ISRCTN ISRCTN16862540
DOI https://doi.org/10.1186/ISRCTN16862540
ClinicalTrials.gov (NCT) NCT03150992
Protocol serial number 32895
Sponsor Royal Surrey County Hospital NHS Foundation Trust
Funder Target Ovarian Cancer
Submission date
06/02/2017
Registration date
20/02/2017
Last edited
13/08/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

https://www.cancerresearchuk.org/about-cancer/find-a-clinical-trial/a-study-of-a-new-diet-for-women-with-a-blockage-in-the-bowel-edmond

Contact information

Ms Eleanor Smith
Public

Clinical Trials Office Room 07PGMO2
Department of Microbial & Cellular Sciences
Institute of Biosciences and Medicine
Leggett Building
Faculty of Health and Medical Sciences
Daphne Jackson Road
Guildford
GU2 7WG
United Kingdom

ORCiD logoORCID ID 0000-0002-9639-4862
Phone +44 1483 688547
Email eleanor.smith@surrey.ac.uk
Dr Agnieszka Michael
Scientific

Department of Clinical and Experimental Medicine
Leggett Building
University of Surrey
Guildford
GU2 7WG
United Kingdom

ORCiD logoORCID ID 0000-0002-7262-6227
Phone +44 (0)1483 688546
Email a.michael@surrey.ac.uk

Study information

Primary study designInterventional
Study designNon-randomised; Interventional; Design type: Treatment, Dietary
Secondary study designNon randomised study
Participant information sheet ISRCTN16862540_PIS_04Jan17_V2.pdf
Scientific titleEDMONd – A feasibility study of Elemental Diet as an alternative to parenteral nutrition for patients with inoperable Malignant bowel Obstruction
Study acronymEDMONd
Study objectivesThe aim of the study is to provide ‘proof of concept’ of Elemental Diet (ED) as an acceptable/useful feeding option for patients with inoperable bowel obstruction (IBO) and to examine the impact of ED on quality of life.
Ethics approval(s)South East Coast – Surrey Research Ethics Committee, 20/12/2016, ref: 16/LO/2079
Health condition(s) or problem(s) studiedSpecialty: Cancer, Primary sub-specialty: Gynaecological Cancers; UKCRC code/ Disease: Cancer/ Malignant neoplasms of female genital organs
InterventionAll participants receive the Elemental Diet (ED). The ED will be provided in the form of Elemental 028 Extra Liquid. Patients will be assessed by a clinician and specialist oncology dietician and given an individual plan of ED introduction. ED requires phased introduction to achieve tolerance of the course of 3-5 days, under the supervision of the study dietician. Following introduction of ED, patients will be discharged from the hospital (as per normal clinic practise) and followed up for 2 weeks. They will have a telephone follow up assessment once a week for two weeks. All other assessments will follow the standard of care. During the follow up assessment, patients will be assessed using the Memorial Symptom Assessment Scale and asked to complete a nutritional diary and Quality of Life questionnaires.
Intervention typeOther
Primary outcome measure(s)

1. Taste acceptability of ED is measured on 1-5 grading in nutritional diary once per week for two weeks
2. Incidence of vomiting is measured on MSAS scale at day 1 of ED induction, discharge and once per week for two weeks
3. Incidence of pain is measured on MSAS scale at day 1 of ED induction, discharge and once per week for two weeks

Key secondary outcome measure(s)

1. The number (proportion) of patient who can tolerate ED following presentation with IBO and can subsequently be treated with palliative chemotherapy is measured by reviewing hospital case notes at patient completion of study
2. The number of patients alive at the end of the study is measured by reviewing hospital case notes at patient completion of study
3. Health Related Quality of Life is measured on EORTC-QLQ-C30 at day 1 of ED induction, discharge and once per week for two weeks
4. Nutritional Intake is measured by the number of ED cartons taken in 24 hours
5. Incidence of vomiting is measured on MSAS scale at day 1 of ED induction, discharge and once per week for two weeks

Completion date31/12/2019

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration34
Key inclusion criteria1. Age 18 years and over
2. Confirmed inoperable bowel obstruction due to disseminated malignancy
3. Ability to tolerate 500 ml of liquid
4. Capacity to give informed consent
Key exclusion criteria1. Bowel obstruction that can be managed with surgical intervention
2. Complete bowel obstruction and inability to tolerate small amount of liquid
Date of first enrolment01/03/2017
Date of final enrolment28/02/2019

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centres

Royal Surrey County Hospital
Egerton Road
Guildford
GU2 7XX
United Kingdom
Royal Sussex County Hospital
Eastern Road
Brighton
BN2 5BE
United Kingdom
Guy’s Hospital
Great Maze Pond
London
SE1 9RT
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
IPD sharing planThe current data sharing plans for the current study are unknown and will be made available at a later date.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No
Participant information sheet version V2 04/01/2017 20/02/2017 No Yes
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Poster results results presented in poster at the European Society for Gynaecological Oncology in (ESGO) 14/12/2020 13/08/2021 No No

Additional files

ISRCTN16862540_PIS_04Jan17_V2.pdf
Uploaded 20/02/2017

Editorial Notes

13/08/2021: Internal review.
29/04/2021: The scientific contact's details have been updated.
28/04/2021: The following changes have been made:
1. Poster reference added.
2. The intention to publish date has been changed from 31/12/2019 to 28/10/2021.
3. A scientific contact has been added.
26/04/2021: The following changes have been made:
1. The NCT number has been added.
2. Publication reference added.
16/10/2017: Cancer Help UK lay summary link added to plain English summary field
15/09/2017: Internal review.
06/06/2017: Internal review.
27/02/2017: Verified study information with principal investigator.