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Trial registered on ANZCTR
Registration number
ACTRN12611000194965
Ethics application status
Not yet submitted
Date submitted
4/02/2011
Date registered
18/02/2011
Date last updated
18/02/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of an individualised nutrition and exercise support program on quality of life, nutritional status and body composition in cancer patients post-haematopoietic stem cell transplant compared to standard care.
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Scientific title
The effect of an individualised nutrition and exercise support program on quality of life, nutritional status and body composition in cancer patients post-haematopoietic stem cell transplant compared to standard care.
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Secondary ID [1]
253550
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NIL
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Universal Trial Number (UTN)
U1111-1119-2656
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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:
Adult cancer patients treated with autologous haematopoietic stem cell transplant.
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Condition category
Condition code
Blood
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0
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Haematological diseases
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Cancer
259270
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0
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Other cancer types
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Each participants of the intervention group will recieve an individualised nutrition program from the hosptal dietitian and an individualised exercise program from the hospital exercise physiologist:
All transplant patients are regularly reviewed by a dietitian as a part of the hospital care but they are not followed up after discharge. Participant of the intervention group will be followed up by a hospital dietitian fortnightly for a 20-30 minutes dietary counselling to address specific nutirtional need (i.e. food choices).
The exercsie intervention will be variable but in general, patients will undertake a home-based exercise program involving a minimum of 5x30 minutes exercise a week for 12 weeks. Initial consultation (1hour) with the exercise physiologist will be conducted face-to-face in the hospital prior to discharge and subsequent follow up will be done fortnightly (20-30 minutes/session) over the phone after patients are discharged.The type of exercise and the intensity of the activity will be dependent on what is manageable by each patient.
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Intervention code [1]
257978
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Rehabilitation
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Intervention code [2]
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Lifestyle
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Comparator / control treatment
Autologous haematopoietic stem cell transplant patients treated with usual care.
Usual care is hospital specific, therefore, the usual care may vary slightly depending on the recruitment site. Transplant patients recieving usual care as defined by this study are transplant patients who are not followed up by a hospital dietitian or exercise physiologist after discharge.
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Control group
Active
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Outcomes
Primary outcome [1]
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Quality of life (EORTC QLQ C30)
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Assessment method [1]
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Timepoint [1]
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Pre-admission (up to 2 weeks before stem cell transplant), 1 month, and 3 months post-transplant
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Secondary outcome [1]
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Nutritional status as assessed by the patient-generated subjective global assessment (PG-SGA)
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Assessment method [1]
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Timepoint [1]
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Pre-admission (up to 2 weeks before stem cell transplant), 1 month, and 3 months post-transplant
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Secondary outcome [2]
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Lean body mass as assessed by air-displacement plethysmography (BODPOD) and tetra-polar bioelectrical impedance analysis (BIA). A sub-sample will be assessed by dual energy X-ray absorptiometry (DEXA).
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Assessment method [2]
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Timepoint [2]
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Pre-admission (up to 2 weeks before stem cell transplant), 1 month, and 3 months post-transplant
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Eligibility
Key inclusion criteria
Adult cancer patients undergoing autologous haematopoietic stem cell transplant.
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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 with disability or any other conditions that contradicts physical activity; patient's with a pace maker; allogeneic haematopoietic stem cell transplant; patients who cannot speak English; and patients with cognitive diseases.
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Study design
Purpose of the study
Educational / counselling / training
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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 is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software.
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/05/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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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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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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The Wesley Research Institute
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Address [1]
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451 Coronation Drive, Auchenflower, QLD, 4066
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Country [1]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
The Wesley Research Institute
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Address
451 Coronation Drive, Auchenflower, QLD, 4066
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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]
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Other collaborator category [1]
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University
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Name [1]
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The University of Queensland
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Address [1]
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The University of Queensland, St. Lucia, Brisbane QLD 4072
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Country [1]
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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28/02/2011
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
Patients undergoing haematopietic blood stem cell transplant (HSCT) are primarily treated for haematological cancer. After treatment, these patients can experience a number of side effects affecting their quality of life for up to several years. Common problems observed amongst transplant survivors include weight loss, gastrointestinal symptoms (e.g. nausea, poor appetite, sore mouth and excessive diarrhoea), and fatigue. These symptoms can increase the risks of developing other issues such as poor nutritional status, poorer health status and reduced physical functioning. As a result of the combined factors, some people are unable to return to work or they are unable to perform their usual activities. One of the reasons for physical impairment may be the loss of muscle; and the cause of muscle loss may be the result of reduced physical activity and poor nutritional status. Despite report of these research findings, patients are not routinely followed up by allied health professionals to receive ongoing support. This study looks at the effects of a combined nutrition advice and individualised exercise program compared to standard care on quality of life, nutritional status and body composition in cancer patients after undergoing haematopoietic stem cell transplant. Who is it for – Eligible participants are adult cancer patient over the age of 18 and scheduled for autologous haematopoietic stem cell transplant at The Wesley Hospital. Trial details – Participants will be randomised to one of two groups, either (i) an individualised nutrition program from the hospital dietitian combined with an individualised exercise program from the hospital exercise physiologist, or (ii) usual care as provided as standard by the hospital attended. Participants in the combined group will be followed up by a hospital dietitian fortnightly for a 20-30 minute dietary counselling session to address specific nutritional need (i.e. food choices), and the exercise component will be variable but, in general, patients will undertake a home-based exercise program involving a minimum of 5x30 minutes exercise a week for 12 weeks, and the type and intensity of exercise will be dependent on what is manageable by each patient. There will be a 1 hour consultation with the exercise physiologist conducted face-to-face in the hospital prior to discharge, and subsequent follow up will be done fortnightly (20-30 minutes/session) over the phone after patients are discharged. Participants in the usual care group will receive treatment as usual, according to the recruiting hospital’s standards, and there will be no follow up by a hospital dietitian or exercise physiologist after discharge for this group. The aim of this study is to determine whether a combined nutrition advice and individualised exercise program may help in the quality of life, nutritional status, and body composition of cancer patients post-haematopoietic stem cell transplant compared to standard care.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Yui Hung
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Address
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The school of Human Movement Studies, Connell Building, The University of Queensland, St. Lucia, QLD 4067
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Country
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Australia
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Phone
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+61 7 33656313
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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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Yui Hung
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Address
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The school of Human Movement Studies, Connell Building, The University of Queensland, St. Lucia, QLD 4067
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Country
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Australia
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Phone
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+61 7 33656313
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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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