Clinical trial Recruiting at 134 sites Observational Ages 60 and up

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.

More Colorectal Cancer trials

Quick facts

Study typeObservational
Ages60 Years and up
SexAll
Enrollment300 (estimated)
SponsorWake Forest University Health Sciences
Academic / other
Drugs / interventionschemotherapy, immunotherapy, radiation
Locations147 sites (Millville, Delaware and 146 other locations)
StatusRecruiting
StartedSeptember 23, 2019
Main results expectedDecember 31, 2026
Study endsDecember 31, 2026
Registry record updatedNovember 5, 2026
Trial IDNCT03998202 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.