Colorectal Neoplasms Malignant Clinical Trial
Official title:
The COLON Study: Colorectal Cancer: Longitudinal, Observational Study on Nutritional and Lifestyle Factors That May Influence Colorectal Tumour Recurrence, Survival and Quality of Life
The main aim of this observational, prospective cohort study is to assess associations of diet and other lifestyle factors with colorectal cancer recurrence, survival and quality of life.
The COLON study is a multi-centre prospective cohort study among incident colorectal cancer
patients recruited from 12 hospitals in the Netherlands. Patients with colorectal cancer are
invited upon diagnosis. Upon recruitment, after 6 months, 2 years and 5 years, patients fill
out food-frequency questionnaires; questionnaires about dietary supplement use, physical
activity, weight, height, and quality of life; and donate blood samples. Diagnostic CT-scans
are collected to assess cross-sectional areas of skeletal muscle, subcutaneous fat, visceral
fat and intermuscular fat, and to assess muscle attenuation. Blood samples are biobanked to
facilitate future analyse of biomarkers, nutrients, DNA etc. Analysis of serum 25-hydroxy
vitamin D levels, B-vitamins and metabolomic profiles are scheduled. A subgroup of patients
with colon cancer is asked to provide faecal samples before and at several time points after
colon resection to study changes in gut microbiota during treatment. For all patients,
information on vital status is retrieved by linkage with national registries. Information on
clinical characteristics, including treatment-related toxicity and co-morbidity data, is
gathered from linkage with the Netherlands Cancer Registry and with hospital databases or
medical records. Hazard ratios will be calculated for dietary and lifestyle factors at
diagnosis in relation to recurrence and survival. Repeated measures analyses will be
performed to assess changes over time in dietary and other factors in relation to recurrence
and survival.
The aim is to recruit at least 2000 patients with available data and blood samples.
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