UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000031313
Receipt number R000035738
Scientific Title Effectiveness of personalized advice using a cancer risk prediction tool on modifying lifestyle habits: a randomized controlled trial
Date of disclosure of the study information 2018/02/16
Last modified on 2021/08/24 16:58:28

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Basic information

Public title

Effectiveness of personalized advice using a cancer risk prediction tool on modifying lifestyle habits: a randomized controlled trial

Acronym

A cancer risk prediction tool for lifestyle modification: a randomized controlled trial

Scientific Title

Effectiveness of personalized advice using a cancer risk prediction tool on modifying lifestyle habits: a randomized controlled trial

Scientific Title:Acronym

A cancer risk prediction tool for lifestyle modification: a randomized controlled trial

Region

Japan


Condition

Condition

Healthy participants

Classification by specialty

Not applicable Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effectiveness of giving personalized advice using a probability calculated by a prediction model of cumulative cancer risk based on lifestyle factors on lifestyle modification, compared to standard advice for the prevention of cancer not using risk probability. After the advice was given, all randomized individuals were invited to participate in the same program for lifestyle modification.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Change in lifestyle within 6 months after receiving an advice
We defined the five healthy lifestyle habits as non-smoking, moderate or no alcohol consumption, moderate salt intake, adequate physical activity, and appropriate body mass index. Participants were assigned a score of 1 if they had the healthy lifestyle habit and a score of 0 if they did not. The individual scores were then summed and used as an index (5 = no risk factors; 0 = all risk factors). The primary outcome was defined as an increase in the index within 6 months after receiving an advice.

Key secondary outcomes

1. Participation in a program for lifestyle modification within 6 months after receiving an advice
2. Change in lifestyle within 12 months after receiving an advice
3. Change in each lifestyle habit within 6 and 12 months after receiving an advice

4. Associations between lifestyle at baseline or change in lifestyle and lifestyle-related diseases or death as an observational study


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -investigator(s) and assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

The intervention group was given personalized advice based on a probability calculated by a prediction model of 10-year cumulative cancer risk according to five healthy lifestyle habits, and invited to participate in a program for lifestyle modification.

Interventions/Control_2

The control group was given standard advice about lifestyle modification for the prevention of cancer and invited to participate in the same program as the intervention group.

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

40 years-old <=

Age-upper limit

64 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Individuals who bought life insurance from The Dai-ichi Life Insurance Company, Limited from November, 2017 to March, 2018
2) Individuals aged 40-64 years old on January 1st, 2018
3) Individuals who were both policy holders and insured persons on the life insurance contract
4) Individuals who consented to participating in this study and answered a baseline questionnaire
5) Individuals who had any one of five lifestyle habits used for calculation of cumulative cancer risk that needed improvement

We sent a consent form and a baseline questionnaire to individuals who met criteria 1-3). Individuals who met criteria 1-5) were eligible for randomization. Individuals who met criteria 1-4) were eligible for the observational study.

Key exclusion criteria

None.

Target sample size

7000


Research contact person

Name of lead principal investigator

1st name Taichi
Middle name
Last name Shimazu

Organization

National Cancer Center, Japan

Division name

Division of Prevention, Center for Public Health Sciences

Zip code

104-0045

Address

5-1-1 Tsukiji Chuo-ku Tokyo, Japan

TEL

03-3542-2511

Email

tshimazu@ncc.go.jp


Public contact

Name of contact person

1st name Taichi
Middle name
Last name Shimazu

Organization

National Cancer Center, Japan

Division name

Division of Prevention, Center for Public Health Sciences

Zip code

104-0045

Address

5-1-1 Tsukiji Chuo-ku Tokyo, Japan

TEL

03-3547-5201(ext.3348)

Homepage URL


Email

riskcheck_RCT@ml.res.ncc.go.jp


Sponsor or person

Institute

National Cancer Center, Japan

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

The Dai-ichi Life Insurance Company, Limited

Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

5-1-1 Tsukiji Chuo-ku Tokyo, Japan

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.go.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

国立がん研究センター(東京都)


Other administrative information

Date of disclosure of the study information

2018 Year 02 Month 16 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/33771848/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/33771848/

Number of participants that the trial has enrolled

5891

Results

The proportion of participants who improved their lifestyle within 6 months in the intervention group did not significantly differ from that in the control group (18.4% vs. 17.7%; P = 0.488). Among participants with low health literacy and two or fewer of five healthy habits, the proportion of participants subscribing to the lifestyle modification program was higher in the intervention group than in the control group.

Results date posted

2021 Year 08 Month 24 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The intervention group
Participants: 2,947 (Male: 53.1%)
Mean age: 51.3 years

The control group
Participants: 2,944 (Male: 53.1%)
Mean age: 51.2 years

Participant flow

The baseline questionnaire was sent to 59,892 eligible persons. Those of 6,534 completed the baseline questionnaire and were enrolled in the study, of whom 5,894 with one or more unhealthy lifestyle habits were randomly assigned to the intervention or control groups.

Adverse events

None.

Outcome measures

The primary outcome in the intervention group was not significantly different from that in the control group (proportion of participants who improved their lifestyle within 6 months, 18.4% vs. 17.7%; P=0.488). In the most of the secondary outcome analyses, there were no statistically significant differences between the groups. In the subgroup analyses, among participants with low health literacy and two or fewer of five healthy habits, the proportion of participants subscribing to the lifestyle modification program was higher in the intervention group than in the control group.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2017 Year 12 Month 07 Day

Date of IRB

2017 Year 12 Month 04 Day

Anticipated trial start date

2018 Year 02 Month 16 Day

Last follow-up date

2019 Year 09 Month 30 Day

Date of closure to data entry

2019 Year 12 Month 27 Day

Date trial data considered complete

2020 Year 01 Month 31 Day

Date analysis concluded

2020 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2018 Year 02 Month 15 Day

Last modified on

2021 Year 08 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000035738


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name