Improving health before colorectal cancer surgery for older patients with malnutrition
Official title: Is Correction of Malnutrition Sufficient to Improve Low Physical Function Before Elective Colorectal Cancer Surgery? A Randomized Controlled Trial of Nutrition vs Nutrition and Exercise Prehabilitation
Run by McGill University · NCT05999370 · Data updated 2026-11-12
This study is testing whether older patients with colorectal cancer who are malnourished can do better before surgery by focusing on nutrition alone or nutrition plus exercise.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | McGill University Academic / other |
| Locations | 1 site (Montreal, Quebec) |
| Status | Recruiting |
| Started | January 31, 2022 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | May 9, 2025 |
| Trial ID | NCT05999370 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients aged 65 and older with colorectal cancer scheduled for surgery, who have a 6MWD of less than 400 meters and a malnutrition assessment score of 9 or higher.
✕Probably not a fit
Patients with metastatic cancer or those with conditions that contraindicate exercise, such as dementia or Parkinson's disease, may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effectiveness of nutrition prehabilitation alone versus nutrition combined with supportive exercise for older colorectal cancer patients who are malnourished and have low physical function. The study focuses on patients aged 65 and older who are scheduled for primary colorectal surgery and have a six-minute walking distance (6MWD) of less than 400 meters. By addressing malnutrition, the researchers aim to improve patients' physical performance before surgery, potentially enhancing surgical outcomes. The trial will measure adherence to interventions and the impact on achieving a clinically significant improvement in walking distance.
Why it matters
Potential benefit: If successful, this approach could significantly improve preoperative physical function and overall outcomes for malnourished colorectal cancer patients.
How similar studies have gone: While the approach of combining nutrition and exercise is established, this specific focus on malnourished older patients with colorectal cancer is relatively novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients aged 65 years and older; * Patients with cancer scheduled for primary colorectal resection; * Patients with 6MWD at baseline less than 400 m; * Patients with Patient-Generated Subjective-Global Assessment (malnutrition assessment) score equal or greater than 9. Exclusion Criteria: * Patients with history of premorbid conditions that contraindicate exercise including dementia, -Parkinson's disease or previous stroke with paresis; * Metastatic cancer; * Patients who do not speak English or French and cannot be accompanied by someone who speaks English or French;
Where it's running
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MUHC Research Ethics Board
Montreal, Quebec, Canada Recruiting
Study contacts
- Principal investigator: Chelsia Gillis, RD PhD — McGill University
- Study coordinator: Chelsia Gillis, RD PhD
- Email: chelsia.gillis@mcgill.ca
- Phone: 514-398-7905
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Hospital-based look at infants under 6 months with acute malnutrition
This study follows hospitalized infants under 6 months with acute malnutrition to see how common it is and how they grow during treatment.
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Preoperative Immunonutrition for bone and soft tissue sarcoma patients
This study tests whether a short course of an oral nutrition supplement before surgery can help patients with bone or soft tissue sarcomas recover better after major tumor-related surgery.
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Feasibility of high-dose multimodal prehabilitation for women awaiting gynecologic cancer surgery
This study tests whether a high-dose, multimodal prehabilitation program can be delivered before gynecologic cancer surgery and whether patients prefer in-person, remote, or education-only approaches.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.