ClinicalTrials.gg
RecruitingNCT06802991Updated Oct 21, 2026

Optimised Post-discharge Care in Older Patients After Surgery for Colon Cancer (ERAS 3.0)

An interventional study of ERAS 3.0 (Enhanced Recovery After Surgery) in Colon Cancer and Frailty, sponsored by Copenhagen University Hospital at Herlev. Recruiting at 2 sites in Denmark. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Copenhagen University Hospital at Herlev · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 7 months later.
Updated Oct 21, 2026Primary completion movedEligibility revisedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Sex
All
01

Study summary

The purpose of the study is to investigate whether an extended program (ERAS 3.0) initiated hospital discharge, can improve recovery in elderly, frail patients who have undergone surgery for colon cancer.

The study is a randomised controlled trial with two groups: an intervention group receiving the ERAS 3.0 program and a control group recieving standard care. The ERAS 3.0 program includes a comprehensive geriatric health assessment, dietary counseling from a dietitian, and instructions on training and physical activity. These activities will take place in the participant's homes after hospital discharge. Data will be collected at multiple time points: at the hospital, 12 days post-discharge (at the outpatient clinic), and at 1 and 3 months post discharge in the participants' homes.

02

Conditions studied

  • Colon Cancer
  • Frailty

Keywords

  • ERAS 3.0
  • colon cancer surgery
  • comprehensive geriatric assessment
03

In context

Colonic Neoplasms

2,457 studies on the registry are indexed under Colonic Neoplasms; 458 are open to participants now.

This study's planned enrollment of 60 is below the median of 75 across 1,711 interventional studies indexed under Colonic Neoplasms.

Browse Colonic Neoplasms studies →

Lead sponsor

Copenhagen University Hospital at Herlev is the lead sponsor of 77 studies on the registry; 9 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Oct 21, 2026. See what changed

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Clinical Frailty Scale preoperative score 4-7 or G8 score ≤ 14
  • Nutritional Risk Screening tool (NRS 2002) > 3
  • Elective colonic or rectal resection
  • Minimally invasive surgical approach (laparoscopic or robotic)
  • Patients discharged to own home
  • to participate

Exclusion criteria

Exclusion Criteria:

  • Conversion to laparotomy
  • Major complications following surgery (Clavien-Dindo >3a)
  • Participation in other randomised trials in conflict with the protocol and end- points of the ERAS 3.0 project
  • Discharged with tube feeding and parenteral nutrition (partially or completely)
  • Known food allergies to dairy or any other ingredient contained in the nutrition package
  • Incapable of providing
  • Discharge to 24-hour municipal rehabilitation facility
  • All conditions including psychological, geographical, and social factors that could hinder adherence to the trial protocol
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    ERAS 3.0 group

    Post-surgery support at discharge and at home

    Other: ERAS 3.0 (Enhanced Recovery After Surgery)

  • No intervention
    Standard care group

    Standard care, which is no support after discharge

Interventions

  • OtherERAS 3.0 (Enhanced Recovery After Surgery)

    Nutritional support at discharge and home visits which include comprehensive geriatric assessment, nutritional guidance by dietitian, and instructions on exercise and physical activity.

06

What researchers measure

Primary outcomes

  1. Postoperative recovery

    Postoperative recovery is measured as a change in the Quality of Recovery-15 questionnaire. Through 15 questions, the time spent in common postoperative conditions during the last 24 hours is estimated. Each question has a scale from 0 to 10, resulting in a maximum total score of 150.

    Time frame: 10-14 days after surgery

Secondary outcomes

  1. Health realted Quality of Life (HrQoL)

    HrQoL will be measured using the EQ-5D-5L questionnaire. The EQ-5D-5L questionnaire comprises five domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each domain has five response categories, ranging from having no problems to being unable to perform the activity. The responses are converted into a utility index value, reflecting health status compared to the reference of the general population (norm data). A visual analogue scale (VAS) is also included, where health is rated on a scale from 0 (worst health you can imagine) to 100 (best health you can imagine). Permission will be sought to use the tool.

    Time frame: 12, 30 and 90 days after surgery

  2. Postoperative recovery

    Postoperative recovery is measured as a change in the Quality of Recovery-15 questionnaire. Through 15 questions, the time spent in common postoperative conditions during the last 24 hours is estimated. Each question has a scale from 0 to 10, resulting in a maximum total score of 150.

    Time frame: 30 and 90 days after surgery

  3. Activities of daily living

    Activities in daily living are assessed using the Functional Recovery Score (FRS) to evaluate functional recovery after surgery. The eleven-item questionnaire comprises three main components: basic activities of daily living (BADL), assessed by four items; instrumental activities of daily living (IADL), assessed by six items; and mobility, assessed by one item. BADL accounts for 44 percent of the score, IADL for 23 percent, and mobility for 33 percent. Complete independence results in a score of 100 percent.

    Time frame: 12, 30 and 90 days after surgery

  4. Energy- and protein intake

    Energy and protein intake will be estimated using the 24-hour dietary recall interview method. The interviews will be conducted by the investigator working on the study. The foods and drinks will be entered into the software program Vitakost to calculate the intake of protein (g) and energy (kJ) and liquid (mL). The participant's body weight will be used to calculate the intake per kilogram of body weight. The cut-off for suspecting underreporting will be evaluated retrospectively on an individual basis, taking into account any illness, readmissions, loss of body weight, activity level etc.

    Time frame: 12, 30 and 90 days after surgery

  5. Appetite

    Appetite will be assessed using the Simplified Nutritional Appetite Questionnaire (SNAQ), which consists of four questions adressing appetite, taste, satiety, and meal frequency. Each question offers five possible answers, and participants select the category that best reflects their current situation. The total score ranges from 5 to 20.

    Time frame: 12, 30 and 90 days after surgery

  6. Weight

    Time frame: 12, 30 and 90 days after surgery

  7. Physical function and muscle strenght

    Physical function and muscle strength will be assessed using the 30-second chair stand test (30s CST), which measures the number of times an individual can rise from and sit down in a standardized chair within 30 seconds. To accommodate participants' abilities, the chair stand test will be modified according to three versions as needed.

    Time frame: 12, 30 and 90 days after surgery

  8. Muscle mass by BIA

    Total and appendicular muscle mass (kg and percent) will be measured by bioelectrical impedance analysis (BIA). This method involves passing a low-level electrical current through the body to measure electrical impedance, or resistance, encountered by the current as it flows through different tissues. Tissues rich in electrolyte-containing water, such as skeletal muscle, have lower resistance and thus higher conductivity. Conductivity is directly proportional to total body water. Lean muscle mass is derived from the conductivity measurement, and fat mass (in kilograms and percentage) is subsequently calculated by subtracting lean muscle mass from total body weight. Body weight and height are entered manually to aid in calculations.

    Time frame: 12, 30 and 90 days after surgery as well as 1 (CT) and 3 (CT) years after surgery

  9. Rate of readmission

    Readmission rate is defined as any unplanned hospitalisation within 30 days after discharge from hospital.

    Time frame: within 30 days after discharge

  10. Postoperative complications

    The occurrence of post-operative complications, including infections requiring treatment within 30 and 90 days will be registered numerically.

    Time frame: within 30 and 90 days after discharge

  11. Number of reoperations

    The occurence of reoperations will be registered

    Time frame: within 1 and 6 months after discharge

  12. Total length of hospital stay

    Time frame: within 6 months after discharge

  13. Days alive and out of the hospital

    Time frame: within 30 and 90 days after discharge

  14. Mortality

    Time frame: Within 1, 3, 6, and 12 months after primary surgery

  15. Muscle mass by CT

    Muscle mass by will be measured by computed tomography (CT) scan. All CT scans are part of routine care concerning the cancer disease and are therefore not research-related add-ons to routine care.

    Time frame: at baseline, after one and three years

07

Study locations

1 of 2 sites recruiting
08

References and documents

Publications

  • Munk T, Svendsen JA, Knudsen AW, Ostergaard TB, Thomsen T, Olesen SS, Rasmussen HH, Beck AM. A multimodal nutritional intervention after discharge improves quality of life and physical function in older patients - a randomized controlled trial. Clin Nutr. 2021 Nov;40(11):5500-5510. doi: 10.1016/j.clnu.2021.09.029. Epub 2021 Sep 24. PubMed 34656032 ↗
  • Dolin TG, Mikkelsen M, Jakobsen HL, Nordentoft T, Pedersen TS, Vinther A, Zerahn B, Vistisen KK, Suetta C, Nielsen D, Johansen JS, Lund CM. Geriatric assessment and intervention in older vulnerable patients undergoing surgery for colorectal cancer: a protocol for a randomised controlled trial (GEPOC trial). BMC Geriatr. 2021 Jan 30;21(1):88. doi: 10.1186/s12877-021-02045-9. PubMed 33516195 ↗

Individual participant data

Plan to share: No

09

Updates

1 registry update since Sep 25, 2026
Primary completion
Nov 30, 2026→Apr 30, 2027
Oct 21, 2026
Eligibility
Minimum age 65 Years→none; 2 inclusion criteria edited, 2 removed; 2 exclusion criteria removed
What changed in the criteria
Inclusion criteria
  • RemovedAge 65+
  • EditedClinical Frailty Scale preoperative score 4-7 or G8 score ≤ 14
  • EditedElective colonic or rectal resection
  • RemovedNo stoma planned
Exclusion criteria
  • RemovedStoma creation during index surgery
  • RemovedNeoadjuvant radio- or chemotherapy
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    Primary completion Nov 30, 2026→Apr 30, 2027
    Eligibility Minimum age 65 Years→none; 2 inclusion criteria edited, 2 removed; 2 exclusion criteria removed
    What changed in the criteria
    Inclusion criteria
    • RemovedAge 65+
    • EditedClinical Frailty Scale preoperative score 4-7 or G8 score ≤ 14
    • EditedElective colonic or rectal resection
    • RemovedNo stoma planned
    Exclusion criteria
    • RemovedStoma creation during index surgery
    • RemovedNeoadjuvant radio- or chemotherapy
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06802991
Lead sponsor
Copenhagen University Hospital at Herlev
Collaborators
Danish Cancer Society
Responsible party
Elna A. Dalsgaard (MSc, ph.d. student, Copenhagen University Hospital at Herlev) — Principal investigator
First posted
Jan 31, 2025
Start date
Apr 1, 2025
Primary completion
Apr 30, 2027 (estimated)
Completion
Dec 20, 2029 (estimated)
Last update
Oct 21, 2026

Study contacts

Elna A. Dalsgaard, ph.d. student
Contact
elna.adalsteinsdottir.dalsgaard@regionh.dk
+45 42402296
Jacob Rosenberg, Professor, dr.med.
Contact
jacob.rosenberg@regionh.dk
Jacob Rosenberg, Professor, dr. med.
study director · Center of Perioperative Optimisation, Copenhagen University Hospital at Herlev

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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