Ask to take part

Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Mrs Laura Ocansey
+44 121 415 9115
l.ocansey@bham.ac.uk


Mr Babu Naidu
+44 121 3713228
b.naidu@bham.ac.uk


More information about this study, what is involved and how to take part can be found on the study website.

Study Location:

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Be Part of Research - Trial Details - Fit 4 Surgery 2: Using an app to get fit for lung cancer surgery

Fit 4 Surgery 2: Using an app to get fit for lung cancer surgery

Medical Conditions

Recovery from lung cancer surgery


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Surgery remains the best option for the cure of patients with lung cancer. Around 7000 people in the UK undergo lung surgery each year, but up to 45% of patients developed post-operative complications leading to readmission to hospital and potentially poorer quality of life. National and international cancer, surgery and nutrition guidelines recommend a combination of exercise and nutritional support before and after surgery to help reduce post-operative complications. However it is not clear what is the best way to deliver this. Personalised exercise, nutrition and health information programmes delivered via an App may be a way to provide the right advice and support at the right time for each individual patient.

The F4S-2 trial aims to find out if providing an App that delivers personalised exercise, nutrition and health information, in addition to any support that lung surgery patients would normally receive, improves physical recovery, reduce the chances of developing complications or the impact of them on quality of life, and save cost in the NHS.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

12 Oct 2023 31 Dec 2026

We will invite 902 patients from 20 NHS Trusts into the trial. All participants will receive usual care, but half of the group (allocated randomly) will also use the App. We will follow the progress of all participants for 6 months.

The trial has an embedded ‘Study Within A Trial’ that aims to find out reasons behind patients declining to join the trial and provide valuable information for the design of future exercise and nutrition clinical trials.


To be eligible for the trial, patients must be: aged 18 or over; with a suspected clinical or pathological diagnosis of primary lung cancer; undergoing elective curative lung resection; able to undergo F4S-2 intervention for minimum 2 weeks prior to surgery; able to complete F4S-2 questionnaires and provide informed consent.

You can take part if:



You may not be able to take part if:


1. Emergency surgery2. Patients requiring parenteral nutrition


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Oxford University Hospitals NHS Foundation Trust
    John Radcliffe Hospital Headley Way Headington
    Oxford
    OX3 9DU
  • South Tees Hospitals NHS Foundation Trust
    James Cook University Hospital Marton Road
    Middlesbrough
    TS4 3BW
  • Sheffield Teaching Hospitals NHS Foundation Trust
    Northern General Hospital Herries Road
    Sheffield
    S5 7AU
  • University Hospitals Coventry and Warwickshire NHS Trust
    Walsgrave General Hospital Clifford Bridge Road
    Coventry
    CV2 2DX
  • Leeds Teaching Hospitals NHS Trust
    St. James's University Hospital Beckett Street
    Leeds
    LS9 7TF
  • Royal Brompton & Harefield NHS Foundation Trust
    Royal Brompton Hospital Sydney Street
    London
    SW3 6NP
  • Manchester University NHS Foundation Trust
    Cobbett House Oxford Road
    Manchester
    M13 9WL
  • University Hospitals of Leicester NHS Trust
    Leicester Royal Infirmary Infirmary Square
    Leicester
    LE1 5WW
  • Golden Jubilee National Hospital
    Agamemnon Street
    Clydebank
    G81 4DY
  • The Royal Wolverhampton NHS Trust
    New Cross Hospital Wolverhampton Road Heath Town
    Wolverhampton
    WV10 0QP
  • University Hospitals Plymouth NHS Trust
    Derriford Hospital Derriford Road Derriford
    Plymouth
    PL6 8DH
  • Royal Infirmary of Edinburgh at Little France
    51 Little France Crescent Old Dalkeith Road Edinburgh
    Lothian
    EH16 4SA
  • Hull University Teaching Hospitals NHS Trust
    Hull Royal Infirmary Anlaby Road
    Hull
    HU3 2JZ
  • University Hospitals Birmingham NHS Foundation Trust
    Mindelsohn Way Edgbaston
    Birmingham
    B15 2GW
  • Imperial College Healthcare NHS Trust
    Hammersmith Hospital Du Cane Road
    London
    W12 0HS
  • Mid and South Essex NHS Foundation Trust
    Prittlewell Chase
    Westcliff-on-sea
    SS0 0RY
  • Blackpool Teaching Hospitals NHS Foundation Trust
    Victoria Hospital Whinney Heys Road
    Blackpool
    FY3 8NR
  • University Hospitals Bristol and Weston NHS Foundation Trust
    Bristol Royal Infirmary Marlborough Street
    Bristol
    BS2 8HW
  • Royal Papworth Hospital NHS Foundation Trust
    Papworth Road Cambridge Biomedical Campus
    Cambridge
    CB2 0AY
  • Guy’s and St Thomas NHS Foundation Trust
    Guy’s Hospital Great Maze Pond
    London
    SE1 9RT

Training/rehabilitation programmes delivered via the App may reduce the risk of complications occurring after surgery. Whilst there is no direct benefit to participants in the usual care group, the information gained from this study will help us determine whether the App is any better than what we already provide i.e. usual care.

Mrs Laura Ocansey
+44 121 415 9115
l.ocansey@bham.ac.uk


Mr Babu Naidu
+44 121 3713228
b.naidu@bham.ac.uk



More information about this study, what is involved and how to take part can be found on the study website.


The study is sponsored by University of Birmingham and funded by NIHR Evaluation, Trials and Studies Co-ordinating Centre (NETSCC).




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Read full details for Trial ID: ISRCTN40412033

Or CPMS 55877

Last updated 01 April 2025

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