Prehabilitation Physical Therapy and Relaxation Intervention Program to Promote Resiliency and Operative Success Among Adults Receiving Lung Cancer Surgery, ROAR-LCS Trial
LiveWellLung: A Prehabilitation Intervention Program to Promote Resiliency and Operative Success Among Adults Receiving Lung Cancer Surgery (ROAR-LCS) With Biospecimen Collection
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
- Fremgangsmåte: Bioprøvesamling
- Annen: Undersøkelsesadministrasjon
- Annen: Exercise Intervention
- Annen: Exercise Intervention
- Annen: Exercise Intervention
- Fremgangsmåte: Physical Therapy
- Atferdsmessig: Relaxation Technique
- Annen: Internet-Based Intervention
- Annen: Text Message-Based Navigation Intervention
Detaljert beskrivelse
PRIMARY OBJECTIVE:
I. To evaluate feasibility of the two peri-operative programs, as defined by participant adherence and retention rates within their respective interventions.
EXPLORATORY OBJECTIVE:
I. Associating gut microbiome diversity and T cell senescence profiles (peripheral blood) at baseline and end of study as potential biomarkers of treatment-related toxicity and tumor response to treatment among other clinical secondary outcomes (e.g. surgical complications, overall survival).
OUTLINE: Patients choose which arm (I or II) they would like to participate in, depending upon availability.
ARM I (ROAR-LCS): Patients complete in person physical therapy sessions during weeks with regularly scheduled clinic visits, at first session after surgery, and the final session. These sessions include 10 minutes of a cardiovascular warm up followed up core exercise and resistance training. Patients also complete virtual physical therapy sessions in a similar fashion during weeks in between regularly scheduled clinic visits. Patients complete 6-8 sessions prior to surgery and 12 sessions total (over 3-4 months). Patients receive a portable exercise peddler and resistance bands for at home exercise. Patients complete the exercises at home as instructed during their sessions, at first weekly then increased to twice then three times weekly depending upon tolerance. Patients also complete progressive muscle relaxation exercises during a guided virtual session once weekly and at home individually 3-5 times per week. Patients also undergo blood sample collection on study.
ARM II (BeFitMe): Patients receive access to the BeFitMe application (app) on their smartphone and an Apple watch and exercise flip book for 9 months. Patients are assigned exercises, lasting at least 3 minutes, and receive access to self guided exercise videos. Patients receive motivational text messages to encourage their completion of the exercises once daily. Patients track their exercise and step counts using the app. Patients also undergo blood sample collection on study.
After completion of study intervention, patients are followed up at 1 and 2 years.
Studietype
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: The Ohio State University Comprehensive Cancer Center
- Telefonnummer: 800-293-5066
- E-post: OSUCCCClinicaltrials@osumc.edu
Studiesteder
-
-
Ohio
-
Columbus, Ohio, Forente stater, 43210
- Rekruttering
- Ohio State University Comprehensive Cancer Center
-
Ta kontakt med:
- Carolyn J. Presley, MD
- Telefonnummer: 614-293-6453
- E-post: carolyn.presley@osumc.edu
-
Hovedetterforsker:
- Carolyn J. Presley, MD
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
Inclusion Criteria:
- Age ≥ 18 years
- Diagnosed with: potentially resectable non small cell lung cancer (NSCLC) stage (9th edition: IB-IIIB)
- Intent to receive surgery following neoadjuvant systemic therapy from the Ohio State University Comprehensive Cancer Center (OSUCCC) Thoracic Oncology Clinic
- Patients who are at least 6 weeks out of the surgery date are eligible to participate
- Willingness to participate and adhere to the study intervention program
- Ability to understand and willingness to sign an informed consent document
Exclusion Criteria:
- Prisoners are excluded from participation
- There is NO exclusion criteria pertaining to Eastern Cooperative Oncology Group (ECOG) performance status, laboratory values, or prior cancer diagnoses
- Patients already enrolled on a therapeutic clinical trial will be excluded from this study as to not confound any exploratory outcomes associated with this trial and/or any clinical trials evaluating novel anti-cancer therapies unless granted permission by the local site principal investigator (PI)
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Støttende omsorg
- Tildeling: Ikke-randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Eksperimentell: Arm I (ROAR-LCS)
Patients complete in person physical therapy sessions during weeks with regularly scheduled clinic visits, at first session after surgery, and the final session.
These sessions include 10 minutes of a cardiovascular warm up followed up core exercise and resistance training.
Patients also complete virtual physical therapy sessions in a similar fashion during weeks in between regularly scheduled clinic visits.
Patients complete 6-8 sessions prior to surgery and 12 sessions total (over 3-4 months).
Patients receive a portable exercise peddler and resistance bands for at home exercise.
Patients complete the exercises at home as instructed during their sessions, at first weekly then increased to twice then three times weekly depending upon tolerance.
Patients also complete progressive muscle relaxation exercises during a guided virtual session once weekly and at home individually 3-5 times per week.
Patients also undergo blood sample collection on study.
|
Gjennomgå blodprøvetaking
Andre navn:
Hjelpestudier
Complete exercises at home
Receive portable exercise peddler and resistance bands
Complete assigned exercises
Complete physical therapy sessions
Andre navn:
Complete progressive muscle relaxation
|
|
Eksperimentell: Arm II (BeFitMe)
Patients receive access to the BeFitMe app on their smartphone and an Apple watch and exercise flip book for 9 months.
Patients are assigned exercises, lasting at least 3 minutes, and receive access to self guided exercise videos.
Patients receive motivational text messages to encourage their completion of the exercises once daily.
Patients track their exercise and step counts using the app.
Patients also undergo blood sample collection on study.
|
Gjennomgå blodprøvetaking
Andre navn:
Hjelpestudier
Complete exercises at home
Receive portable exercise peddler and resistance bands
Complete assigned exercises
Receive access to the BeFitMe application
Receive motivational text messages
Andre navn:
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Adherence (feasibility)
Tidsramme: At 12 week follow up session
|
Defined as completion of ≥ 8 of the program sessions (Resiliency and Operative Success among Adults Receiving Lung Cancer Surgery [ROAR-LCS]) and 3 out of the 5 repeated assessments (BeFitMe) at the end of the study period, whichever occurs first.
|
At 12 week follow up session
|
|
Retention (feasibility)
Tidsramme: Up to 6 months post recruitment
|
Defined as the percentage of participants not lost to follow-up at 12 weeks (pre-operative), post-operative (around 12 weeks), and 6 months post recruitment.
|
Up to 6 months post recruitment
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Etterforskere
Etterforskere
- Hovedetterforsker: Carolyn J Presley, MD, Ohio State University Comprehensive Cancer Center
Publikasjoner og nyttige lenker
Hjelpsomme linker
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
Andre studie-ID-numre
- OSU-24288 (Annen identifikator: Ohio State University Comprehensive Cancer Center)
- NCI-2026-02426 (Registeridentifikator: CTRP (Clinical Trial Reporting Program))
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