- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07662239
Bridging Adolescent and Young Adult Sarcoma Survivors With Personalized Oncology Exercise Service (AYA-ONE): A Pilot Intervention (AYA-ONE)
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
This is a single-arm pilot study evaluating the feasibility of using a modified Exercise in Cancer Evaluation and Decision Support (EXCEEDS) algorithm to triage and refer adolescents and young adults (AYAs) with sarcoma to rehabilitation and exercise services at Dana-Farber Cancer Institute (DFCI). The AYA-ONE study has two parts: Part 1 includes triage and referral using the EXCEEDS tool, and Part 2 includes a 12-week personalized exercise program for eligible participants. The EXCEEDS tool is designed to help match participants to rehabilitation and exercise services based on their needs. Participants in Part 2 will receive a Garmin activity monitor, resistance bands, a stepper machine, and a 12-week exercise program, which may be supervised or unsupervised.
The research study procedures include: screening for eligibility, triage and referral using the EXCEEDS tool, rehabilitation and exercise service referral, and, for eligible participants, a 12-week personalized exercise program.
It is expected that about 40 people will take part in Part 1 of this study. About 20 people are expected to participate in the full study, including both Part 1 and Part 2.
Participation in this research study is expected to last about 6 months.
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Vinayak Venkataraman, MD
- Telefonnummer: 617-632-5204
- E-mail: vinayak_venkataraman@dfci.harvard.edu
Studiesteder
-
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02115
- Dana-Farber Cancer Institute
-
Kontakt:
- Vinayak Venkataraman, MD
- Telefonnummer: 617-632-5204
- E-mail: vinayak_venkataraman@dfci.harvard.edu
-
Ledende efterforsker:
- Vinayak Venkataraman, MD
-
Boston, Massachusetts, Forenede Stater, 02115
- Brigham and Women's Hospital
-
Kontakt:
- Vinayak Venkataraman, MD
- Telefonnummer: 617-632-5204
- E-mail: vinayak_venkataraman@dfci.harvard.edu
-
Ledende efterforsker:
- Vinayak Venkataraman, MD
-
Boston, Massachusetts, Forenede Stater, 02115
- Boston Children's Hospital
-
Kontakt:
- Vinayak Venkataraman, MD
- Telefonnummer: 617-632-5204
- E-mail: vinayak_venkataraman@dfci.harvard.edu
-
Ledende efterforsker:
- Vinayak Venkataraman, MD
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Diagnosed with a bone or soft tissue sarcoma
- Age 15-39 at time of diagnosis
- Age 15 and older at time of enrollment
- Age 15-17 at time of enrollment, with assent from participant and consent from parent/legal guardian
- Established patient of the DFCI Sarcoma Center or Jimmy Fund
- Able to read and understand English (to complete required questionnaires and participate in training/coaching)
- Individuals who are not yet adults (teenagers) if they assent and their parents/legal guardians' consent to participation.
Exclusion Criteria:
- Unstable cardiovascular disease in the last 6 months
- Psychiatric disorders or conditions that would preclude participation in the study intervention (e.g. untreated major depression or psychosis, untreated substance use disorder, severe personality disorder)
- Pregnant
- Currently participating in physical or occupational therapy
- Presence of medical conditions or medications that would prohibit participation in an exercise program
- Meeting exercise guidelines of 150 minutes of moderate intensity/75 minutes of vigorous intensity physical activity per week plus consistent strength training (at least once per week) over the past 3 months. Assessed via Godin Leisure Time Questionnaire by study staff.
- Adults unable to consent
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Exercise Triage and Personalized Exercise Program
All participants receive this intervention.
|
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Triage Tool Completion Rate
Tidsramme: 2 weeks
|
Triage tool completion rate is defined as the proportion of consented participants who fully completed the Exercise in Cancer Evaluation and Decision Support (EXCEEDS) tool.
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2 weeks
|
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Referral Completion Rate
Tidsramme: Within 2 months of EXCEEDS completion
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Referral completion rate is defined as the rate of participants who completed the EXCEEDS tool and subsequently completed an initial visit with an occupational therapist (OT), physical therapist (PT), trainer, or health coach.
|
Within 2 months of EXCEEDS completion
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in Height from Baseline
Tidsramme: Assessed at pre-program (baseline) and post-program (12 weeks).
|
Height is obtained from clinical visits or measured by study staff.
|
Assessed at pre-program (baseline) and post-program (12 weeks).
|
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Change in Body Weight from Baseline
Tidsramme: Assessed at pre-program (baseline) and post-program (12 weeks).
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Weight is obtained from clinical visits or measured by study staff.
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Assessed at pre-program (baseline) and post-program (12 weeks).
|
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Change in Total Leisure Activity Score from Baseline
Tidsramme: Assessed at pre-program (baseline) and post-program (12 weeks).
|
Total Leisure Activity Score is calculated from the reported weekly frequency of strenuous, moderate, and light leisure-time physical activity sessions lasting at least 15 minutes, based on Godlin Leisure-Time Questionnaire.
The total score is calculated as (9 × strenuous sessions/week) + (5 × moderate sessions/week) + (3 × light sessions/week).
Higher scores indicate greater leisure-time physical activity.
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Assessed at pre-program (baseline) and post-program (12 weeks).
|
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Change in Peak Oxygen Consumption (VO₂ Peak) from Baseline
Tidsramme: Assessed at pre-program (baseline) and post-program (12 weeks).
|
VO₂ peak is estimated using the University of Northern Colorado Cancer Rehabilitation Institute (UNCCRI) Treadmill Protocol based on the highest completed stage.
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Assessed at pre-program (baseline) and post-program (12 weeks).
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Change in 6-Minute Walk Distance from Baseline
Tidsramme: Assessed at pre-program (baseline) and post-program (12 weeks).
|
The test measures the total distance walked in meters during a 6-minute period and is performed for participants unable to complete the UNCCRI Treadmill Protocol.
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Assessed at pre-program (baseline) and post-program (12 weeks).
|
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Change in Lower Quarter Y-Balance Composite Score from Baseline
Tidsramme: Assessed at pre-program (baseline) and post-program (12 weeks).
|
Lower Quarter Y-Balance Composite Score is calculated as the sum of the anterior, posteromedial, and posterolateral reach distances divided by three times the limb length and multiplied by 100.
The score is expressed as a percentage of limb length, with higher scores indicating better dynamic balance and lower-extremity functional performance.
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Assessed at pre-program (baseline) and post-program (12 weeks).
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Change in Upper Extremity Strength from Baseline
Tidsramme: Assessed at pre-program (baseline) and post-program (12 weeks).
|
Upper-extremity strength assessed using the Grip Strength Test.
Grip strength is measured using a hand dynamometer.
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Assessed at pre-program (baseline) and post-program (12 weeks).
|
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Change in Number of Repetitions Completed from Baseline
Tidsramme: Assessed at pre-program (baseline) and post-program (12 weeks).
|
The number of repetitions completed during the 30-Second Sit-to-Stand Test is defined as the total number of completed sit-to-stand repetitions within 30 seconds.
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Assessed at pre-program (baseline) and post-program (12 weeks).
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Change in PROMIS-29 (Patient-Reported Outcomes Measurement Information System 29-Item Profile) Score from Baseline
Tidsramme: Assessed at pre-program (baseline) and post-program (12 weeks).
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PROMIS-29 includes the domains of physical function, anxiety, depression, fatigue, sleep disturbance, ability to participate in social roles and activities, pain interference, and pain intensity.
Physical function, anxiety, depression, fatigue, sleep disturbance, ability to participate in social roles and activities, and pain interference scores are each derived from 4 questions scored on a 5-point scale, with total scores ranging from 4 to 20 for each domain.
Higher scores indicate better functioning for physical function and ability to participate in social roles and activities, and worse symptoms for anxiety, depression, fatigue, sleep disturbance, and pain interference.
Pain intensity is assessed using a single question scored from 0 to 10, with higher scores indicating greater pain intensity.
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Assessed at pre-program (baseline) and post-program (12 weeks).
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Vinayak Venkataraman, MD, Dana-Farber Cancer Institute
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 26-106
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
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