- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05225038
Multidimensional Prehabilitation in Pancreatic Surgery for Pancreatic and Periampullary Neoplasms
Randomized Clinical Trial Investigating Multidimensional Prehabilitation in Pancreatic Surgery for Patients With Pancreatic and Periampullary Neoplasms
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Ohio
-
Cleveland, Ohio, United States, 44195
- Cleveland Clinic Taussig Cancer Center, Case Comprehensive Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participants > 18 years old with ECOG performance status 0-2 and ASA score ≤3
- Requiring pancreatic resection for diagnosed or suspected pancreatic and periampullary neoplasms
- Surgery scheduled at least 2 weeks after the initial surgical evaluation
Fluency in English
- Willingness to answer questionnaires, complete daily exercise & nutrition log, as well as participate in follow-up telephone calls
Screening: Physical Activity Readiness - Questionnaire (PAR-Q+)
- PAR-Q+ assesses participants comorbidities and symptoms with current activities. If participants answer "yes" to any of the screening questions, they will need to complete additional questions regarding their chronic medical conditions including, but not limited to, heart disease, stroke, diabetes, depression/anxiety, and COPD/asthma, to determine their ability to participate in physical activity.
Exclusion Criteria:
Screening: Physical Activity Readiness - Questionnaire (PAR-Q+)
- Participants with concurrent medical conditions that prohibit exercise, such as those who indicate on the questionnaire that they experience chest pain, dizziness, or loss of consciousness with physical activity; those with chest pain at rest; or those with bone/joint/soft tissue conditions that could worsen with physical activity. Participants with specific comorbidities, such as coronary artery disease. congestive heart failure, or uncontrolled asthma/COPD, that may prevent participation will also be excluded.
- Inability to provide own informed consent
- Inability to read or verbally understand questionnaires in English
- Impaired hearing that creates a barrier for telephone follow-up
- Visual deficit that would cause exercise to be hazardous
- Emergent or urgent surgeries
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 |
---|---|
Active Comparator: Control Arm (Standard of Care)
Participants will receive the current standard preoperative education and counseling.
Participants will receive information regarding exercise and nutrition from a member of the surgical team.
Participants will meet with a behavioral medicine specialist for additional education regarding factors affecting postoperative stress and relaxation techniques.
Participants who are actively smoking will be counseled regarding smoking cessation and offered a referral to smoking cessation resources.
|
Participants will have 1 appointment with behavioral medicine - all participants will meet with the same behavioral medicine specialist to ensure consistency. Participants will receive education regarding factors that affect postoperative recovery and relaxation techniques. Participants will also have the option to request faith support.
Participants who are actively smoking will be counseled regarding smoking cessation during their preoperative appointment with a member of the surgical team.
They will also be offered a referral to smoking cessation resources.
|
Experimental: Intervention Arm (Prehabilitation)
Participants in the intervention arm will receive all of the standard of care, as listed above, as well as individualized exercise and nutritional prehabilitation regimens. During the data analysis, participants will be subdivided into treatment groups, upfront surgical resection versus neoadjuvant chemotherapy, in order to determine whether length of prehabilitation affected outcomes and distinguish any possible effect of chemotherapy toxicity. |
Participants will have 1 appointment with behavioral medicine - all participants will meet with the same behavioral medicine specialist to ensure consistency. Participants will receive education regarding factors that affect postoperative recovery and relaxation techniques. Participants will also have the option to request faith support.
Participants who are actively smoking will be counseled regarding smoking cessation during their preoperative appointment with a member of the surgical team.
They will also be offered a referral to smoking cessation resources.
Participants will meet with an exercise physiologist to undergo evaluation and develop individualized regimens for prehabilitation.
Participants will meet with a nutritionist to undergo evaluation and develop individualized regimens for prehabilitation.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in participants physical capacity, as represented by hand grip strength
Time Frame: 3 weeks after the surgery
|
Previous studies have demonstrated that grip strength is a predictor of surgical outcomes and mortality in cancer participants.
Grip strength will be measured utilizing the Jamar Dynamometer.
|
3 weeks after the surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mortality Rate
Time Frame: Up to 90 days after the surgery
|
Death due to any cause postoperatively.
|
Up to 90 days after the surgery
|
Morbidity rate
Time Frame: Up to 90 days after the surgery
|
Classified according to the Clavien-Dindo Classification of postoperative complications.
|
Up to 90 days after the surgery
|
Physical capacity as represented by 30s CST (Chair Stand Test )
Time Frame: 3 weeks after the surgery
|
Participants rise to full standing position from sitting in a chair as many times as possible within 30 seconds.
The 30s CST has been utilized as a reliable test of lower extremity strength.
|
3 weeks after the surgery
|
Physical capacity as represented by 6-Minute Walk Test
Time Frame: 3 weeks after the surgery
|
Participants will walk as far as possible in 6 min at a comfortable pace but do not run or jog.
If participants cannot complete the full 6 min walk, then record the time and distance walked and the reason for stopping early.
|
3 weeks after the surgery
|
Collaborators and Investigators
Sponsor
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 (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CASE8221
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 Pancreatic Neoplasms
-
Memorial Sloan Kettering Cancer CenterRecruitingPancreatic Cancer | Pancreatic Cancer Metastatic | Pancreatic Cancer Stage IV | Metastatic Pancreatic Carcinoma | Metastatic Pancreatic Adenocarcinoma | Pancreatic Carcinoma | Metastatic Pancreatic Cancer | Pancreatic Cancer Non-resectable | Metastatic Pancreatic Ductal Adenocarcinoma | Pancreatic Carcinoma... and other conditionsUnited States
-
Sidney Kimmel Cancer Center at Thomas Jefferson...CelgeneWithdrawnPancreatic Ductal Adenocarcinoma | Stage III Pancreatic Cancer | Stage IV Pancreatic Cancer | Stage IIA Pancreatic Cancer | Stage IIB Pancreatic Cancer | Stage IA Pancreatic Cancer | Stage IB Pancreatic CancerUnited States
-
Case Comprehensive Cancer CenterNational Cancer Institute (NCI)TerminatedPancreatic Adenocarcinoma | Resectable Pancreatic Cancer | Stage III Pancreatic Cancer | Stage IIA Pancreatic Cancer | Stage IIB Pancreatic Cancer | Stage IA Pancreatic Cancer | Stage IB Pancreatic Cancer | Poorly Differentiated Malignant Neoplasm | Undifferentiated Pancreatic CarcinomaUnited States
-
University of UtahNovartis PharmaceuticalsRecruitingMetastatic Pancreatic Carcinoma | Unresectable Pancreatic Carcinoma | Stage III Pancreatic Cancer | Stage IV Pancreatic Cancer | Stage IIA Pancreatic Cancer | Stage IIB Pancreatic Cancer | Stage II Pancreatic CancerUnited States
-
The First Affiliated Hospital with Nanjing Medical...RecruitingLocally Advanced Pancreatic Adenocarcinoma | Metastatic Pancreatic Cancer | Pancreatic NeoplasmChina
-
Case Comprehensive Cancer CenterNational Cancer Institute (NCI)WithdrawnStage IIA Pancreatic Cancer | Stage IIB Pancreatic Cancer | Stage IA Pancreatic Cancer | Stage IB Pancreatic Cancer
-
National Cancer Institute (NCI)CompletedStage IIA Pancreatic Cancer | Stage IIB Pancreatic Cancer | Stage IA Pancreatic Cancer | Stage IB Pancreatic CancerUnited States
-
OHSU Knight Cancer InstituteOregon Health and Science University; Celgene CorporationCompletedPancreatic Adenocarcinoma | Resectable Pancreatic CarcinomaUnited States
-
University of OxfordNational Institute for Health Research, United Kingdom; ImunonWithdrawnPancreatic Cancer Metastatic | Pancreatic Ductal Adenocarcinoma | Pancreatic Cancer Stage IV | Pancreatic Cancer Non-resectableUnited Kingdom
-
Mayo ClinicNational Cancer Institute (NCI)CompletedAdvanced Pancreatic Carcinoma | Metastatic Pancreatic Carcinoma | Stage II Pancreatic Cancer AJCC v8 | Stage III Pancreatic Cancer AJCC v8 | Stage IV Pancreatic Cancer AJCC v8 | Unresectable Pancreatic Carcinoma | Pancreatic Neoplasm | Locally Advanced Pancreatic CarcinomaUnited States
Clinical Trials on Behavioral Medicine
-
Chinese University of Hong KongNot yet recruiting
-
Uppsala UniversityLund University; The Swedish Research Council; University of Leeds; Linkoeping... and other collaboratorsActive, not recruitingBreast Cancer | Colorectal Cancer | Prostate Cancer
-
Nanjing Medical UniversityUnknownDepressive DisorderChina
-
Chinese University of Hong KongNot yet recruiting
-
Stanford UniversityCompletedOrthopedic Trauma Surgery PatientsUnited States
-
Kaiser PermanenteActive, not recruitingSubstance Related DisordersUnited States
-
Shengjing HospitalRecruitingPlasma Cell MastitisChina
-
National Center for Complementary and Integrative...CompletedTemporomandibular Joint DisordersUnited States
-
NYU Langone HealthTerminatedOstheoporosis of the KneeUnited States
-
Xiyuan Hospital of China Academy of Chinese Medical...Beijing Municipal Science & Technology CommissionUnknownAdvanced Colorectal Cancer | Traditional Chinese MedicineChina