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JOURNAL ONKOLOGIE – STUDIE
MERLIN

A Longitudinal Study to Investigate and Develop a Patient-centered and Effective Fatigue Screening

Rekrutierend

NCT-Nummer:
NCT05448573

Studienbeginn:
Oktober 2022

Letztes Update:
14.08.2023

Wirkstoff:
-

Indikation (Clinical Trials):
Fatigue

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
-

Sponsor:
German Cancer Research Center

Collaborator:
National Center for Tumor Diseases, Heidelberg

Studienleiter

Karen Steindorf, Prof. Dr.
Principal Investigator
German Cancer Research Center, C110, Heidelberg, Baden-Württemberg, Germany
Martina E. Schmidt, Dr.
Principal Investigator
German Cancer Research Center, C110, Heidelberg, Baden-Württemberg, Germany
Alexander Haussmann, Dr.
Principal Investigator
German Cancer Research Center, C110, Heidelberg, Baden-Württemberg, Germany
Anne Katrin Berger, Prof. Dr.
Principal Investigator
National Center for Tumor Diseases (NCT), University Hospital Heidelberg, Heidelberg, Germany

Kontakt

Studienlocations
(1 von 1)

Studien-Informationen

Detailed Description:

MERLIN aims to answer the question, how a fatigue screening tool should be designed for use

in clinical practice to reliably and efficiently detect fatigue in cancer patients.

Patients will be surveyed at short time intervals during their cancer therapy (every 1-2

weeks) and at longer intervals during the subsequent post-treatment phase (every 4-6 weeks).

In addition, important psychological factors, which may exacerbate fatigue or contribute to

its maintenance will be assessed at baseline, after 3, 6, 12 and 18 months (e.g. depressive

symptoms, anxiety, sleep disturbances, coping). These data will be collected by online

questionnaires.

Additional data, e.g. medical history, cancer characteristics and treatment as well as

concomitant medication and complementary therapies will be extracted from the clinical

documentation systems.

In total, the study will provide important information for the establishment of a

patient-oriented fatigue screening. Thus, MERLIN will contribute to the early detection and

alleviation of this frequent and distressing side effect of cancer treatment.

Ein-/Ausschlusskriterien

Inclusion Criteria:

- having received a cancer diagnosis (any entity, any stage)

- before or within the first month of systemic therapy or radiotherapy against this

cancer

- age ≥ 18 years

- having the ability to consent to the study

Exclusion Criteria:

- previous systemic cancer therapies or radiotherapy within the last 6 months

- diagnosis of chronic fatigue syndrome / myeloid encephalitis

- unable to understand the study protocol and complete scheduled assessments during the

study period (e.g., for language, cognitive, medical, or organizational reasons)

- not able to complete the survey online via smartphone, PC, or tablet

Studien-Rationale

Primary outcome:

1. 1st fatigue screening (Time Frame - Baseline - 18 months):
based on the first Cella-criterion, 3 (dichotomous) items

2. 2nd fatigue screening (Time Frame - Baseline - 18 months):
Visual Analogue Scale (VAS) for Energy, 1 item (Numeric Rating Scale 0-10), higher values meaning higher energy levels.

3. 3rd fatigue screening (Time Frame - Baseline - 18 months):
short Fatigue impact, 1 item (Numeric Rating Scale 0-10), higher values meaning higher fatigue impact on daily functioning.

4. Cancer-related fatigue (as reference criterion) (Time Frame - Baseline - 18 months):
based on Cella criteria, 11 (dichotomous) items

Secondary outcome:

1. Multidimensional fatigue (Time Frame - Baseline - 18 months):
EORTC QLQ - FA12 (physical, emotional, and cognitive dimension). The items are rated on a 4-point Likert scale ranging from 1 (not at all) to 4 (very much) with higher scores meaning a higher level of fatigue.

2. Fatigue impact (Time Frame - Baseline - 18 months):
Brief Fatigue Inventory (BFI). The BFI consists of an 11-point numerical rating scale ranging from 0 (no fatigue) to 10 (as bad as you can imagine) with higher scores signifying higher intensity and impairment

3. Quality of life, function and symptoms (Time Frame - Baseline - 18 months):
assessed by the EORTC QLQ-C30. The items are rated on a 4-point Likert scale ranging from 1 (not at all) to 4 (very much). A higher score corresponds to a higher level of symptoms/problems

4. Depressive symptoms and anxiety (Time Frame - Baseline - 18 months):
assessed by the Patient Health Questionnaire (PHQ-4), 4 items. The items are rated on a 4-point scale ranging from 0 (not at all) to 3 (most of the time). A sum score is calculated, with higher scores meaning a higher level of depressive symptoms and anxiety

5. Physical activity (Time Frame - Baseline - 18 months):
assessed by a questionnaire regarding walking, cycling, and exercise behavior

6. Sleep disorders (Time Frame - Baseline - 18 months):
assessed by the PSQI (Pittsburgh Sleep Quality Index).The PSQI consists of open and closed questions regarding characteristics of sleep and sleep quality. Some items are rated on a 4-point likert scale with higher scores meaning more sleep problems.

7. Fatigue Coping (Time Frame - 3 months - 18 months):
assessed by an adapted Brief COPE questionnaire. The questionnaire consists of 14 items and the items are rated on a 4-point Likert scale with higher scores meaning higher use of the coping strategy described

8. Distress (Time Frame - Baseline - 18 months):
assessed by the Distress Thermometer, 0-10 Numerous Rating scale. Higher values meaning more distress

9. Occupational Issues (Past) (Time Frame - T4 (18 months)):
Pre-diagnosis working status, 2 items

10. Occupational Issues (Present) (Time Frame - T4 (18 months)):
Current working status, 4 items

11. EORTC single item (Time Frame - Baseline - 18 months):
suffering from hot flashes, 4-point Likert scale. A higher value means more suffering.

12. Social Support (Time Frame - Baseline - 18 months):
assessed by the Illness-specific Social Support Scale (ISSS, German Version) among cancer patients. The 8 items are rated on a 5-point Likert scale ranging from 0 (never) to 4 (always). Sum scores for the items 1,3,6 and 8 (positive support) as well as for the items 2,4,5 and 7 (detrimental interaction) are calculated with higher scores meaning higher levels of positive support and detrimental interaction respectively.

Geprüfte Regime

  • Fatigue Screening and assessment:
    (Newly) diagnosed cancer-patients from any cancer entity. No intervention.

Quelle: ClinicalTrials.gov


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