The MONITOR Study: Remote Monitoring Of a Nutrition Intervention To Optimize Treatment Response

NCT ID: NCT06050395

Last Updated: 2025-09-15

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-12

Study Completion Date

2026-06-30

Brief Summary

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The purpose of the study is to evaluate the feasibility and acceptability of a remote nutrition coaching and monitoring intervention during the 12-weeks of active chemotherapy for borderline resectable and locally advanced pancreatic cancer participants.

Detailed Description

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Conditions

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Pancreatic Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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MONITOR group: Monitoring of a Nutrition Intervention to Optimize treatment Response

Participants randomized to the MONITOR arm will be provided dietary coaching biweekly to discuss nutrition concerns, anti-inflammatory diet compliance, and set SMART goals based on their most recent Vioscreen food frequency questionnaires.

Group Type EXPERIMENTAL

Quality fo Life Questionnaire (FHSI)

Intervention Type BEHAVIORAL

Participants will take a survey at baseline and visit 2 (weeks 6-8), and visit 3 (week 10-14). The Functional Assessment of Cancer Therapy Hepatobiliary Cancer Symptom Index-8 (FHSI) questionnaire uses a 5-point Likert-type scale, 0=not at all and 4=Very much. A lower total score indicates better quality of life.

Vioscreen Food Frequency Questionnaire (FFQ)

Intervention Type BEHAVIORAL

Participants will receive a web-based link and information to complete VioScreen, a web-based food frequency questionnaire, which allows participants to choose the average frequency of consumption of food items over a given time frame (1 month, 3 month, 1 year, etc.) on a Likert scale with choices ranging by individual questions. Total energy and nutrient intake is estimated by summing intakes from each food based on the selected portion size, reported frequency of consumption, and nutrient content of each food item. Anti-inflammatory and pro-inflammatory dietary patterns are calculated using the energy-adjusted dietary inflammatory index (DII) score to represent the inflammatory potential of an individual's overall diet, using data from FFQ responses. Higher DII scores represent more pro-inflammatory diets while lower (i.e., more negative) DII scores represent more anti-inflammatory diet.

NutritionCoaching

Intervention Type BEHAVIORAL

Participants will receive bi-weekly nutrition coaching on anti-inflammatory dietary patterns and foods.

Follow-Up Survey

Intervention Type BEHAVIORAL

Participants will complete a custom exit/follow up survey regarding relevance, acceptability, intervention length and timing, an barriers/facilitators. This survey contains 38 questions scored from 1 -Strongly agree to 5-Strongly disagree. A lower score indicates patient satisfaction with the program and the skills and knowledge gained in the program.

Functional Assessment of Anorexia/Cachexia Treatment (FAACT) Questionnaire

Intervention Type BEHAVIORAL

The FAACT questionnaire uses a 5 point Likert-type scale, 0=Not at all, 4=Very much. A higher score indicates better appetite and quality of life.

Patient Reported Outcomes Measure- Cognitive Function (PROMIS-Cog) Questionnaire

Intervention Type BEHAVIORAL

Participants will complete the PROMIS-Cog form which measures self-reported cognitive deficits. The questionnaire uses a 5 point Likert-type scale, 1=Very often and 5=Never. A higher score indicates higher cognitive function.

Standard Usual Care

Standard Usual Care participants will receive usual nutrition care received in the Moffitt Cancer Center pancreatic clinic, in addition to handouts on diet.

Group Type ACTIVE_COMPARATOR

Quality fo Life Questionnaire (FHSI)

Intervention Type BEHAVIORAL

Participants will take a survey at baseline and visit 2 (weeks 6-8), and visit 3 (week 10-14). The Functional Assessment of Cancer Therapy Hepatobiliary Cancer Symptom Index-8 (FHSI) questionnaire uses a 5-point Likert-type scale, 0=not at all and 4=Very much. A lower total score indicates better quality of life.

Educational Handouts

Intervention Type BEHAVIORAL

Participants will receive educational handouts on diet.

Follow-Up Survey

Intervention Type BEHAVIORAL

Participants will complete a custom exit/follow up survey regarding relevance, acceptability, intervention length and timing, an barriers/facilitators. This survey contains 38 questions scored from 1 -Strongly agree to 5-Strongly disagree. A lower score indicates patient satisfaction with the program and the skills and knowledge gained in the program.

Functional Assessment of Anorexia/Cachexia Treatment (FAACT) Questionnaire

Intervention Type BEHAVIORAL

The FAACT questionnaire uses a 5 point Likert-type scale, 0=Not at all, 4=Very much. A higher score indicates better appetite and quality of life.

Patient Reported Outcomes Measure- Cognitive Function (PROMIS-Cog) Questionnaire

Intervention Type BEHAVIORAL

Participants will complete the PROMIS-Cog form which measures self-reported cognitive deficits. The questionnaire uses a 5 point Likert-type scale, 1=Very often and 5=Never. A higher score indicates higher cognitive function.

Interventions

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Quality fo Life Questionnaire (FHSI)

Participants will take a survey at baseline and visit 2 (weeks 6-8), and visit 3 (week 10-14). The Functional Assessment of Cancer Therapy Hepatobiliary Cancer Symptom Index-8 (FHSI) questionnaire uses a 5-point Likert-type scale, 0=not at all and 4=Very much. A lower total score indicates better quality of life.

Intervention Type BEHAVIORAL

Vioscreen Food Frequency Questionnaire (FFQ)

Participants will receive a web-based link and information to complete VioScreen, a web-based food frequency questionnaire, which allows participants to choose the average frequency of consumption of food items over a given time frame (1 month, 3 month, 1 year, etc.) on a Likert scale with choices ranging by individual questions. Total energy and nutrient intake is estimated by summing intakes from each food based on the selected portion size, reported frequency of consumption, and nutrient content of each food item. Anti-inflammatory and pro-inflammatory dietary patterns are calculated using the energy-adjusted dietary inflammatory index (DII) score to represent the inflammatory potential of an individual's overall diet, using data from FFQ responses. Higher DII scores represent more pro-inflammatory diets while lower (i.e., more negative) DII scores represent more anti-inflammatory diet.

Intervention Type BEHAVIORAL

Educational Handouts

Participants will receive educational handouts on diet.

Intervention Type BEHAVIORAL

NutritionCoaching

Participants will receive bi-weekly nutrition coaching on anti-inflammatory dietary patterns and foods.

Intervention Type BEHAVIORAL

Follow-Up Survey

Participants will complete a custom exit/follow up survey regarding relevance, acceptability, intervention length and timing, an barriers/facilitators. This survey contains 38 questions scored from 1 -Strongly agree to 5-Strongly disagree. A lower score indicates patient satisfaction with the program and the skills and knowledge gained in the program.

Intervention Type BEHAVIORAL

Functional Assessment of Anorexia/Cachexia Treatment (FAACT) Questionnaire

The FAACT questionnaire uses a 5 point Likert-type scale, 0=Not at all, 4=Very much. A higher score indicates better appetite and quality of life.

Intervention Type BEHAVIORAL

Patient Reported Outcomes Measure- Cognitive Function (PROMIS-Cog) Questionnaire

Participants will complete the PROMIS-Cog form which measures self-reported cognitive deficits. The questionnaire uses a 5 point Likert-type scale, 1=Very often and 5=Never. A higher score indicates higher cognitive function.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Men or women 18 years of age or more
* Newly diagnosed, in place tumors of the pancreas
* No documented or observable psychiatric or neurological disorders that would interfere with study participation (e.g., dementia, psychosis)
* Able to speak and read English
* Able to consume food orally
* Chemotherapy naive
* Scheduled to receive treatment with chemotherapy
* Able to provide verbal informed consent

Exclusion Criteria

* Women who are pregnant
* Pancreatic cancer not the primary diagnosis
* Patients on enteral or parental nutrition
* Patients with metastatic pancreatic cancer
* Patients with evidence of impeding bowel obstruction
* Patients presenting with ascites
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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H. Lee Moffitt Cancer Center and Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sylvia Crowder, PhD

Role: PRINCIPAL_INVESTIGATOR

Moffitt Cancer Center

Pamela Hodul, MD

Role: PRINCIPAL_INVESTIGATOR

Moffitt Cancer Center

Locations

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Moffitt Cancer Center

Tampa, Florida, United States

Site Status

Countries

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United States

Other Identifiers

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MCC-22523

Identifier Type: -

Identifier Source: org_study_id

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