Rectal CancerNCT01216189
Sexual Function and Wellbeing in Females With Rectal Cancer
An observational study of Rectal Cancer, run by Karolinska Institutet at 5 sites in Sweden.
Trial summary
Preoperative radiotherapy (RT) and pelvic surgery is recommended to many patients with rectal cancer. For women there are theoretical reasons to believe that the treatment may affect hormone levels, sexual function and wellbeing. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Rectal Cancer
- What is being tested?
- Preoperative radiotherapy
- Type of treatment
- Surgery or procedure
- How many people
- 142 participants
- Where
- 5 sitesSweden
- Study dates
- Jun 2008to Dec 2015
- Phase
- Observational
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Study population: Females with rectal cancer stadium I-III, planned for abdominal surgery, with or without preoperative radiotherapy.
Who may be able to join
- Females diagnosed with rectal cancer stadium I-III, planned surgery with or without preoperative radiotherapy.
Who cannot join
- Rectal cancer stadium IV
- Previous radiotherapy to the pelvic region
- Inability to provide informed consent.
- Life expectancy less than 2 years.
Trial locations and contacts
5 sites in 1 country.
5 sites in 1 country
Sweden5 sites
Linköping University Hospital
Linköping
Norrköping Hospital
Norrköping
Örebro University Hospital
Örebro
Ersta Hospital
Stockholm
Karolinska University Hospital
Stockholm
About this study
Official title: Sexual Function and Wellbeing in Females Diagnosed With Rectal Cancer
Preoperative radiotherapy (RT) and pelvic surgery is recommended to many patients with rectal cancer. For women there are theoretical reasons to believe that the treatment may affect hormone levels, sexual function and wellbeing. To address these questions a longitudinal observational study was initiated where androgen levels and sexual function were assessed before treatment (baseline) and during a follow-up period of two years.
Read the detailed description
Women with rectal cancer stage I to III planned for abdominal surgery was included in the study. Women treated with preoperative RT were assigned to the exposed group and women treated with surgery alone were assigned to the unexposed group.
142 participants were enrolled at five outpatient rectal cancer centres in Sweden between 2008 and 2013. Patient data, fasting venous blood samples and questionnaires regarding sexual function and well-being were collected at a baseline visit before start of oncologic treatment, 1 year after surgery and 2 years after surgery (only questionnaires). Women treated with preoperative RT for rectal cancer had an additional venous blood sample taken the day before surgery.
Changes in serum levels of testosterone and sexual function during follow-up was assessed and compared between exposed and unexposed participants.
- Conditions
- Rectal Cancer
- Being tested
- Preoperative radiotherapy
- Keywords
- Rectal cancer, Preoperative radiotherapy, Pelvic surgery, Sexual function, Wellbeing, Hormone levels
- Medical subject headings
- Rectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Preoperative radiotherapyRadiation
Preoperative radiotherapy (RT) was administered as either short course (5Gy x5) or long-course (2Gy x25 or 1.8 Gy x25 with or without 3 fractions of boost to the primary tumor and radiologically malignant lymph nodes) treatment with or without concomitant or sequential chemotherapy. Oncological treatment was decided at a multidisciplinary team conference.
| Study group | Role | What they receive |
|---|---|---|
| Preoperative radiotherapy | Women with rectal cancer treated with preoperative radiotherapy (RT) and surgery. Receives: Radiation: Preoperative radiotherapy | |
| No preoperative radiotherapy | Women with rectal cancer treated with surgery alone (no RT). |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Serum Testosterone Levels Between Baseline and 1 Year After Surgery.
Fasting venous blood samples were collected at baseline visit (prior to oncological treatment) and 1 year follow-up. Participants treated with preoperative radiotherapy (RT) had an additional blood sample taken the day before surgery. Serum testosterone levels (T) were measured with liquid chromatography-mass spectrometry using the LC-MS/MS Quattro Premier Xevo TQ MS (Waters Corporation, Milford, MA, USA). The total coefficients of variation (CVtot) were 7% at 2.8 nmol/L and 6% at 15 nmol/L.
Measured: Baseline, the week before surgery and 1 year after surgery.
Change in Sexual Function (Total FSFI Scores) Between Baseline and 2 Years Follow-up.
Sexual function was assessed using the Female Sexual Function Index (FSFI). The FSFI questionnaire is a 19-item multiple-choice, self-assessment tool validated for use in the general population as well as for patients with cancer. It covers six domains of sexual function in women; desire (2 items), arousal (4 items), lubrication (4 items), orgasm (3 items), satisfaction (3 items) and pain (3 items). Items scores between 0 or 1 to 5, with lower scores indicating worse function. A total FSFI score can be calculated when all items are completed. Minimal total score is 4 points and maximal score is 95 points, with lower scores indicating worse function. A total FSFI score of less than 26.55 points was used to define overall sexual dysfunction.
Measured: Baseline, 1 year after surgery and 2 years after surgery.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Oct 2010 (estimated)
- Study startJun 2008
- Primary completionDec 2013
- Study completionDec 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Rectal CancerStudies of the same condition, open and under way.
- More trials run by Karolinska InstitutetThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 142 participants (actual)
Sponsor and investigators
- Lead sponsor
- Karolinska Institutet
- Sponsor type
- University, hospital or other
- Collaborators
- Swedish Cancer Society
- Responsible party
- Principal investigator, Anna Martling, Karolinska Institutet
- Investigators
- Anna Martling, Principal investigator, Karolinska Institutet
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01216189
- Sponsor's protocol ID
- 2008/247-31/3
- Status last verified
- Apr 2021
- First submitted
- 4 Oct 2010
- Last updated
- 9 Apr 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- No
Publications
Segelman J, Martling A, Machado M, Holm T, Bergmark K, Floter Radestad A. Preoperative sexual function in women with rectal cancer. Eur J Surg Oncol. 2013 Oct;39(10):1079-86. doi: 10.1016/j.ejso.2013.07.091. Epub 2013 Aug 15.
PubMed 23953232Segelman J, Buchli C, Svanstrom Rojvall A, Matthiessen P, Arver S, Bottai M, Ahlberg M, Jasuja R, Floter-Radestad A, Martling A. Effect of radiotherapy for rectal cancer on ovarian androgen production. Br J Surg. 2019 Feb;106(3):267-275. doi: 10.1002/bjs.10980. Epub 2018 Sep 12.
PubMed 30277569Svanstrom Rojvall A, Buchli C, Bottai M, Ahlberg M, Floter-Radestad A, Martling A, Segelman J. Effect of radiotherapy for rectal cancer on female sexual function: a prospective cohort study. Br J Surg. 2020 Apr;107(5):525-536. doi: 10.1002/bjs.11373. Epub 2019 Dec 3.
PubMed 31792944