Objective
Older adults carry the greatest cancer burden in Europe, accounting for nearly two-thirds of new diagnoses and three-quarters of cancer deaths. Yet the majority do not receive systematic nutritional or exercise support, despite clear evidence that malnutrition and frailty worsen survival, treatment tolerance and quality of life. This represents one of the most urgent and neglected gaps in oncology care.
ENACT-65 will be the first large-scale, pragmatic multicentre randomised trial to close this gap. Conducted across five European countries, it will recruit 394 patients aged 65+ with metastatic lung or colorectal cancer receiving systemic therapy. The intervention integrates two proven approaches: a digitally supported Nutritional Care Pathway (MyPath) and a six-month, live-remote supervised exercise programme. Together, these deliver systematic screening, AI-assisted personalised meal planning reviewed by dietitians, weekly monitoring and escalation of care, alongside structured resistance and aerobic training tailored to older adults.
With co-primary endpoints of overall survival and quality of life (EORTC QLQ-C30), ENACT-65 will also evaluate nutritional status, treatment tolerance, health economics and patient and caregiver experiences. By embedding supportive care directly into oncology workflows, the project will provide actionable clinical and policy evidence, scalable digital tools and training resources for adoption across Europe.
ENACT-65 will set a new benchmark for age-inclusive, person-centred cancer care, delivering on the EU Cancer Mission and Europe’s Beating Cancer Plan by measurably improving survival and quality of life for the patients who need it most.
This action is part of the Cancer Mission cluster of projects on “Quality of life – Nutrition for older cancer patients.
Fields of science (EuroSciVoc)
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: The European Science Vocabulary.
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: The European Science Vocabulary.
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Keywords
Project’s keywords as indicated by the project coordinator. Not to be confused with the EuroSciVoc taxonomy (Fields of science)
Project’s keywords as indicated by the project coordinator. Not to be confused with the EuroSciVoc taxonomy (Fields of science)
Programme(s)
Multi-annual funding programmes that define the EU’s priorities for research and innovation.
Multi-annual funding programmes that define the EU’s priorities for research and innovation.
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HORIZON.2.1 - Health
MAIN PROGRAMME
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HORIZON.2.6.5 - Food Systems
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HORIZON.2.1.3 - Non-Communicable and Rare Diseases
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Topic(s)
Calls for proposals are divided into topics. A topic defines a specific subject or area for which applicants can submit proposals. The description of a topic comprises its specific scope and the expected impact of the funded project.
Calls for proposals are divided into topics. A topic defines a specific subject or area for which applicants can submit proposals. The description of a topic comprises its specific scope and the expected impact of the funded project.
Funding Scheme
Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.
Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.
HORIZON-RIA - HORIZON Research and Innovation Actions
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Call for proposal
Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.
Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.
(opens in new window) HORIZON-MISS-2025-02
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Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.
0450 OSLO
Norway
The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.