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临床试验/NCT02500004
NCT02500004已完成不适用

Brown Adipose Tissue Activity and Energy Metabolism in Cachexia Induced by Cancer or Chronic Disease

Maastricht University Medical Center1 个研究点 分布在 1 个国家目标入组 16 人开始时间: 2015年6月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
16
试验地点
1
主要终点
Brown adipose tissue (BAT) activity measured by PET(-MRI)

研究概览

简要总结

To study BAT activity and energy metabolism in patients with cachexia induced by cancer or chronic disease.

详细描述

This is a prospective, cross-sectional study to determine BAT activity in cachectic patients with pancreatic or non-small cell lung cancer, and in cachectic patients with chronic obstructive pulmonary disease (COPD), and compare results with healthy individuals and non-cachectic COPD patients, matched for age and BMI.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
30 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Pancreatic cancer patients, or NSCLC cancer patients, or COPD patients
  • The diagnostic criterion for cachexia is unintentional weight loss more than 5% over the past 6 months or more than 2% in individuals with a body-mass index < 20 kg/m2 and muscle wasting assessed by DXA;
  • Age ≥ 30 years;
  • Gender: male and female;
  • Caucasians.

排除标准

  • Uncontrolled Diabetes Mellitus;
  • Patients with severe clotting disorder;
  • Patients with an active second malignancy;
  • Psychological unstable persons presumed unfit to perform the measurements, including claustrophobia;
  • Persons unable to lie or sit still for 1-2 hours;
  • Oxygen therapy;
  • Pregnant subjects;Subjects unable to undergo MRI (e.g. pacemaker; neurostimulator; implantable cardioverter-defibrillator (ICD) or leads; Foley bladder catheter; medication pump; cochlear or hearing implant; tattoos or other items that cannot be removed and include metal parts (for instance from operations in the past); metal splinter in the eye; vascular clips; denture, which contains magnets);
  • Subjects that received high doses of radiotherapeutic radiation of the neck and/or upper chest in their medical history;
  • Persons that received cervical or thoracic sympathectomy or have a nerve dysfunction which is likely to influence sympathetic nerves;
  • The use of medication that influences the sympathetic nerve system: ß-blockers, α-blockers, central anti-hypertensives, certain anti-depression drugs (MAO inhibitors, tricyclic anti-depressives), reserpine, cocaine, calciumblockers, labetalol, and certain tranquillizers (fenothiazines).

结局指标

主要结局

Brown adipose tissue (BAT) activity measured by PET(-MRI)

时间窗: participants will be followed for 2 weeks

The main endpoint of this study is BAT volume and intensity of activity in Standard Uptake Value (SUV) in the presence of cancer cachexia, COPD cachexia, and compared to non-cachectic COPD patients and healthy individuals, as assessed by 18F-fluoro-deoxyglucose (18F-FDG) PET-MRI scanning.

次要结局

  • Resting metabolic rate measured by REE(participants will be followed for 2 weeks)
  • Metabolic gene expression in WAT measured by biopsy of subcutaneous fat(participants will be followed for 2 weeks)
  • Total energy metabolism measured by resting energy expenditure (REE) and doubly labeled water(participants will be followed for 2 weeks)
  • Systemic inflammatory status measured in blood(participants will be followed for 2 weeks)
  • Hormonal status measured in blood(participants will be followed for 2 weeks)
  • Lean tissue mass measured by MRI, DXA, and doubly labeled water(participants will be followed for 2 weeks)
  • Fat tissue mass measured by MRI, DXA, and doubly labeled water(participants will be followed for 2 weeks)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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