Nutrition Throughout the Treatment Course - Expanding Care From Hospital to Home
NUTREAT
1 other identifier
interventional
125
1 country
2
Brief Summary
Patients with cancer have increased risk of malnutrition due to the disease itself and the treatment regimen they undergo. This is particularly relevant for patients with head and neck cancer (HNC), where 74%-95% are malnourished. HNC is a heterogenous group of cancers, including oral cavity, larynx, pharynx and salivary glands. The present project will study the effectiveness and implementation of remote patient monitoring of nutrition and tailored nutrition support throughout the treatment course in patients with head and neck cancer. The implementation will be evaluated in a randomized controlled trial (RCT), and the aim of the project is to reduce the prevalence of malnutrition and increase the quality of life among patients with HNC.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable head-and-neck-cancer
Started Nov 2023
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 26, 2023
CompletedFirst Posted
Study publicly available on registry
August 18, 2023
CompletedStudy Start
First participant enrolled
November 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2025
CompletedSeptember 8, 2025
August 1, 2025
2 years
June 26, 2023
September 1, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Malnutrition_PGSGA
Measured by the: Patient-Generated Subjective Global Assessment (PG-SGA). The tool categories participants into: category A (Well-nourished), B (Moderately malnutrition or possible malnutrition), or C (serious malnutrition)
18 weeks
Secondary Outcomes (7)
Malnutrition GLIM
18 weeks
Weight change
18 weeks
Nutrition intake
18 weeks
Body composition
18 weeks
Health-related quality of life
18 weeks
- +2 more secondary outcomes
Study Arms (2)
MyFood (App for diet record)
EXPERIMENTALUse of an App for diet record
Usual care
NO INTERVENTIONUsual care
Interventions
Patients in the intervention group will record their food intake, tube feeding, nutrition-related symptoms and body weight in the MyFood app in at least three consecutive days in advance of follow-up.The patients will thus be able to keep track of their nutrition status. They will also have access to nutrition tips for how to reach requirements if they struggle to eat sufficiently or relief symptoms that can affect food intake.Healthcare staff at the hospital and outpatient clinics will use MyFood to monitor the patient's nutrition and document this information in the electronic patient record. They will also receive decision support tailored to each individual patient, e.g. recommendations for how to use oral nutrition supplements if the patient's intake of energy or protein is too low. Patients who struggle to fulfill their requirements will receive an additional referral to a registered dietitian for nutrition treatment between week 5 and 11.
Eligibility Criteria
You may qualify if:
- Head and neck cancer
- Older than 18 years
You may not qualify if:
- Patients admitted with the classification of malignant tumors (TNM) stage 4
- Terminal condition (life expectancy \< 6 months)
- Patients who do not understand the Norwegian language.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Oslolead
- Oslo University Hospitalcollaborator
- University of South-Eastern Norwaycollaborator
Study Sites (2)
University of Oslo
Oslo, Oslo County, 0316, Norway
Oslo University Hospital
Oslo, Norway
Related Publications (1)
Severinsen F, Varsi C, Andersen LF, Henriksen C, Paulsen MM. Experiences with nutritional follow-up and barriers and opportunities of implementing digital seamless nutrition care in the head and neck cancer treatment course: a qualitative study from patient, family caregiver, and healthcare professional perspectives. BMC Health Serv Res. 2025 Oct 14;25(1):1358. doi: 10.1186/s12913-025-13542-7.
PMID: 41088125DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate professor
Study Record Dates
First Submitted
June 26, 2023
First Posted
August 18, 2023
Study Start
November 1, 2023
Primary Completion
October 30, 2025
Study Completion
October 31, 2025
Last Updated
September 8, 2025
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will not share