- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04448041
CRANE Feasibility Study: Nutritional Intervention for Patients Undergoing Cancer Surgery in Low- and Middle-Income Countries (CRANE)
A Cluster Randomised Feasibility Study of a Sustainable Nutritional Intervention for Patients Undergoing Cancer Surgery in Low- and Middle-Income Countries
Aims: The CRANE feasibility study (A mixed methods study of malnutrition and sustainable nutritional intervention for patients undergoing cancer surgery in low- and middle-income countries) aims to investigate the identification of pre-operative malnourishment, data collection methods and acceptability of a nutritional intervention for a future trial to improve outcomes after cancer surgery in low- and middle-income countries (LMICs).
- To identify and validate the most relevant nutritional screening tool for patients in LMICs undergoing surgery for cancer;
- To identify a low cost sustainable nutritional intervention for patients in LMICs undergoing surgery for cancer;
- To establish the feasibility of delivering a randomised trial of a sustainable nutritional intervention for patients in LMICs undergoing surgery for cancer.
Design: A mixed-methods study comprising of qualitative work including focus groups and interviews, trial of data collection and validation to test feasibility in clinical practice
Participants: Patients undergoing elective surgery for suspected cancer in LMICs
Outcomes Work package (WP) 1: The primary deliverable is the identification of a relevant, pragmatic, and acceptable nutritional screening tool.
WP 2: The primary deliverable is the identification of a low-cost and sustainable nutritional intervention. Focus groups and interviews will be held with patients and clinicians to explore the sustainability, implementation and acceptability of screening and interventions.
WP 3: The primary outcome will be to determine feasibility and acceptability of trial design. A number of outcome assessments and data collection instruments will be evaluated for feasibility, including anthropometric parameters and patient outcomes (30-day mortality, major post-operative complications, length of hospital stay and quality of life). A final study design, analysis plan, and health economic plan will be developed.
Sample size: For this feasibility study, the investigators will conduct multidisciplinary focus groups and interviews, perform and validate malnutrition screening in 200 patients across four countries and record patient 30-day outcomes. This will also include the time taken to collect data on 200 eligible patients. This sample size has been informed from previous malnutrition data originating from a large prospective international multicentre observational cancer study (GlobalSurg 3).
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Contacts and Locations
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Hospitals in LMICs who undertake planned (elective) cancer surgery for cancer.
- Patients over 18 years of age (or the age of majority for the country);
- Patients undergoing planned (elective) surgery for cancer;
- Patients undergoing surgery where the intent is either curative or palliative;
- Patients must be able and willing to provide written informed consent (signature or a fingerprint).
Exclusion Criteria:
- Children (below age of majority for the country);
- Patients undergoing emergency surgery;
- Any operative indication other than cancer;
- Patients unable to provide written informed consent;
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Ghana
|
Primary comparison: Prevalence of malnutrition and impact on 30-day outcomes in patients undergoing surgery for cancer
|
India
|
Primary comparison: Prevalence of malnutrition and impact on 30-day outcomes in patients undergoing surgery for cancer
|
Philippines
|
Primary comparison: Prevalence of malnutrition and impact on 30-day outcomes in patients undergoing surgery for cancer
|
Zambia
|
Primary comparison: Prevalence of malnutrition and impact on 30-day outcomes in patients undergoing surgery for cancer
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Prevalence of malnutrition
Time Frame: Immediately prior to surgery
|
Malnutrition as measured using validated screening tools
|
Immediately prior to surgery
|
30-day mortality rate
Time Frame: 30 days from surgery
|
Death within 30 days of surgical procedure
|
30 days from surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
30-day complication rate
Time Frame: 30 days from surgery
|
Defined with by Clavien-Dindo grade III or IV
|
30 days from surgery
|
Length of stay
Time Frame: 30 days from surgery
|
Length of hospital admission
|
30 days from surgery
|
Re-operation rate
Time Frame: 30 days from surgery
|
Re-operation within 30 days of surgical procedure
|
30 days from surgery
|
Quality of life following surgery (EQ-5D / WHODAS questionnaire)
Time Frame: 30 days from surgery
|
Short-term quality of life for patients following surgery
|
30 days from surgery
|
Readmission rates
Time Frame: 30 days from surgery
|
Readmission within 30 days of surgery
|
30 days from surgery
|
Recruitment rate
Time Frame: Through study duration, up to one year
|
Time taken to recruit 200 patients
|
Through study duration, up to one year
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (ANTICIPATED)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- CRANE
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ANALYTIC_CODE
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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