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Ultrasound in Evaluating Muscle-Glycogen Content in Cancer Patients

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT03982082
Recruitment Status : Recruiting
First Posted : June 11, 2019
Last Update Posted : June 11, 2019
National Cancer Institute (NCI)
Information provided by (Responsible Party):
M.D. Anderson Cancer Center

Tracking Information
First Submitted Date  ICMJE April 23, 2019
First Posted Date  ICMJE June 11, 2019
Last Update Posted Date June 11, 2019
Actual Study Start Date  ICMJE April 12, 2019
Estimated Primary Completion Date June 30, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: June 10, 2019)
Glycogen Storage Assessment [ Time Frame: Within 30 minutes of consent ]
Muscle-glycogen status will be assessed using ultrasound and MuscleSound® technology which generates an average FRS (Fuel Rating Score)
Original Primary Outcome Measures  ICMJE Same as current
Change History No Changes Posted
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE Not Provided
Current Other Pre-specified Outcome Measures
 (submitted: June 10, 2019)
  • Functional Independent Measure [ Time Frame: At baseline ]
    The FIM (Functional Independent Measure) score will be collected retrospectively from the patient's medical record as this is performed by a nurse or therapist. This measure provides a measurement for assessing how much assistance is required for the patient to complete activities of daily living.
  • Cancer characteristics of the patient [ Time Frame: At baseline within 30 minutes of consent ]
    Type of cancer, stage of cancer; past and present treatment
  • Patient reported outcomes [ Time Frame: At baseline ]
    Patient-Generated Subjective Global Assessment (PG SGA-SF) Patient Reported Outcomes is a tool used to measure risks for malnutrition.
  • Patient reported outcomes [ Time Frame: At baseline ]
    Edmonton Symptom Assessment Scale (ESAS) is a validated tool for regular assessment of symptom distress in the Rehabilitation setting. Patients are asked to grade severity of their symptoms from "no symptom" 0 to "worst symptom" 10 in the last 24 hours. ESAS has high test-retest reliability of (>0.8) and has been validated in many clinical settings including cancer patients.
  • Body Composition [ Time Frame: At baseline ]
    Will be accessed using the bioimpedance machine to measure body fat and muscle mass.
Original Other Pre-specified Outcome Measures Same as current
Descriptive Information
Brief Title  ICMJE Ultrasound in Evaluating Muscle-Glycogen Content in Cancer Patients
Official Title  ICMJE Feasibility Study of Ultrasound to Evaluate Muscle-Glycogen Content in Patients With Cancer
Brief Summary This trial studies how well an ultrasound procedure (non-invasive MuscleSound technology) can be used to learn about levels of glycogen (a type of sugar) in cancer patients during inpatient rehabilitation. The ultrasound information will be processed to represent the energy storage in the muscle. The energy storage in the muscle may help future research to look for dietary plans that can help to increase energy storage, patient exercise tolerance, and functional improvement.
Detailed Description


I. Determine feasibility of using non-invasive MuscleSound technology to determine glycogen stores in cancer patients.


I. Determine the baseline glycogen storage in two different groups of cancer patients, who are undergoing inpatient rehabilitation: (1) those with cachexia; (2) those without cachexia.

II. Determine the rate of depletion of muscle-glycogen stores by calculating the "Fuel Rating" score (FRS) at baseline, after 10-min of exercise and then again after 20-min of exercise.

III. Determine if there is any correlation between muscle-glycogen (at baseline and its depletion rate over time) and other factors including cancer type, cancer stage, patient age, patient sex, current body mass index (BMI), presence or absence of cachexia, functional measures and patient reported outcomes.


Patients undergo ultrasound via MuscleSound technology over 3 minutes at baseline and immediately after each of 2 physical therapy sessions comprising cycling or walking over 10 minutes.

Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Device Feasibility
Condition  ICMJE
  • Cachexia
  • Malignant Solid Neoplasm
Intervention  ICMJE
  • Procedure: Physical Therapy
    Undergo physical therapy
    Other Names:
    • Physiatric Procedure
    • Physical Medicine Procedure
    • Physical Therapeutics
    • Physical Therapy Procedure
    • Physiotherapy
    • Physiotherapy Procedure
    • PT
  • Other: Questionnaire Administration
    Ancillary studies
  • Procedure: Ultrasound
    Undergo ultrasound via MuscleSound technology
Study Arms  ICMJE Experimental: Device feasibility (MuscleSound technology)
Patients undergo ultrasound via MuscleSound technology over 3 minutes at baseline and immediately after each of 2 physical therapy sessions comprising cycling or walking over 10 minutes.
  • Procedure: Physical Therapy
  • Other: Questionnaire Administration
  • Procedure: Ultrasound
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: June 10, 2019)
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE June 30, 2019
Estimated Primary Completion Date June 30, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Participants are willing and able to give written informed consent and to comply with study procedures.
  • Patients with a biopsy-confirmed solid malignant neoplasm with at least one neurologically-intact lower extremity, who fit into one of the following groups:

    • Group 1: Patients with cachexia, defined by loss of > 5% of body weight over the preceding 6-months (in absence of simple starvation defined as intentional weight loss) or weight loss > 2% with BMI < 20.
    • Group 2: Patients without cachexia, as defined above.
  • Patients who have a record of weight or BMI over preceding 6-months.
  • Patients must be receiving rehabilitation that includes exercise under the direction of a physical therapist.

Exclusion Criteria:

  • Non-English speaking patients.
  • Patient with neurological compromise of both lower extremities causing muscle atrophy.
  • Underlying unstable medical condition (i.e: cardiac, pulmonary, or hematological) or musculoskeletal injury, which in the opinion of the investigator, limits participation in exercise of the measured lower extremity.
  • Patients who are unable to understand or follow through with study instructions.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE
Contact: Ying Guo 713-792-6082
Listed Location Countries  ICMJE United States
Removed Location Countries  
Administrative Information
NCT Number  ICMJE NCT03982082
Other Study ID Numbers  ICMJE 2018-1180
NCI-2019-02281 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) )
2018-1180 ( Other Identifier: M D Anderson Cancer Center )
P30CA016672 ( U.S. NIH Grant/Contract )
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE Not Provided
Responsible Party M.D. Anderson Cancer Center
Study Sponsor  ICMJE M.D. Anderson Cancer Center
Collaborators  ICMJE National Cancer Institute (NCI)
Investigators  ICMJE
Principal Investigator: Ying Guo M.D. Anderson Cancer Center
PRS Account M.D. Anderson Cancer Center
Verification Date June 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP