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Late EffectsPASCANCT04671693

A Post-treatment Program to Identify and Manage Complications Related to Oncology or Hematology Treatments in Cancer Survivors.

A study testing PASCA intervention in people with Late Effects and Testicular Germ Cell Tumor Mixed, run by Centre Leon Berard at 1 site in France.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

INTRODUCTION: Approximately 44% of cancer survivors experience a deteriorated quality of life 5 years after diagnosis due to late onset of complications related to cancer treatments. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
PASCA intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
500 participants
Where
1 siteFrance
Study dates
24 Dec 2020to 24 Apr 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult
  1. males and females aged 18-65 years;
  2. Diagnosis and management at CLB for one of the following cancers: Hodgkin's lymphoma, aggressive non-Hodgkin's lymphoma, acute myeloid leukemia and primary non metastatic invasive breast cancer (BC), TGCT, or Sarcoma (Soft Tissue Sarcoma, Osteosarcoma, and Ewing's Sarcoma);
  3. receiving first-line intensive chemotherapy;
  4. with a complete response status at the end of the last treatment, which may include chemotherapy (excluding maintenance and hormone therapy), radiotherapy or adjuvant surgery, depending on the last scheduled treatment;
  5. No contraindications to adapted physical activity (APA) at inclusion;
  6. no medical, social, family, or psychological barriers against study participation.

Patients will be excluded if they have a history or coexistence of another primary cancer (except basal cell skin cancer), are participating in another study affecting the primary outcome, are deprived of liberty, or reside outside the Auvergne-Rhône-Alpes region or the Saône-et-Loire department.

Trial locations and contacts

1 site in 1 country.

France1 site
  • Centre Leon Berard

    Lyon, 69373

Other trials in France

About this study

Official title: Study of Complications Related to Treatments in Adults Aged 18 to 65 Years Old Responding to a First Treatment in Oncology or Onco-hematology and Participating in the PASCA (PArcours de Santé au Cours du CAncer) Post-treatment Program.

INTRODUCTION: Approximately 44% of cancer survivors experience a deteriorated quality of life 5 years after diagnosis due to late onset of complications related to cancer treatments. The objective of the study is to evaluate the incidence rates of treatment-related complications, identify sub-clinical abnormalities and risk factors in patients participating in the PASCA post-treatment program.

METHOD: PASCA is a single-center, interventional cohort study of adult patients who received at least chemotherapy and with a complete remission to a testicular germ cell tumor, primary non-metastatic invasive breast carcinoma, high-grade soft tissue sarcoma, osteosarcoma, Ewing's sarcoma, acute myeloid leukemia, Hodgkin's or aggressive non-Hodgkin's lymphoma. Four assessment visits will be scheduled at 1 month (T1), 6 months (T2), 24 months (T3) and 60 months (T4) after completion of treatment. During these visits, 19 complications will be screened and follow-up care will be systematically offered to the health professional concerned by the complication in case of a positive result. The screening will contain the following elements: screening self-questionnaires, quality of life questionnaire, 12 biological parameters, a urinalysis evaluating hematuria, proteinuria, and leukocyturia, a spirometry, an electrocardiogram, 5 tests evaluating physical condition, vital signs and the perimetric measurement between both arms.

DISCUSSION: This systematic screening could highlight a number of complications occurring after cancer treatments. Sub-clinical abnormalities and new risk factors could also be identified. This new organization of care could improve the quality of life of adult cancer survivors.

Being tested
PASCA intervention
Keywords
Late Effects, Survivors, Adults, Screening, Tertiary prevention, Testicular Germ Cell Tumor Mixed, Non-Metastatic Breast Carcinoma, Soft Tissue Sarcoma, Osteosarcoma, Ewing's Sarcoma, Acute Myeloid Leukemia, Hodgkin Disease, Non Hodgkin Lymphoma
Medical subject headings
Sarcoma, Osteosarcoma, Sarcoma, Ewing, Leukemia, Myeloid, Acute, Hodgkin Disease, Lymphoma, Non-Hodgkin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PASCA interventionOther

    At each study visit (T1 = 1 month, T2 = 6 months, T3 = 24 months, T4 = 60 months), an exhaustive screening of complications as well as associated sub-clinical abnormalities and risk factors previously identified as such in the literature, will be conducted.

    Management of complications consists of referring the patient to a healthcare professional belonging to the PASCA network based on the test results. Referral is defined by referring to pre-established decision trees. It is made to a specialist physician, a health professional from the paramedical field or the patient's general practitioner who confirms the diagnosis if necessary and initiates the patient's care and follow-up. These patients also receive their usual follow-up in the context of their tumor pathology in oncology and onco-hematology.

Study groups in NCT04671693
Study groupRoleWhat they receive
PASCA interventionExperimentalNot described
Receives: Other: PASCA intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of social precariousness

    Diagnosed by a social worker

    Measured: Month 1

  2. Change from Baseline return to work issues incidence at 60 months

    Diagnosed by a social worker

    Measured: Month 1, Month 6, Month 24, Month 60

  3. Change from Baseline cognitive problems incidence at 60 months

    Diagnosed by a neurologist

    Measured: Month 1, Month 6, Month 24, Month 60

  4. Change from Baseline anxiety crises incidence at 60 months

    Diagnosed by a psychologist or psychiatrist

    Measured: Month 1, Month 6, Month 24, Month 60

  5. Change from Baseline depressive events incidence at 60 months

    Questionnaire "HADS-D" (Hospital Anxiety and Depression scale)

    Measured: Month 1, Month 6, Month 24, Month 60

  6. Change from Baseline physical deconditioning incidence at 60 months

    A value below the lower limit on at least two of the following physical tests

    • Six-Minute Walk Test (6MWT) (meters)
    • Hand Grip Strength Test (Kg)
    • Five Times Sit to Stand Test (number)
    • Flamingo Test (sec)

    Measured: Month 1, Month 6, Month 24, Month 60

  7. Change from Baseline overweight/obesity incidence at 60 months

    • BMI
    • Waist circumference

    Measured: Month 1, Month 6, Month 24, Month 60

  8. Change from Baseline chronic pain incidence at 60 months

    • Duration of pain
    • Questionnaire "DN4" (Douleur Neuropathique en 4 questions)

    Measured: Month 1, Month 6, Month 24, Month 60

  9. Change from Baseline dermatological disorders incidence at 60 months

    Common Terminology Criteria for Adverse Events (CTCAE) v5

    Measured: Month 1, Month 6, Month 24, Month 60

  10. Change from Baseline gastrointestinal disorders incidence at 60 months

    Common Terminology Criteria for Adverse Events (CTCAE) v5

    Measured: Month 1, Month 6, Month 24, Month 60

  11. Change from Baseline sexual disorders incidence at 60 months

    Questionnaire "Sexualité VICAN5"

    Measured: Month 1, Month 6, Month 24, Month 60

  12. Change from Baseline hypogonadism incidence at 60 months

    Presence of clinical signs as defined by the International Society for Sexual Medicine

    A value below the lower limit on at least one of the following blood assay:

    • level of total testosterone
    • level of bioavailable testosterone

    Measured: Month 1, Month 6, Month 24, Month 60

  13. Change from 24 months premature ovarian failure incidence at 60 months

    • level of Follicle stimulating hormone
    • level of estradiol

    Measured: Month 24, Month 60

  14. Change from Baseline osteoporosis incidence at 60 months

    T-score evaluated by osteodensitometry, on the lumbar spine and upper end of the femur

    Measured: Month 1, Month 6, Month 24, Month 60

  15. Change from Baseline chronic kidney failure incidence at 60 months

    Diagnosed on the basis of 2 blood tests within 3 months using the same technique showing a decrease in GFR to < 60ml/min/1.73m2, estimated from creatinine levels using the CKD-EPI equation (Chronic Kidney Disease EPIdemiology collaboration, Levey, 2009), albuminuria or proteinuria positive, hematuria, leukocyturia > 10/mm3, or morphological abnormality on renal ultrasound.

    Measured: Month 1, Month 6, Month 24, Month 60

  16. Change from Baseline heart failure incidence at 60 months

    Diagnosed by a cardiologist with an echocardiography performing the Left Ventricular Ejection Fraction (LVEF) estimate

    Measured: Month 1, Month 6, Month 24, Month 60

  17. Change from Baseline coronary heart disease incidence at 60 months

    Diagnosed by a cardiologist conducting at least an interrogation with clinical examination, an estimation of pre-test probability of coronary artery disease

    Measured: Month 1, Month 6, Month 24, Month 60

  18. Change from Baseline respiratory failure incidence at 60 months

    • Forced Vital Capacity
    • Forced expiratory volume in 1 second
    • Vital capacity
    • Tiffeneau ratio
    • Peak expiratory flow
    • Total lung capacity
    • Diffusing Capacity Of The Lungs For Carbon Monoxide

    Measured: Month 1, Month 6, Month 24, Month 60

  19. Change from Baseline hypothyroidism incidence at 60 months

    • level of thyroid-stimulating hormone
    • level of total thyroxine

    Measured: Month 1, Month 6, Month 24, Month 60

Secondary outcomes (21)
  1. Evaluate the PASCA program: referrals made through the network

    Number of referrals made through the network (attending physicians, specialist physicians, supportive care services or other health professionals)

    Measured: Month 6, Month 24, Month 60

  2. Evaluate the PASCA program: time between patient referral and completion of the first consultation

    Average time (days) between patient referral and completion of the first consultation

    Measured: Month 6, Month 24, Month 60

  3. Evaluate the PASCA program: patients description

    • Comorbidities at diagnosis
    • Tumor classification
    • types and doses of each cancer treatments
    • ratio of the number of patients included / number of eligible patients

    Measured: Month 1, Month 6, Month 24, Month 60

  4. Evaluation of the patient adherence

    Ratio of the number of prescriptions issued for referral consultations /number of referral consultations actually attended by the patient

    Measured: Month 1, Month 6, Month 24, Month 60

  5. Description of the PASCA network : characteristics of health professionals sensitive to the post-treatment issues.

    • number of health professionals affiliated with the network
    • type of health professionals affiliated with the network
    • distribution over the Auvergne-Rhône-Alpes region according to medical speciality and department

    Measured: Month 6, Month 24, Month 60

  6. Identification of risk factors associated with complications occurring during follow-up.

    Measurement of the association between suspected risk factors and the occurrence of a type of complication, during the duration of follow-up.

    Measured: Month 1, Month 6, Month 24, Month 60

  7. Description of the Global Longitudinal Strain

    Evolution of the Global Longitudinal Strain in absolute value, relative to a later value

    Measured: Month 6, Month 24, Month 60

  8. Description of the troponin I level

    Evolution of the troponin I level relative to a later value

    Measured: Month 6, Month 24, Month 60

  9. Description of the Glomerular Filtration Rate

    Evolution of the Glomerular Filtration Rate estimated by the CKD-EPI equation relative to a later value

    Measured: Month 6, Month 24, Month 60

  10. Description of spirometry values

    Evolution of spirometry values relative to later values :

    • Forced Vital Capacity
    • Forced expiratory volume in 1 second
    • Vital capacity
    • Tiffeneau ratio
    • Peak expiratory flow

    Measured: Month 6, Month 24, Month 60

  11. Incidence of diabetes mellitus

    Level of fasting blood glucose

    Measured: Month 6, Month 24, Month 60

  12. Incidence of untreated high blood pressure

    Measure of systolic blood pressure

    Measured: Month 6, Month 24, Month 60

  13. Incidence of hypertriglyceridemia

    Level of triglyceridemia

    Measured: Month 6, Month 24, Month 60

  14. Incidence of hyper-LDL-cholesterolemia

    Level of LDL-cholesterolemia

    Measured: Month 6, Month 24, Month 60

  15. Incidence of low level of physical activity

    Questionnaire "Godin-Shephard Leisure-Time Physical Activity"

    Measured: Month 6, Month 24, Month 60

  16. Incidence of insufficiency / deficiency of 25(OH) vitamin D (D2+D3)

    Level of 25(OH) vitamin D (D2+D3)

    Measured: Month 6, Month 24, Month 60

  17. Description of carcinogenic products consumption (tobacco, alcohol, cannabis)

    • Number of packages years
    • Questionnaire "DETA-Cage"

    Measured: Month 1, Month 6, Month 24, Month 60

  18. Evaluation of the Progression-free survival

    Evaluation of the Progression-free survival

    Measured: Month 6, Month 24, Month 60

  19. Evaluation of the Survival without an increase in the number of complications, among those studied

    Evaluation of the Survival without an increase in the number of complications, among those studied

    Measured: Month 6, Month 24, Month 60

  20. Evaluation of the event-free survival

    Evaluation of the event-free survival

    Measured: Month 6, Month 24, Month 60

  21. identification of demographiccs, clinical cancer, treatment-related parameters associated with complications occuring during follow-up

    measurement of the association between demographics, clinical cancer and treatment-related parameters and the occurence of a type of complication during the follow-up

    Measured: Month 1, Month 6, Month 24 and Month 60

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Dec 2020
  2. Study start24 Dec 2020
  3. Primary completion24 Jan 2029 (estimated)
  4. Study completion24 Apr 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Model description
All patients in the study will benefit from the PASCA post-treatment program with 4 visits : at 1 month (T1), 6 month (T2), 24 month (T3) and 60 month (T4) after the end of treatment.
Masking
None (open label)
Enrolment
500 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04671693
Sponsor's protocol ID
PASCA
Other IDs
2020-A01130-39
Acronym
PASCA
Status last verified
Aug 2025
First submitted
3 Dec 2020
Last updated
5 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing PASCA intervention in people with Late Effects and Testicular Germ Cell Tumor Mixed, run by Centre Leon Berard at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 5 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of social precariousness (time frame: Month 1). The study lists 19 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Sep 2025.

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