- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04161794
Multimodal Intervention for Patients With Non-small Cell Lung Cancer
Multimodal Intervention (Dietary Counselling, Fish Oil and Physical Training) for Patients With Non-small Cell Lung Cancer, a Feasibility Study
Study Overview
Detailed Description
In a single arm intervention study, we will provide a multimodal intervention consisting of dietary counselling, physical exercises plan as well as fish oil.
The target of the dietary counselling is:
- 30 kcal/kg/d (in patients with BMI <30) or 25 kcal/kg/d (in patients with BMI => 30)
- at least 1.0 g protein/kg/d
- three daily meals of at least 20 g of protein
- restrict overnight fasting to a maximum of 11 hours
The initial dietary counselling is at the first cycle of anti-neoplastic treatment. The patient will be provided an individual plan to meet the dietary targets tailored to the individual preferences and symptoms. At every cycle of anti-neoplastic treatment, the plan will be adjusted if needed. At every week the patients will be prompted by telephone to comply with the dietary plan.
The physical exercise consists of two exercises:
- strength training: a progressive sit-to-stand exercise which is a lower extremity exercise.
- cardio-vascular training: a progressive brisk walking plan. Patients are prompted to execute both exercises twice weekly. The individual targets are set at the first cycle of anti-neoplastic treatment and adjusted during the trial.
Fish oil:
The patients are instructed to ingest 10g of liquid fish oil (consisting of 2 g EPA/DHA) or 8 capsules of fish oil (consisting of 2 g EPA/DHA)
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Aalborg, Denmark, 9000
- Aalborg Univeristy Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- histopathologically or cytologically verified with NSCLC
- inoperable tumour, candidates for, but naïve to or no systemic anti-neoplastic treatment the previous two years
- commence first line of chemotherapy (carboplatin/vinorelbin, cisplatin/vinorelbin) with or without radiation therapy or pembrolizumab
- performance status ≤2 (Eastern Cooperative Oncology Group)
- age >18 and provided oral
- written consent
Exclusion Criteria:
- excessive alcohol or drug abuse
- incapable to follow the intervention (i.e. cognitive problems or unable to walk) were excluded.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: NON_RANDOMIZED
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Intervention group
2 g EPA/DHA via fish oil daily Regular dietary counselling Twice weekly strength and cardiovascular exercise
|
2 g EPA/DHA as fish oil, repeated dietary counselling and twice weekly 2 x exercises
|
NO_INTERVENTION: Historical control group
Standard of Care
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Feasibility, recruitment rate
Time Frame: 9 months
|
Recruitment rate is measured by dividing the number of patients consented by the number of patients screened
|
9 months
|
Feasibility, retention rate
Time Frame: 9 months
|
Retention rate is measured by dividing the number of patients completing the trial with the number of patients consented
|
9 months
|
Feasibility, compliance
Time Frame: 9-18 weeks
|
The overall compliance was defined successful if at least half of the included patients reached at least 75 % of the nutrient target, consumed at least 75 % of the fish oil and conducted at least 50 % of the physical exercises
|
9-18 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Predictive and prognostic factors of change in skeletal muscle
Time Frame: 9-18 weeks
|
Change in skeletal muscle was measured using CT scans, analysed at the 3rd lumbar vertebra, expressed as actual change in square centimeter.
Using an ordinal logistic regression model, patients were ordered in three Groups (muscle wasting: loss of at least 6 cm^2 ; muscle maintenance: +/- 5.9 cm^2; muscle gain: gain of at least 6.0 cm^2).
The baseline variables included in the model are age, gender, tumor stage, type of treatment, performance status, inflammatory score (mGPS) and cachexia.
The possible prognostic factors included in the model is change in body weight, adherence to the anti-neoplastic treatment plan, treatment response, compliance to the multimodal intervention, number of Nutrition impact symptoms, days in between CT scans, energy and protein intake.
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9-18 weeks
|
Group difference in body weight
Time Frame: 9-18 weeks
|
The change in body weight (measured at baseline and at the end of the trial using body weight scales, expressed as %
|
9-18 weeks
|
Group difference in skeletal muscle
Time Frame: 9-18 weeks
|
Change in skeletal muscle (measured using CT scans, expressed as actual muscle change at the 3rd lumbar vertebra in mean (SD) cm^2
|
9-18 weeks
|
Proportion of patients gaining, maintaining and wasting of skeletal muscle
Time Frame: 9-18 weeks
|
expressed as number of patients.
Gaining defined as at least +6 Square centimeter skeletal muscle.
Maintaining defined as: +/- 5.9 Square centimeter skeletal muscle.
Wasting defined as: at least -6 Square centimeter skeletal muscle
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9-18 weeks
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Change in physical function
Time Frame: 9-18 weeks
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assessed by timed-up-and-go test (expressed in number of seconds) and assessed by 30 seconds sit-to-stand test (expressed as number of stands).
|
9-18 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Mette Holst, PhD, Aalborg University Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- LUCANU-2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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