- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04871412
The Thoracic Peri-Operative Integrative Surgical Care Evaluation Trial - Stage II (POISE)
Pioneering Pre- and Post-Operative Integrative Care to Improve Thoracic Cancer Quality of Care - The Thoracic Peri-Operative Integrative Surgical Care Evaluation (POISE) Trial - Stage II
Despite enormous advances in thoracic surgery and oncology, two critical issues concern patients undergoing curative-intent surgery for lung, gastric and esophageal cancer: first, a majority (~60%) of patients experience minor and major adverse events occurring during and in the days following surgery; second, patients worry about the significant risk of cancer recurrence and mortality months to years after surgery. These issues, combined with side effects of chemotherapy and radiation, have detrimental effects on health-related quality of life (HRQoL). On a deeper level, there is the problem of an ongoing failure to integrate and evaluate the best of what complementary medicine has to offer surgical oncology care. Too many clinical trials focus on single agent therapies, rather than broad multi-faceted individualized and integrative care interventions that are used in real world settings.
The Thoracic POISE project has the overarching goal of improving care for thoracic cancer patients by impacting HRQoL, reducing surgical adverse events, prolonging overall survival and pioneering integrative care delivery.
Study Overview
Status
Conditions
Intervention / Treatment
- Dietary supplement: Vitamin D3 Drops
- Dietary supplement: Coriolus Versicolor
- Dietary supplement: Trident SAP 66:33 Lemon
- Dietary supplement: Probiotic Pro12
- Dietary supplement: Provitalix Pure Whey Protein
- Dietary supplement: Theracurmin 2X
- Dietary supplement: Green Tea Extract
- Other: Nutrition Recommendations
- Other: Physical Activity Recommendations
- Behavioral: Psychological Recommendations
Study Type
Enrollment (Anticipated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: Anna Fazekas, MA, CCRP
- Phone Number: 72841 613-737-8899
- Email: afazekas@toh.ca
Study Contact Backup
- Name: Mark Legacy, BSc
- Phone Number: 1 613-792-1222
- Email: mlegacy@thechi.ca
Study Locations
-
-
Ontario
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Ottawa, Ontario, Canada, K1H 8L6
- Recruiting
- The Ottawa Hospital
-
Contact:
- Anna Fazekas, MA, CCRP
- Phone Number: 72841 613-737-8899
- Email: afazekas@toh.ca
-
Contact:
- Mark Legacy, BSc
- Phone Number: 1 613-792-1222
- Email: mlegacy@thechi.ca
-
Principal Investigator:
- Andrew Seely, MD, PhD, FRCSC
-
Principal Investigator:
- Dugald Seely, ND, MSc
-
Sub-Investigator:
- Ellen Conte, ND
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Sub-Investigator:
- Tim Asmis, MD, FRCPC
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Sub-Investigator:
- Rebecca Auer, MD, FRCSC, FACS
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Sub-Investigator:
- Kednapa Thavorn, PhD
-
Sub-Investigator:
- Christian Finley, MD, FRCPC
-
Sub-Investigator:
- Tim Ramsay, PhD
-
Sub-Investigator:
- Salmaan Kanji, BSc, PharmD
-
Sub-Investigator:
- Dean Fergusson, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion criteria
• Adults eligible for complete resection of lung, gastric or esophageal cancer
Exclusion criteria
- Small cell, carcinoid, or gastrointestinal stromal (GIST) tumours
- Any wedge resections of lung cancer
- History of cancer with active treatment in the last 3 years (not including superficial bladder cancer or non-melanoma skin cancer)
- Patients currently receiving care guided by an ND or who have previously seen an ND in the last 3 months
- Pregnant or breastfeeding women*
- Any reason which, in the opinion of the Principal Investigator (or delegate), would prevent the subject from participating in the study
- Use of an investigational drug or participation in an investigational study within 30 days prior to starting the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Integrative Care (Treatment)
Participants in the Integrative arm will receive standard surgical and oncologic care at The Ottawa Hospital plus complementary care guided by a naturopathic doctor at The Centre for Health Innovation
|
1,000 - 10,000 units daily based on serum levels for the duration of the study
Other Names:
1.5g twice daily for the duration of the study
3g once daily for the duration of the study
Other Names:
12 billion colony forming units daily during the peri-operative period (approximately 1 month pre and post-surgery)
Other Names:
1 scoop (22g) once daily during the peri-operative period (approximately 1 month pre and post-surgery) and during any adjuvant chemotherapy and radiation treatments
Other Names:
1.2g twice daily after the peri-operative period.
including during adjuvant chemotherapy and radiation
Other Names:
700 mg twice daily after the peri-operative period.
Will not be given during adjuvant radiation or chemotherapy treatments.
Other Names:
Based on the Mediterranean diet and lower glycemic index foods
150 minutes moderate intensity aerobic exercise per week plus the addition of a resistance exercise program on 2 of those days
Activities with the intention of actively improving the participant's mental and emotional health
|
No Intervention: Standard Care (Control)
Participants in the control arm will receive standard surgical and oncologic care at The Ottawa Hospital
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Participant Recruitment Rates
Time Frame: At the end of recruitment (estimated 1 year)
|
Measured by the number of people who are enrolled in the study compared to the total number screened.
|
At the end of recruitment (estimated 1 year)
|
Participant Retention Rates
Time Frame: 2 Years
|
Measured by the number of people who enrol in the study but subsequently withdraw.
These numbers will be compared between arms.
|
2 Years
|
Cross-over and contamination in the control arm - Supplement usage
Time Frame: 1 Year
|
Measured by the number of participants in the control arm who use the integrative interventions outlined in the protocol independent of a naturopathic doctor.
Information on the number of supplements used and the length of use use will be collected at each standard of care visit.
|
1 Year
|
Cross-over and contamination in the control arm - Mediterranean Diet Scores
Time Frame: 1 year
|
Measured by the number of participants in the control arm who use the integrative interventions outlined in the protocol independent of a naturopathic doctor.
Mediterranean diet scores (scale of 0-9) will be calculated in the control group using the Harvard Food Frequency Questionnaire to assess for changes over the 1 year follow up period.
|
1 year
|
Cross-over and contamination in the control arm - Physical Activity levels
Time Frame: 1 Year
|
Changes in physical activity will be monitored using the International Physical Activity Questionnaire, which is used to calculate total metabolic equivalent task (MET) minutes.
|
1 Year
|
Cross-over and contamination in the control arm - Psychological Health Activities
Time Frame: 1 Year
|
Measured by the number of participants in the control arm who perform activities in which the goal of the activity was to improve mental and emotional health.
|
1 Year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Communication
Time Frame: 2 years
|
Assessing the type and frequency of communications between research staff at The Ottawa Hospital (TOH) and the Centre for Health Innovation (CHI), as well as within TOH and the CHI through number of emails, phone calls, meetings (in-person or virtual) or any other communication method.
|
2 years
|
Natural Killer Cell Function
Time Frame: Enrolment, 2-3 days pre-op, and 6 months and 12 months post surgery
|
Measured by serum Interferon Gamma Levels
|
Enrolment, 2-3 days pre-op, and 6 months and 12 months post surgery
|
Qualitative Experience
Time Frame: 2 years
|
Evaluate the qualitative experience of care of participants in both arms through semi-structured interviews
|
2 years
|
Inflammatory Response
Time Frame: Enrolment, 2-3 days pre-op, and 1 day, 3-4 weeks, 6 months, and 12 months post-surgery
|
Measured by serum C-Reactive Protein Levels
|
Enrolment, 2-3 days pre-op, and 1 day, 3-4 weeks, 6 months, and 12 months post-surgery
|
Neutrophil to Lymphocyte Ratio
Time Frame: Enrolment, 2-3 days pre-op, and 6 months and 12 months post surgery
|
Measured by collecting a complete blood count with differential and comparing neutrophil and lymphocyte levels
|
Enrolment, 2-3 days pre-op, and 6 months and 12 months post surgery
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Andrew Seely, MD, PhD, FRCSC, Ottawa Hospital Research Institute
- Principal Investigator: Dugald Seely, ND, MSc, The Canadian College of Naturopathic Medicine
Study record dates
Study Major Dates
Study Start (Actual)
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
Keywords
Additional Relevant MeSH Terms
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Antineoplastic Agents
- Micronutrients
- Bone Density Conservation Agents
- Calcium-Regulating Hormones and Agents
- Vitamin D
- Cholecalciferol
- Vitamins
- Ergocalciferols
- Curcumin
Other Study ID Numbers
- 20200796-01H
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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