Chronic Obstructive Pulmonary DiseaseMINDNUTNCT04873856
Multidimensional Individualized Nutritional Therapy for Individuals with Severe COPD
A study testing Intervention in people with Chronic Obstructive Pulmonary Disease, run by Nordsjaellands Hospital at 1 site in Denmark.
Trial summary
Individuals with severe chronic pulmonary disease often life isolated with a high burden of symptoms. Nutritional risk and low quality of life are common, and both associated with increased societal cost and poor prognosis. Read more about this study
- Who is it for?
- Ages 35 years and older
- Conditions the study is for
- Chronic Obstructive Pulmonary Disease
- What is being tested?
- Intervention
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 87 participants
- Where
- 1 siteDenmark
- Study dates
- 21 May 2021to 14 Jun 2023
- Phase
- Interventional
- 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 35 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- ≥ 35 years
- Severe COPD defined as GOLD grade 2 group B or D OR GOLD grade 3 and 4 group ABCD
- Able to eat orally
- Live in own home
- Speak Danish or English
- Undernourished OR at risk of undernutrition defined as BMI ≤ 21 kg/m2 if < 70 years and BMI <22 kg/m2 if ≥70 years OR BMI 21-25 kg/m2 plus nutritional risk (nutritional risk screening score ≥3) if <70 years and BMI 22-25 kg/m2 plus nutritional risk if ≥70 years
- Stable phase
- CHANGE: Undernourished OR at risk of undernutrition (a maximum BMI of 25 kg/m2) determined by Nutritional Risk Screening 2002 or Mini Nutritional Assessment Short Form according to the protocol published in Trials.
Who cannot join
- Active solid cancer" defined as cancer diagnosed within the previous six months, recurrent, regionally advanced, or metastatic cancer, cancer for which treatment had been administered within six months or hematological cancer that is not in complete remission
- Unable to sign informed consent e.g. due to severe dementia.
- Severe chronic renal failure defined as estimated glomerular filtration rate < 30 mL/min./1.73 m2 (ICD-10 codes N18.4 and N18.5
- Severe alcohol abuse (ICD-10 codes F10.2 and K70.x).
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Multidimensional INDividualized NUTritional Therapy for Individuals with Severe Chronic Obstructive Pulmonary Disease
Individuals with severe chronic pulmonary disease often life isolated with a high burden of symptoms. Nutritional risk and low quality of life are common, and both associated with increased societal cost and poor prognosis. COPD is a complex and progressive disease with changing clinical states that influences nutritional status and quality of life in different ways. The primary aim is to improve quality of life for individuals with severe COPD.
120 individuals are recruited from the outpatient clinic at Nordsjællands Hospital in Denmark to a randomized controlled trial with two parallel groups (intervention and control). The intervention will last for 3 months comprising four elements including nutritional plan, regular contact, informal caregiver/friendly reminder and a weight dairy.
We expect that the intervention will improve quality of life, nutritional status and prognosis.
- Conditions
- Chronic Obstructive Pulmonary Disease
- Being tested
- Intervention
- Keywords
- Chronic obstructive pulmonary disease, Health-related quality of life, Nutrition, Mental health, Functional capacity, Anthropometry
- Medical subject headings
- Pulmonary Disease, Chronic Obstructive, Psychological Well-Being
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
InterventionDietary supplement
The four dimensions of MINDNUT are described below:
Nutritional plan: is conducted in collaboration with the participant based on nutritional registration and information about routines and habits to reach a daily protein target of 1.5 g/kg/day. The nutritional plan is adjusted at the regular contact, and nutritional supplementation will be handed out to the participant.
Friendly reminder/informal caregiver: is a friendly reminder that encourage the participant to follow the nutritional plan and to ask for support (a note to hang on the refrigerator). The informal caregiver is a person with close contact to the participant.
Regular contacts: The participant will be contacted on regular basis (with an interval of 7-14 days) via phone and besides nutritional plan, this conversation will be used to talk about well-being, compliance and potential side-effects.
Weight diary: participants is instructed in keeping a weight diary which include registration of a daily weight.
| Study group | Role | What they receive |
|---|---|---|
| Intervention group | Experimental | Intervention contains:
1. individual nutritional plan
2. regular contact
3. friendly reminder/informal caregiver and
4. weight dairy. Receives: Dietary Supplement: Intervention |
| Control Group | No intervention | Standard of care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Health-related quality of life
Will be measured using the EQ-5D-5L
Measured: 1 and 3 months after baseline
Secondary outcomes (12)
Weight
Measured using an electronic scale (TANITA DC 430 SMA, TANITA, Denmark) to the nearest 0.1 kg
Measured: 1 and 3 months after baseline
Body mass index
Calculated as weight (kg)/height (m2)
Measured: 1 and 3 months after baseline
Hand grip strength
Measured using handdynanometer
Measured: 1 and 3 months after baseline
Lower body strength
Measured using 30 second stand chair test
Measured: 1 and 3 months after baseline
Number of unplanned acute hospitalizations
Obtained from patient files
Measured: 1 and 3 months after baseline
Number of days in hospital
Obtained from patient files
Measured: 1 and 3 months after baseline
Number of acute unplanned visits to emergency ward (<6 hours)
Obtained from patient files
Measured: 1 and 3 months after baseline
Number of contacts to outpatient clinic (visits and phone calls)
Obtained from patient files
Measured: up to 3 months after baseline
Disease specific quality of life
Obtained using COPD Assessment test (CAT). CAT contains 8 items with a scoring range of 0-40. The total score indicate the impact level COPD has on the everyday life ranging from low to very high. A total score of 5 is referred to the upper limit of normal in healthy non-smokers, a total score <10 indicate low impact, 10-20 indicate medium impact, whereas >20 and >30 indicate high and very high impact, respectively.
Measured: 1 and 3 months after baseline
Mortality
will be obtained from patient files
Measured: up to 3 months after baseline
Fat-free mass
Measured using bioelectrical impedance analysis
Measured: 1 and 3 months after baseline
Fat mass
Measured using bioelectrical impedance analysis
Measured: 1 and 3 months after baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 May 2021
- Study start21 May 2021
- Primary completion14 Jun 2023
- Study completion14 Jun 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Chronic Obstructive Pulmonary DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 87 participants (actual)
Sponsor and investigators
- Lead sponsor
- Nordsjaellands Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Copenhagen University Hospital, Rigshospitalet, University of Copenhagen
- Responsible party
- Principal investigator, Birgitte Lindegaard Madsen, Nordsjaellands Hospital
- Investigators
- Birgitte Lindegaard, MD, PhD, Principal investigator, Department of Pulmonary and Infectious Diseases, Nordsjællands Hospital, 3400 Hillerød, Denmark
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04873856
- Sponsor's protocol ID
- MINDNUT NOH
- Acronym
- MINDNUT
- Status last verified
- Dec 2023
- First submitted
- 23 Apr 2021
- Last updated
- 18 Nov 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Hegelund MH, Ritz C, Olsen MF, Molgaard C, Nielsen TL, Jensen AV, Soborg C, Braagaard L, Krogh-Madsen R, Lindegaard B, Faurholt-Jepsen D. Individualized nutritional care including adherence support improves health-related quality of life in individuals with severe chronic obstructive pulmonary disease: a randomized controlled trial. Health Qual Life Outcomes. 2026 Jan 30;24(1):23. doi: 10.1186/s12955-026-02482-3.
PubMed 41612405Hegelund MH, Ritz C, Nielsen TL, Olsen MF, Soborg C, Braagaard L, Molgaard C, Krogh-Madsen R, Lindegaard B, Faurholt-Jepsen D. Multidimensional individualized nutritional therapy for individuals with severe chronic obstructive pulmonary disease: study protocol for a registry-based randomized controlled trial. Trials. 2023 Feb 6;24(1):86. doi: 10.1186/s13063-023-07099-1.
PubMed 36747276
Study at a glance
From the registry record, last updated by the sponsor on 18 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multidimensional INDividualized NUTritional Therapy for Individuals with Severe Chronic Obstructive Pulmonary Disease
- ClinicalTrials.gov ID
- NCT04873856
- Acronym / sponsor ID
- MINDNUT / MINDNUT NOH
- Conditions
- Chronic Obstructive Pulmonary Disease
- Keywords
- Chronic obstructive pulmonary disease, Health-related quality of life, Nutrition, Mental health, Functional capacity, Anthropometry
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 87 participants (actual)
- Lead sponsor
- Nordsjaellands HospitalUniversity, hospital or other
- Collaborators
- Copenhagen University Hospital, Rigshospitalet, University of Copenhagen
- Study start
- 21 May 2021 (actual)
- Primary completion
- 14 Jun 2023 (actual)
- Study completion
- 14 Jun 2023 (actual)
- First posted
- 5 May 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Individuals with severe chronic pulmonary disease often life isolated with a high burden of symptoms. Nutritional risk and low quality of life are common, and both associated with increased societal cost and poor prognosis. COPD is a complex and progressive disease with changing clinical states that influences nutritional status and quality of life in different ways. The primary aim is to improve quality of life for individuals with severe COPD.
120 individuals are recruited from the outpatient clinic at Nordsjællands Hospital in Denmark to a randomized controlled trial with two parallel groups (intervention and control). The intervention will last for 3 months comprising four elements including nutritional plan, regular contact, informal caregiver/friendly reminder and a weight dairy.
We expect that the intervention will improve quality of life, nutritional status and prognosis.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention group | Experimental | Dietary Supplement: InterventionIntervention contains: 1. individual nutritional plan 2. regular contact 3. friendly reminder/informal caregiver and 4. weight dairy. |
| Control Group | No intervention | –Standard of care |
Who may qualify
- Ages
- 35 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- ≥ 35 years
- Severe COPD defined as GOLD grade 2 group B or D OR GOLD grade 3 and 4 group ABCD
- Able to eat orally
- Live in own home
- Speak Danish or English
Key exclusion criteria (4 listed)
- Active solid cancer" defined as cancer diagnosed within the previous six months, recurrent, regionally advanced, or metastatic cancer, cancer for which treatment had been administered within six months or hematological cancer that is not in complete remission
- Unable to sign informed consent e.g. due to severe dementia.
- Severe chronic renal failure defined as estimated glomerular filtration rate < 30 mL/min./1.73 m2 (ICD-10 codes N18.4 and N18.5
- Severe alcohol abuse (ICD-10 codes F10.2 and K70.x).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| InterventionThe four dimensions of MINDNUT are described below: Nutritional plan: is conducted in collaboration with the participant based on nutritional registration and information about routines and habits to reach a daily protein target of 1.5 g/kg/day. The nutritional plan is adjusted at the regular contact, and nutritional supplementation will be handed out to the participant. Friendly reminder/informal caregiver: is a friendly reminder that encourage the participant to follow the nutritional plan and to ask for support (a note to hang on the refrigerator). The informal caregiver is a person with close contact to the participant. Regular contacts: The participant will be contacted on regular basis (with an interval of 7-14 days) via phone and besides nutritional plan, this conversation will be used to talk about well-being, compliance and potential side-effects. Weight diary: participants is instructed in keeping a weight diary which include registration of a daily weight. | Dietary supplement | Intervention group |
Primary outcome
Health-related quality of life
Time frame: 1 and 3 months after baseline
Will be measured using the EQ-5D-5L
12 secondary outcomes
Weight
Time frame: 1 and 3 months after baseline
Body mass index
Time frame: 1 and 3 months after baseline
Hand grip strength
Time frame: 1 and 3 months after baseline
Lower body strength
Time frame: 1 and 3 months after baseline
Number of unplanned acute hospitalizations
Time frame: 1 and 3 months after baseline
Number of days in hospital
Time frame: 1 and 3 months after baseline
Number of acute unplanned visits to emergency ward (<6 hours)
Time frame: 1 and 3 months after baseline
Number of contacts to outpatient clinic (visits and phone calls)
Time frame: up to 3 months after baseline
Disease specific quality of life
Time frame: 1 and 3 months after baseline
Mortality
Time frame: up to 3 months after baseline
Fat-free mass
Time frame: 1 and 3 months after baseline
Fat mass
Time frame: 1 and 3 months after baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Nov 2024.
- Derived from this study: PubMed 41612405Hegelund MH, Ritz C, Olsen MF, Molgaard C, Nielsen TL, Jensen AV, Soborg C, Braagaard L, Krogh-Madsen R, Lindegaard B, Faurholt-Jepsen D. Individualized nutritional care including adherence support improves health-related quality of life in individuals with severe chronic obstructive pulmonary disease: a randomized controlled trial. Health Qual Life Outcomes. 2026 Jan 30;24(1):23. doi: 10.1186/s12955-026-02482-3.
- Derived from this study: PubMed 36747276Hegelund MH, Ritz C, Nielsen TL, Olsen MF, Soborg C, Braagaard L, Molgaard C, Krogh-Madsen R, Lindegaard B, Faurholt-Jepsen D. Multidimensional individualized nutritional therapy for individuals with severe chronic obstructive pulmonary disease: study protocol for a registry-based randomized controlled trial. Trials. 2023 Feb 6;24(1):86. doi: 10.1186/s13063-023-07099-1.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Birgitte Lindegaard, MD, PhD principal investigator
Department of Pulmonary and Infectious Diseases, Nordsjællands Hospital, 3400 Hillerød, Denmark
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Intervention in people with Chronic Obstructive Pulmonary Disease, run by Nordsjaellands Hospital at 1 site in Denmark.
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 8 inclusion and 4 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: finished, as of the sponsor's last update on 18 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Denmark. 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.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Health-related quality of life (time frame: 1 and 3 months after baseline). 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 NCT04873856, which also lists 2 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 18 Nov 2024.