AzTrials
AzTrials

Breast CancerMyLIFENCT01630499

My Lifestyle Intervention of Food and Exercise

A study testing Tailored Lifestyle Intervention (TLI) and Commercial Weight Loss Program (CWLP) in people with Breast Cancer, run by University of Florida at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Breast cancer risk, and risk of related health problems (e.g., heart disease), is highest among women with a history of breast cancer (stages 1-3) who are also overweight or obese. Read more about this study

Who is it for?
Ages 21 to 65 years, women only
Conditions the study is for
Breast Cancer
What is being tested?
Tailored Lifestyle Intervention (TLI) and Commercial Weight Loss Program (CWLP)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
87 participants
Where
2 sitesUnited States
Study dates
Oct 2012to Jul 2016
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 65 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Female
  • Age 21 to 65
  • History of stage 1, 2, or 3 breast cancer
  • Completed primary treatments (chemotherapy, radiation, and/or surgical treatment) for breast cancer (with or without maintenance therapy) within the last 3 months to 5 years of providing consent
  • Be willing/able to attend groups and assessments in Gainesville or Jacksonville
  • BMI of 27 to 45 kg/m2
  • Weight-stable, i.e., not lost/gained ≥ 10 lbs in the preceding 6 months, or since the end of primary treatment

Who cannot join

  • History of bariatric surgery
  • Pregnant, lactating, or planning on becoming pregnant in next 12 months.
  • Irritable bowel syndrome
  • Serious infectious disease
  • Chronic malabsorption syndrome
  • Uncontrolled angina within the past 6 months
Show all 27Show fewer
  • History of musculo-skeletal or chronic lung diseases that limit physical activity
  • Serum creatinin > 1.5 mg/dL
  • Uncontrolled or insulin-dependent diabetes (i.e., hemoglobin A1c< 10 g/dL, fasting serum triglycerides > 400 mg/dL; oral medications are not exclusionary)
  • At-rest blood pressure > 140/90 mg/Hg
  • Myocardial infarction
  • Stroke
  • Congestive heart failure
  • Chronic hepatitis
  • Cirrhosis
  • Chronic pancreatitis
  • History of solid organ transplantation
  • Cancer treatment within past 5 years (other than for breast cancer)
  • Any other physical condition (other than history of breast cancer) deemed likely to limit 5-year life expectancy or significantly interfere with individuals' ability to participate in a lifestyle intervention involving eating and physical activity changes.
  • Use of antipsychotic medications, monoamine oxidase inhibitors, systemic corticosteroids, human immunodeficiency virus or tuberculosis antibiotics, chemotherapeutics medications, or weight-loss medications.
  • Significant psychiatric disorder
  • Illicit drug use or excessive use of alcohol (i.e., > 2 drinks/day)
  • Currently participating in Weight Watcher's or another weight loss program
  • Currently participating in another research study
  • Unable to read English at the 5th grade level
  • Unable/unwilling to provide informed consent
  • Unwilling to receive random assignment to TLI or CWLP

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • University of Florida

    Gainesville, Florida, 32611

  • University of North Florida

    Jacksonville, Florida, 32224

Other trials in United States

About this study

Official title: Preventing Breast Cancer Recurrence Through a Tailored Lifestyle Intervention.

Breast cancer risk, and risk of related health problems (e.g., heart disease), is highest among women with a history of breast cancer (stages 1-3) who are also overweight or obese. The purpose of this study is to compare a tailored nutrition, physical activity, and behavioral weight management program for breast cancer survivors against a widely available commercial weight management program. We hypothesize that an intervention tailored to the unique psychological, nutritional and physical needs of breast cancer survivors will provide superior physiological and psychological benefits compared to an existing commercial program.

Conditions
Breast Cancer
Being tested
Tailored Lifestyle Intervention (TLI), Commercial Weight Loss Program (CWLP)
Keywords
Cancer, Breast cancer, Breast cancer prevention, Breast cancer recurrence, Weight loss, Weight management, Overweight, Obesity
Medical subject headings
Breast Neoplasms, Neoplasms, Weight Loss, Overweight, Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tailored Lifestyle Intervention (TLI)Behavioural

    The intervention is a nutrition, physical activity, and behavioral weight management program that is tailored to the specific needs of breast cancer survivors.

  • Commercial Weight Loss Program (CWLP)Behavioural

    This intervention is a generic, widely-available weight management program.

Study groups in NCT01630499
Study groupRoleWhat they receive
Tailored Lifestyle Intervention (TLI)ExperimentalParticipants randomized to the TLI condition will receive a 3-month weight management program tailored to the specific needs of women in remission from breast cancer.
Receives: Behavioral: Tailored Lifestyle Intervention (TLI)
Commercial Weight Loss Program (CLWP)Active comparatorParticipants randomized to the CWLP condition will receive a 3-month commercial weight loss program (i.e., Weight Watchers) at no cost.
Receives: Behavioral: Commercial Weight Loss Program (CWLP)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in body weight from baseline to post-intervention

    Measured: baseline (month 0), post-intervention (month 3)

  2. Change in body weight from post-intervention to follow-up

    Measured: post-intervention (month 3), follow-up (month 9)

Secondary outcomes (31)
  1. Change in inflammatory/metabolic disease markers associated with breast cancer recurrence from baseline to post-intervention

    Measured: baseline (month 0), post-intervention (month 3)

  2. Change in HDL Cholesterol from baseline to post-intervention

    Measured: baseline (month 0), post-intervention (month 3)

  3. Change in blood glucose control from baseline to post-intervention.

    HgA1c and fasting glucose to assess blood glucose control

    Measured: baseline (month 0), post-intervention (month 3)

  4. Change in caloric intake from baseline to post-intervention.

    National Cancer Institute's Automated Self-Administered 24-hour recall system (ASA-24)will be utilized to assess dietary intake.

    Measured: baseline (month 0), post-intervention (month 3)

  5. Change in body composition from baseline to post-intervention.

    Body composition will be assessed using air displacement plethysmography (Bodpod, COSMED, Inc).

    Measured: baseline (month 0), post-intervention (month 3)

  6. Change in waist circumference from baseline to post-intervention.

    Waist circumference will be measured in triplicate at the top of the iliac crest using a tension controlled tape measure upon exhalation.

    Measured: baseline (month 0), post-intervention (month 3)

  7. Change in sagittal abdominal diameter from baseline to post-intervention.

    Sagittal abdominal diameter will be measured in triplicate using a Holtain Kahn caliper at the top of the iliac crest upon exhalation.

    Measured: baseline (month 0), post-intervention (month 3)

  8. Change in physical activity from baseline to post-intervention.

    Physical activity will be assessed using both objective measurement (via triaxial accelerometer) and subjective assessment (via the International Physical Activity Questionnaire, or IPAQ).

    Measured: baseline (month 0), post-intervention (month 3)

  9. Change in health-related quality of life from baseline to post-intervention.

    Health-related quality of life will be assessed using the European Organization of Research and Treatment of Cancer - Quality of Life (QLQ-30) and the breast-cancer specific addendum (BR-23).

    Measured: baseline (month 0), post-intervention (month 3)

  10. Change in self-efficacy from baseline to post-intervention.

    Self-efficacy to abstain from eating in a variety of situations will be assessed using the Weight Efficacy Lifestyle (WEL) questionnaire.

    Measured: baseline (month 0), post-intervention (month 3)

  11. Use of weight management strategies

    The frequency of participants' utilization of specific weight management strategies will be assessed using the Weight Management Questionnaire (WMQ).

    Measured: post-intervention (month 3)

  12. Height

    Height will be assessed in order to determine BMI.

    Measured: baseline (month 0)

  13. Change in blood pressure from baseline to post-intervention.

    Systolic and diastolic blood pressure will be assessed at each time point using an appropriately sized cuff after the participant has been sitting quietly for at least 10 minutes.

    Measured: post-intervention (month 3), follow-up (month 9)

  14. Change in LDL cholesterol at from baseline to post-intervention.

    Measured: baseline (month 0), post-intervention (month 3)

  15. Change in total cholesterol from baseline to post-intervention.

    Measured: baseline (month 0), post-intervention (month 3)

  16. Change in triglycerides from baseline to post-intervention.

    Measured: baseline (month 0), post-intervention (month 3)

  17. Change in inflammatory/metabolic disease markers associated with breast cancer recurrence from post-intervention to follow-up.

    Measured: post-intervention (month 3), follow-up (month 9)

  18. Change in HDL Cholesterol from post-intervention to follow-up.

    Measured: post-intervention (month 3), follow-up (month 9)

  19. Change in blood glucose control from post-intervention to follow-up.

    Measured: post-intervention (month 3), follow-up (month 9)

  20. Change in caloric intake from post-intervention to follow-up.

    National Cancer Institute's Automated Self-Administered 24-hour recall system (ASA-24)will be utilized to assess dietary intake.

    Measured: post-intervention (month 3), follow-up (month 9)

  21. Change in body composition from post-intervention to follow-up.

    Body composition will be assessed using air displacement plethysmography (Bodpod, COSMED, Inc).

    Measured: post-intervention (month 3), follow-up (month 9)

  22. Change in waist circumference from post-intervention to follow-up.

    Waist circumference will be measured in triplicate at the top of the iliac crest using a tension controlled tape measure upon exhalation.

    Measured: post-intervention (month 3), follow-up (month 9)

  23. Change in sagittal abdominal diameter from post-intervention to follow-up.

    Sagittal abdominal diameter will be measured in triplicate using a Holtain Kahn caliper at the top of the iliac crest upon exhalation.

    Measured: post-intervention (month 3), follow-up (month 9)

  24. Change in physical activity from post-intervention to follow-up.

    Physical activity will be assessed using both objective measurement (via triaxial accelerometer) and subjective assessment (via the International Physical Activity Questionnaire, or IPAQ).

    Measured: post-intervention (month 3), follow-up (month 9)

  25. Change in health-related quality of life from post-intervention to follow-up.

    Health-related quality of life will be assessed using the European Organization of Research and Treatment of Cancer - Quality of Life (QLQ-30) and the breast-cancer specific addendum (BR-23).

    Measured: post-intervention (month 3), follow-up (month 9)

  26. Change in self-efficacy from post-intervention to follow-up.

    Self-efficacy to abstain from eating in a variety of situations will be assessed using the Weight Efficacy Lifestyle (WEL) questionnaire.

    Measured: post-intervention (month 3), follow-up (month 9)

  27. Use of weight management strategies at follow-up.

    The frequency of participants' utilization of specific weight management strategies will be assessed using the Weight Management Questionnaire (WMQ).

    Measured: follow-up (month 9)

  28. Change in blood pressure from post-intervention to follow-up.

    Systolic and diastolic blood pressure will be assessed at each time point using an appropriately sized cuff after the participant has been sitting quietly for at least 10 minutes.

    Measured: post-intervention (month 3), follow-up (month 9)

  29. Change in LDL cholesterol at from post-intervention follow-up

    Measured: post-intervention (month 3), follow-up (month 9)

  30. Change in total cholesterol from post-intervention to follow-up.

    Measured: post-intervention (month 3), follow-up (month 9)

  31. Change in triglycerides from post-intervention to follow-up.

    Measured: post-intervention (month 3), follow-up (month 9)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jun 2012 (estimated)
  2. Study startOct 2012
  3. Primary completionMar 2016
  4. Study completionJul 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
87 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01630499
Sponsor's protocol ID
MyLIFE2012
Other IDs
427-2012
Acronym
MyLIFE
Status last verified
Sep 2016
First submitted
22 Jun 2012
Last updated
30 Sep 2016
Results posted
No
Data monitoring committee
No

Publications

  • Pharoah PD, Day NE, Duffy S, Easton DF, Ponder BA. Family history and the risk of breast cancer: a systematic review and meta-analysis. Int J Cancer. 1997 May 29;71(5):800-9. doi: 10.1002/(sici)1097-0215(19970529)71:53.0.co;2-b.

    PubMed 9180149
  • McTiernan A. Behavioral risk factors in breast cancer: can risk be modified? Oncologist. 2003;8(4):326-34. doi: 10.1634/theoncologist.8-4-326.

    PubMed 12897329
  • King MC, Marks JH, Mandell JB; New York Breast Cancer Study Group. Breast and ovarian cancer risks due to inherited mutations in BRCA1 and BRCA2. Science. 2003 Oct 24;302(5645):643-6. doi: 10.1126/science.1088759.

    PubMed 14576434
  • Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ. Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med. 2003 Apr 24;348(17):1625-38. doi: 10.1056/NEJMoa021423.

    PubMed 12711737
  • Berclaz G, Li S, Price KN, Coates AS, Castiglione-Gertsch M, Rudenstam CM, Holmberg SB, Lindtner J, Erien D, Collins J, Snyder R, Thurlimann B, Fey MF, Mendiola C, Werner ID, Simoncini E, Crivellari D, Gelber RD, Goldhirsch A; International Breast Cancer Study Group. Body mass index as a prognostic feature in operable breast cancer: the International Breast Cancer Study Group experience. Ann Oncol. 2004 Jun;15(6):875-84. doi: 10.1093/annonc/mdh222.

    PubMed 15151943
  • Nichols HB, Trentham-Dietz A, Egan KM, Titus-Ernstoff L, Holmes MD, Bersch AJ, Holick CN, Hampton JM, Stampfer MJ, Willett WC, Newcomb PA. Body mass index before and after breast cancer diagnosis: associations with all-cause, breast cancer, and cardiovascular disease mortality. Cancer Epidemiol Biomarkers Prev. 2009 May;18(5):1403-9. doi: 10.1158/1055-9965.EPI-08-1094. Epub 2009 Apr 14.

    PubMed 19366908
  • Gallicchio L, Kalesan B, Hoffman SC, Helzlsouer KJ. Non-cancer adverse health conditions and perceived health and function among cancer survivors participating in a community-based cohort study in Washington County, Maryland. J Cancer Surviv. 2008 Mar;2(1):12-9. doi: 10.1007/s11764-008-0046-1. Epub 2008 Feb 12.

    PubMed 18648983
  • Fossa SD, Vassilopoulou-Sellin R, Dahl AA. Long term physical sequelae after adult-onset cancer. J Cancer Surviv. 2008 Mar;2(1):3-11. doi: 10.1007/s11764-007-0039-5. Epub 2007 Dec 4.

    PubMed 18648982
  • Chen Z, Maricic M, Bassford TL, Pettinger M, Ritenbaugh C, Lopez AM, Barad DH, Gass M, Leboff MS. Fracture risk among breast cancer survivors: results from the Women's Health Initiative Observational Study. Arch Intern Med. 2005 Mar 14;165(5):552-8. doi: 10.1001/archinte.165.5.552.

    PubMed 15767532
  • Coups EJ, Ostroff JS. A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med. 2005 Jun;40(6):702-11. doi: 10.1016/j.ypmed.2004.09.011.

    PubMed 15850868
  • Bellizzi KM, Rowland JH, Jeffery DD, McNeel T. Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol. 2005 Dec 1;23(34):8884-93. doi: 10.1200/JCO.2005.02.2343.

    PubMed 16314649
  • Robien K, Demark-Wahnefried W, Rock CL. Evidence-based nutrition guidelines for cancer survivors: current guidelines, knowledge gaps, and future research directions. J Am Diet Assoc. 2011 Mar;111(3):368-75. doi: 10.1016/j.jada.2010.11.014. No abstract available.

    PubMed 21338735
  • Coussens LM, Werb Z. Inflammation and cancer. Nature. 2002 Dec 19-26;420(6917):860-7. doi: 10.1038/nature01322.

    PubMed 12490959
  • Shacter E, Weitzman SA. Chronic inflammation and cancer. Oncology (Williston Park). 2002 Feb;16(2):217-26, 229; discussion 230-2.

    PubMed 11866137
  • Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999-2008. JAMA. 2010 Jan 20;303(3):235-41. doi: 10.1001/jama.2009.2014. Epub 2010 Jan 13.

    PubMed 20071471

Questions about this trial

What is this clinical trial studying?

A study testing Tailored Lifestyle Intervention (TLI) and Commercial Weight Loss Program (CWLP) in people with Breast Cancer, run by University of Florida at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 27 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Sep 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in body weight from baseline to post-intervention (time frame: baseline (month 0), post-intervention (month 3)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01630499, which also lists 16 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2016.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in