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Trial registered on ANZCTR
Registration number
ACTRN12612000180819
Ethics application status
Approved
Date submitted
24/11/2011
Date registered
9/02/2012
Date last updated
5/03/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Nutrition intervention in (chemo)radiation for lung cancer.
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Scientific title
The impact of early and intensive medical nutrition therapy on nutritional, functional, fatigue and treatment outcomes in lung cancer patients receiving (chemo)radiotherapy: a randomised controlled trial.
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Secondary ID [1]
273429
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
The impact of medical nutrition therapy in (chemo)radiation for lung cancer.
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Condition category
Condition code
Cancer
279421
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0
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Lung - Non small cell
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Cancer
285991
285991
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0
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Lung - Small cell
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Diet and Nutrition
285992
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Medical nutrition therapy. This will involve indivualised one-on-one dietary counselling in person or over the phone by a dietitian once prior to starting (chemo)radiotherapy, weekly during treatment and fortnightly for 6 weeks after treatment. Each session will be between 15 to 30 minutes duration depending on the degree of nutritional issues identified. The average length of the intervention period is 14 weeks.
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Intervention code [1]
283761
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Treatment: Other
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Intervention code [2]
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Lifestyle
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Intervention code [3]
283784
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Prevention
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Comparator / control treatment
Usual care which consists of fortnightly one-on-one dietary counselling in person by a dietitian from week 2 of (chemo)radiation for between 15 to 30 minutes each. Following completion of (chemo)radiation participants will be reviewed in person by the dietitian at 4 weeks post treatment.
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Control group
Active
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Outcomes
Primary outcome [1]
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Nutritional status as measured by the Patient Generated Subjective Global Assessment.
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Assessment method [1]
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Timepoint [1]
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At 4 weeks following completion of (chemo)radiotherapy.
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Secondary outcome [1]
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Secondary outcome 1: Fat free mass as measured using foot-to-foot biolectrical impedance analysis.
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Assessment method [1]
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Timepoint [1]
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At week 1 and final week of (chemo)radiotherapy and week 4 and 3 months following completion of (chemo)radiotherapy.
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Secondary outcome [2]
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Secondary outcome 2: Functional status as measured using the Functional Assessment of Cancer Therapy - Lung questionnaire.
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Assessment method [2]
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Timepoint [2]
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At week 1 and final week of (chemo)radiotherapy and week 4 week and 3 months following completion of (chemo)radiotherapy.
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Secondary outcome [3]
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Secondary outcome 3: Fatigue as measured using the Functional Assessment of Cancer Therapy - Lung questionnaire.
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Assessment method [3]
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Timepoint [3]
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At week 1 and final week of (chemo)radiotherapy and week 4 and 3 months following completion of (chemo)radiotherapy.
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Eligibility
Key inclusion criteria
Patients undergoing radical radiotherapy with or without chemotherapy for a primary diagnosis of non-small cell or small cell lung cancer.
Patients who are over 18 years of age.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients being treated with palliative intent.
Patients receving induction chemotherapy prior to (chemo)radiation treatment.
Patients with small peripheral tumours and no mediastinal disease.
Patients having twice daily radiotherapy.
Patients who are non-English speaking.
Patients with a cognitive impairment or psychiatric illness.
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Study design
Purpose of the study
Prevention
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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)
Allocation to study arm will be electronic through a randomisation database designed and build by the Biostatistics and Clinical Trial Centre at Peter MacCallum Cancer Centre. Allocation to study arm will occur following the baseline assessment.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation database
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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
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
24/07/2012
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Actual
24/07/2012
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Date of last participant enrolment
Anticipated
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Actual
16/07/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
84
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Victorian Cancer Agency
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Address [1]
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12 Victoria Street
Carlton
Melbourne
Victoria 3053
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Peter MacCallum Cancer Centre
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Address
Department of Nursing and Supportive Care Research
Peter MacCallum Cancer Centre
Locked Bag 1, A'Beckett Street
Melbourne
Victoria 8006
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
269193
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Peter MacCallum Cancer Centre
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Ethics committee address [1]
286202
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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10/02/2012
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Approval date [1]
286202
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Ethics approval number [1]
286202
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12_10
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Summary
Brief summary
This study aims to find out if dietary counselling before, during and after your upcoming (chemo)radiotherapy treatment helps to reduce weight loss and improve functioning and fatigue levels. It will also explore if this improves quality of life, severity of treatment symptoms, the number of unexpected admissions to hospital, interruptions to your treatment, response to cancer treatment and survival after treatment. Who is it for? You may be eligible for this study if you are over 18 years of age and due to undergo radiotherapy with or without chemotherapy for non-small cell or small cell lung cancer. Patients with lung cancer are at risk of developing side effects from (chemo)radiotherapy treatment that affect their ability to eat adequately and place them at risk of developing malnutrition. Up to 33% of patient with lung cancer may be malnourished before starting (chemo)radiotherapy and this can increase to 50% after radiotherapy is completed. Patients who are malnourished or underweight have more complications, more symptoms, poorer quality of life, more treatment interruptions, poorer response to cancer treatment and don't survive as long after treatment. Previous research has demonstrated that patients with head and neck and gastrointestinal cancer who received dietary counselling from a dietitian during and after (chemo)radiation lose less weight, have a better quality of life and functioning, and colorectal cancer patients who received dietary counselling survived longer after treatment. Providing dietary counselling from a dietitian during (chemo)radiotherapy treatment for lung cancer has never been tested. Trial Details: You will be randomised to one of two treatment arms, either a medical nutrition therapy arm or usual care. The medical nutrition therapy arm consists of individualised one-on-one dietary counselling in person or over the phone once before treatment starts, weekly during treatment and fortnightly for 6 weeks after treatment. The usual care arm will receive dietary counselling but less frequently and starting during treatment instead of before treatment. The results of this study will be incorporated into existing evidence based guidelines for the nutritional management of patients receiving radiation therapy. These guidelines are used by dietitians and other health professional to provide the best nutritional care to cancer patients.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Meinir Krishnasamy
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Address
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Department of Cancer Experiences Research
Peter MacCallum Cancer Centre
Locked Bag 1, A'Beckett Street
East Melbourne, Victoria, 3002
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Country
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Australia
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Phone
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+61 3 9656 3783
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Nicole Kiss
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Address
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Department of Cancer Experiences Research, Peter MacCallum Cancer Centre Locked Bag 1, A' Beckett Street, Melbourne Victoria 8006
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Country
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Australia
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Phone
16666
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+61 3 9656 3783
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Nicole Kiss
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Address
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Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett Street, Melbourne, Victoria 8006
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Country
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Australia
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Phone
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+61 3 9656 3783
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Fax
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Email
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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