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TWINCC

Tissue-specific and whole-body insulin resistance in cancer cachexia - Insulin resistance in cancer cachexia

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
NL-OMON
Registry ID
NL-OMON57852
Enrollment
72
Registered
2025-03-16
Start date
2025-06-01
Completion date
Unknown
Last updated
2025-09-15

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

Conditions

Colon carcinoma, liver metastases

Interventions

None listed

Sponsors

Universiteit Maastricht
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: Patients with primary colorectal cancerCachectic patient group (n=18)Age = 18Stage I, II, or III colorectal cancerPlanned segmental colectomy for primary colorectal cancerCRP = 5mg/L, SAT Z-score <0, SM-RA Z-score <0Non-cachectic patient group (n=18)Age = 18Stage I, II or III colorectal cancerPlanned segmental colectomy for primary colorectal cancerCRP < 5mg/L, SAT Z-score <0, SM-RA Z-score =0 Patients with colorectal liver metastasesCachectic patient group (n=18)Age = 18Planned liver resection for colorectal liver metastasisCRP = 5mg/L, SAT Z-score <0, SM-RA Z-score <0Non-cachectic patient group (n=18)Age = 18Planned liver resection for colorectal liver metastasisCRP < 5mg/L, SAT Z-score <0, SM-RA Z-score =0

Exclusion criteria

Exclusion criteria: Body composition metrics outside of the ranges mentioned in the inclusion criteriaKnown history of diabetes mellitus 

Design outcomes

Primary

MeasureTime frame
he primary outcome parameters of this study is whole-body insulin stimulated glucose uptake expressed per kg body weight and per unit of plasma insulin concentration (M/I-value (mg/kg/min per pmol/L)) as well as homeostatic model assessment for Insulin resistance (HOMA-IR).

Secondary

MeasureTime frame
The secondary outcome parameters are 1) insulin-stimulated glucose uptake (Ki) in skeletal muscle, adipose tissue, liver, and tumour measured by [18F]-FDG PET, and 2) Plasma and tissue inflammatory cytokine levels measured with ELISA or qPCR.

Countries

Netherlands

Contacts

Public ContactDPJ Dijk

Universiteit Maastricht

secr-surgery@maastrichtuniversity.nl0433885977

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)