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Trial registered on ANZCTR
Registration number
ACTRN12609000545268
Ethics application status
Approved
Date submitted
16/04/2009
Date registered
7/07/2009
Date last updated
25/09/2024
Date data sharing statement initially provided
25/09/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
An observation study to measure cognitive function in patients with testicular cancer who go on to have chemotherapy after surgery compared to those who don not have chemotherapy.
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Scientific title
An observation study to measure cognitive function in patients with testicular cancer who go on to have chemotherapy after surgery compared to those who don not have chemotherapy.
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Secondary ID [1]
281219
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ANZUP Clinical Trials Group (Lead collaborative group)
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Universal Trial Number (UTN)
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Trial acronym
Chemo and Cognition
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cognitive function
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Testicular Cancer
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Condition category
Condition code
Cancer
4903
4903
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0
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Testicular
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Mental Health
237213
237213
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is a national, multi-centre, observational study. The aim is to prospectively and longitudinally measure cognitive function in patients being treated and followed for testicular cancer to determine whether there is an association between changes in cognitive function and chemotherapy as compared to patients with the same cancer who do not receive chemotherapy.
Patients will complete a computerized assessment of cognitive function (CogHealth), the Cognitive Failures Questionnaire (CFQ), the Hospital Anxiety and Depression Scale (HADS) and the Functional Assessment of Chronic Illness Therapy – Fatigue questionnaire (FACIT-F) on seven occasions. Patients will be assessed before surgery and at the following intervals after surgery: 1 week, 1, 3, 6, 12 and 18 months post surgery. Patients who receive chemotherapy will be assessed before the start of treatment, 1 month post chemotherapy and 12 months post chemotherapy.
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Intervention code [1]
236644
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Not applicable
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Comparator / control treatment
The aim is to prospectively and longitudinally measure cognitive function in patients being treated and followed for testicular cancer to determine whether there is an association between changes in cognitive function and chemotherapy as compared to patients with the same cancer who do not receive chemotherapy.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in patient cognition from baseline assessments over the period of treatment and follow-up as assessed by the standardised, computerised measure CogHealth.This change in cognitive ability will be assessed after controlling for disease and treatment-related specifics, self-perceived cognitive impairment, depression, anxiety, and fatigue.
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Assessment method [1]
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Timepoint [1]
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Patients will be assessed before surgery and at the following intervals after surgery: 1 week, 1, 3, 6, 12 and 18 months post surgery.
For patient who will receive chemotherapy will be assessed 0-30 days before starting chemotherapy, 1 month post chemotherapy (21-60 days) and 12 months (10-14 months) post chemotherapy.
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Secondary outcome [1]
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Secondary outcome measures for this study include the assessment of patient symptoms over time.
Assessments will include the following: cognitive function, self-perceived cognitive function, psychological factors, aspects of treatment over the last month and physiological factors.
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Assessment method [1]
241702
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Timepoint [1]
241702
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Patients will be assessed before surgery and at the following intervals after surgery: 1 week, 1, 3, 6, 12 and 18 months post surgery.
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Eligibility
Key inclusion criteria
1. Men with known or suspected testicular cancer
2. Surgery planned, or done within last two months; or surgery done more than 2 months ago and chemotherapy planned
3. Age 18 years or over
4. Patients must be fluent in English
5. Patients must give written informed consent to the study which will involve serial testing
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patients who have had prior chemotherapy will be excluded from the study
2. Patients who are cognitively impaired at baseline due to psychiatric or neurological illness, dementia, head injury, substance abuse, medical illnesses or are on medication likely to cause cognitive impairment
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Study design
Purpose
Psychosocial
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
14/11/2006
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Actual
14/11/2006
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Date of last participant enrolment
Anticipated
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Actual
1/07/2012
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Date of last data collection
Anticipated
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Actual
27/10/2013
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Sample size
Target
154
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Accrual to date
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Final
145
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
4788
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Other Collaborative groups
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Name [1]
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Australian and New Zealand Urogenital and Prostate (ANZUP) Cancer Trials Group
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Address [1]
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Australian and New Zealand Urogenital and Prostate (ANZUP) Cancer Trials Group and National Health and Medical Reseach Council (NHMRC) Clinical Trials Centre NHMRC Clinical Trials Centre Locked Bag 77 Camperdown NSW 1450
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Country [1]
4788
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Australia
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Funding source category [2]
4789
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Charities/Societies/Foundations
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Name [2]
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Cancer Council (NSW, VIC, TAS, SA)
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Address [2]
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Cancer Council Australia NationalOffice
Level 1, 120 Chalmers St
Surry Hills NSW 2010
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Country [2]
4789
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Australia
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Primary sponsor type
University
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Name
The University of Sydney
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Address
The University of Sydney
NSW 2006
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
4323
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Country [1]
4323
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
6836
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Cancer Institute NSW Clinical Research Ethics Committee
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Ethics committee address [1]
6836
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Australian Technology Park Biomedical Building Suite 101 1 Central Avenue (off Garden Road) EVELEIGH NSW 2015
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Ethics committee country [1]
6836
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Australia
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Date submitted for ethics approval [1]
6836
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Approval date [1]
6836
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30/10/2007
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Ethics approval number [1]
6836
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AU RED REF 07/CIC/11
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Ethics committee name [2]
6837
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University of Sydney Human Research Ethics Committee
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Ethics committee address [2]
6837
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Level 6, Jane Foss Russell Building - G02 The University of Sydney NSW 2006
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Ethics committee country [2]
6837
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Australia
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Date submitted for ethics approval [2]
6837
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Approval date [2]
6837
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14/09/2006
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Ethics approval number [2]
6837
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09-2006/9428
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Summary
Brief summary
The purpose of this study is to implement a national longitudinal study of cognitive impairment in men diagnosed with testicular cancer. Those who go on to have chemotherapy after surgery will be compared to those who do not have chemotherapy. Mounting evidence suggests that chemotherapy may lead to cognitive impairment in patients with cancer, such as learning, memory, and attention deficits. However, methodological limitations of previously published research raise questions about the accuracy and validity of results. The current study has been designed to minimise these methodological problems and therefore provide a more conclusive outcome regarding the effect chemotherapy has on cognitive function (a) over time, (b) with a group of patients other than breast cancer patients, (c) using an appropriate control group, (d) after controlling for known confounding factors, and (e) using an appropriate measure of cognitive function that allows easy, serial assessment. If cognitive impairment is observed in the chemotherapy group over time, as compared to the group of patients not undergoing chemotherapy, outcomes will be more conclusive, and acute versus cumulative effects can be theorised. This research on the extent of cognitive impairment post-chemotherapy has implications for informed consent and the way future clinical trials are investigated, and is especially important given that cancer survivors are living longer due to advances in medical care and may suffer long-term effects of treatment.
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Trial website
http://www.ctc.usyd.edu.au/our-research/clinical-trials/oncology/urogenital-and-prostate-cancer/active-trials.aspx#2
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Trial related presentations / publications
Nil.
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Public notes
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Contacts
Principal investigator
Name
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Prof Ian Olver
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Address
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The University of Adelaide
Adelaide, South Australia
5005 Australia
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Country
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Australia
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Phone
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+61 08 8313 5208
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Chemo & Cognition Trial Coordinator
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Address
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NHMRC Clinical Trials Centre
Locked Bag 77
Camperdown NSW 1450
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Country
12741
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Australia
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Phone
12741
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+61 2 9562 5000
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Fax
12741
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+61 2 9562 5094
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Email
12741
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[email protected]
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Contact person for scientific queries
Name
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Chemo & Cognition Trial Coordinator
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Address
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NHMRC Clinical Trials Centre
Locked Bag 77
Camperdown NSW 1450
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Country
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Australia
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Phone
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+61 2 9562 5000
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Fax
3669
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+61 2 9562 5094
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Email
3669
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The impact of chemotherapy on cognitive function: a multicentre prospective cohort study in testicular cancer.
2020
https://dx.doi.org/10.1007/s00520-019-05095-3
N.B. These documents automatically identified may not have been verified by the study sponsor.
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