Multidisciplinary Evaluation of Elderly Patients With Digestive Cancer (EPODIG-G)
Monocentric Randomized Study Evaluating the Impact of an Early Multidisciplinary Program in Elderly Subjects Starting a Chemotherapy for Digestive Cancer: Multidisciplinary Evaluation of Elderly Patients With Digestive Cancer (EPODIG-G)
Centre Paul Strauss
144 participants
Sep 17, 2021
INTERVENTIONAL
Conditions
Summary
This is a monocentric, comparative, open-label, randomized parallel group study enrolling elderly subjects hospitalized in Strasbourg Europe Cancerology Institute (ICANS), starting chemotherapy or targeted therapy for the treatment of digestive cancer.
Eligibility
Inclusion Criteria8
- Patients must be ≥ 75 years old
- Performance status 0, 1 or 2
- Diagnostic of digestive cancer, all stages (adjuvant or metastatic), with an indication for chemotherapy treatment or targeted therapy for a treatment period of 24 weeks or more
- Patients previously treated with one or several lines of chemotherapy for this digestive cancer are eligible
- Estimated life expectancy ≥ 3 months
- Patients able to speak, read and understand French
- Signed informed consent from the patient
- Patients must have a social security coverage
Exclusion Criteria5
- History of differentiated neuroendocrine tumors grade 1 or 2 (pancreas, small intestine)
- Cancer currently being treated (except for hormone therapy) other than current digestive cancer
- History of major surgery and/or curative radiation therapy during the last 4 weeks before inclusion
- Patients unable to submit to medical follow-up for geographical, social or psychological reasons
- Patients placed under guardianship
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Interventions
EPODIG-G program includes: a nutritional evaluation (laboratory tests: albumin, pre-albumin, C reactive protein and vitamin D dosage, nutritional status, Handgrip test, Simple Evaluation of Food Intake (SEFI), spontaneous food intake evaluation) ; a medication reconciliation ; physical therapy (Six Minute Walk Test)
Locations(1)
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NCT05066139