Examining the effects of low muscle mass on chemotherapy toxicity in older adults with colorectal cancer
Official title: Myopenia and Mechanisms of Chemotherapy Toxicity in Older Adults With Colorectal Cancer: The M&M Study
Run by Wake Forest University Health Sciences · NCT03998202 · Data updated 2026-11-12
This study looks at how having low muscle mass affects the side effects of chemotherapy in older adults with advanced colorectal cancer to see if it impacts their survival.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 60 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | Wake Forest University Health Sciences Academic / other |
| Drugs / interventions | chemotherapy, immunotherapy, radiation |
| Locations | 147 sites (Millville, Delaware and 146 other locations) |
| Status | Recruiting |
| Started | September 23, 2019 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | November 5, 2026 |
| Trial ID | NCT03998202 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are older adults with newly diagnosed metastatic colorectal cancer who are starting or have recently begun chemotherapy.
✕Probably not a fit
Patients who are enrolled in hospice care or have previously received systemic chemotherapy for metastatic colorectal cancer may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study investigates the relationship between low muscle mass, known as myopenia, and the toxicity of chemotherapy in older adults diagnosed with advanced colorectal cancer. It focuses on patients who are either newly diagnosed with metastatic colorectal cancer or have recently experienced a metastatic recurrence. The study aims to understand how myopenia affects overall survival and whether genetic variations influence this relationship. Participants will be receiving 5-Fluouracil (5FU) chemotherapy as part of their treatment regimen.
Why it matters
Potential benefit: If successful, this study could help identify older patients at risk for chemotherapy toxicity, leading to more personalized treatment plans.
How similar studies have gone: While the specific focus on myopenia and chemotherapy toxicity in older adults is less common, related studies have shown that muscle mass can significantly impact treatment outcomes in cancer patients.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Newly diagnosed metastatic CRC or newly recognized metastatic recurrence of CRC \>= to 3 months (12 weeks) from completion of treatment of non-metastatic CRC. * Planning to or recently started to undergo undergo immunotherapy and/or 5-FU based chemotherapy as a first line of treatment. 5-FU chemotherapy can be 5-FU alone or in combination with oxaliplatin and/or irinotecan +/- immunotherapy. Capecitabine is also acceptable. If unable to engage patient before treatment starts, enrollment is allowed up to four weeks after the start of treatment but must be before Cycle 2 begins. * Estimated life expectancy \>= 6 months. * Patients must be able to comprehend English or Spanish (for questionnaire completion). * Ability to understand and the willingness to sign a written informed consent document. * Patient eligibility is not dependent on BMI or weight. Patients with a significant (+- \> 10%) body weight change in the previous 12 months are eligible for this study. Exclusion Criteria: * Patients enrolled on hospice. * Prior systemic chemotherapy for metastatic colorectal cancer (ok if adjuvant chemotherapy completed \>= 3 months (12 weeks) prior to this disease disease recurrence and treatment). * Patients may not be receiving any other investigational agents. (For clarity, participants on the Alliance A021703 trial are also eligible for this study). * No untreated brain metastases. Patients with treated brain metastases are eligible. * Patients on or planned to undergo radiation therapy in near future.
Where it's running
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Beebe South Coastal Health Campus
Millville, Delaware, United States Recruiting -
Helen F Graham Cancer Center
Newark, Delaware, United States Recruiting -
Medical Oncology Hematology Consultants PA
Newark, Delaware, United States Recruiting -
Beebe Health Campus
Rehoboth Beach, Delaware, United States Recruiting -
Christiana Care Health System-Wilmington Hospital
Wilmington, Delaware, United States Recruiting -
MedStar Georgetown University Hospital
Washington D.C., District of Columbia, United States Recruiting
Show 44 more locations
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John B Amos Cancer Center
Columbus, Georgia, United States Recruiting -
Illinois CancerCare-Bloomington
Bloomington, Illinois, United States Recruiting -
Illinois CancerCare-Canton
Canton, Illinois, United States Recruiting -
SIH Cancer Institute
Carterville, Illinois, United States Recruiting -
John H Stroger Jr Hospital of Cook County
Chicago, Illinois, United States Recruiting -
Carle at The Riverfront
Danville, Illinois, United States Recruiting -
Cancer Care Specialists of Illinois - Decatur
Decatur, Illinois, United States Recruiting -
Crossroads Cancer Center
Effingham, Illinois, United States Recruiting -
Illinois CancerCare-Galesburg
Galesburg, Illinois, United States Recruiting -
Carle Physician Group - Mattoon/Charleston
Mattoon, Illinois, United States Recruiting -
SSM Health Good Samaritan
Mount Vernon, Illinois, United States Recruiting -
Carle BroMenn Medical Center
Normal, Illinois, United States Recruiting -
Carle Cancer Institute Normal
Normal, Illinois, United States Recruiting -
Cancer Care Center of O'Fallon
O'Fallon, Illinois, United States Recruiting -
Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois, United States Recruiting -
Illinois CancerCare-Pekin
Pekin, Illinois, United States Recruiting -
Illinois CancerCare-Peoria
Peoria, Illinois, United States Recruiting -
Illinois CancerCare-Peru
Peru, Illinois, United States Recruiting -
Southern Illinois University School of Medicine
Springfield, Illinois, United States Recruiting -
Springfield Clinic
Springfield, Illinois, United States Recruiting -
Carle Cancer Center
Urbana, Illinois, United States Recruiting -
Illinois CancerCare - Washington
Washington, Illinois, United States Recruiting -
UI Health Care Mission Cancer and Blood - Ankeny Clinic
Ankeny, Iowa, United States Recruiting -
Saint Anthony Regional Hospital
Carroll, Iowa, United States Recruiting -
Physicians' Clinic of Iowa PC
Cedar Rapids, Iowa, United States Recruiting -
Oncology Associates at Mercy Medical Center
Cedar Rapids, Iowa, United States Recruiting -
UI Health Care Mission Cancer and Blood - West Des Moines Clinic
Clive, Iowa, United States Recruiting -
Iowa Methodist Medical Center
Des Moines, Iowa, United States Recruiting -
UI Health Care Mission Cancer and Blood - Des Moines Clinic
Des Moines, Iowa, United States Recruiting -
Broadlawns Medical Center
Des Moines, Iowa, United States Recruiting -
Mercy Medical Center - Des Moines
Des Moines, Iowa, United States Recruiting -
UI Health Care Mission Cancer and Blood - Laurel Clinic
Des Moines, Iowa, United States Recruiting -
UI Healthcare Mission Cancer and Blood - Fort Dodge
Fort Dodge, Iowa, United States Recruiting -
Louisiana Hematology Oncology Associates LLC
Baton Rouge, Louisiana, United States Recruiting -
Mary Bird Perkins Cancer Center
Baton Rouge, Louisiana, United States Recruiting -
MBP Cancer Center - Baton Rouge General
Baton Rouge, Louisiana, United States Recruiting -
Terrebonne General Medical Center
Houma, Louisiana, United States Recruiting -
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor, Michigan, United States Recruiting -
Trinity Health IHA Medical Group Hematology Oncology - Brighton
Brighton, Michigan, United States Recruiting -
Trinity Health Medical Center - Brighton
Brighton, Michigan, United States Recruiting -
Trinity Health IHA Medical Group Hematology Oncology - Canton
Canton, Michigan, United States Recruiting -
Trinity Health Medical Center - Canton
Canton, Michigan, United States Recruiting -
Chelsea Hospital
Chelsea, Michigan, United States Recruiting -
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea, Michigan, United States Recruiting
+97 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Karen Craver
- Email: NCORP@wfusm.edu
- Phone: 336-716-0891
Similar studies
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Prehabilitation with Resistance, Aerobic, or Both Before Colorectal Surgery
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.