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Colorectal CancerPhase 2NCT01708824

Diet and Physical Activity Intervention in CRC Survivors

A Phase 2 study testing Dietary and Physical activity in people with Colorectal Cancer, run by The University of Hong Kong at 4 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Background - Colorectal cancer (CRC) incidence is increasing at an alarming rate in Hong Kong. A recent report concluded physical activity (PA) protects against colon cancer and foods low in dietary fibre, red meat and processed meat cause CRC. Yet, the influence of lifestyle factors on cancer outcome (i.e. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Colorectal Cancer
What is being tested?
Dietary and Physical activity
Could I receive a placebo?
No, everyone receives an active treatment
How many people
224 participants
Where
4 sitesChina
Study dates
Apr 2013to Jun 2017
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically proven colorectal adenocarcinoma;
  • Within one year of completion of main cancer treatment

Who cannot join

  • Persistent/recurrent disease upon recruitment;
  • Current cancer treatment;
  • Hereditary CRC syndromes;
  • Known contraindication to PA;
  • Illiteracy;
  • Weekly red/processed meat < 5 servings and daily refined grains < 2 servings
  • Weekly MPA > 300 minutes

Trial locations and contacts

4 sites in 1 country.

Judy WC Ho, MBBS contact

852 2255 4762

judyho@hku.hk

China4 sites, 4 recruiting
  • Pamela Youde Nethersole Eastern Hospital

    Hong Kong

    Hester Cheung, MBBS, cheuys@ha.org.hk

    Recruiting
  • Princess Margaret Hospital

    Hong Kong

    SM Hui, MBBS, huism@ha.org.hk

    Recruiting
  • Queen Mary Hospital

    Hong Kong

    Judy WC Ho, MBBS, 852 2255 4762, judyho@hku.hk

    Judy WC Ho, MBBS

    Recruiting
  • Yan Chai Hospital

    Hong Kong

    CK Kong, MBBS, kck326@ha.org.hk

    Recruiting

Other trials in China

About this study

Official title: The Acceptability and Feasibility of a Diet and Physical Activity Intervention to Prevent Recurrence in Colorectal Cancer Survivors: a Phase 2 Study

Background - Colorectal cancer (CRC) incidence is increasing at an alarming rate in Hong Kong. A recent report concluded physical activity (PA) protects against colon cancer and foods low in dietary fibre, red meat and processed meat cause CRC. Yet, the influence of lifestyle factors on cancer outcome (i.e. recurrence and survival rates) in CRC survivors is largely unknown.

Objectives \& hypothesis - Our study aims to evaluate the acceptability of two behavioural interventions for CRC survivors intended to improve cancer outcome and designed to (1) increase PA levels and (2) reduce consumption of a Western diet.

Read more

The investigators hypothesize that the proposed interventions are (1) efficacious in changing the two targeted behaviours; and (2) acceptable to CRC survivors.

Settings and methods - Phase 2 feasibility trial. Two hundred and twenty-four CRC survivors within 12 months of completion of cancer treatment and without evidence of persistent/recurrent disease will be recruited from four public hospitals in Hong Kong after informed consent. Subjects will be randomized in a 2x2 factorial design for the two targeted behaviours prescribed over 12 months. Primary outcome measure is whether the target levels of PA and dietary intake could be met at the end of intervention. Secondary outcome measures include: (1) magnitude of changes in PA level and dietary intakes; (2) rates and determinants of compliance; (3) facilitators and barriers to behavioural change; (4) measurement of theoretical constructs underlying PA and dietary interventions; (5) possible health benefits and side effects (PA-associated injury and nutritional deficiency) arising from the interventions. Outcome will be assessed at baseline, 6 months into intervention and then at 0, 6 and 12 months post-intervention.

Impact - If proven feasible, our intervention programme would pave way for a large randomized controlled trial testing the effect of PA and diet on the treatment outcome of CRC.

Read the detailed description

Background - Colorectal cancer (CRC) incidence is increasing at an alarming rate in Hong Kong. A recent World Cancer Research Fund (WCRF) report concluded physical activity (PA) protects against colon cancer and foods low in dietary fibre, red meat and processed meat cause CRC. Yet, the influence of lifestyle factors on cancer outcome (i.e. recurrence and survival rates) in CRC survivors is largely unknown. Our literature review showed a paucity of published studies on lifestyle intervention in CRC survivors; none had investigated the effect of such intervention on cancer outcomes.

With advances in treatment, CRC survivors live longer. Many of them are motivated to make lifestyle changes. However, our qualitative research has shown a huge service gap in the provision of appropriate PA and dietary advice to CRC survivors. Many patients were unaware of the link between PA and diet with CRC outcome but most demonstrated acceptance of lifestyle intervention. Yet, there is currently no scientifically-based evidence to allow firm recommendations to be made.

Objectives \& hypothesis - Our study aims to evaluate the acceptability of two behavioural interventions for CRC survivors intended to improve cancer outcome and designed to (1) increase PA levels (to 60 minutes of moderate PA 5 days/week) and (2) reduce consumption of a Western diet (<5 servings of red/processed meat weekly and 2 servings of refined grain daily).

We hypothesize that the proposed interventions are (1) efficacious in changing the two targeted behaviours; and (2) acceptable to CRC survivors with compliance rates of about 80%.

Settings and methods - The study follows the Medical Research Council Framework for the design and evaluation of complex interventions. Phases 0 and 1 (funded by WCRF) have been completed.

This application seeks funding for a Phase 2 feasibility trial. Two hundred and twenty-four CRC survivors within 12 months of completion of cancer treatment and without evidence of persistent/recurrent disease will be recruited from four public hospitals in Hong Kong after informed consent. Subjects will be randomized in a 2x2 factorial design for the two targeted behaviours prescribed over 12 months. Primary outcome measure is whether the target levels of PA and dietary intake could be met at the end of intervention. Secondary outcome measures include: (1) magnitude of changes in PA level and dietary intakes; (2) rates and determinants of compliance by questionnaire; (3) facilitators and barriers to behavioural change by questionnaire; (4) measurement of theoretical constructs underlying PA and dietary interventions by questionnaire; (5) possible health benefits (body composition, physical fitness, quality of life and mood) and side effects (PA-associated injury and nutritional deficiency) arising from the interventions. Outcome will be assessed at baseline, 6 months into intervention and then at 0, 6 and 12 months post-intervention (i.e. at baseline, 6, 12, 18 and 24 months after the start of intervention).

Impact - To the best of our knowledge, this is the first behavioural intervention model targeting PA and reduced consumption of a Western diet in CRC survivors. If proven feasible, our intervention programme would pave way for a large randomized controlled trial testing the effect of PA and diet on the treatment outcome of CRC.

Being tested
Dietary, Physical activity
Keywords
colorectal cancer, cancer survivor, western pattern diet, physical activity, behavioral intervention, acceptability, feasibility, randomized controlled trial, compliance
Medical subject headings
Colorectal Neoplasms, Motor Activity, Patient Compliance

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DietaryBehavioural

    Dietary intervention to meet the target of

    1. <5 servings of red/processed meat weekly; <2 servings would be processed meat
    2. 2 servings of refined grains daily
  • Physical activityBehavioural

    Physical activity intervention with the following targets:

    1. General health target - 30 minutes of moderate-to-vigorous physical activity (MVPA) 5 days per week (i.e. 10 MET-hours/week);
    2. Cancer outcome target - 60 minutes of MVPA 5 days per week (i.e. 18-20 MET-hours/week)
Study groups in NCT01708824
Study groupRoleWhat they receive
dietaryExperimentalDietary intervention to meet the target of 1.<5 servings of red/processed meat weekly; <2 servings would be processed meat 2.2 servings of refined grains daily
Receives: Behavioral: Dietary
physical activityExperimentalPhysical activity intervention with the following targets: 1. General health target - 30 minutes of moderate-to-vigorous physical activity (MVPA) 5 days per week (i.e. 10 MET-hours/week); 2. Cancer outcome target - 60 minutes of MVPA 5 days per week (i.e. 18-20 MET-hours/week)
Receives: Behavioral: Physical activity
dietary and physical activityExperimentalMeeting both the dietary and physical activity targets
Receives: Behavioral: Dietary; Behavioral: Physical activity
usual careNo interventionFollow the general lifestyle advice in accordance with the recommendations of the Department of Health in Hong Kong available in the public domain

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Whether the PA and dietary intake targets are met at the end of intervention;

    Whether the PA and dietary intake targets are met at the end of intervention; i.e.

    1. PA group: achieve PA targets or not
    2. Dietary group: achieve dietary target or not
    3. PA + dietary group: achieve both PA and dietary targets or not
    4. Control group: achieve PA or dietary target or not

    Measured: at the end of 12 months of intervention

Secondary outcomes (7)
  1. Magnitude of change in PA level using objective accelerometry

    Measured: 6, 12, 18 and 24 months after start of intervention (i.e. interim, 0, 6 and 12 months post-intervention)

  2. Magnitude of change in each component of dietary target using validated food frequency questionnaire (FFQ);

    Measured: 6, 12, 18 and 24 months after start of intervention (i.e. interim, 0, 6 and 12 months post-intervention)

  3. Rate and determinants of compliance with intervention;

    Rates of compliance - measured by rate of completion of assignment; determinants of compliance measured by a questionnaire

    Measured: at the end of 12 months of intervention

  4. Facilitators and barriers to intervention

    Measured by (a) qualitatively during the last group meeting and (b) quantitatively by questionnaire

    Measured: at the end of intervention

  5. Measurement of theoretical constructs underlying PA and dietary interventions

    Using questionnaire specifically desinged to measure these theoretical constructs

    Measured: 6, 12, 18 and 24 months after start of intervention (i.e. interim, 0, 6 and 12 months post-intervention)

  6. Other possible health benefits arising from the intervention

    including

    1. Changes in body composition via body mass index (BMI)
    2. Changes in body fat and/or visceral fat via waist-hip ratio (WHR) and bioelectrical impedance analysis
    3. Physical fitness in the form of submaximal oxygen uptake as predicted by 6-minute ergometry
    4. Quality-of-life/mood via validated tools (SF12, FACT, HADS and PSS);

    Measured: at 12 and 24 months after start of intervention (i.e. at 0 and 12 months post-intervention)

  7. Possible side effects arising from the intervention

    including

    1. PA-associated injury
    2. Dietary deficiency - (i) anaemia (haemoglobin level); (ii) energy and protein deficiency

    Measured: at 6, 12, 18 and 24 months after start of intervention (i.e. interim, 0, 6 and 12 months post-intervention)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Oct 2012 (estimated)
  2. Study startApr 2013
  3. Primary completionDec 2016 (estimated)
  4. Study completionJun 2017 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Factorial
Masking
None (open label)
Enrolment
224 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01708824
Sponsor's protocol ID
WCRF 2012/595
Status last verified
May 2016
First submitted
11 Oct 2012
Last updated
12 May 2016
Results posted
No
Data monitoring committee
No
Individual data sharing
No: no consent has been obtained to make individual participant data available

Publications

  • Wong JYH, Ho JWC, Lee AM, Fong DYT, Chu N, Leung S, Chan YYW, Lam SH, Leung IPF, Macfarlane D, Cerin E, Taylor AJ, Cheng KK. Lived experience of dietary change among Chinese colorectal cancer survivors in Hong Kong: A qualitative study. BMJ Open. 2021 Aug 25;11(8):e051052. doi: 10.1136/bmjopen-2021-051052.

    PubMed 34433608
  • Ho M, Ho JWC, Fong DYT, Lee CF, Macfarlane DJ, Cerin E, Lee AM, Leung S, Chan WYY, Leung IPF, Lam SHS, Chu N, Taylor AJ, Cheng KK. Effects of dietary and physical activity interventions on generic and cancer-specific health-related quality of life, anxiety, and depression in colorectal cancer survivors: a randomized controlled trial. J Cancer Surviv. 2020 Aug;14(4):424-433. doi: 10.1007/s11764-020-00864-0. Epub 2020 Feb 18.

    PubMed 32072434
  • Ho JW, Lee AM, Macfarlane DJ, Fong DY, Leung S, Cerin E, Chan WY, Leung IP, Lam SH, Taylor AJ, Cheng KK. Study protocol for "Moving Bright, Eating Smart"- A phase 2 clinical trial on the acceptability and feasibility of a diet and physical activity intervention to prevent recurrence in colorectal cancer survivors. BMC Public Health. 2013 May 20;13:487. doi: 10.1186/1471-2458-13-487.

    PubMed 23688320

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Dietary and Physical activity in people with Colorectal Cancer, run by The University of Hong Kong at 4 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 12 May 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Judy WC Ho, MBBS (852 2255 4762, judyho@hku.hk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Whether the PA and dietary intake targets are met at the end of intervention; (time frame: at the end of 12 months of intervention). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01708824, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 May 2016.

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