Sarcopenia after neoadjuvent treatment for gastroesophageal cancer.

  • Research type

    Research Study

  • Full title

    Quantifying changes in lean muscle mass in patients undergoing neoadjuvent chemotherapy for gastroesophageal cancer.

  • IRAS ID

    260643

  • Contact name

    Michael Silva

  • Contact email

    michael.silva@ouh.nhs.uk

  • Duration of Study in the UK

    0 years, 6 months, 3 days

  • Research summary

    Cancer patients suffer from rapid loss of muscle and fat in a process referred to as cachexia. The loss of muscle is associated with poorer outcomes and survival. Some treatments that target cancer, including chemotherapy, may increase muscle wasting. This may happen as a result of poor appetite as well as effects on the gut. Patients with oesophageal cancer are at particularly high risk because the cancer affects their swallowing ability. The standard of care in the United Kingdom is for patients to receive chemotherapy before surgery to remove the tumour. All patients undergoing surgery have CT scans before and after their operation. CT scans allow us to accurately measure muscle mass. We can use these scans to estimate how much muscle is lost over the course of treatment. This will allow us to test whether there is a difference in muscle loss between patients receiving either form of treatment. The results will help us to quantify the effect of the treatments we offer. This in turn will guide both patients and doctors in the decision making process.

  • REC name

    London - Bloomsbury Research Ethics Committee

  • REC reference

    19/LO/1871

  • Date of REC Opinion

    28 Nov 2019

  • REC opinion

    Favourable Opinion