ClinicalTrials.gg
Not yet recruitingNCT07773285CORALINEUpdated Aug 26, 2026

Validation of the G8 Screening Tool for Prognostic Assessment of Frailty and Early Mortality in Elderly Individuals With Cancer: Prospective Cohort Study in Brazil

An observational study in Solid Tumor, Metastatic Solid Tumor and Recurrent Solid Tumor, sponsored by Latin American Cooperative Oncology Group. Not yet recruiting at 1 site in Brazil. Open to participants aged 70 Years and older. Per ClinicalTrials.gov, last updated 2026-08-26.

Sponsored by Latin American Cooperative Oncology Group · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
250
Ages
70 Years and older
Sex
All
01

Study summary

This is a prospective observational cohort study including 250 individuals aged 70 years or older newly diagnosed with solid tumors. In this non-interventional study, all patient contacts will be conducted via telephone or video call.

After obtaining informed consent which will be conducted electronically, an initial telemedicine assessment will be performed. During this evaluation, sociodemographic and clinical data will be collected, and a Comprehensive Geriatric Assessment (CGA) will be conducted. The assessment will be performed by a trained professional using internationally recognized, validated instruments that are preferably culturally adapted to the Brazilian population. The G8 score will be calculated based on information collected at baseline. Additionally, medication use, the Charlson Comorbidity Index, Mini Nutritional Assessment, and self-rated health status will be recorded. The total G8 score ranges from 0 to 17, with higher scores indicating better health status (abnormal G8 score ≤14).

Read the detailed description

There will be no access to or review of medical records in this study; all information will be obtained directly from participants through telemedicine assessments and follow-up contacts. Participants will continue to receive treatment and clinical evaluations as determined by their treating physicians, according to standard clinical practice. No intervention is proposed in this study. Participants will be contacted for follow-up at 3, 6, 12, 18, 24, and 36 months. During follow-up, information regarding treatment continuation, treatment discontinuation due to toxicity, and survival status will be collected. The primary endpoints are overall survival and early mortality, defined as death occurring within six months after study inclusion, as well as overall survival at 1 year and 3 years. Following approval by the Research Ethics Committee, the study will be conducted in a decentralized manner, with recruitment occurring through spontaneous demand or referral by treating physicians from different institutions, preferably among investigators affiliated with LACOG who are aware of the study protocol.

02

Conditions studied

  • Solid Tumor
  • Metastatic Solid Tumor
  • Recurrent Solid Tumor

Keywords

  • Metastatic or recurrent cancer
03

In context

Neoplasm Metastasis

4,040 studies on the registry are indexed under Neoplasm Metastasis; 886 are open to participants now.

This study's planned enrollment of 250 is above the median of 136 across 557 observational studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

Latin American Cooperative Oncology Group is the lead sponsor of 48 studies on the registry; 10 are open to participants now.

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

04

Who can participate

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

Study population

The study population will consist of 250 individuals aged ≥70 years with a new diagnosis of solid tumors, enrolled from different regions of Brazil. Eligible individuals will be identified and invited to participate after ethics committee approval and informed consent.

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

  1. Aged 70 or above
  2. Diagnosis of cancer (solid tumors)
  3. or recurrent cancer (treatment-naïve) regardless of the interval from prior localized disease
  4. Intention to start first systemic
  5. Be able to understand and provide (ICF).

Exclusion criteria

Exclusion Criteria:

1. Nonmelanoma skin cancer

Terms in these criteria, in plain language(3)

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.

Metastases

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

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

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.

05

Study design

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

Groups and cohorts

  • Prospective Observational Cohort

    individuals aged 70 years or older newly diagnosed with metastatic or recurrent solid tumors (treatment-naïve ) regardless of the interval from prior localized disease tradução

06

What researchers measure

Primary outcomes

  1. Sensitivity of the G8 screening tool for frailty

    Evaluation of the sensitivity of the Geriatric 8 (G8) tool as a screening instrument for frailty (defined by Comprehensive Geriatric Assessment/CGA) in older adults (+70 years) newly diagnosed with solid tumors.

    Time frame: Baseline

  2. Early Mortality

    Proportion of participants who die within 6 months (180 days) of study enrollment/diagnosis

    Time frame: 6 months

  3. Overall Survival at 12 and 36 months

    Proportion of participants surviving at 12 months (1 year) and 36 months (3 years) following study inclusion, calculated from enrollment to death or censoring

    Time frame: 12 months and 36 months.

Secondary outcomes

  1. Operational Characteristics of the G8 Tool for Frailty

    Specificity, Positive Predictive Value (PPV), and Negative Predictive Value (NPV) of the G8 score as a screening tool for frailty compared to Comprehensive Geriatric Assessment (CGA).

    Time frame: Baseline

  2. Overall Survival Stratified by G8 Classification

    Overall survival rates described and stratified according to G8 score classification (normal vs. abnormal score).

    Time frame: 6 months and 36 months

  3. Predictive ability of the G8 score

    Area under the receiver operating characteristic (ROC) curve (AUC) evaluating the capacity of the baseline G8 score to predict survival outcomes.

    Time frame: 6 and 36 months

  4. discrimination and calibration of a risk model

    Discrimination and calibration metrics of the survival model.

    Time frame: up to 36 months

  5. Prevalence of Frailty Indicators

    Prevalence of specific frailty indicators, including nutritional status impairment, functional deficit, and cognitive decline.

    Time frame: Baseline

  6. Sociodemographic and Clinical Factors Associated With Frailty and Early Mortality

    Association between frailty and early mortality with variables such as age, sex, tumor site, comorbidities, functional status

    Time frame: Up to 6 months

  7. Regional disparities in G8 performance

    To explore regional differences in frailty prevalence and survival outcomes within Brazil

    Time frame: Up to 36 months

  8. Comparative analysis of G8 versus CGA

    To compare the predictive accuracy of the G8 against the Comprehensive Geriatric Assessment (CGA) and specific geriatric syndromes.

    Time frame: Up to 36 months

  9. Hospitalization rates within 6 months according to G8.

    To explore the association between G8 scores and complications.

    Time frame: Up to 6 months

  10. Operational Characteristics of G8 for Survival

    Sensitivity, Specificity, Positive Predictive Value (PPV), and Negative Predictive Value (NPV) of the G8 tool to predict mortality.

    Time frame: 6 months and 36 months.

07

Study locations

1 site
  • HCOR - Hospital do Coração
    São Paulo, São Paulo 04004-030, Brazil
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 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07773285
Lead sponsor
Latin American Cooperative Oncology Group
Responsible party
Sponsor
First posted
Aug 19, 2026
Start date
Sep 2026 (estimated)
Primary completion
Nov 2027 (estimated)
Completion
Sep 2030 (estimated)
Last update
Aug 26, 2026

Study contacts

Ayanie Ribeiro
Contact
ayanie.ribeiro@lacog.group
+55 (51) 3384.5334
Laura Voelcker
Contact
laura.voelcker@lacog.group
+55 (51) 3384.5334
Ludmila Koch
principal investigator · Hospital Israelita Albert Einstein

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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