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Trial registered on ANZCTR
Registration number
ACTRN12614001279617
Ethics application status
Approved
Date submitted
18/11/2014
Date registered
5/12/2014
Date last updated
5/12/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Body composition assessment of children undergoing treatment for cancer
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Scientific title
Study to examine the body composition of children undergoing treatment for cancer
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Secondary ID [1]
285692
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Nil known
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Universal Trial Number (UTN)
U1111-1164-1982
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Trial acronym
NAT Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cancer
293549
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Condition category
Condition code
Cancer
293826
293826
0
0
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Children's - Leukaemia & Lymphoma
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Cancer
293827
293827
0
0
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Children's - Brain
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Cancer
293828
293828
0
0
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Children's - Other
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
All children participating in the study will have their height and weight measured on arrival at the centre. The Paediatric Oncology Assessment Tool will be completed before any body composition measurements are taken. Mid arm circumferences will be taken using a tape measure and following standard guidelines. Skinfolds will be measured using calibrated calipers and following the strict standard site protocol. Measurements will be taken at the biceps, triceps, subscapular and suprailiac sites.
Total body potassium (TBK) analysis will be performed using a shadow shield whole-body counter (Accuscan, Canberra Industries, MA, USA), which contains three sodium iodide crystal scintillation detectors arranged above a scanning bed. The crystals detect the 1.46MeV gamma rays being emitted by the potassium-40 (40K) found in the body. As a fixed proportion of the body’s potassium occurs as the natural isotope 40K, TBK can be determined. The measurement of TBK will require the subject to lie supine on a bed that is moved under the detectors. Two 1100sec scans will be performed for each subject with all personal metallic objects having been removed. Background and sensitivity checks will be completed daily and considered in each measurement, with TBK in grams being reported. Body cell mass (BCM) will then be calculated from TBK and adjusted for body size (BCM/HTp). BCM/HTp will be expressed as a Z score relative to laboratory reference data.
ADP measurement will be performed using the Bod Pod (registered trademark) Body Composition System, adhering to the manufacturer’s instructions (Life Measurement Inc, Concord, CA, USA; software version 1.69). Prior to each measurement, the Bod Pod will be calibrated at zero litres and with a standard calibration cylinder of 50 litres. The child is required to wear a swimming costume and swimming cap (both may be provided by the laboratory, specially laundered, if the child does not have their own) during the test. Body volume measurements will be taken as the subject sits inside the chamber for a 50 second period. The measurement will be completed twice or until the body volume measurements are within 150ml or 0.2% of each other, whichever was the smallest (maximum of three attempts). The average of the two successful measurements will be taken. The thoracic gas volume is then measured using the Bod Pod while the child breaths into a disposable tube. The ADP measurement will take approximately 10 minutes. Percent fat measurement will be estimated from the body volume measurements, using child specific equations.
All testing will take place during 1 visit and take approximately 1.5 hours.
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Intervention code [1]
290632
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Not applicable
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Comparator / control treatment
Patients will be compared to age and sex healthy matched controls
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Control group
Active
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Outcomes
Primary outcome [1]
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Body Cell Mass using total body potassium counting
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Assessment method [1]
293610
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Timepoint [1]
293610
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During treatment - Cross-sectional study
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Primary outcome [2]
293611
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Percent Fat using air displacement plethysmography (bodpod)
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Assessment method [2]
293611
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Timepoint [2]
293611
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During treatment - cross sectional study
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Primary outcome [3]
293612
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Body Mass Index
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Assessment method [3]
293612
0
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Timepoint [3]
293612
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During Treatment - cross sectional study
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Secondary outcome [1]
311469
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Nil
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Assessment method [1]
311469
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Timepoint [1]
311469
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Nil
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Eligibility
Key inclusion criteria
1) Being treated for cancer at Royal Children's Hospital
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Minimum age
5
Years
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Maximum age
18
Years
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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
2) Too unwell to undergo testing
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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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
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Actual
14/12/2004
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Date of last participant enrolment
Anticipated
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Actual
8/05/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
64
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
3153
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Royal Children's Hospital - Herston
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Recruitment postcode(s) [1]
8931
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4029 - Royal Brisbane Hospital
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Funding & Sponsors
Funding source category [1]
290262
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University
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Name [1]
290262
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Children's Nutrition Research Centre, The University of Queensland
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Address [1]
290262
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The University of Queensland
CNRC
Level 4 RCHF Building
Herston Rd
Herston. QLD 4029
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Country [1]
290262
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Australia
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Primary sponsor type
Individual
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Name
Dr Alexia Murphy
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Address
Children's Nutrition Research Centre
Level 4 RCHF Building
Herston Rd
RCH, Herston QLD, 4029
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Country
Australia
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Secondary sponsor category [1]
289043
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Individual
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Name [1]
289043
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Prof Peter Davies
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Address [1]
289043
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Children's Nutrition Research Centre
Level 4 RCHF Building
Herston Rd
RCH, Herston QLD, 4029
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Country [1]
289043
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291963
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Ethics committee address [1]
291963
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Ethics committee country [1]
291963
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Date submitted for ethics approval [1]
291963
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Approval date [1]
291963
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11/11/2004
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Ethics approval number [1]
291963
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Summary
Brief summary
The aim of this study is to validate the Pediatric Oncology Nutrition Assessment Tool against body composition measurements of nutritional status. Once the Tool has been validated it will play an essential part in the overall assessment of pediatric oncology patient in centers throughout Australia and assist in the prevention of severe nutritional problems in pediatric oncology patients. Patients diagnosed with an oncological disease between the ages of 5.00 and 17.99 years will be recruited from the Royal Children’s Hospital. Caregivers will be asked to accompany the patient to the Body Composition Laboratory for approximately an hour and a half period. Firstly, the Paediatric Oncology Assessment Tool will be completed by the investigator. Height, weight, total body potassium, air displacement plethysmography, skinfolds and mid arm circumference measurements will then be taken on all patients. Children and/or parent, may choose to have all or any combination of measurements. All tests performed will be non-invasive, painless and pose no known physical risk to patients.
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Trial website
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Trial related presentations / publications
White M, Murphy AJ, Davies PSW. (2011). Correlation between nutrition assessment data and percent body fat via plethysmography in pediatric oncology patients. Journal of Parental and Enteral Nutrition. 35(6):715-22. Murphy AJ, White MS, Davies PSW. (2010). Body Composition of children with cancer. American Journal of Clinical Nutrition. 92(1):55-60. Murphy AJ, White MS, Davies PSW. (2009). The Validity of Simple Methods to Detect Malnutrition in Pediatric Oncology Patients. British Journal of Nutrition. 101(9):1388-92.
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Public notes
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Contacts
Principal investigator
Name
52858
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Dr Alexia Murphy
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Address
52858
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Children's Nutrition Research Center
Level 4 RCHF Building
Herston Rd
Royal Children's Hospital Herston Qld 4029
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Country
52858
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Australia
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Phone
52858
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+61733464994
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Fax
52858
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Email
52858
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[email protected]
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Contact person for public queries
Name
52859
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Alexia Murphy
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Address
52859
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Children's Nutrition Research Center
Level 4 RCHF Building
Herston Rd
Royal Children's Hospital Herston QLD 4029
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Country
52859
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Australia
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Phone
52859
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+61733464994
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Fax
52859
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Email
52859
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[email protected]
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Contact person for scientific queries
Name
52860
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Alexia Murphy
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Address
52860
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Children's Nutrition Research Center
Level 4 RCHF Building
Herston Rd
Royal Children's Hospital
Herston QLD 4029
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Country
52860
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Australia
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Phone
52860
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+61733464994
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Fax
52860
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Email
52860
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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
Source
Title
Year of Publication
DOI
Dimensions AI
Body composition of children with cancer during treatment and in survivorship 1
2015
https://doi.org/10.3945/ajcn.114.099697
N.B. These documents automatically identified may not have been verified by the study sponsor.
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