- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04714840
Telehealth Based Intervention to Improve Functional Capacity in Survivors of Childhood Cancer With Significantly Limited Exercise Tolerance
The participants are asked to take part in this clinical trial, a type of research study. The participants are SJLIFE study participants and may have a hard time exercising (exercise intolerance) due to side effects of cancer treatment received as a child.This study is being done to determine if a personalized exercise plan will help childhood cancer survivors who have exercise intolerance become more active.
Primary Objectives:
To achieve the goal of this study, we propose the following three Objectives:
Primary Objective 1:
To determine the efficacy of an individually tailored, home-delivered aerobic and strengthening intervention to improve exercise capacity in survivors of childhood cancer with exercise intolerance (peak oxygen uptake (peak VO2) <85% of age and sex predicted).
Primary Objective 2:
To determine the effects of an individually tailored, home-delivered aerobic and strengthening intervention on measures of cardiac, pulmonary, musculoskeletal, and neurosensory function in survivors of childhood cancer with exercise intolerance.
Primary Objective 3:
To determine the effects of an individually tailored, home-delivered aerobic and strengthening intervention on emotional health, participation in family and community activities, quality of life, and cognitive function in survivors of childhood cancer with exercise intolerance.
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Kirsten Ness, PhD
- Phone Number: 866-278-5833
- Email: referralinfo@stjude.org
Study Locations
-
-
Tennessee
-
Memphis, Tennessee, United States, 38105
- Recruiting
- St. Jude Children's Research Hospital
-
Contact:
- Kirsten Ness, PhD
- Phone Number: 866-278-5833
- Email: referralinfo@stjude.org
-
Principal Investigator:
- Kirsten Ness, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Between 18.00 and 39.99 years of age at the time of enrollment
- SJLIFE participant
- Peak VO2 <85% predicted
- Verbalizes understanding of directions for use of ZOOM on the study provided iPad and heart rate monitor
- Clearance for participation in exercise by a study physician
- Internet access
Exclusion Criteria:
- Enrolled in a formal exercise intervention
- Self-report of engaging in > 150 minutes/week of moderate physical activity
- Currently pregnant (assess by urine pregnancy test)
- Significant psychological distress (e.g. suicidal ideation)
- Requires immediate medical intervention (e.g. angina, decompensated heart failure)
- Research Participant Recruitment and Screening
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Personalized exercise group (INTGroup)
Participants in this group have individually tailored exercise program with supervision, 20 weeks,clinic 3 times during the course of this study: at baseline (this appointment), at 4 months and 10 months from now for follow-up.
|
Tailored, home-delivered aerobic and strengthening intervention,exercise intolerance,Both groups of participants will be provided with the results of their exercise testing.
Individuals randomized to receive an individually tailored exercise program will meet with an exercise specialist.
Written instructions, videos of each strengthening exercise, a blue tooth enable heart rate monitor, all necessary exercise equipment, and an iPad pre-loaded with heart rate monitor software, exercise videos and ZOOM app (for video conferencing) will be provided.
After returning home, the exercise specialist will supervise and provide guidance to the individual via the ZOOM app during the first 2 weeks (3 sessions per week).
Supervision will slowly decrease to twice a week in weeks 3-4, once a week in weeks 5-8, every other week in weeks 9-16, and to one time midway between weeks 17-20.
The exercise program will be adjusted depending on the individuals progress.
|
Other: Generalized exercise group, Attention Control (AC Group)
Study participants in this group receive generalized exercise recommendations, 20 weeks,clinic 3 times during the course of this study: at baseline (this appointment), at 4 months and 10 months from now for follow-up.
|
Tailored, home-delivered aerobic and strengthening intervention,exercise intolerance,Both groups of participants will be provided with the results of their exercise testing.
Individuals randomized to receive the generalized exercise recommendations will receive a copy of the Physical Activity Guidelines for Americans.
At the baseline visit, a study staff will review these guidelines and answer questions about their exercise testing and encourage them to be physically active.
The staff will contact them via telephone to complete a short questionnaire weekly during weeks 1-8 and monthly for weeks 9-20.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Exercise Capacity
Time Frame: Baseline to Week 20
|
Changes in Peak VO2/2-minute step in place test in both INT and AC groups
|
Baseline to Week 20
|
Exercise capacity
Time Frame: Week 20 to 6 months after week 20
|
Sustainability of changes in Peak VO2/2-minute step in place test in both INT and AC groups
|
Week 20 to 6 months after week 20
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient Health Questionnaire (PHQ-9)
Time Frame: baseline, week 20, 6 months after week 20
|
Scale: 4 Options - Not at all (minimum value = 0), Several days (1), More than half the days (2), Nearly every day (maximum value = 3).
Higher score = worse outcome.
Possible score range is 0-27.
|
baseline, week 20, 6 months after week 20
|
Generalized Anxiety Disorder (GAD-7)
Time Frame: baseline, week 20, 6 months after week 20
|
Scale: 5 Options - Not at all sure (minimum value = 0), Several days (1), Over half the days (2), Nearly every day (maximum value = 3).
Higher score = worse outcome.
Possible score range is 0-21.
|
baseline, week 20, 6 months after week 20
|
PROMIS Ability to Participate 8a (SF v2.0)
Time Frame: baseline, week 20, 6 months after week 20
|
Scale: 5 Options - Never (maximum value = 5), Rarely (4), Sometimes (3), Usually (2), Always (minimum value = 1).
Higher score = better outcome.
Possible score range 8-40.
|
baseline, week 20, 6 months after week 20
|
Work Productivity and Activity Impairment Questionnaire (WPAI)
Time Frame: baseline, week 20, 6 months after week 20
|
Scale doesn't apply to overall questionnaire.
Outcomes are expressed as impairment percentages.
Higher numbers = worse outcome.
|
baseline, week 20, 6 months after week 20
|
Work and Social Adjustment Scale (WSAS)
Time Frame: baseline, week 20, 6 months after week 20
|
Scale: 0-8; Not at all (minimum value = 0) to Very Severely (maximum value = 8).
Higher score = worse outcome.
Possible score range 0-40.
|
baseline, week 20, 6 months after week 20
|
Medical Outcomes Survey Short Form (SF-36)
Time Frame: baseline, week 20, 6 months after week 20
|
Consists of 8 scaled scores, which are the weighted sums of the questions in their section.
Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight.
Higher score = better outcome.
|
baseline, week 20, 6 months after week 20
|
Childhood Cancer Survivor Study Neurocognitive Questionnaire - Revised (CCSS-NCQ)
Time Frame: baseline, week 20, 6 months after week 20
|
Scale: 3 Options - Never a Problem (maximum value = 2), Sometimes a Problem (1) , Often a Problem (minimum value = 0).
Higher score = better outcome.
Possible score range 0-64.
|
baseline, week 20, 6 months after week 20
|
PROMIS Global Health Short Forms
Time Frame: weekly during the first eight weeks and every four weeks during weeks 9-20
|
brief global physical and mental health questionnaires; Scale: 5-point Likert scale, Excellent=5, Poor=1
|
weekly during the first eight weeks and every four weeks during weeks 9-20
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Kirsten Ness, PhD, St. Jude Children's Research Hospital
Publications and helpful links
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- CARTOXIII
- U01CA246570-01 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
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.
Clinical Trials on Childhood Cancer
-
Australian & New Zealand Children's Haematology...Medical Research Future Fund; Minderoo Foundation; Children's Cancer Institute...RecruitingChildhood Cancer | Relapsed Cancer | Refractory Cancer | Childhood Leukemia | Childhood Solid Tumor | Childhood Brain TumorAustralia
-
Sydney Children's Hospitals NetworkGerman Cancer Research Center; Australian & New Zealand Children's Haematology... and other collaboratorsActive, not recruitingChildhood Cancer | Relapsed Cancer | Refractory Cancer | Childhood Leukemia | Childhood Solid Tumor | Childhood Brain TumorAustralia
-
University of Colorado, DenverRecruitingCancer | Childhood CancerUnited States
-
Children's Hospital of PhiladelphiaCompletedCancer | Childhood CancerUnited States
-
Wake Forest University Health SciencesTerminated
-
Gustave Roussy, Cancer Campus, Grand ParisActive, not recruiting
-
Pernille BidstrupOdense University Hospital; Aarhus University Hospital; Aarhus University Hospital... and other collaboratorsCompleted
-
Emory UniversityNational Cancer Institute (NCI)Recruiting
-
Children's Cancer Group, ChinaShanghai Children's Medical Center; Shanghai Municipal Center for Disease Prevention...Recruiting
-
St. Jude Children's Research HospitalRecruiting
Clinical Trials on Exercise testing results
-
Proove Bioscience, Inc.UnknownMental Disorders | Cardiovascular Diseases | Pain | Diabetes Mellitus, Type 2 | Arthritis | Chronic PainUnited States
-
Paul S. BernsteinRecruitingAge-Related Macular Degeneration | Genetic Testing | Nutritional BiomarkersUnited States
-
Karolinska University HospitalCompletedWolff-Parkinson-White SyndromeSweden
-
Duke UniversityDavid Grant U.S. Air Force Medical CenterCompletedHypercholesterolemia | Hydroxy-methylglutaryl-coenzyme A (HMG Co-A) Reductase Inhibitors Adverse ReactionUnited States
-
Golden Jubilee National HospitalRecruitingPulmonary HypertensionUnited Kingdom
-
Guangzhou Institute of Respiratory DiseaseCompleted
-
St. Olavs HospitalNorwegian University of Science and TechnologyCompletedTachycardia, Ventricular | Defibrillators, ImplantableNorway
-
Aarhus University HospitalNagoya University; Department of Pulmonary Circulation and Thromboembolic Diseases...RecruitingChronic Thromboembolic Pulmonary HypertensionDenmark, Japan, Poland
-
Eduardo Tibirica, MD, PhDCompletedCoronary Artery Disease | Surgery--ComplicationsBrazil
-
Mayo ClinicCompletedEnd Stage Liver DiseaseUnited States