Fatigue in patients with colorectal cancer (ICD codes C18-C20 and C21.8) within 12 months after a colorectal cancer therapy (surgery, chemotherapy and/ or radiation) and not optimal vitamin D status MedDRA version: 22.0 Level: PT Classification code 10082239 Term: Cancer fatigue System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 21.0 Level: PT Classification code 10061451 Term: Colorectal cancer System Organ Class: 10029104 - Neo
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age = 18 years - Colorectal cancer patients - Both men and women - Colorectal cancer therapy in last 12 months (surgical removal of tumor, radiation and/ or chemotherapy (adjuvant or neoadjuvant)) - At least 3 weeks in-patient rehabilitation in a cooperating clinic is planned - Sufficient knowledge of the German language and mental capabilities to be able to give written informed consent and comply with the study requirements Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 156 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 300
Exclusion criteria
Exclusion criteria: - Sufficient vitamin D status (25(OH)D > 60 nmol/L) - Severe renal impairment (eGFR 1000 mg calcium daily) - Participation in another intervention trial - Pregnancy, planned pregnancy in next 12 weeks, or lactation - No use of adequate contraceptive measures in women of childbearing potential
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To test whether the proposed personalized vitamin D3 dosing regimen reduces or prevents fatigue (primary outcome) among colorectal cancer patients with no optimal vitamin D status. ;Secondary Objective: To investigate the impact of a personalized vitamin D3 supplementation on the vitamin D status, the change of the fatigue score between baseline and follow-up, the fatigue domains (physical, emotional, and cognitive fatigue), quality of life, functional well-being, probable depression, infection frequency and other blood biomarkers (secondary endpoints). ;Primary end point(s): Mean difference in FACIT-F fatigue subscale between intervention and placebo group. A mean difference = 3 FACIT-F fatigue subscale points will be considered a clinically relevant difference.;Timepoint(s) of evaluation of this end point: Week 13 to 16 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Mean difference in change of FACIT-F fatigue subscale from baseline to trial week 13-16 between intervention and placebo group. A mean difference = 3 FACIT-F fatigue subscale points will be considered a clinically relevant difference - Mean differences in EORTC-FA12 physical, emotional and cognitive fatigue scores between intervention and placebo group as well as mean differences in changes in these scores from baseline to trial week 13-16 between intervention and placebo group. - Mean difference in GDS-15 scale between intervention and placebo group as well as mean difference in changes in this scale from baseline to trial week 13-16 between intervention and placebo group. - Mean difference in FACIT-F functional well-being (FWB) score between intervention and placebo group as well as mean difference in changes in this score from baseline to trial week 13-16 between intervention and placebo group. - Mean differences in overall and domain specific quality of life scores of the EORTC QLQ-C30 questionnaire between intervention and placebo group as well as mean differences in changes in these scores from baseline to trial week 13-16 between intervention and placebo group. Mean differences = 5 points in the overall and domain specific scores of the EORTC QLQ-C30 will be considered clinically relevant differences. - Mean differences in infection frequencies (total, upper respiratory and lower respiratory tract infections) between intervention and placebo group. - Mean difference in levels of total serum 25(OH)D between intervention and placebo group as well as mean difference in change of levels of total serum 25(OH)D from baseline to trial day 12-21 and from baseline to trial week 13-16. - Mean serum 25(OH)D levels > 60 nmol/L in intervention group. - Mean differences in levels of disease biomarkers (including white blood cell count (WBC), leukocyte subtype counts (neutrophils, eosinophils, basophils, lymphocytes, and monocytes), platele | — |
Countries
Germany
Contacts
German Cancer Research Center (DKFZ)