Exercise Prior to Allogeneic Hematologic Stem Cell Transplantation
22. november 2019 opdateret af: University Health Network, Toronto
Exercise Therapy for Patients Awaiting Allogeneic Hematological Stem Cell Transplantation
The investigators hypothesize that inactivity during the search for a donor may exacerbate current deconditioned states; subsequently, influencing risk factors for post-transplant complications that hinder the recovery phase.
This study is designed to investigate if exercise therapy administered prior to allogeneic hematologic stem cell transplantation (HSCT) can influence physical and psychological side-effects associated with HSCT. Approximately 6-weeks prior to HSCT, individuals will be randomized into either an exercise group or usual care group and followed until one year after HSCT.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
30
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Ontario
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Toronto, Ontario, Canada, M5T2M9
- Princess Margaret Hospital & Toronto Rehabilitation Institute
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
17 år og ældre (Barn, Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Medical indication: allogeneic stem cell transplantation at Princess Margaret Hospital
- must be ambulatory without need for human assistance at time of recruitment
- medically cleared to exercise by the transplant physician
- demonstrates willingness to attend supervised sessions
- sufficient in English to ensure safety of understanding prescribed exercise guidelines, or has access to an adequate non-familial interpreter
Exclusion Criteria:
- another active malignancy
- less than 4 weeks till the scheduled HSCT
- refusal to be randomized
- does not have the approval of their transplant physician
- severe or unstable neurological, cardiorespiratory, musculoskeletal disease or mental illness
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: Exercise
Individuals will participate in weekly supervised and unsupervised exercise sessions prior to HSCT, during hospitalization and till 100 days from HSCT.
Exercise will consist of endurance and resistance exercise 3-5 days a week.
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Ingen indgriben: Usual Care
Usual care will have continue with standard of care treatment without any specific exercise instruction or guidance other than what is provided by the patient education team at the cancer centre.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Physical Function
Tidsramme: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Cardiopulmonary Capacity (VO2peak)
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Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Quality of Life
Tidsramme: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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European Organization for Research and Treatment of Cancer (EORTC) core 30-item questionnaire (QLQ-30)
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Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Change in Symptoms
Tidsramme: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Memorial Symptom Assessment Scale (MSAS)
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Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Change in Anxiety
Tidsramme: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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The Generalized Anxiety Disorder (GAD7)
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Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Change in Depression
Tidsramme: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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The Patient Health Questionnaire (PHQ-9), will be used as a clinically relevant measure to evaluate depression
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Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Change in Fatigue
Tidsramme: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Multidimensional Fatigue Inventory
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Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Change in Treatment Side-effects
Tidsramme: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Hospitalization (days till discharge and readmission rates), bone marrow engraftment (days), graft versus host disease incidence (acute & chronic), severity of diarrhea/ vomiting/ nausea, infections, steroid use, blood counts
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Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Change in Strength
Tidsramme: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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upper body: grip strength; lower body: chair-stand test
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Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Change in Six-minute walk test
Tidsramme: Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Baseline, 1 week pre HSCT, T100, 1yr post HSCT
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Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Adherence to exercise sessions
Tidsramme: One year
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Feasibility of an exercise intervention prior to HSCT till T100
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One year
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Efterforskere
- Ledende efterforsker: Jeff Lipton, MD, PhD, Princess Margaret Hospital, University Health Network
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. oktober 2014
Primær færdiggørelse (Faktiske)
1. august 2019
Studieafslutning (Faktiske)
1. august 2019
Datoer for studieregistrering
Først indsendt
16. oktober 2014
Først indsendt, der opfyldte QC-kriterier
21. oktober 2014
Først opslået (Skøn)
23. oktober 2014
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
25. november 2019
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
22. november 2019
Sidst verificeret
1. november 2019
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- 14-7699
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .