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Trial Title: Early Nutritional Intervention in Patients With Cancer

NCT ID: NCT06141785

Condition: Nutritional Intervention
Cancer
Malnutrition

Conditions: Official terms:
Malnutrition

Conditions: Keywords:
Nutritional interventions
Dietetics
Cancer
Malnutrition
Nutrition

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Intervention model description: Intervention with a historical control cohort.

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: Nutritional intervention
Description: An individually targeted nutritional intervention, and a simple home-based physical exercise program. The Nutritional intervention will be delivered by a clinical dietitian, from treatment initiation and throughout the treatment trajectory
Arm group label: Nutritional Intervention

Summary: The goal of this intervention study is to study the effect of nutritional interventions in patients with cancer receiving palliative chemotherapy. The main question it aims to answer is: Does early nutritional interventions affect body weight, quality of life, survival, muscle mass, performance status, physical function, nutritional risk and treatment tolerance in patients with cancer receiving palliative chemotherapy? Researchers will compare patients receiving the intervention to a historical control cohort following current clinical practice.

Detailed description: Background 30-50% of patients with cancer are malnourished, resulting in poorer prognosis, increased toxicities, reduced quality of life, and reduced physical function. Nevertheless, cancer-related malnutrition remains largely unrecognized and undertreated in clinical practice. Aim To examine the effect of an early individualised nutritional intervention on body weight, quality of life, survival, muscle mass, performance status, physical function, nutritional risk, and treatment tolerance in patients with cancer receiving palliative chemotherapy. Methods An intervention study with a historical control cohort. Participants are newly diagnosed patients with lung, pancreatic, ovarian, or colorectal cancers recruited at initiation of palliative chemotherapy. The control group followed current clinical practice. The intervention group receives an individualised nutritional intervention delivered by a clinical dietitian from treatment initiation and throughout the treatment trajectory. The intervention is tailored to the participant's nutritional needs, food preferences, nutrition impact symptoms, and smell- and taste disorders. The primary endpoint is change in body weight. Secondary endpoints include quality of life, survival, muscle mass, performance status, physical function, nutritional risk, and treatment tolerance. Data are collected at baseline and after 12 and 24 weeks. Perspectives The project will provide new knowledge on the effects of individualised nutritional interventions for patients with cancer receiving palliative chemotherapy, and the potential to improve quality of life, treatment tolerance, and survival.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - patients who are newly diagnosed with lung, colorectal, ovarian, or pancreatic cancer. - patients treated with first-line palliative chemotherapy - patients who are Danish speaking - patients ≥18 years of age - patients who are cognitive well-functioning Exclusion Criteria: - Patients not using electronic mail - patients with dementia - patients not able to comply with the study protocol

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Gødstrup Hospital

Address:
City: Herning
Zip: 7400
Country: Denmark

Contact:
Last name: Kirstine Guld Frederiksen, MSc

Phone: 24248914

Phone ext: 0045
Email: kirsfe@rm.dk

Investigator:
Last name: Therese Ovesen, Prof
Email: Principal Investigator

Start date: February 2024

Completion date: January 2027

Lead sponsor:
Agency: Gødstrup Hospital
Agency class: Other

Collaborator:
Agency: Danish Cancer Society
Agency class: Other

Source: Gødstrup Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06141785

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