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TerminatedNCT04996147F4TUpdated Aug 9, 2021

Acute and Long-term Impact of Cancer Treatment on Head and Neck Cancer Patients: FIT4TREATMENT

An observational study in Head and Neck Neoplasms, sponsored by Associacao de Investigacao de Cuidados de Suporte em Oncologia. Terminated at 1 site in Portugal. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-08-09.

Sponsored by Associacao de Investigacao de Cuidados de Suporte em Oncologia · Observational

Why this study was terminated
COVID-19 pandemic
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
21
Ages
18 Years and older
Sex
All
01

Study summary

Head and Neck Squamous Cell Carcinoma (HNSCC) is the 6th most common cancer. Most cases are diagnosed in locally advanced stages, with treatment involving multimodal approach with combinations of radiotherapy, surgery and chemotherapy. The aggressive nature of HNSCCs and treatment modalities are associated with important acute and late toxicities that often promote temporary or definitive treatment interruption and may compromised the capability to tolerate subsequent treatments. Thus, the aim of this study is to analyze the acute and long-term impact of cancer treatment on quality of life, physical and cognitive function of HNSCC patients diagnosed with a locally advanced disease.

Read the detailed description

Potential cases will be identified at the multidisciplinary head and neck group meeting. If the case meets eligibility an informed consent will be presented to the patient. Interested participants will be scheduled for baseline assessment before the beginning of treatment (M0). At the end of CRT patients will be submitted to a second assessment (M1). Follow-up assessments will occur 16th to 18th weeks after the treatment is completed (M2). Patients proposed to surgery or induction chemotherapy will also be submitted to an additional assessment before the beginning of CRT (Mc / Mic).

02

Conditions studied

  • Head and Neck Neoplasms

Keywords

  • Head and Neck Neoplasms
  • Acute adverse events
  • Long-term adverse events
  • Quality of life
  • Cognitive function
  • Physical function
03

In context

Head and Neck Neoplasms

2,344 studies on the registry are indexed under Head and Neck Neoplasms; 551 are open to participants now.

This study's enrollment of 21 is below the median of 100 across 441 observational studies indexed under Head and Neck Neoplasms.

Browse Head and Neck Neoplasms studies →

Lead sponsor

Associacao de Investigacao de Cuidados de Suporte em Oncologia is the lead sponsor of 8 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Eligible patients had to have more than 18 years, diagnosed with stage III to IVB HNSCC and proposed for primary treatment with curative intent - surgery or induction chemotherapy before chemoradiotherapy (CRT) or CRT alone. Exclusion criteria was: 1) synchronous tumors or other comorbidities with associated uncontrolled symptoms; 2) inability to provide informed consent; 3) expected inability to fulfil the propose schedule and follow-up.

Inclusion criteria

  • Patients older than 18 years.
  • Diagnosis of locally advanced head and neck cancer (oral cavity, oropharynx, hypopharynx, larynx), stage III-IVB.
  • Proposed for primary treatment with curative intent - surgery or induction chemotherapy before chemoradiotherapy (CRT) or CRT alone.

Exclusion criteria

Exclusion Criteria:

  • Synchronous tumors or other comorbidities with associated uncontrolled symptoms.
  • Inability to provide informed consent.
  • Expected inability to fulfil the propose schedule and follow-up.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
21 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Quality of life (acute)

    Global quality of life score evaluated by EORTC QLQ-C30 questionnaire (range in score from 0 to 100, high score represents a high level of functioning)

    Time frame: Change of global quality of life score from baseline to the end of treatment

  2. Quality of life (long-term)

    Global quality of life score evaluated by EORTC QLQ-C30 questionnaire (range in score from 0 to 100, high score represents a high level of functioning)

    Time frame: Change of global quality of life score from baseline to 4 months after the treatment is completed

Secondary outcomes

  1. Fatigue (acute)

    Fatigue score evaluated by EORTC QLQ-C30 questionnaire (range in score from 0 to 100, high score represents high level of symptomatology / problems)

    Time frame: Change of fatigue score from baseline to the end of treatment

  2. Fatigue (long-term)

    Fatigue score evaluated by EORTC QLQ-C30 questionnaire (range in score from 0 to 100, high score represents high level of symptomatology / problems)

    Time frame: Change of fatigue score from baseline to 4 months after the treatment is completed

  3. Social functioning (acute)

    Social functioning score evaluated by EORTC QLQ-C30 questionnaire (range in score from 0 to 100, high score represents a high level of functioning)

    Time frame: Change of body mass index from baseline to the end of treatment

  4. Social functioning (long-term)

    Social functioning score evaluated by EORTC QLQ-C30 questionnaire (range in score from 0 to 100, high score represents a high level of functioning)

    Time frame: Change of body mass index from baseline to 4 months after the treatment is completed

  5. Body composition (acute)

    Body mass index, evaluated by bioelectrical impedance (BMI kg/m\^2).

    Time frame: Change of body mass index from baseline to the end of treatment

  6. Body composition (long-term)

    Body mass index, evaluated by bioelectrical impedance (BMI kg/m\^2).

    Time frame: Change of body mass index from baseline to 4 months after the treatment is completed

  7. Cognitive function (acute)

    Evaluated by the Montreal Cognitive Assessment and the Functional Assessment of Cancer Therapy-Cognitive (MoCA score range between 0 and 30, a score of 26 or over is considered to be normal).

    Time frame: Change of MoCA score from baseline to the end of treatment

  8. Cognitive function (long-term)

    Evaluated by the Montreal Cognitive Assessment and the Functional Assessment of Cancer Therapy-Cognitive (MoCA score range between 0 and 30, a score of 26 or over is considered to be normal).

    Time frame: Change of MoCA score from baseline to 4 months after the treatment is completed

  9. Dysphagia (acute)

    Severity of dysphagia assessed by Eating Assessment Tool (EAT-10 total score ranges from 0 to 40, with a score ≥ 3 indicative of dysphagia)

    Time frame: Change of EAT-10 score from baseline to the end of treatment

  10. Dysphagia (long-term)

    Severity of dysphagia assessed by Eating Assessment Tool (EAT-10 total score ranges from 0 to 40, with a score ≥ 3 indicative of dysphagia)

    Time frame: Change of EAT-10 score from baseline to 4 months after the treatment is completed

  11. Dysphagia (acute)

    Severity of dysphagia assessed by Functional Oral Intake Scale (FOIS ranges from 1 to 7)

    Time frame: Change of FOIS score from baseline to the end of treatment

  12. Dysphagia (long-term)

    Severity of dysphagia assessed by Functional Oral Intake Scale (FOIS ranges from 1 to 7)

    Time frame: Change of FOIS score from baseline to 4 months after the treatment is completed

  13. Nutritional status (acute)

    Evaluated by the Patient-Generated Subjective Global Assessment (PG-SGA range from 0-35 with a higher score reflecting a greater risk of malnutrition).

    Time frame: Change of PG-SGA total score from baseline to the end of treatment

  14. Nutritional status (long-term)

    Evaluated by the Patient-Generated Subjective Global Assessment (PG-SGA range from 0-35 with a higher score reflecting a greater risk of malnutrition).

    Time frame: Change of PG-SGA total score from baseline to 4 months after the treatment is completed

  15. Handgrip maximal isometric muscle strength (acute)

    Measured with manual dynamometers (Kgf).

    Time frame: Change of muscle strength from baseline to the end of treatment

  16. Handgrip maximal isometric muscle strength (long-term)

    Measured with manual dynamometers (Kgf).

    Time frame: Change of muscle strength from baseline to 4 months after the treatment is completed

  17. Quadriceps maximal isometric muscle strength (acute)

    Measured with manual dynamometers (Kgf).

    Time frame: Change of muscle strength from baseline to the end of treatment

  18. Quadriceps maximal isometric muscle strength (long-term)

    Measured with manual dynamometers (Kgf).

    Time frame: Change of muscle strength score from baseline to 4 months after the treatment is completed

  19. Sit-to-stand test (acute)

    Sit-to-stand test during 30 seconds

    Time frame: Change of repetitions from baseline to the end of treatment

  20. Sit-to-stand test (long-term)

    Sit-to-stand test during 30 seconds

    Time frame: Change of repetitions from baseline to 4 months after the treatment is completed

  21. Physical function (acute)

    6 minutes walking test (meters).

    Time frame: Change of distance from baseline to the end of treatment

  22. Physical function (long-term)

    6 minutes walking test (meters)

    Time frame: Change of distance from baseline to 4 months after the treatment is completed

  23. Progression free survival

    Defined as the time from the beginning of treatment to the date of first progression or death (whichever occurs first) and will be censored at last follow-up date if the patient does not have the event. A progression (local, regional or distant) will be assumed accordingly to the imaging evaluation and/or histopathologic confirmation.

    Time frame: 2 years follow-up

  24. Overall survival

    Defined as the time from the beginning of treatment to the date of death from any cause, for patients who do not die, it will be censored at their last follow-up date.

    Time frame: 2 years follow-up

  25. Capability of tolerating subsequent treatments

    Defined as the proportion of patients that complete the first cycle of the first line palliative chemotherapy after a documented progression (considering all patients with a formal indication).

    Time frame: 2 years follow-up

07

Study locations

1 site
  • Centro Hospitalar Vila Nova de Gaia / Espinho
    Vila Nova De Gaia, Portugal
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 9, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04996147
Lead sponsor
Associacao de Investigacao de Cuidados de Suporte em Oncologia
Collaborators
Centro Hospitalar de Vila Nova de Gaia/Espinho, E.P.E., University Institute of Maia
Responsible party
Sponsor
First posted
Aug 9, 2021
Start date
Jun 1, 2019
Primary completion
Mar 3, 2020
Completion
Mar 3, 2020
Last update
Aug 9, 2021

Study contacts

Inês Leão, MD
principal investigator · Centro Hospitalar Vila Nova de Gaia / Espinho

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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