Using Multimodal Prehabilitation to Improve Outcomes for Frail Patients Undergoing Resection of Colorectal Cancer

NCT ID: NCT02502760

Last Updated: 2019-08-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2019-06-19

Brief Summary

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The purpose of this study is to determine if a program of physical activity, nutritional supplements and relaxation techniques is effective at decreasing post operative complications in frail colorectal cancer patients undergoing resection.

Detailed Description

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Conditions

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Colorectal Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Investigators

Study Groups

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Prehabilitation

Immediately after randomization and until surgery, patients in this arm will:

1. \- Receive a personalized physical exercise program
2. \- Receive nutritional counselling with Whey protein isolate powder
3. \- Receive relaxation techniques

Group Type EXPERIMENTAL

Physical Exercise Program

Intervention Type BEHAVIORAL

Physical exercises personalized by a kinesiologist consisting of walking or stationary bike and elastic band exercises.

Whey Protein Isolate Powder

Intervention Type DIETARY_SUPPLEMENT

Nutritional counselling is given to patients to ensure their daily proteins and energy requirements are met. Whey Protein Isolate Powder (Immunocal) is provided.

Immunocal1.5g/kg PO (by mouth) per day separated in 2 daily doses

Relaxation Techniques

Intervention Type BEHAVIORAL

Relaxation techniques consisting of breathing exercises and using a relaxation CD.

Rehabilitation

Patients in this arm will receive the same personalized physical exercise program, nutritional intervention and relaxation techniques as patients in the other arm but to be started after surgery.

Group Type ACTIVE_COMPARATOR

Physical Exercise Program

Intervention Type BEHAVIORAL

Physical exercises personalized by a kinesiologist consisting of walking or stationary bike and elastic band exercises.

Whey Protein Isolate Powder

Intervention Type DIETARY_SUPPLEMENT

Nutritional counselling is given to patients to ensure their daily proteins and energy requirements are met. Whey Protein Isolate Powder (Immunocal) is provided.

Immunocal1.5g/kg PO (by mouth) per day separated in 2 daily doses

Relaxation Techniques

Intervention Type BEHAVIORAL

Relaxation techniques consisting of breathing exercises and using a relaxation CD.

Interventions

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Physical Exercise Program

Physical exercises personalized by a kinesiologist consisting of walking or stationary bike and elastic band exercises.

Intervention Type BEHAVIORAL

Whey Protein Isolate Powder

Nutritional counselling is given to patients to ensure their daily proteins and energy requirements are met. Whey Protein Isolate Powder (Immunocal) is provided.

Immunocal1.5g/kg PO (by mouth) per day separated in 2 daily doses

Intervention Type DIETARY_SUPPLEMENT

Relaxation Techniques

Relaxation techniques consisting of breathing exercises and using a relaxation CD.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Colorectal cancer patient undergoing resection
* Frail or intermediately frail patients (Fried score 2 and above)

Exclusion Criteria

* Unable to communicate in French or English
* Premorbid conditions contraindicating physical exercise (dementia, Parkinson Disease, previous stroke with paresis, taking carbidopa/levodopa, donepezil or antidepressants)
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sir Mortimer B. Davis - Jewish General Hospital

OTHER

Sponsor Role collaborator

McGill University Health Centre/Research Institute of the McGill University Health Centre

OTHER

Sponsor Role lead

Responsible Party

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Franco Carli

Professor, Montreal General Hospital Department of Anesthesia

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Franco Carli, MD, MPhil

Role: PRINCIPAL_INVESTIGATOR

Professor, Department of Anesthesia

Locations

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McGill University Health Center; Montreal General Hospital

Montreal, Quebec, Canada

Site Status

Sir Mortimer B. Davis - Jewish General Hospital

Montreal, Quebec, Canada

Site Status

Countries

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Canada

References

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Molenaar CJ, van Rooijen SJ, Fokkenrood HJ, Roumen RM, Janssen L, Slooter GD. Prehabilitation versus no prehabilitation to improve functional capacity, reduce postoperative complications and improve quality of life in colorectal cancer surgery. Cochrane Database Syst Rev. 2023 May 10;5(5):CD013259. doi: 10.1002/14651858.CD013259.pub3.

Reference Type DERIVED
PMID: 37162250 (View on PubMed)

Molenaar CJ, van Rooijen SJ, Fokkenrood HJ, Roumen RM, Janssen L, Slooter GD. Prehabilitation versus no prehabilitation to improve functional capacity, reduce postoperative complications and improve quality of life in colorectal cancer surgery. Cochrane Database Syst Rev. 2022 May 19;5(5):CD013259. doi: 10.1002/14651858.CD013259.pub2.

Reference Type DERIVED
PMID: 35588252 (View on PubMed)

Carli F, Bousquet-Dion G, Awasthi R, Elsherbini N, Liberman S, Boutros M, Stein B, Charlebois P, Ghitulescu G, Morin N, Jagoe T, Scheede-Bergdahl C, Minnella EM, Fiore JF Jr. Effect of Multimodal Prehabilitation vs Postoperative Rehabilitation on 30-Day Postoperative Complications for Frail Patients Undergoing Resection of Colorectal Cancer: A Randomized Clinical Trial. JAMA Surg. 2020 Mar 1;155(3):233-242. doi: 10.1001/jamasurg.2019.5474.

Reference Type DERIVED
PMID: 31968063 (View on PubMed)

Other Identifiers

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15-131-MUHC

Identifier Type: -

Identifier Source: org_study_id

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