be evaluated through patient subjective responses to the QOL survey. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Serum zinc level | Up to 4 months after study start | Zinc levels will be monitored monthly with blood tests. Low zinc will be defined as under 60 mcg. |
| Serum albumin level | Up to 4 months after study start | Albumin levels will be monitored monthly with blood tests. Low albumin will be defined as under 3.5 gm/dl. |
Countries
United States