Frailty Scales for Predicting Chemotherapy Toxicity in Older Adults With Gastrointestinal Cancers
NCT07184047 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 72
Last updated 2026-02-20
Summary
This study evaluates the effectiveness of the G8 and VES-13 frailty scales in predicting chemotherapy-related toxicity in older patients with gastrointestinal cancers receiving adjuvant chemotherapy. Older adults are more vulnerable to treatment-related side effects due to age-related declines in physiological reserve. Early identification of frailty may help individualize treatment decisions and optimize supportive care.
This is a prospective, single-center, observational study conducted at Ankara Etlik City Hospital. A total of 72 patients aged 65 years and older with non-metastatic or locally advanced gastrointestinal cancers scheduled for adjuvant chemotherapy will be included.
Frailty, sarcopenia, nutritional status, functional independence, and performance status will be assessed at baseline, 3 months, and at the end of chemotherapy.
The primary aim is to determine the predictive value of G8 and VES-13 scores for chemotherapy-related toxicity. Secondary aims include exploring the associations between frailty, nutritional status, sarcopenia, daily living activities, and treatment tolerance. Additionally, one-year progression-free survival (PFS) and overall survival (OS) will be analyzed.
Conditions
- Gastrointestinal Cancers
- Frailty
- Sarcopenia in Elderly
- Malnutrition Elderly
- Toxicity Due to Chemotherapy
- Colorectal Cancer
- Gastric Cancer (GC)
- Pancreatic Cancer Resectable
- Biliary Tract Cancer
- Esophageal Cancer (EsC)
- Older Adults (65 Years and Older)
Interventions
- OTHER
-
Adjuvant Chemotherapy (Standard of Care)
Patients aged 65 years and older with non-metastatic or locally advanced gastrointestinal cancers will receive standard adjuvant chemotherapy regimens as part of routine clinical practice. Regimens may include FOLFOX, CAPEOX, FOLFIRI, FOLFOXIRI, FOLFIRINOX, capecitabine, gemcitabine, 5-FU/leucovorin, or oxaliplatin-based combinations, depending on tumor type and physician decision. No investigational drugs or experimental interventions are administered. The study is observational, and all treatments follow standard of care.
Sponsors & Collaborators
-
Ankara Etlik City Hospital
lead OTHER_GOV
Principal Investigators
-
Galip Can Uyar, MD · Ankara Etlik City Hospital
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-15
- Primary Completion
- 2025-02-01
- Completion
- 2026-02-19
Countries
- Turkey (Türkiye)
Study Locations
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