Resistance Training and Post Workout Protein to Improve Body Composition During Neoadjuvant Chemotherapy for Breast Cancer (NeoChemoPRT)
NeoChemoPRT: A Randomized Study of Resistance Training and Post-Workout Protein to Improve Body Composition During Neoadjuvant Chemotherapy for Breast Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Clinical Trials Contact
- Phone Number: 412-330-6151
- Email: ctgov@ahn.org
Study Locations
-
-
Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15212
- Recruiting
- Allegheny General Hospital
-
Contact:
- Clinical Trials Contact
- Phone Number: 412-330-6151
- Email: clinicaltrials@ahn.org
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 20-89 years
- Women with a biopsy proven diagnosis of invasive carcinoma of the breast.
- Women must undergo neoadjuvant chemotherapy for breast cancer treatment prior to surgery
- Must be able to read and understand English and consent for themselves.
Exclusion Criteria:
- Inability to get up and down off the ground or squat body weight
- Inability to safely engage in group exercise sessions as deemed by study PI
- Severe arthritic, joint, cardiovascular, musculoskeletal, or any other condition deemed by PI to be unsafe to engage in resistance training
- Lactose intolerance
- Cow's milk or whey protein allergy
- Pregnant women
- Males
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: 20 grams of protein
Participants will be randomized (like flipping a coin) to a post-workout protein consisting of 20 grams of whey protein.
The protein will be 100% cold processed and micro-filtered, non-GMO grass-fed whey protein isolate, soy and gluten free, unflavored, and unsweetened.
This will include Irish Dairy, which is whey protein isolate and soy lecithin, and Raw GrassFed Whey, which is whey protein concentrate.
Participants will not know which amount of protein they receive.
|
20 grams of whey protein
|
|
Experimental: 60 grams of protein
Participants will be randomized (like flipping a coin) to a post-workout protein consisting of 60 grams of whey protein.
The protein will be 100% cold processed and micro-filtered, non-GMO grass-fed whey protein isolate, soy and gluten free, unflavored, and unsweetened.
This will include Irish Dairy, which is whey protein isolate and soy lecithin, and Raw GrassFed Whey, which is whey protein concentrate.
Participants will not know which amount of protein they receive.
|
60 grams of whey protein.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Changes in muscle mass and fat mass (pounds) at completion of chemotherapy
Time Frame: Baseline and at program completion (within 4 weeks of exercise completion).
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Baseline and at program completion (within 4 weeks of exercise completion).
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Response to Chemotherapy Assed Via the Guidelines or the Response evaluation criteria in solid tumors (RECIST)
Time Frame: Chemotherapy response assessment is at program completion (within 4 weeks of exercise completion)
|
Response to chemotherapy will be assessed via the guidelines or the Response evaluation criteria in solid tumors (RECIST) criteria version 1.1 before and after chemotherapy with radiographic interpretation on either MRI of the breast or, if unable to get an MRI, PET/CT scan.
|
Chemotherapy response assessment is at program completion (within 4 weeks of exercise completion)
|
|
Changes in EuroQol-5 Dimensions (EQ-5D) at completion of chemotherapy assessment
Time Frame: Baseline assessment (prior to program) and at exercise program completion (at 24 weeks).
|
EuroQol-5 Dimensions-5 Levels total score for the 5 questions ranges from 5 (no problems on any dimension) to 25 (extreme problems on all dimensions).
This is calculated by assigning scores of 1 (minimum), 2, 3, 4, and 5 (maximum), to the response categories of "no problems", "slight problems", "moderate problems", "severe problems", and "extreme problems"/"unable to", respectively.
Higher scores mean worse outcomes.
|
Baseline assessment (prior to program) and at exercise program completion (at 24 weeks).
|
|
Changes in Patient Health Questionnaire-9 (PHQ9) depression score at completion of chemotherapy assessment
Time Frame: Baseline assessment (prior to program) and at exercise program completion (at 24 weeks).
|
Patient Health Questionnaire-9 total score for the 9 questions ranges from 0 (no depression) to 27 (highest level of depression).
This is calculated by assigning scores of 0 (minimum), 1, 2, and 3 (maximum), to the response categories of "not at all", "several days", "more than half the days", and "nearly every day", respectively.
Higher scores mean a worse outcome.
|
Baseline assessment (prior to program) and at exercise program completion (at 24 weeks).
|
|
Changes in General Anxiety Disorder-7 (GAD7) anxiety score at completion of chemotherapy assessment
Time Frame: Baseline assessment (prior to program) and at exercise program completion (at 24 weeks).
|
General Anxiety Disorder-7 total score for the seven questions ranges from 0 (no anxiety) to 21 (highest level of anxiety).
This is calculated by assigning scores of 0 (minimum), 1, 2, and 3 (maximum), to the response categories of "not at all", "several days", "more than half the days", and "nearly every day", respectively.
Higher scores mean a worse outcome.
|
Baseline assessment (prior to program) and at exercise program completion (at 24 weeks).
|
|
Changes in activity levels via Godin Leisure-Time Exercise Questionnaire
Time Frame: Baseline assessment (prior to program) and at exercise program completion (at 24 weeks).
|
Godin Leisure-Time Exercise Questionnaire is used to measure a person's frequency and intensity of exercise during a typical week.
A Godin Scale Score of 24 units or more is interpreted as Active, 14 - 23 units is Moderately Active, and less than 14 units is Insufficiently Active/Sedentary.
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Baseline assessment (prior to program) and at exercise program completion (at 24 weeks).
|
|
Changes in resting metabolic rate at completion of chemotherapy
Time Frame: Baseline and at program completion (within 4 weeks of exercise completion).
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Baseline and at program completion (within 4 weeks of exercise completion).
|
|
|
Changes in body composition at completion of chemotherapy, including fat-free mass in pounds.
Time Frame: Baseline and at program completion (within 4 weeks of exercise completion).
|
Baseline and at program completion (within 4 weeks of exercise completion).
|
|
|
Changes in Y-Balance Test Scores at baseline and at completion of chemotherapy
Time Frame: Baseline and at program completion (within 4 weeks of exercise completion).
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Reach distances in three directions (anterior, posteromedial, and posterolateral) measured in centimeters.
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Baseline and at program completion (within 4 weeks of exercise completion).
|
|
Changes in Functional Mobility Score at baseline and at completion of chemotherapy
Time Frame: Baseline and at program completion (within 4 weeks of exercise completion).
|
During the test, 7 movement patterns are assessed and each one is rated between 0 and 3 by an examiner.
These movements include the deep squat, hurdle step, inline lunge, shoulder mobility test, active straight leg raise, trunk stability push up, and rotary stability test.
A score of zero is given if any pain is felt during the movement, 1 if the subject is unable to perform the movement, 2 if the subject performs the movement through compensatory movements, and 3 if the movement is performed correctly.
Each movement score is summed and a final score out of 21 is calculated.
A score below 14 is felt to identify individuals at risk of injury.
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Baseline and at program completion (within 4 weeks of exercise completion).
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|
Changes in phase angle at completion of chemotherapy
Time Frame: At program completion (at 24 weeks)
|
Phase angle is calculated via bioimpedance analysis and is measured in degrees.
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At program completion (at 24 weeks)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Colin Champ, MD, AHN Radiation Oncology
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Site
- Skin Diseases
- Breast Diseases
- Behavior
- Skin and Connective Tissue Diseases
- Neoplasms
- Breast Neoplasms
- Motor Activity
- Amino Acids, Peptides, and Proteins
- Proteins
- Food
- Diet, Food, and Nutrition
- Physiological Phenomena
- Food and Beverages
- Dairy Products
- Milk
- Dietary Proteins
- Milk Proteins
- Animal Proteins, Dietary
- Whey
- Whey Proteins
Other Study ID Numbers
Other Study ID Numbers
- 2024-149-SG
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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