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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00850772
Registration number
NCT00850772
Ethics application status
Date submitted
23/02/2009
Date registered
25/02/2009
Date last updated
12/06/2014
Titles & IDs
Public title
Early Post-Operative Enteral Feeding in Patients With Advanced Epithelial Ovarian Cancer
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Scientific title
Early Post-Operative Enteral Feeding in Patients With Advanced Epithelial Ovarian Cancer
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Secondary ID [1]
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OPEN
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Universal Trial Number (UTN)
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Trial acronym
OPEN
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Epithelial Ovarian Cancer
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Peritoneal Cancer
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Fallopian Tube Cancer
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Condition category
Condition code
Cancer
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Ovarian and primary peritoneal
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Cancer
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Womb (Uterine or endometrial cancer)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Early post-operative enteral feeding
Experimental: Early post-operative enteral feeding - Standard post-operative care and diet together with early post-operative enteral feeding
No intervention: Standard post-operative care and diet - Standard post-operative care and diet only
Treatment: Other: Early post-operative enteral feeding
During primary surgical treatment an enteral feeding tube will be inserted through the patient's nose into their small bowel. Enteral feeding will commence 4 hours following return to ward from surgery. Feeding will start at a rate of 40 ml/hr for the first 24 hours, and then increased to goal weight. Goal will be calculated by 125 kiloJoules/kilogram adjusted body weight.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Cost outcomes as represented by length of stay and cost effectiveness of enteral feeding / Quality of life
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Assessment method [1]
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Compare treatment costs and cost effectiveness between early enteral feeding with standard post-operative care versus current standard ost-operative care for advanced epithelial ovarian cancer.
Compare quality of life after surgery between women who receive early enteral feeding along with standard post-operative care versus those who receive current standard post-operative care for advanced epithelial ovarian cancer
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Timepoint [1]
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End of study
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Secondary outcome [1]
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length of stay
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Assessment method [1]
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Length of stay in an intensive care unit or high dependency unit and overall length of hospital stay.
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Timepoint [1]
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Until discharge from hospital
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Secondary outcome [2]
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Need for inotropic medications and intravenous treatment requirements
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Assessment method [2]
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Timepoint [2]
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Until discharge from hospital
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Secondary outcome [3]
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Nutritional status 6 weeks after surgery
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Assessment method [3]
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Timepoint [3]
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6 weeks after surgery
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Secondary outcome [4]
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Treatment related adverse events
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Assessment method [4]
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Timepoint [4]
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End of study
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Secondary outcome [5]
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Delay and dose reductions of chemotherapy / quality of life during chemotherapy
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Assessment method [5]
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Timepoint [5]
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End of study
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Eligibility
Key inclusion criteria
* Patients requiring planned primary surgery for suspected or histologically proven advanced ovarian, primary peritoneal cancer or fallopian tube cancer.
* Signs of moderate or severe malnutrition - Patient Generated Subjective Global Assessment (PG-SGA) Category B or C and/or a total numerical score of 4 or more in the PG-SGA
* Medically fit for primary surgery
* Signed written informed consent
* Females aged 18 years or older
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Other histological type than ovarian cancer, peritoneal cancer or fallopian tube cancer
* Recurrent ovarian cancer, peritoneal or fallopian tube cancer
* Pre-existing contraindications to enteral nutrition such as ileus, gastrointestinal ischemia, bilious or persistent vomiting, or mechanical obstruction
* Positive urine pregnancy test
* Unfit for surgery; serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator)
* Participation in other clinical trials that may have an impact on the outcomes of this trial.
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Study design
Purpose of the study
Other
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/01/2009
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/08/2013
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Sample size
Target
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Accrual to date
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Final
109
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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The Wesley Hospital - Auchenflower
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Recruitment hospital [2]
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Brisbane Private Hospital - Brisbane
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Recruitment hospital [3]
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Greenslopes Private Hospital - Greenslopes
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Recruitment hospital [4]
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Royal Brisbane and Women's Hospital - Herston
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Recruitment hospital [5]
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Mater Health Services - South Brisbane
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Recruitment hospital [6]
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Gold Coast Hospital - Southport
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Recruitment postcode(s) [1]
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4066 - Auchenflower
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Recruitment postcode(s) [2]
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4000 - Brisbane
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Recruitment postcode(s) [3]
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4120 - Greenslopes
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Recruitment postcode(s) [4]
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4029 - Herston
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Recruitment postcode(s) [5]
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4101 - South Brisbane
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Recruitment postcode(s) [6]
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4215 - Southport
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Funding & Sponsors
Primary sponsor type
Government body
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Name
Queensland Centre for Gynaecological Cancer
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Cancer Australia Priority-driven Collaborative Cancer Research Scheme
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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The University of Queensland
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
Ovarian cancer patients are often at risk of malnutrition because of weight loss, lack of appetite and reduced food intake. Being malnourished can contribute to the incidence and severity of cancer treatment side effects and increase the risk of infection. Currently patients with advanced ovarian cancer do not receive early nutrition using a feeding tube. The purpose of this study is to compare enteral nutrition along with standard post-surgery care against current standard post-operative care alone. This study will see if early nutrition using a feeding tube has an impact on length of hospital admission, recovery from surgery, complications from surgery, nutritional status and ultimately a reduction in treatment costs in people with Advanced Epithelial Ovarian Cancer (EOC). Primary Peritoneal Cancer (PPC) or Fallopian Tube Cancer. Nutritional support has been shown to ; * Prevent and treat under-nutrition, * Enhance anti-tumour treatment effects, * Reduce adverse effects of anti-tumour therapies, * Improve quality of life.
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Trial website
https://clinicaltrials.gov/study/NCT00850772
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Trial related presentations / publications
Baker J, Janda M, Graves N, Bauer J, Banks M, Garrett A, Chetty N, Crandon AJ, Land R, Nascimento M, Nicklin JL, Perrin LC, Obermair A. Quality of life after early enteral feeding versus standard care for proven or suspected advanced epithelial ovarian cancer: Results from a randomised trial. Gynecol Oncol. 2015 Jun;137(3):516-22. doi: 10.1016/j.ygyno.2015.03.048. Epub 2015 Mar 28.
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Public notes
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Contacts
Principal investigator
Name
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Andreas Obermair, MD FRANZCOG CGO
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Address
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Queensland Centre for Gynaecological Cancer
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00850772
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