- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03679559
Exercise in Improving Health and Quality of Life in Breast Cancer Survivors
Exercise to Improve Health and Quality-of-Life in Breast Cancer Survivors: A Feasibility Pilot Trial
Study Overview
Status
Conditions
Intervention / Treatment
- Other: Laboratory Biomarker Analysis
- Other: Quality-of-Life Assessment
- Other: Questionnaire Administration
- Device: Monitoring Device
- Behavioral: Exercise Intervention (home walking program and resistance training)
- Behavioral: Exercise Intervention (HIIT program and resistance training)
- Other: Informational Intervention
- Behavioral: Exercise Intervention (home-based Zumba program and resistance training)
- Other: Best Practice
Detailed Description
PRIMARY OBJECTIVE:
I. To assess the feasibility of conducting a 12-week preference option randomized exercise intervention program in breast cancer survivors.
SECONDARY OBJECTIVE:
I. To assess the adherence rate of each of the four 12-week intervention programs by breast cancer survivors in a randomized treatment arm and a patient preference arm.
OUTLINE: Participants are randomized into 1 of 5 arms.
ARM I: Participants wear Fitbit, receive home-based DVD containing instructions to warm-up and cool-down, and walk 10000 steps per day over 12 weeks in order to achieve the 150 minutes per week of moderate intensity exercise. Participants also undergo resistance training by watching the illustration video and completing 6 total blocks of 2-week per block exercise using the Thera-BandR exercise bands.
ARM II: Participants wear Fitbit and receive a XBOX system and the video game to strive for at least 3 50-minute medium or high intensity classes per week over 12 weeks. Participants may also take 20-minute classes or a mixture of 50- and 20-minute classes to meet the target. Participants undergo resistance training as in Arm I.
ARM III: Participants wear Fitbit and attend supervised High Intensity Interval Training (HIIT) exercise sessions 3 days per week over 12 weeks. Participants undergo resistance training as in Arm I.
ARM IV: Participants wear Fitbit and attend supervised moderate intensity walking sessions weekly for 50-60 each over 12 weeks. Participants undergo resistance training as in Arm I.
ARM V: Participants wear Fitbit and continue their usual physical activity over 12 weeks.
After completion of study intervention, participants are followed up at 2 weeks and 1 month.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
New York
-
Buffalo, New York, United States, 14263
- Roswell Park Cancer Institute
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Understand the investigational nature of this study and sign an Independent Ethics Committee/Institutional Review Board approved written informed consent form prior to receiving any study related procedure
- Have a previous history of invasive breast cancer who have completed treatment except for hormonal therapy and zoledronic acid (Zometa)
- Do not meet the United States (U.S.) Center for Disease Control and Prevention's physical activity guidelines (150 minutes or 2 hours and 30 minutes a week of moderate-intensity exercise)
- Meets criteria for participation in low to moderate risk exercise based on the American College of Sports Medicine guideline (ACSM)
Exclusion Criteria:
- Have uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Are pregnant or nursing
- Are unwilling or unable to follow protocol requirements
- Have any condition which in the investigator's opinion deems the subject an unsuitable candidate to participate in this study
- Have metastatic breast cancer
- Have orthopedic or neuromuscular disorders or arthritis that preclude participation in exercise
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Arm I (home-based walking program, resistance training)
Participants wear Fitbit, receive home-based DVD containing instructions to warm-up and cool-down, and brisk walk 30 minutes per day 5 days a week in order to achieve the 150 minutes per week of moderate intensity exercise.
Participants also receive resistance training by watching the illustration video and completing 6 total blocks of 2-week per block exercise using the Thera-BandR exercise bands.
|
Correlative studies
Ancillary studies
Other Names:
Ancillary studies
Wear Fitbit
Other Names:
Complete home-based walking program and resistance training
Complete HIIT program and resistance training
Watch video
|
Experimental: Arm II (home-based Zumba program, resistance training)
Participants wear Fitbit and receive a XBOX system and the video game to strive for at least 3 50-minute medium or high intensity classes per week over 12 weeks.
Participants may also take 20-minute classes or a mixture of 50- and 20-minute classes to meet the target.
Participants receive resistance training as in Arm I.
|
Correlative studies
Ancillary studies
Other Names:
Ancillary studies
Wear Fitbit
Other Names:
Watch video
Complete home-based Zumba program and resistance training
|
Experimental: Arm III (HIIT, resistance training)
Participants wear Fitbit and attend supervised HIIT exercise sessions 3 days per week over 12 weeks.
Participants receive resistance training as in Arm I.
|
Ancillary studies
Other Names:
Ancillary studies
Wear Fitbit
Other Names:
Complete HIIT program and resistance training
Watch video
|
Active Comparator: Arm IV (supervised moderate intensity walking program)
Participants wear Fitbit and attend supervised moderate intensity walking sessions weekly for 50-60 each over 12 weeks.
Participants undergo resistance training as in Arm I.
|
Complete HIIT program and resistance training
|
Active Comparator: Arm V (usual physical activity)
Participants wear Fitbit and continue their usual physical activity over 12 weeks.
|
Continue usual physical activity
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of randomized patients who are still on study at the end of the 12 week intervention
Time Frame: At 12 weeks
|
The feasibility outcomes will be assessed by a multivariable logistic regression model for the relative odds of remaining on the study (ref: not).
Each of the active treatment arms will be compared to the control.
The model will be supported by the randomized patient set, counting patients who withdraw from the study as feasibility failures.
No variable selection steps will be taken; inferences will be based on the estimates and 95% confidence intervals from the full model.
Optimism adjusted odds ratio estimates will also be reported, to better inform design of future studies.
|
At 12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adherence rate in each of the active intervention arms
Time Frame: Up to 12 weeks
|
Will be defined as the proportion of patients on study after 12 weeks who complete ≥ 80% of the intervention activities.
One-sided 90% Jeffrey's confidence limits will define a plausible lower limit on the range of values for true (unobserved) feasibility rate for each arm.
|
Up to 12 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cardiovascular fitness
Time Frame: At baseline and 12 weeks
|
Will determine how it's affected by a 12 week exercise intervention and how it differs by type of intervention program.
|
At baseline and 12 weeks
|
Body composition
Time Frame: At baseline and 12 weeks
|
Will determine how it's affected by a 12 week exercise intervention and how it differs by type of intervention program.
|
At baseline and 12 weeks
|
Quality of life
Time Frame: At baseline and 12 weeks
|
Will determine how it's affected by a 12 week exercise intervention and how it differs by type of intervention program.
Will be assessed by the Functional Assessment of Cancer Therapy, Breast (FACTB+4).
|
At baseline and 12 weeks
|
Cognitive function
Time Frame: At baseline and 12 weeks
|
Will determine how it's affected by a 12 week exercise intervention and how it differs by type of intervention program.
|
At baseline and 12 weeks
|
Stress and immune function biomarkers
Time Frame: At baseline and 12 weeks
|
Will determine how it's affected by a 12 week exercise intervention and how it differs by type of intervention program.
|
At baseline and 12 weeks
|
Mitochondrial function
Time Frame: At baseline and 12 weeks
|
Will determine how it's affected by a 12 week exercise intervention and how it differs by type of intervention program.
|
At baseline and 12 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Ellis Levine, Roswell Park Cancer Institute
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- I 32816 (Other Identifier: Roswell Park Cancer Institute)
- NCI-2018-00455 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
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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