Cancer SurvivorTOPNCT06809452
Transdiagnostic Oncology Program in Primary Care
An observational study of Cancer Survivor, run by Lentis Psychiatric Institute at 2 sites in Netherlands.
Trial summary
The goal of this observational study is to learn about how cancer survivors experience a relatively new 12-month interdisciplinary aftercare program called the Transdiagnostic Oncologic Program (TOP). Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Cancer Survivor
- What is being tested?
- Transdiagnostic Oncologic Program
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 35 participants
- Where
- 2 sitesNetherlands
- Study dates
- 1 Jan 2019to 1 Jan 2020
- Phase
- Observational
- 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Participants were recruited through an e-referral program called "Zorgdomein", local papers and flyers in the waitingroom of eleven primary care clinics in Drenthe, the Netherlands. In addition, two of them (Kloosterveen and Gezondheidscentrum Assen-Oost, Assen, the Netherlands) screened their caseload for potentially eligible participants by using the International Classification of Primary Care (ICPC) code for oncology. Sixty potential participants were approached by the family doctor. The participants who were eligible and interested were called the 'intervention group' (n=19) and allocated to one of the two training locations based on where they lived. The others (n=35), who indicated no interest, were asked to serve as part of a convenience control group, called 'control group'. Sixteen of them agreed to do so. All participants agreed to participate and signed an informed consent form before starting the study.
Who may be able to join
- being between ≥18 and ≤ 75 years old
- having been diagnosed with cancer at least 6 months ago and/or have been long-term stable.
Who cannot join
- having severe physical risks due to cancer treatment and / or comorbidities
- currently undergoing intensive chemotherapy or other treatment
- having cognitive or psychosomatic complaints that interfere with successful participation
- having skin cancer, except for melanomas with metastasis
- having a life expectancy of <1 year
Trial locations and contacts
2 sites in 1 country.
Netherlands2 sites
Gezondheidscentrum Assen-Oost
Assen, Drenthe
Kloosterveen
Assen, Drenthe
About this study
Official title: The Transdiagnostic Oncology Program (TOP): a Combined Lifestyle Intervention to Improve the Quality of Life of Cancer Survivors - a Before-and-after Pilot Study in Primary Care
The goal of this observational study is to learn about how cancer survivors experience a relatively new 12-month interdisciplinary aftercare program called the Transdiagnostic Oncologic Program (TOP). TOP is an innovative program offered as part of routine family-doctor care among several practices in the province Drenthe, the Netherlands. It is coordinated by the family doctor and caried out by an interdisciplinary team, consisting of the family doctor, a physiotherapist, nutritionist, and optionally a psychologist. The main questions this study aims to answer are:
- Is TOP feasible and acceptable?
- Does TOP lead to improvements in quality of life in cancer survivors? Patients who were eligible for the program (n=54) were asked to participate in research as well. Everyone who participated in TOP (n=19) agreed to participate in this study as well. Those who declined participation (n=35), were asked to serve as controls, of which 16 agreed to do so.
- Conditions
- Cancer Survivor
- Being tested
- Transdiagnostic Oncologic Program
- Keywords
- cancer survivor, family-doctor led aftercare program, lifestyle intervention, transdiagnostic, general practitioner, interdisciplinary
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Transdiagnostic Oncologic ProgramBehavioural
The "Transdiagnostic Oncology Program" (TOP) is a 12-month interdisciplinary aftercare program aimed at improving cancer survivors' quality of life by addressing common clinical issues.
In the first three months, participants attended two weekly 1-hour exercise sessions led by physiotherapists. Once a week, this was followed by 1-hour mind-body therapy for stress reduction. A dietitian provided an initial group session on nutrition and advised at least two personal consultations.
Between months 3-6, exercise was reduced to once weekly, with encouragement to continue independent exercise and relaxation. A second informational session on stress and sleep hygiene was given.
After six months, participants continued independently, meeting the family doctor quarterly to evaluate progress.
For the participants who experienced some psychological problems, sessions with a psychologist at an institute specialized for psycho-oncology, were available.
| Study group | Role | What they receive |
|---|---|---|
| Cancer survivors taking part in the program | Eligble cancer survivors who agreed to take part in TOP and in the study. Receives: Behavioral: Transdiagnostic Oncologic Program | |
| Cancer survivors serving as controls | Eligble cancer survivors who declined to take part in TOP, but agreed to take part in the study. They serve as a convenience control group. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Feasibility and satisfaction.
Feasibility of the intervention was assessed through attrition and attendance rates and through several questions on an evaluation form at post-intervention (T2), including adverse effects. Serious adverse events were also inquired by the GP. Satisfaction with the intervention was assessed with the same evaluation form at T2.
Measured: From baseline to the end of the program, after 1 year.
Change in quality of life
Quality of life (QoL) was measured with the validated European Organization for Research and Treatment of Cancer 30-item Quality of Life Questionnaire (EORTC QLQ-C30). From this, global health status, an overall indicator of quality of life, as well as five functioning scales (physical, emotional, cognitive, social and role) and three symptom scales (fatigue, nausea and vomiting, and pain) were used.
Measured: From baseline to the end of the program, after 1 year.
Secondary outcomes (5)
Change in fatigue
Fatigue was comprehensively assessed by the validated Dutch version of the Multidimensional Fatigue inventory (MFI); the MFI-20.
Measured: From baseline to the end of the program, after 1 year.
Change in mental symptoms
Mental symptoms were assessed with the 21-item Depression, Anxiety and Stress Scale (DASS-21), which is a reliable and validated questionnaire.
Measured: From baseline to the end of the program, after 1 year.
Change in happiness
Happiness, a specific aspect of quality of life, was measured with the happiness index (HI).
Measured: From baseline to the end of the program, after 1 year.
Change in work ability
Work ability was assessed by a validated single-item question from the work ability index (WAI).
Measured: From baseline to the end of the program, after 1 year.
Change in work accommodations after work resumption
Work accommodations after work resumption was assessed with six contextual items. Participants who resumed work at one of the assessments (T0, T1, T2) were asked to specify any work accommodations.
Measured: From baseline to the end of the program, after 1 year.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Feb 2025
- Study start1 Jan 2019
- Primary completion1 Jan 2020
- Study completion1 Jan 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Cancer SurvivorStudies 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
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 35 participants (actual)
Sponsor and investigators
- Lead sponsor
- Lentis Psychiatric Institute
- Sponsor type
- University, hospital or other
- Collaborators
- Dokter Drenthe, University Medical Center Groningen, Kloosterveen, Assen, Gezondheidscentrum Assen-Oost, Assen
- Responsible party
- Principal investigator, Sanne Booij, Lentis Psychiatric Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06809452
- Sponsor's protocol ID
- M17.218911_TOP2
- Acronym
- TOP
- Status last verified
- Feb 2025
- First submitted
- 30 Jan 2025
- Last updated
- 10 Feb 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The informed consent form did not include permission for sharing data with third parties. Therefore, we are legally not allowed to do so as long as the data remains pseudonymized."
Publications
Booij SH, Pieper A, Wester CD, Bultmann U, Waarsenburg EC, Hoenders HJR. The Transdiagnostic Oncology Program (TOP): a multidomain lifestyle intervention to improve the quality of life of cancer survivors - a before-and-after pilot study in primary care. BMC Cancer. 2025 Nov 10;25(1):1745. doi: 10.1186/s12885-025-15063-2.
PubMed 41214573
Study at a glance
From the registry record, last updated by the sponsor on 10 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Transdiagnostic Oncology Program (TOP): a Combined Lifestyle Intervention to Improve the Quality of Life of Cancer Survivors - a Before-and-after Pilot Study in Primary Care
- ClinicalTrials.gov ID
- NCT06809452
- Acronym / sponsor ID
- TOP / M17.218911_TOP2
- Conditions
- Cancer Survivor
- Keywords
- cancer survivor, family-doctor led aftercare program, lifestyle intervention, transdiagnostic, general practitioner, interdisciplinary
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 35 participants (actual)
- Lead sponsor
- Lentis Psychiatric InstituteUniversity, hospital or other
- Collaborators
- Dokter Drenthe, University Medical Center Groningen, Kloosterveen, Assen, Gezondheidscentrum Assen-Oost, Assen
- Study start
- 1 Jan 2019 (actual)
- Primary completion
- 1 Jan 2020 (actual)
- Study completion
- 1 Jan 2020 (actual)
- First posted
- 5 Feb 2025 (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.
The goal of this observational study is to learn about how cancer survivors experience a relatively new 12-month interdisciplinary aftercare program called the Transdiagnostic Oncologic Program (TOP). TOP is an innovative program offered as part of routine family-doctor care among several practices in the province Drenthe, the Netherlands. It is coordinated by the family doctor and caried out by an interdisciplinary team, consisting of the family doctor, a physiotherapist, nutritionist, and optionally a psychologist. The main questions this study aims to answer are:
- Is TOP feasible and acceptable?
- Does TOP lead to improvements in quality of life in cancer survivors? Patients who were eligible for the program (n=54) were asked to participate in research as well. Everyone who participated in TOP (n=19) agreed to participate in this study as well. Those who declined participation (n=35), were asked to serve as controls, of which 16 agreed to do so.
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cancer survivors taking part in the program | – | Behavioral: Transdiagnostic Oncologic ProgramEligble cancer survivors who agreed to take part in TOP and in the study. |
| Cancer survivors serving as controls | – | –Eligble cancer survivors who declined to take part in TOP, but agreed to take part in the study. They serve as a convenience control group. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Participants were recruited through an e-referral program called "Zorgdomein", local papers and flyers in the waitingroom of eleven primary care clinics in Drenthe, the Netherlands. In addition, two of them (Kloosterveen and Gezondheidscentrum Assen-Oost, Assen, the Netherlands) screened their caseload for potentially eligible participants by using the International Classification of Primary Care (ICPC) code for oncology. Sixty potential participants were approached by the family doctor. The participants who were eligible and interested were called the 'intervention group' (n=19) and allocated to one of the two training locations based on where they lived. The others (n=35), who indicated no interest, were asked to serve as part of a convenience control group, called 'control group'. Sixteen of them agreed to do so. All participants agreed to participate and signed an informed consent form before starting the study.
Key inclusion criteria (2 listed)
- being between ≥18 and ≤ 75 years old
- having been diagnosed with cancer at least 6 months ago and/or have been long-term stable.
Key exclusion criteria (5 listed)
- having severe physical risks due to cancer treatment and / or comorbidities
- currently undergoing intensive chemotherapy or other treatment
- having cognitive or psychosomatic complaints that interfere with successful participation
- having skin cancer, except for melanomas with metastasis
- having a life expectancy of <1 year
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 |
|---|---|---|
| Transdiagnostic Oncologic ProgramThe "Transdiagnostic Oncology Program" (TOP) is a 12-month interdisciplinary aftercare program aimed at improving cancer survivors' quality of life by addressing common clinical issues. In the first three months, participants attended two weekly 1-hour exercise sessions led by physiotherapists. Once a week, this was followed by 1-hour mind-body therapy for stress reduction. A dietitian provided an initial group session on nutrition and advised at least two personal consultations. Between months 3-6, exercise was reduced to once weekly, with encouragement to continue independent exercise and relaxation. A second informational session on stress and sleep hygiene was given. After six months, participants continued independently, meeting the family doctor quarterly to evaluate progress. For the participants who experienced some psychological problems, sessions with a psychologist at an institute specialized for psycho-oncology, were available. | Behavioural | Cancer survivors taking part in the program |
Primary outcome
Feasibility and satisfaction.
Time frame: From baseline to the end of the program, after 1 year.
Feasibility of the intervention was assessed through attrition and attendance rates and through several questions on an evaluation form at post-intervention (T2), including adverse effects. Serious adverse events were also inquired by the GP. Satisfaction with the intervention was assessed with the same evaluation form at T2.
Change in quality of life
Time frame: From baseline to the end of the program, after 1 year.
Quality of life (QoL) was measured with the validated European Organization for Research and Treatment of Cancer 30-item Quality of Life Questionnaire (EORTC QLQ-C30). From this, global health status, an overall indicator of quality of life, as well as five functioning scales (physical, emotional, cognitive, social and role) and three symptom scales (fatigue, nausea and vomiting, and pain) were used.
5 secondary outcomes
Change in fatigue
Time frame: From baseline to the end of the program, after 1 year.
Change in mental symptoms
Time frame: From baseline to the end of the program, after 1 year.
Change in happiness
Time frame: From baseline to the end of the program, after 1 year.
Change in work ability
Time frame: From baseline to the end of the program, after 1 year.
Change in work accommodations after work resumption
Time frame: From baseline to the end of the program, after 1 year.
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 10 Feb 2025.
- Derived from this study: PubMed 41214573Booij SH, Pieper A, Wester CD, Bultmann U, Waarsenburg EC, Hoenders HJR. The Transdiagnostic Oncology Program (TOP): a multidomain lifestyle intervention to improve the quality of life of cancer survivors - a before-and-after pilot study in primary care. BMC Cancer. 2025 Nov 10;25(1):1745. doi: 10.1186/s12885-025-15063-2.
- Information page about TOP for clients from primary care practices in DrentheLink provided by the sponsor.
- Individual participant dataSharing planned: No. The informed consent form did not include permission for sharing data with third parties. Therefore, we are legally not allowed to do so as long as the data remains pseudonymized."
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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.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Cancer Survivor, run by Lentis Psychiatric Institute at 2 sites in Netherlands.
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 5 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 10 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Netherlands. 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?
Feasibility and satisfaction. (time frame: From baseline to the end of the program, after 1 year.). The study lists 2 primary outcomes in all. 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 NCT06809452, which also lists 1 linked publication.
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 10 Feb 2025.