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RecruitingNCT06940102Updated Apr 23, 2025

Real-World Study on Nano-Crystalline Megestrol Acetate for Cachexia in TKI-Treated Advanced Digestive Tumors

An observational study in Cachexia, Digestive System Cancer and Gastric Cancer, sponsored by Changchun GeneScience Pharmaceutical Co., Ltd.. Recruiting at 2 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-23.

Sponsored by Changchun GeneScience Pharmaceutical Co., Ltd. · Observational

From the registry’s dates

  • Primary completion was expected by Mar 2026, 8 months ago, but the record still lists the study as recruiting.
  • Started Mar 2025; still recruiting 1 year 8 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
120
Ages
18 Years and older
Sex
All
01

Study summary

This study is a prospective, observational clinical study aimed at evaluating the efficacy of Megestrol Acetate for cachexia in patients with advanced digestive system tumors receiving TKI-based therapy.

02

Conditions studied

  • Cachexia
  • Digestive System Cancer
  • Gastric Cancer
  • Colorectal Cancer
  • Hepatocellular Carcinoma

Keywords

  • Megestrol Acetate
  • Nano-crystalline Megestrol Acetate
  • Targeted Therapy
  • Tyrosine Kinase Inhibitors
  • Prospective Studies
  • Observational Studies
  • Antineoplastic Agents
  • Digestive System Cancer
03

In context

Cachexia

331 studies on the registry are indexed under Cachexia; 75 are open to participants now.

This study's planned enrollment of 120 is below the median of 150 across 88 observational studies indexed under Cachexia.

Browse Cachexia studies →

Lead sponsor

Changchun GeneScience Pharmaceutical Co., Ltd. is the lead sponsor of 111 studies on the registry; 47 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with locally advanced or metastatic digestive system tumors

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Voluntarily sign a written (ICF).
  • Age ≥ 18 years at enrollment.
  • (ECOG) performance status of 0-2.
  • ≥ 3 months.
  • or cytologically confirmed locally advanced or digestive system tumors that are not amenable to curative treatment, according to the 8th edition TNM staging classification.
  • Not benefiting from local anticancer therapies such as surgery, local ablation, or chemoembolization, and planned to receive TKI-based anticancer treatment, which may be combined with chemotherapy or immunotherapy).
  • Meet the diagnostic criteria for pre-cachexia or cachexia (based on Fearon diagnostic criteria).
  • Good organ function determined

Exclusion criteria

Exclusion Criteria:

  • Gastrointestinal obstruction.
  • Anorexia due to difficulty in eating caused by neurosis, mental illness, or pain.
  • Comorbidities such as severe cerebrovascular, cardiac, renal, or liver diseases.
  • Major surgery or trauma within the last month.
  • Allergy to any component of the drug.
  • Other conditions deemed unsuitable by the investigator.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
120 participants (estimated)
Patient registry
No

Groups and cohorts

  • Nano-crystalline Megestrol Acetate Oral Suspension +TKI-Based Therapy

    Nano-crystalline Megestrol Acetate Oral Suspension, with a specification of 125 mg/mL, the study group takes 5 mL orally per day (625 mg/day),TKI Therapy ± chemotherapy / immunotherapy

    Drug: Nano-crystalline Megestrol Acetate Oral Suspension · Drug: TKI-Based Therapy

  • TKI-Based Therapy

    TKI Therapy ± chemotherapy / immunotherapy

    Drug: TKI-Based Therapy

Interventions

06

What researchers measure

Primary outcomes

  1. Appetite improvement level

    Proportion of subjects with an improvement in appetite based on A/CS-12 after 12 weeks of treatment

    Time frame: From baseline to Week 12 (end of treatment period)

  2. Weight improvement level

    Proportion of subjects who did not lose weight relative to baseline after 12 weeks of treatment

    Time frame: From baseline to Week 12 (end of treatment period)

Secondary outcomes

  1. progression-free survival (PFS)

    defined as the duration from the start treatment to progression, or patient death

    Time frame: From the date of randomization until the first documented disease progression or death from any cause, whichever occurs first,assessed up to 24 months

07

Study locations

2 of 2 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2025 (actual). Primary completion is estimated for Mar 2026, 12 months after the start.

Of 38 observational studies under Cachexia, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 48. This study's planned 12 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 26, 2025
First posted
Apr 23, 2025
StartActual
Mar 12, 2025
Primary completionEst.
Mar 2026
CompletionEst.
Dec 2026
Last update
Apr 23, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06940102
Responsible party
Sponsor
First posted
Apr 23, 2025
Start date
Mar 12, 2025
Primary completion
Mar 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Apr 23, 2025

Study contacts

Cheng Du
Contact
dc1115010@sina.com
024-28851942
Zhenguang Du
Contact
d1398@lnph.com
17702485727
Cheng Du
principal investigator · The General Hospital of Northern Theater Command
Zhenguang Du
principal investigator · Organizational Affiliation: Liaoning Cancer Hospital

Oversight

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

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