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Long-term Effects Secondary to Cancer Therapy in AdultsNCT04265638

Exercise Intervention in Adolescent and Young Adult Cancer Survivors

A study testing Exercise in people with Long-term Effects Secondary to Cancer Therapy in Adults and Pediatric Cancer, run by Indiana University at 3 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Adolescent and young adult (AYA) survivors of cancer face a future of persistent medical issues across a wide spectrum of diseases One study examining health data from this cohort (ages 15-29) reported significantly higher rates of smoking, obesity, cardiovascular disease, hypertension, asthma, and poorer mental… Read more about this study

Who is it for?
Ages 15 to 39 years
What is being tested?
Exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
66 participants
Where
3 sitesUnited States
Study dates
5 Jun 2019to May 2024
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 15 to 39 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Age ≥ 15 and ≤ 39 years,
  • History of cancer
  • At least three months off of cytotoxic chemotherapy (note: hormone therapy is permitted)

Who cannot join

  • Evidence of significant liver dysfunction, congestive heart failure, cardiovascular disease
  • History of CNS tumor
  • Down's Syndrome
  • Unable to perform aerobic and/or strength exercises with full range of motion (limb immobilization, limb amputation, or surgical complications.
  • Neurological disorder
  • Baseline exercise of 30 minutes per day three times a week already being performed.

Trial locations and contacts

3 sites in 1 country.

NiCole Keith, PhD contact

317-278-8438

nkeith@iupui.edu

United States3 sites, 3 recruiting
  • IU Health North Hospital

    Carmel, Indiana, 46032

    NiCole Keith, PhD, 317-278-8438, nkeith@iupui.edu

    Recruiting
  • Riley Hospital for Children - Indiana University

    Indianapolis, Indiana, 46202

    NiCole Keith, PhD, 317-278-8438, nkeith@iupui.edu

    Recruiting
  • Indianapolis Healthplex

    Indianapolis, Indiana, 46222

    Adnan Hyder, 317-920-7400, ahyder@indianapolishealthplex.com

    Recruiting

Other trials in United States

About this study

Official title: One-on-one Exercise Program in Adolescent and Young Adult Cancer Survivors With a Certified Clinical Cancer Exercise Specialist

Adolescent and young adult (AYA) survivors of cancer face a future of persistent medical issues across a wide spectrum of diseases One study examining health data from this cohort (ages 15-29) reported significantly higher rates of smoking, obesity, cardiovascular disease, hypertension, asthma, and poorer mental health among the cancer survivors when compared to healthy controls. Prescribed exercise has broad and far-reaching beneficial physiological effects that cut across multiple body systems and consistently improves emotional well-being, decreases fatigue and depression, and enhances quality of life. Although a growing body of evidence consistently demonstrates the physiological and psychological benefits of exercise interventions in adults with cancer, there are no studies examining the effects of individualized, prescribed, supervised exercise in pediatric, adolescent and young adult cancer survivors.

Being tested
Exercise
Medical subject headings
Neoplasms

What participants receive

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

  • ExerciseBehavioural

    One on one exercise with a cancer exercise specialist 1 hour 3 times a week for 12 weeks.

Study groups in NCT04265638
Study groupRoleWhat they receive
ExerciseExperimentalNot described
Receives: Behavioral: Exercise
Usual CareNo interventionNot described

What is being measured

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

  1. Change of the Participant Evaluation of Feasibility and Acceptability Questionnaire

    The Participant Evaluation of Feasibility and Acceptability Questionnaire consists of 6 items arranged on a Likert scale ranging from 1- 5, and 4 additional open-ended questions designed to elicit information concerning the benefits and barriers to participating in the resistance exercise intervention.

    Measured: weeks 12 and 24

  2. Change of Balance Assessment

    The BOT2 Balance subtests 5, Number 2: Walking forward on a line and Subtest 5, Number 7: Standing on One leg on a balance beam - Eyes Open will evaluate motor-control skills that are integral for maintaining posture when standing, walking, or reaching. This motor-area composite measures control and coordination of the large musculature that aids in posture and balance. Scores are assessed to determine stability dynamically and statically, on one leg and utilizing both legs, on a balance beam when the eyes are open for more than 10 seconds and if the patient can likely do so when the eyes are closed for about 5 to 10 seconds and also a twenty-four foot straight line.

    Measured: baseline, weeks 6, 12, and 24

  3. Change of Cardiovascular Systems - VO2 Peak (mL·kg-1·min-1)

    The subject's VO2 Peak (mL-kg-1-min-1) will be used to assess the cardiovascular system.

    Measured: baseline, weeks 6, 12, and 24

  4. Change of Cardiovascular Systems - FEV1

    The subject's forced expiratory volume in one second (FEV1) will be used to assess the cardiovascular system.

    FEV1: Male = [0.0566 (ht in cm)] - [0.0233 (age)] - 4.91

    Measured: baseline, weeks 6, 12, and 24

  5. Change of Cardiovascular Systems - FCV

    The subject's estimated forced vital capacity (FVC) will be used to assess the cardiovascular system.

    FVC: Male = [0.0774 (ht in cm)] - [0.0212 (age)] - 7.75 Female = [0.0414 (ht in cm)] - [0.0232 (age)] - 2.2

    Measured: baseline, weeks 6, 12, and 24

  6. Change of Fatigue

    The Revised Piper Fatigue Scale: Fatigue will be measured using the Piper Fatigue Inventory, which evaluates total cancer-related fatigue, as well as subscales of fatigue such as affective, behavior, cognitive, mood, and sensory. There are 4 individual subscales comprise 22 items with the average score representing total fatigue. The subscales are behavioral/severity (6 items), affective meaning (5 items), sensory (5 items) and cognitive/mood (6 items). Standardized alpha for the entire scale (n = 22 items) is 0.97, indicating that some redundancy still may exist among the items. The scale ranges from 0 to 10. A score of 0 indicates that the participant shows no signs of fatigue; a score from 1 to 3 indicates mild fatigue, 4-6 indicates moderate fatigue and a score greater than 7 indicates severe fatigue.

    Measured: baseline, weeks 6, 12, and 24

  7. Change of Neuropathy 15-17 year olds

    Pediatric Total Neuropathy Score (Peds-TNS): A multidimensional instrumentused to measure peripheral neuropathy symptoms and signs in children from 15-17 years old. This instrument assesses proximal extension of numbness, tingling, and neuropathic pain, motor function, vibration and touch sensation, strength, tendon reflexes, dizziness. These parameters provide qualitative information on symptoms, nerve conduction and sensory tests on a scale of 0 for none to 4 for severe. The individual scores are added together to provide a single measure of neuropathy called a Total Neuropathy Score.

    Measured: baseline, weeks 6, 12, and 24

  8. Change of Pulmonary Systems - VO2 Peak (mL·kg-1·min-1) - FEV1

    The subject's VO2 Peak (mL-kg-1-min-1) will be used to forced expiratory volume in one second (FEV1).

    FEV1: Male = [0.0566 (ht in cm)] - [0.0233 (age)] - 4.91

    Measured: baseline, weeks 6, 12, and 24

  9. Change of Pulmonary Systems - VO2 Peak (mL·kg-1·min-1) - FVC

    The subject's VO2 Peak (mL-kg-1-min-1) will be used to forced expiratory volume in estimated forced vital capacity (FVC).

    FVC: Male = [0.0774 (ht in cm)] - [0.0212 (age)] - 7.75 Female = [0.0414 (ht in cm)] - [0.0232 (age)] - 2.2

    Measured: baseline, weeks 6, 12, and 24

  10. Change of Cancer Therapy Fatigue

    Functional Assessment of Cancer Therapy Fatigue Scale (FACIT-F) Brief: A questionnaire assessing fatigue and anemia-related concerns in people with cancer.

    Measured: baseline, weeks 6, 12, and 24

  11. Change of Neuropathy over 17 years of age

    Total Neuropathy Score Clinical Evaluation (TNS): The best acknowledged method to assess the severity and changes in chemotherapy-induced peripheral neurotoxicity for individuals over 17. The TNSc consists of items with scores correlating significantly with the National Cancer Institute-Common Toxicity Criteria v. 2.0

    Measured: baseline, weeks 6, 12, and 24

Secondary outcomes (8)
  1. Depression - BDI

    Beck Depression Inventory (BDI): The BDI is a 21-item self-report rating inventory for characteristics of depression with ratings from 0 to 3, with 3 being the most intense. The BDI is for individuals 19 and older.

    Measured: Baseline, weeks 12 and 24.

  2. Depression - CDI

    Title: Children's Depression Inventory (CDI): The CDI is a 27-item scale that is self-rated and symptom-oriented. It is a validated test for children 18 and under. There are 27 items with scores ranging from 0-2, so there is a possible total score of 0-54, with 0 being no depression to 54 being the worst. The non-clinical cut off score is 19-20, which will be the one we are using.

    Measured: Baseline, weeks 12 and 24.

  3. Beck Anxiety Inventory

    The BAI is a 21-question multiple-choice self-report inventory that is used for measuring the severity of anxiety in children and adults. The BAI contains 21 questions, each answer being scored on a scale value of 0 (not at all) to 3 (severely). Higher total scores indicate more severe anxiety symptoms. The standardized cutoffs[4] are:

    0-7: minimal anxiety 8-15: mild anxiety 16-25: moderate anxiety 26-63: severe anxiety

    Measured: Baseline, weeks 12 and 24.

  4. Measure health-related Quality of Life

    Pediatric Quality of Life Inventory (PedsQL 4.0): The PedsQL is a modular approach to measuring health-related quality of life in healthy children and adolescents and those with acute and chronic health conditions. The PedsQL integrates generic core scales and disease-specific modules into one measurement system. The 23-item PedsQL generic core scales and disease-specific scales were designed to measure the core dimensions of health as delineated by the World Health Organization, as well as role (school) functioning. This measure is tailored to 5 different age groups: however, we will only use the section designed for teens (13-18) which is made up of 23 items comprising 4 dimensions. Ferrans \& Powers Quality of Life Index: Total quality of life will be measured using the Ferrans and Powers Quality of Life Index Version III and is a 66-question index designed to evaluate social, psychological, family, and health satisfaction. This assessment is valid for ages 18 and up.

    Measured: Baseline, weeks 12 and 24.

  5. Healthy Days Core Module (CDC HRQOL-4

    The HRQOL is a 4-question assessment of overall health, both physical and mental health. The questionnaire is scored as follows: First unhealthy days are calculated as an estimate of the overall number of days during the previous 30 days when the respondent felt that either his or her physical or mental health was not good. The score for obtaining unhealthy days is done by combining the responses to questions 2 and 3 to calculate a summary index of overall unhealthy days, with a logical maximum of 30 unhealthy days.

    Measured: baseline, weeks 6, 12, and 24

  6. Pain scale

    Visual Analogue Scale (VAS): The VAS is a validated pain measurement for individuals age seven and older. The scale is a single line with one end denoting no pain and the other, the worst pain possible. The scale was validated in 1976 with a reliability score of 0.94. The VAS is a scale of 100-mm and ratings of 0 to 4 mm can be considered no pain; 5 to 44 mm, mild pain; 45 to 74 mm, moderate pain; and 75 to 100 mm, severe pain81

    Measured: baseline, weeks 6, 12, and 24

  7. Pittsburgh Sleep Quality Index Survey

    The PSQI is a 19-item self-rated questionnaire for evaluating subjective sleep quality over the previous month. The 19 ques-tions are combined into 7 clinically-derived component scores, each weighted equally from 0-3. The 7 component scores are added to obtain a global score ranging from 0-21, with higher scores indicating worse sleep quality.

    Measured: baseline, weeks 6, 12, and 24

  8. Adverse Event Pain Assessment

    The NCI Common Terminology Criteria for Adverse Events (CTCAE) V4.02: The NCI Common Terminology Criteria for Adverse Events Version 4.02 is a descriptive scale that grades adverse events occurring after chemotherapy in cancer patients and explores the quality of life (QOL) findings among post therapy cancer patients. A grading (severity) scale is provided for each AE term. The grading scale is 0-5 with Grade 0: no signs or symptoms of the Adverse Event to Grade 5: death.

    Measured: baseline, weeks 6, 12, and 24

Timeline

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

  1. First posted11 Feb 2020
  2. Study start5 Jun 2019
  3. Primary completionMay 2024 (estimated)
  4. Study completionMay 2024 (estimated)

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
66 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04265638
Sponsor's protocol ID
IUSCC-0696
Status last verified
Nov 2023
First submitted
5 Aug 2019
Last updated
28 Nov 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ernst M, Wagner C, Oeser A, Messer S, Wender A, Cryns N, Brockelmann PJ, Holtkamp U, Baumann FT, Wiskemann J, Monsef I, Scherer RW, Mishra SI, Skoetz N. Resistance training for fatigue in people with cancer. Cochrane Database Syst Rev. 2024 Nov 28;11(11):CD015518. doi: 10.1002/14651858.CD015518.

    PubMed 39606939

Questions about this trial

What is this clinical trial studying?

A study testing Exercise in people with Long-term Effects Secondary to Cancer Therapy in Adults and Pediatric Cancer, run by Indiana University at 3 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 3 inclusion and 6 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: status not confirmed, as of the sponsor's last update on 28 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 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?

Results are not available in the source record.

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

Contact NiCole Keith, PhD (317-278-8438, nkeith@iupui.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change of the Participant Evaluation of Feasibility and Acceptability Questionnaire (time frame: weeks 12 and 24). The study lists 11 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 NCT04265638, which also lists 1 linked publication.

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 28 Nov 2023.

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