UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000023207
Receipt number R000026753
Scientific Title A Feasibility study of the nutritional and exercise treatment for the elderly patients with advanced non-small-cell lung and pancreatic cancer
Date of disclosure of the study information 2016/08/01
Last modified on 2021/02/23 18:46:37

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Basic information

Public title

A Feasibility study of the nutritional and exercise treatment for the elderly patients with advanced non-small-cell lung and pancreatic cancer

Acronym

NEXTAC-ONE study

Scientific Title

A Feasibility study of the nutritional and exercise treatment for the elderly patients with advanced non-small-cell lung and pancreatic cancer

Scientific Title:Acronym

NEXTAC-ONE study

Region

Japan


Condition

Condition

Non-small-cell lung and pancreatic cancer

Classification by specialty

Medicine in general Hepato-biliary-pancreatic medicine Pneumology
Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate feasibility and safety of multimodal intervention (exercise, nutrition, and lifestyle intervention) in patients with advanced cancer receiving chemotherapy

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

attendance rate for exercise and nutritional sessions in 8 weeks

Key secondary outcomes

safety, adverse events, compliance


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Food Behavior,custom

Interventions/Control_1

early multimodal intervention (nutritional intervention, home-based muscle training, and lifestyle intervention to promote physical activity)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

70 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) >=70 years old and ECOG-PS 0-1
2) newly diagnosed NSCLC/pancreatic cancer in stage III, IV, or post-operative recurrence.
3) They are planned to receive the first-line systemic chemotherapy
4) Having written informed consent
5) Brathel index >= 95 points
6) More than 3 months of survival was expected

Key exclusion criteria

1) Having high risks for safe physical assessments and interventions (e.g. Unstable cardiac diseases, Severely symptomatic brain or bone mets, severe phyciatric disease, etc)
2) Having difficulties in swallowing, digesting, and absorbing food

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Koichi
Middle name
Last name Takayama

Organization

Kyoto Prefectual University of Medicine

Division name

Department of Respirology

Zip code

602-8566

Address

Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JAPAN

TEL

075-251-5513

Email

takayama@koto.kpu-m.ac.jp


Public contact

Name of contact person

1st name Tateaki
Middle name
Last name Naito

Organization

Shizuoka Cancer Center

Division name

Division of Thoracic Oncology

Zip code

411-8777

Address

1007 Shimonagakubo, Nagaizumi, Shizuoka, 411-8777, JAPAN

TEL

055-989-5222

Homepage URL


Email

t.naito@scchr.jp


Sponsor or person

Institute

Japan Agency for Medical Research and Development

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Shizuoka Cancer Center Institutional Review Board

Address

1007 Shimonagakubo, Nagaizumi, Shizuoka, 411-8777, JAPAN

Tel

0559895222

Email

t.naito@scchr.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

京都府立医科大学大学(京都府)、静岡県立静岡がんセンター(静岡県)、新潟県立がんセンター(新潟県)、国立がん研究センター東病院(千葉県)


Other administrative information

Date of disclosure of the study information

2016 Year 08 Month 01 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/30334618/

Publication of results

Partially published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pubmed/30334618

Number of participants that the trial has enrolled

30

Results

Conclusions: The early induction of multimodal interventions showed excellent compliance and safety in elderly patients with newly diagnosed pancreatic and non-small-cell lung cancer receiving concurrent chemotherapy. We are now conducting a randomized phase II study to measure the impact of these interventions on functional prognosis.

Results date posted

2021 Year 02 Month 23 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The median patient age was 75 years (range, 70-84). Twelve patients (40%) were cachectic at baseline. Twenty-nine patients attended >=4 of the six planned sessions (96.7%, 95% confidence interval, 83.3 to 99.4). One patient dropped out due to deteriorating health status

Participant flow

This was a multicentre prospective single-arm study. We recruited 30 of 46 screened patients aged >=70 years scheduled to receive first-line chemotherapy for newly diagnosed, advanced pancreatic, or non-small-cell lung cancer.

Adverse events

Adverse events possibly related to the NEXTAC programme were observed in five patients and included muscle pain (Grade 1 in two patients), arthralgia (Grade 1 in one patient), dyspnoea on exertion (Grade 1 in one patient), and plantar aponeurositis (Grade 1 in one patient).

Outcome measures

Twelve patients (40%) were cachectic at baseline. Twenty-nine patients attended >=4 of the six planned sessions (96.7%, 95% confidence interval, 83.3 to 99.4). One patient dropped out due to deteriorating health status. The median proportion of days of compliance with supplement consumption and exercise performance were 99% and 91%, respectively.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 07 Month 04 Day

Date of IRB

2016 Year 07 Month 04 Day

Anticipated trial start date

2016 Year 08 Month 01 Day

Last follow-up date

2019 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 07 Month 17 Day

Last modified on

2021 Year 02 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000026753


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name