- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04583124
Adjusting the Dose of Therapeutic Exercise to Prevent Neurotoxicity Due to Anticancer Treatment (ATENTO) (ATENTO)
Neurotoxicity Prevention With a Multimodal Program (ATENTO) Prior to Cancer Treatment Versus Throughout Cancer Treatment in Women Newly Diagnosed for Breast Cancer: a Randomized Clinical Trial.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
One of the most common side effects of breast cancer and its treatments is neurotoxicity of central and peripheral nervous system. Neurotoxicity is present in up to 75% of this population, which implies a large impact in quality of life. There is a special interest in the preventive possibilities of therapeutic exercise relating to these neurological sequelae, whose benefits could improve thanks to the combination with vagal activation techniques.
This superiority randomized controlled trial will be aimed to check the effects of a multimodal intervention (ATENTO) based on moderate-high intensity and individualized therapeutic exercise (aerobic and strength exercises) and vagal activation techniques (myofascial stretching and breathing exercises), on neurotoxicity prevention in women with breast cancer before starting potentially neurotoxic treatments (ATENTO-B) versus throughout them (ATENTO-T). A sample of 56 women newly diagnosed with breast cancer calculated with a power of 85% will be allocated into two groups.
This study could provide an impetus for the introduction of early multimodal intervention methods of preventing neurotoxicity and consequently avoid the current QoL deterioration that breast cancer patients suffer throughout their treatments.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Irene Cantarero Villanueva, PhD
- Phone Number: 958248764
- Email: irenecantarero@ugr.es
Study Locations
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-
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Granada, Spain, 18016
- Recruiting
- University of Granada
-
Contact:
- Irene Cantarero-Villanueva, PhD
- Phone Number: 958248764
- Email: irenecantarero@ugr.es
-
Principal Investigator:
- Irene Cantarero-Villanueva, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- To have 18 years or older
- To have a breast cancer diagnosis (Stage I-III)
- To be on waiting list for medical adjuvant treatment with risk of central and/or peripheral neurotoxicity.
- To have signed the informed consent.
- To have medical clearance for participation.
Exclusion Criteria:
- To have a previous history of cancer or any cancer treatment.
- Pregnant patients.
- To participate in another intervention that could influence on the outcomes.
- To have a neurodegenerative disease that affects central or peripheral nervous system and could influence the results.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: ATENTO-B
A multimodal program based on adapted therapeutic exercise and vagal activation techniques performed before the begining of medical treatment for breast cancer. It consits of 18 sessions to perform aerobic and strength exercises (90' approximately plus myofascial stretching and breathing exercises (20'). Frequency of sessions will be adapted to the recovery of each patients (by heart rate variability parameters and patient perception). ATENTO is divided in two parts: a) general phase: aimed to improve the overall physical health condition and to correctly learn the execution of each exercise (2 weeks); and b) specific phase: aimed to neurotoxicity prevention. |
Patients will perform therapeutic exercise and vagal activation techniques before medical treatment and will follow the usual care after medical treatment.
Other Names:
|
Active Comparator: ATENTO-T
A multimodal program based on adapted therapeutic exercise and vagal activation techniques performed throughout medical treatment for breast cancer. It consits of 18 sessions to perform aerobic and strength exercises (90' approximately plus myofascial stretching and breathing exercises (20'). Frequency of sessions will be adapted to the recovery of each patients (by heart rate variability parameters and patient perception). ATENTO is divided in two parts: a) general phase: aimed to improve the overall physical health condition and to correctly learn the execution of each exercise (2 weeks); and b) specific phase: aimed to neurotoxicity prevention. |
Patients will perform therapeutic exercise and vagal activation techniques throughout medical treatment and will follow the usual care after medical treatment.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of life (QLQ)
Time Frame: Participants will be followed over 12 months
|
The primary outcome will be assessed with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) version 3.0, that is one of the most widely used instruments to measure quality of life in cancer patients.
|
Participants will be followed over 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cognitive function: attention
Time Frame: Participants will be followed over 12 months
|
The Trail Making Test will be used to assess speed for attention, sequencing, mental flexibility, visual search and motion function.
|
Participants will be followed over 12 months
|
Cognitive function: memory and processing speed
Time Frame: Participants will be followed over 12 months
|
Wechsler Adult Intelligence Scale (WAIS-IV) will be used to assess working memory and processing speed
|
Participants will be followed over 12 months
|
Subjective cognitive function
Time Frame: Participants will be followed over 12 months
|
The Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog) will be used to assess the subjective cognitive functioning.
|
Participants will be followed over 12 months
|
Intensity of symptoms
Time Frame: Participants will be followed over 12 months
|
The EORTC QLQ-Chemotherapy-induced peripheral neuropathy (QLQ-CIPN20) will be used to assess neuropathic symptoms.
|
Participants will be followed over 12 months
|
Tactile sensation
Time Frame: Participants will be followed over 12 months
|
The Semmes-Weinstein monofilaments (SWMs) will be used to detect peripheral sensory neuropathy.
|
Participants will be followed over 12 months
|
Psychological diistress
Time Frame: Participants will be followed over 12 months
|
The Hospital Anxiety and Depression Scale (HADS) will be used to assess levels of anxiety and depression.
|
Participants will be followed over 12 months
|
Presence of pain
Time Frame: Participants will be followed over 12 months.
|
Pressure pain thresholds (PPT) will be used to explore bilaterally the quadriceps, deltoid, trapezius and cervical muscles using an algometer.
|
Participants will be followed over 12 months.
|
Sleep disturbance
Time Frame: Participants will be followed over 12 months
|
The Pittsburgh Sleep Quality Index (PSQI) will evaluate the quality of sleep through seven dimensions (quality, latency, duration, efficiency, alterations, use of medication and daily dysfunction).
|
Participants will be followed over 12 months
|
Cardiorespiratory fitness
Time Frame: Participants will be followed over 12 months
|
Cardiopulmonary exercise test will be performed with a Medisoft, 870 A treadmill and Jaeger MasterScreen® CPX gas analyser to assess VO2 peak following the University of Northern Colorado Cancer Rehabilitation Institute (UNCCRI).
|
Participants will be followed over 12 months
|
Static body balance
Time Frame: Participants will be followed over 12 months
|
Flamingo test will be used to assess static body balance
|
Participants will be followed over 12 months
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- ATENTO19
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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