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PEACH Trial: Prescribed Exercise After Chemotherapy (PEACH)

12 août 2011 mis à jour par: University of Dublin, Trinity College

Individually Prescribed Exercise Versus Usual Care in a Heterogeneous Cancer Survivor Population: A Pragmatic Randomized Controlled Trial

Many cancer survivors suffer symptoms such as fatigue and dyspnea which may persist for years or months after their chemotherapy has finished. Despite the known benefits of exercise and its potential to address many of the symptoms after cancer, the type of practical exercise programme which best suits this population is not known.

Many exercise programmes performed in cancer survivors take place over many weeks or months and include people with specific types of cancer. Such programmes may therefore not be suitable for the majority of cancer survivors and would pose serious practical difficulties with high drop-out rates and expensive resource consumption if they were extended into clinical practice.

We propose to run an 8-week exercise intervention in a mixed cancer population.

Hypothesis: A brief, individually tailored 8-week intervention will increase fitness and improve other physical symptoms in a mixed cancer survivor population after chemotherapy.

Aperçu de l'étude

Statut

Complété

Les conditions

Intervention / Traitement

Description détaillée

Background: Many cancer survivors suffer a range of physical and psychological symptoms with may persist for years or months after treatment finishes. Despite the known benefits of exercise and its potential to address many of these adverse effects of treatment, the role of exercise as well as its optimum duration, frequency, and intensity in this population has yet to be fully elucidated. Many cancer rehabilitation programmes presented in the literature are very long, have tight eligibility criteria and are not likely to be practical in the majority of cancer survivors. We plan to investigate a novel brief 8-week intervention which aims to increase physical fitness, and address other physical symptoms in a heterogeneous cancer survivor population.

Methods/design: Approximately 60 cancer survivors 2-6 months after completion of chemotherapy, usually adjuvant, with curative intent will be recruited through oncology clinics in a single institution and randomised to usual care or an exercise intervention. The exercise intervention consists of two specifically tailored, supervised, moderate intensity aerobic exercise sessions per week for 8 weeks. All participants will be assessed at baseline (0 weeks), post intervention (8 weeks), and at 3-month follow-up. The primary outcome measure is fitness, and secondary patient-related outcome measures include fatigue, quality of life, and morphological outcomes. A further secondary outcome is process evaluation including adherence to and compliance with the exercise program.

Discussion: This study will provide valuable information about the physical outcomes of this 8-week supervised aerobic programme. Additional process information and economic evaluation will inform the feasibility of implementing this program in a heterogeneous population after chemotherapy treatment with curative intent.

Type d'étude

Interventionnel

Inscription (Réel)

43

Phase

  • Phase 3

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

  • Irlande
      • Dublin, Irlande, 8
        • Medical Oncology Department, St. James's Hospital

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

21 ans à 70 ans (Adulte, Adulte plus âgé)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  • Diagnosis of solid tumour and completion of adjuvant chemotherapy (and/or radiotherapy) with curative intent within the preceding 2-6 months. (Patients who have received neoadjuvant chemotherapy or chemoradiotherapy followed by surgery will also be eligible. In addition, patients continuing onto adjuvant hormone therapy and anti-Her2 directed therapy are eligible).
  • Ability to understand English
  • Willing to be randomised
  • Medical clearance to exercise
  • Age 21-69
  • Fitness level average, fair or poor according to certain pre-determined cut-off points for age and gender(Fletcher et al., 2001)
  • Willing and able to attend supervised exercise sessions twice weekly for a period of 8 weeks, with an intention of achieving > 90% attendance
  • LVEF > 50% and not < 20% worse than baseline in applicable patients

Exclusion Criteria:

  • Evidence of active cancer
  • Chronic medical and orthopaedic conditions that would preclude exercise (eg uncontrolled congestive heart failure or angina, recent MI, breathing difficulties requiring oxygen use or hospitalization)
  • On beta-blocker medication
  • Prior history of another cancer in previous 5 years (exception: non-melanoma skin cancer and non-invasive cancer of the cervix)
  • Confirmed pregnancy
  • Dementia or psychiatric illness that would preclude ability to participate in study
  • Incomplete haematological recovery after chemotherapy (WCC< 3, Hb < 10 or Platelets < 100)
  • BMI > 35
  • LVEF post chemotherapy < 50% or > 20% deterioration of baseline pre-systemic treatment. LVEF criteria are applicable in patients who have received chemotherapy deemed in normal clinical practice to have a potential effect LVEF and in whom the LVEF will have been measured before systemic treatment and at end of chemotherapy

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Comparateur actif: Exercise Programme
This will consist of an 8-week exercise programme, performed twice per week.
Comportemental: Exercise programme
Moderate intensity exercise
Comparateur placebo: Usual Care
Standard practice including opportunistic exercise advice and patients' self-directed physical activity
Comportemental: Exercise programme
Moderate intensity exercise

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Délai
Modified Bruce Treadmill Test (Fitness)
Délai: 0, 8 weeks, 3 months
0, 8 weeks, 3 months

Mesures de résultats secondaires

Mesure des résultats
Délai
FACT-G scale (Quality of life-overall)
Délai: 0, 8 weeks, 3 months
0, 8 weeks, 3 months
FACT-F (Fatigue)
Délai: 0, 8 weeks, 3 months
0, 8 weeks, 3 months
RT3 Accelerometry (Activity level)
Délai: 0, 8 weeks, 3 months
0, 8 weeks, 3 months
Tanita Body Fat Assessment (% fat)
Délai: 0, 8 weeks, 3 months
0, 8 weeks, 3 months
SF-36v2 (Quality of life-functional aspects)
Délai: 0, 8 weeks and 3 months
0, 8 weeks and 3 months

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

University of Dublin, Trinity College

Collaborateurs

Health Research Board, Ireland

Les enquêteurs

  • Chercheur principal: Dearbhaile O' Donnell, MD, St. James's Hospital, Dublin, Ireland
  • Chercheur principal: Juliette Hussey, PhD, Trinity College Dublin, Ireland
  • Chercheur principal: Julie M Walsh, MSc, University of Dublin, Trinity College

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Publications générales

Liens utiles

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 janvier 2010

Achèvement primaire (Réel)

1 août 2011

Achèvement de l'étude (Réel)

1 août 2011

Dates d'inscription aux études

Première soumission

11 décembre 2009

Première soumission répondant aux critères de contrôle qualité

11 décembre 2009

Première publication (Estimation)

14 décembre 2009

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Estimation)

15 août 2011

Dernière mise à jour soumise répondant aux critères de contrôle qualité

12 août 2011

Dernière vérification

1 novembre 2009

Plus d'information

Termes liés à cette étude

Mots clés

Autres numéros d'identification d'étude

  • CTPF/2008/12

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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