- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT04824339
Breast Cancer Endocrine Therapy FITness (BE-FIT) Trial.
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
Purpose: The purpose of this study is to test the effect of a virtually delivered supervised exercise program specific to breast cancer survivors on endocrine therapy versus delayed exercise in a partial cross over trial.
Justification: Endocrine therapy is commonly prescribed to breast cancer survivors for 5-10 years and often leads to side effects such as arthralgia, weight gain and bone density loss. Exercise has been shown to be an effective management strategy of these side effects and may improve quality of life and physical functioning. Many barriers exist surrounding the implementation of exercise programs for breast cancer survivors, despite the efficacious outcomes exercise programs have been shown to provide.
Due to COVID-19, virtual delivery options are needed to continue to provide exercise support to cancer patients. In September 2020, members of the investigator team successfully completed a pilot of the virtual intervention (n=30). In British Columbia, the investigators are well positioned to trial the implementation of an exercise program from a virtual setting, with programming specific to women receiving endocrine therapy. The knowledge gained from this study, if shown to be effective, will assist future program delivery and implementation across British Columbia for breast cancer survivors.
Aims and Objectives:
Primary Aim: To evaluate the efficacy of the exercise intervention group versus delayed exercise group to improve physical function, as measured by 30 second sit to stand test, from baseline to end of program (8-weeks).
Secondary Aim: To evaluate the preliminary efficacy of the intervention to improve endocrine therapy medication adherence (voils DOSE-non adherence measure) and endocrine symptom scores (FACT-ES) from baseline to end of program (8-weeks).
Tertiary Aim: To evaluate the preliminary efficacy of the intervention at improving exercise levels (modified Godin), health related quality of life (RAND), balance (tandem balance test) and self-reported anthropometric measures (weight, height, waist and hip circumference) from baseline to end of program (8-weeks).
Exploratory Aims: 1) To obtain additional data on efficacy outcomes (all outcomes listed above) with with-in group analysis of delayed exercise intervention group (0-8 weeks vs. 9-16 weeks) to further refine efficacy estimates to inform future implementation trials; and 2) to examine suitability of efficacy outcomes at 16-weeks (immediate intervention group only) and in both intervention arms, namely end of intervention 8- or 16-weeks, as appropriate to 12-months after baseline testing.
It is hypothesized that the intervention will improve physical function at 8 weeks. Additionally, it is hypothesized that the intervention will improve medication adherence, reduce self-reported endocrine symptoms, health-related quality of life, increase exercise levels, balance and anthropometrics at 8 weeks. The exploratory aims will provide information on maintenance effect in the short term (16 weeks) and longer term (12 months from enrollment).
Research Design: This study is a partial cross over study. The intervention is 8 weeks in duration. Participants will be randomized to immediate exercise or delayed exercise, and the delayed exercise group will cross over to the intervention after 8 weeks. This design was selected to optimize recruitment (all participants receive the intervention) while allowing appropriate comparison of intervention versus control, and to gain additional insights into efficacy of the intervention in order to better design future implementation studies. No washout period between crossover arms needed. Participants will undergo a virtual baseline assessment, 16 supervised virtual group-based exercise sessions delivered twice weekly, a final assessment at completion of the 8-week exercise program, as well as follow-up assessment at 16-weeks and 12-months after baseline testing. All sessions will take place virtually via a secure Zoom platform.
Statistical Analysis: Between group comparisons of those randomized to immediate intervention versus delayed intervention for changes in primary, secondary and tertiary outcomes from baseline to 8-weeks will be assessed using two-sample t-tests for normally distributed quantitative outcomes (primary, secondary, and tertiary). For highly skewed quantitative outcomes, the comparisons will be done using Mann-Whitney tests. For categorical outcomes, comparisons will use chi-square tests of independence (and Fisher Exact tests for binary outcomes).
For the delayed intervention group, within-group comparisons to assess changes from baseline (i.e., no intervention) to 16 weeks (i.e., after 8 weeks of delay plus 8 weeks of active intervention) will be done with paired t-tests for normally distributed outcomes, and Wilcoxon signed-rank tests for skewed quantitative outcomes.
A more formal repeated measures analysis of variance will be done to examine the change across multiple time points, which are baseline, 8 weeks, 16 weeks and 12-months. All tests will be two sided with a nominal level of significance of 5%.
An interim analysis will be undertaken once fifty percent of the planned sample size has been recruited and randomized. The aim of this analysis is to: 1) re-examine the target sample size using study data to compute effect size, and update if necessary; and 2) assess whether the trial should be stopped either due to tremendous efficacy or likely futility. This will be completed by the project statistician, and all other study team members will remain blinded, so that the randomization will not be jeopardized.
Studietype
Registrering (Forventet)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
- Navn: Kelly Mackenzie, MSc
- Telefonnummer: 250-897-2609
- E-post: kelly.mackenzie@ubc.ca
Studer Kontakt Backup
- Navn: Aaliya Merali-Dewji, MSc
- Telefonnummer: 780-242-2706
- E-post: aaliya.merali@ubc.ca
Studiesteder
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V6T 1Z3
- Rekruttering
- Clinical Exercise Physiology Lab
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- Stage I - III breast cancer patients who are treated with curative intent
- Completed primary treatment, including surgery, radiation therapy and/or chemotherapy
- Currently receiving adjuvant endocrine therapy (Tamoxifen or an Aromatase Inhibitor) for at least 3 months (to allow for acclimatization) and within 3-years of of staring endocrine therapy.
- Can read and speak English
- Has access to a tablet, smartphone, laptop or computer with built-in video camera
Exclusion Criteria:
- Not currently receiving endocrine therapy or scheduled to stop within 6 months
- Diagnosed with stage IV breast cancer
- Not willing to attend a twice-weekly exercise program virtually for the duration of the study.
- Not willing to comply with safety measures of virtual programming (to be seen on camera and monitored via video by the instructor)
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Crossover-oppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
---|---|
Eksperimentell: Immediate Intervention Group
The intervention is an 8-week combined aerobic and resistance program, with virtual, group-based, supervised exercise sessions twice per week (60 min).
The intervention also includes optional education on healthy eating.
|
This study is a partial cross over study.
The intervention is 8 weeks in duration.
Participants will be randomized to immediate exercise or delayed exercise, and the delayed exercise group will cross over to the intervention after 8 weeks.
|
Eksperimentell: Delayed Intervention Group
Usual lifestyle control for 8 weeks and then invited to participate in the exercise intervention.
|
This study is a partial cross over study.
The intervention is 8 weeks in duration.
Participants will be randomized to immediate exercise or delayed exercise, and the delayed exercise group will cross over to the intervention after 8 weeks.
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Physical Function
Tidsramme: Change from baseline to week 8 (end of intervention)
|
Measured by 30 second sit to stand test
|
Change from baseline to week 8 (end of intervention)
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Medication adherence to endocrine therapy
Tidsramme: Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Measured by Voils DOSE-non adherence measure; where higher scores indicate greater levels of nonadherence.
|
Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Health-related quality of life
Tidsramme: Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Measured by RAND 36-Item Short Form Health Survey
|
Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Usual physical activity levels
Tidsramme: Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Modified Godin Leisure Time Physical Activity questionnaire
|
Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Weight in kilograms
Tidsramme: Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Measured using a scale in kilograms
|
Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Height in metres
Tidsramme: Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Measured using stadiometer in metres
|
Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Body mass index
Tidsramme: Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Aggregated measure of height and weight, reported in kg/m^2
|
Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Waist circumference
Tidsramme: Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Measures circumference in centimeters
|
Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Hip circumference
Tidsramme: Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Measures circumference in centimeters
|
Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Standing balance
Tidsramme: Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Tandem balance test measured in seconds
|
Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Physical Function
Tidsramme: Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Measured by 30 second sit to stand test
|
Change from baseline at week 8 (end of intervention), 16 weeks and 12-months
|
Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Forventet)
Studiet fullført (Forventet)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- H20-03123
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
produkt produsert i og eksportert fra USA
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .
Kliniske studier på Brystneoplasmer
-
Guangzhou First People's HospitalFullført
-
Tianjin Medical University Cancer Institute and...Guangxi Medical University; Sun Yat-sen University; Chinese PLA General Hospital og andre samarbeidspartnereFullførtThe Clinical Application Guide of Conebeam Breast CTKina
-
Novartis PharmaceuticalsFullførtMetastatisk brystkreft (MBC) | Locally Advance Breast Cancer (LABC)Storbritannia, Spania
-
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.UkjentHR-positiv, HER2-negativ og PIK3CA Mutation Advanced Breast CancerKina
-
Rabin Medical CenterFullførtDesmoid fibromatose | Desmoid | Desmoid fibromatose i huden | Desmoid Neoplasm of Chest Wall | Desmoid-svulst forårsaket av somatisk mutasjon | Aggressive fibromatoser | Fibromatose DesmoidIsrael
-
Emory UniversityNational Cancer Institute (NCI)TilbaketrukketPrognostisk stadium IV brystkreft AJCC v8 | Metastatisk malign neoplasma i hjernen | Metastatisk brystkarsinom | Anatomic Stage IV Breast Cancer American Joint Committee on Cancer (AJCC) v8
-
NRG OncologyNational Cancer Institute (NCI)Aktiv, ikke rekrutterendeAnatomisk stadium IV brystkreft AJCC v8 | Prognostisk stadium IV brystkreft AJCC v8 | Metastatisk malign neoplasma i beinet | Metastatisk malign neoplasma i lymfeknutene | Metastatisk malign neoplasma i leveren | Metastatisk brystkarsinom | Metastatisk malign neoplasma i lungen | Metastatisk malign neoplasma... og andre forholdForente stater, Canada, Saudi-Arabia, Korea, Republikken
Kliniske studier på Immediate Intervention Group
-
University of HullHull University Teaching Hospitals NHS TrustFullførtLungekreft | OverlevelseStorbritannia
-
Centro de Estudio de Estado y SociedadTilbaketrukket
-
Oregon State UniversityRekruttering
-
Arkansas Children's Hospital Research InstituteRekruttering
-
University of Texas Southwestern Medical CenterAktiv, ikke rekrutterendeRyggsmerter Nedre rygg KroniskForente stater
-
Mayo ClinicPfizerFullførtLeddgiktForente stater
-
University of MiamiRekrutteringLivskvalitet | Mestringsferdigheter | Graft vs vertssykdom | StamcelletransplantasjonskomplikasjonerForente stater
-
University of WashingtonHar ikke rekruttert ennåHypertensjon | Helseatferd | Kostholdsendringer
-
VA Office of Research and DevelopmentDallas VA Medical CenterFullførtDepresjon | Aldring | Kroniske ryggsmerterForente stater
-
Laguna Health, IncNorthShore University HealthSystemFullførtKardiovaskulære sykdommerForente stater