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The effect of individualized NUTritional counselling on muscle mass and treatment outcome in patients with metastatic COLOrectal cancer undergoing chemotherapy: the COLONUT study

Completed
Conditions
cancer
Neoplasms
10003018
10017991
Registration Number
NL-OMON44653
Lead Sponsor
Vrije Universiteit Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
110
Inclusion Criteria

-Age >=18 years;
-Stage IV colorectal cancer;
-Scheduled for treatment with first-line chemotherapy;
-CT scan suitable for evaluating muscle mass at L3 level;
-Understanding of the Dutch language;
-Able and willing to give written informed consent.

Exclusion Criteria

-Chemotherapy in the previous three months;
-WHO performance status >= 3;
-Long-term high dose of corticosteroids: >= three weeks >= ten milligram prednisolon or equivalent

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Change in skeletal muscle area (cm2) will be measured with SliceOmatic software<br /><br>V5.0 (Tomovision) with use of routinely conducted CT scans for diagnostic and<br /><br>disease evaluation purposes. </p><br>
Secondary Outcome Measures
NameTimeMethod
<p>To compare change in total body lean body mass and segmental lean body mass<br /><br>(DEXA) in patients with stage IV colorectal cancer during 9 weeks of first-line<br /><br>chemotherapy between individualized nutritional counselling versus usual<br /><br>nutritional care.<br /><br><br /><br>To compare change in skeletal muscle area in patients with stage IV colorectal<br /><br>cancer during 20 weeks of first-line chemotherapy between individualized<br /><br>nutritional counselling.versus ususal nutritional care.<br /><br><br /><br>To explore treatment toxicity, treatment intensity, treatment outcome,<br /><br>survival, physical functioning, quality of life and handgrip strength of both<br /><br>study arms.<br /><br><br /><br>To explore associations of (changes in) muscle area with (changes in) mid-upper<br /><br>arm muscle circumference, whole body fat free mass (BIA) and whole body lean<br /><br>body mass (DEXA). </p><br>
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