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El ensayo clínico NCT06237179 (EXTRA-PC) para Cáncer de próstata, Cuidados de apoyo está reclutando. Consulte la vista de tarjeta del Radar de Ensayos Clínicos y las herramientas de descubrimiento de IA para conocer todos los detalles. O haga cualquier pregunta aquí. | ||
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Behavioral Exercise Training to Reduce Cardiovascular Disease Risk (EXTRA-PC)
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El ensayo clínico NCT06237179 (EXTRA-PC) está diseñado para estudiar cuidados de apoyo de Cáncer de próstata, Cuidados de apoyo. Es un estudio intervencionista de Fase I Fase II. Su estado actual es: reclutando. El ensayo se inició el 21 de febrero de 2024, con el objetivo de reclutar a 60 participantes. Dirigido por la Universidad de la Mancomunidad de Virginia, se espera que finalice el 31 de enero de 2028. Los datos se actualizaron por última vez en ClinicalTrials.gov el 27 de febrero de 2025.
Resumen
To test the preliminary effectiveness of a home-based exercise training (ET) intervention to improve exercise capacity (VO2 peak & 6-minute walk distance [6MWD]) among prostate cancer (PC) patients compared to controls receiving healthy living education (HLE) at 12 weeks.
Título oficial
Behavioral Exercise Training to Reduce Cardiovascular Disease Risk in Men Undergoing Androgen Deprivation Therapy (EXTRA-PC)
Condiciones médicas
Cáncer de próstataCuidados de apoyoOtros ID del ensayo
- EXTRA-PC
- MCC-23-20934
- HM20028583 (Otro identificador) (Virginia Commonwealth University)
- 1K01HL161419-01A1 (Subvención/contrato NIH (EE. UU.))
Número del NCT
Inicio del ensayo (real)
2024-02-21
Última actualización
2025-02-27
Fecha de finalización (estimada)
2028-01-31
Inscripción (prevista)
60
Tipo de estudio
Intervencionista
FASE
Fase I
Fase II
Fase II
Estado general
Reclutando
Palabras clave
Prostate Cancer
Supportive Care
Exercise
Supportive Care
Exercise
Objetivo principal
Cuidados de apoyo
Método de asignación
Aleatorizado
Modelo de intervención
Paralelo
Enmascaramiento
Ninguno (Etiqueta abierta)
Brazos / Intervenciones
| Grupo de participantes | Intervención/Tratamiento |
|---|---|
ExperimentalExercise Training Intervention The exercise program (ET) is tailored to each participant depending on his initial functional capacity, cardiorespiratory fitness and strength, to achieve ≥150 moderate to vigorous physical activity | Intervención de entrenamiento físico 5.1. The behavioral ET and HLE interventions will be delivered over 12 weeks. Before starting the study, men will be asked to attend one (1) in-person small group orientation to provide an overview of each intervention arm, familiarize them with web-based and smartphone applications or hard copy manuals for delivery of intervention content, exercise logs, resistance bands, and equipment for strength training. |
Comparador activoHealthy Living Education Control Educational modules delivered remotely (or manual and telephone call) in a group-based setting to approximately match contact frequency and structure with the ET arm. | Healthy Living Education During the initial 12 weeks of the study, men randomized to the HLE group will receive educational modules delivered remotely (or manual and telephone call) in a group-based setting to approximately match contact frequency and structure with the ET arm. |
Resultado primario
Resultado secundario
| Medida de resultado | Descripción de la medida | Periodo de tiempo |
|---|---|---|
Change from baseline in maximal exercise capacity (VO2 peak) at 12 weeks | Exercise capacity will be measured by the maximal volume of oxygen utilization (VO2 peak) during a supine graded cardiopulmonary exercise test done in conjunction with cardiac magnetic resonance (exeCMR+CPET). VO2 will be measured in both relative (ml/kg/minute) and absolute (L/minute) terms. | Baseline, 12 weeks, and 24 weeks |
Change from baseline in sub-maximal exercise capacity (6MWD) at 12 weeks | The distance walked in a sub-maximal 6-minute walk test (6MWD). 6MWD will be reported as meters walked (m). | Baseline, 12 weeks, and 24 weeks |
| Medida de resultado | Descripción de la medida | Periodo de tiempo |
|---|---|---|
Stroke Volume (SV) as a cardiac determinant of exercise capacity among men undergoing ADT following 12 weeks of ET vs HLE controls. | By measuring resting and exercise -associated left ventricular (LV) end-diastolic (EDV) and end-systolic volumes (ESV) we will calculate stroke volume (SV) in milliliters/beat (ml).
SV = EDV - ESV | Baseline, 12 weeks |
Left ventricular ejection fraction (LVEF) as a cardiac determinant of exercise capacity among men undergoing ADT following 12 weeks of ET vs HLE controls. | By measuring resting and exercise-associated stroke volumes (SV) as a proportion of end-diastolic volumes (EDV) we will calculate left ventricular ejection fraction (%).
LVEF = SV/EDV | Baseline, 12 weeks |
Cardiac output (CO) as a cardiac determinant of exercise capacity among men undergoing ADT following 12 weeks of ET vs HLE controls. | By measuring resting and exercise-associated stroke volume (SV) and the heart rate (HR) in conjunction with image acquisition we will calculate cardiac output in liters per minute (L/min).
CO = SV x HR | Baseline, 12 weeks |
Arterial-venous oxygen (a-vO2) difference as a musculoskeletal determinant of exercise capacity among men undergoing ADT following 12 weeks of ET vs HLE controls. | From the exercise tests we will calculate a-vO2 difference using the FICK equation. The difference in oxygen saturation between the venous circulation and the arterial circulation will be reported in milliliters (ml) and also expressed as ml/100ml of blood (%)
a-vO2 = VO2 / CO | Baseline, 12 weeks |
Change in lean body mass | We will conduct body composition assessments using bioelectrical impedance analysis (BIA) and a Dual Energy X-Ray Absorptiometry (DXA) scan. We will use dual X-ray absorptiometry (DEXA) to assess whole body composition for lean body mass.
Lean body mass will be reported as kilograms (kg) | Baseline, 12 weeks |
Change in fat mass | We will conduct body composition assessments using bioelectrical impedance analysis (BIA) and a Dual Energy X-Ray Absorptiometry (DXA) scan. We will use dual X-ray absorptiometry (DEXA) to assess whole body composition for fat mass as well as distribution patterns of adiposity, e.g., visceral adipose tissue.
Fat mass and visceral fat mass will be reported in kilograms (kg) and body fat percentage will be reported as fat mass / body mass (%) | Baseline, 12 weeks |
Neighborhood Environment & Walkability Survey (NEWS-A) | NEWS-A is a validated self-reported survey used to assess factors that are correlates or determinants of participants ability to engage in physical activity in their neighborhoods. For example, higher walkability is determined by availability of sidewalks and access to nearby facilities. | Baseline, 12 weeks, 24 weeks |
Change in physical activity assessed with the Godin Leisure-Time Exercise Questionnaire (GLTEQ) | GLTEQ is a self-report survey to determine the level typical activity a participant engages in each week. Higher scores on the index indicate more activity. | Baseline, 12 weeks, 24 weeks |
Change in physical activity assessed with Accelerometry | The ActivPAL and Actigraph accelerometers provide an objective assessment of sedentary sitting time and increasing intensities of physical activity in minutes per week | Baseline, 12 weeks, 24 weeks |
Change in self-efficacy to navigate barriers to engaging in exercise | A self report of self-efficacy to engage in exercise or physical activity under different challenging conditions such as when experiencing fatigue. Higher scores indicate increased confidence to navigate barriers. | Baseline, 12 weeks, 24 weeks |
Change in self-efficacy to walk for increasing periods of time. | A self report of self-efficacy to engage in walking for an increasing period of time. Higher scores indicate increased confidence to walk for a longer periods of time without resting. | Baseline, 12 weeks, 24 weeks |
Change in Functional Assessment of Cancer Therapy - Prostate (FACT-P) scores | FACT-P is a validated self report measures of different domains of quality of life that are important for men who have been diagnosed with prostate cancer. Subscale scores can be assessed to gauge functional wellbeing, physical wellbeing, social wellbeing and emotional wellbeing as well as prostate specific wellbeing. Higher scores indicate a higher quality of life on overall and sub scales. | Baseline, 12 weeks, 24 weeks |
Change in health-related quality of life (SF-36) scores | SF-36 (RAND) is a validated self report measure of different domains of health-related quality of life that are important for adults. Higher scores indicate a higher health-related quality of life . | Baseline, 12 weeks, 24 weeks |
Change in fatigue measured with the patient reported outcomes measurement information system (PROMIS) - Fatigue scores | PROMIS - Fatigue is a validated self-report measure of fatigue among patients diagnosed with cancer and higher scores indicate a lower level of fatigue. | Baseline, 12 weeks, 24 weeks |
Change in physical function measured with the patient reported outcomes measurement information system (PROMIS) - Physical Functioning scores | PROMIS - Physical Functioning is a validated self-report measure of physical functioning among patients diagnosed with cancer and higher scores indicate a better function. | Baseline, 12 weeks, 24 weeks |
Change in sleep disturbance measured with the patient reported outcomes measurement information system (PROMIS) - Sleep Disturbance scores | PROMIS - Sleep Disturbance is a validated self-report measure of sleep disturbance among patients diagnosed with cancer and higher scores indicate less sleep disruption. | Baseline, 12 weeks, 24 weeks |
Change in depressive symptoms measured with the patient reported outcomes measurement information system (PROMIS) - Depression scores | PROMIS - Depression is a validated self-report measure of depressive symptoms among patients diagnosed with cancer and higher scores indicate less symptoms. | Baseline, 12 weeks, 24 weeks |
Change in anxiety measured with the patient reported outcomes measurement information system (PROMIS) - Anxiety scores | PROMIS - Anxiety is a validated self-report measure of depressive symptoms among patients diagnosed with cancer and higher scores indicate less symptoms. | Baseline, 12 weeks, 24 weeks |
Change in emotional distress measured with the patient reported outcomes measurement information system (PROMIS) - Emotional Distress scores | PROMIS - Anxiety is a validated self-report measure of depressive symptoms among patients diagnosed with cancer and higher scores indicate less symptoms. | Baseline, 12 weeks, 24 weeks |
Change in fatigue measured with the Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) scale | FACUT-F is a validated self-report measure of fatigue among patients undergoing treatment for a chronic illness and higher scores indicate less fatigue. | Baseline, 12 weeks, 24 weeks |
Change in perceived stress as measured with Cohen's perceived stress scale (PSS) | PSS is a validated self-report measure of perceived stress and higher scores indicate more perceived stress. | Baseline, 12 weeks, 24 weeks |
Change in physical function assessed with the Short Physical Performance Battery (SPPB) | SPPB is a validated objective assessment of 3 domains of physical function that includes gait speed, grip strength and time taken to stand from a chair 5 times. Each down is scored on a scale of 0-4 with a total score summed from each domain. A higher score is indicative of better functioning. | Baseline, 12 weeks, 24 weeks |
Criterios de elegibilidad
Criterios de edad
Adulto, Adulto mayor
Edad mínima
40 Years
Criterios de sexo
Hombre
- Be diagnosed with stage II/III/IV prostate cancer
- Be currently undergoing treatment with ADT (intermittent or prolonged)
- Have completed local curative-intent treatment, including prostatectomy or definitive radiation;
- Be >40 years of age up to 85;
- Be willing to sign an informed consent with HIPAA authorization form;
- Not have any hearing or sight impairments that result in the inability to use the telephone or hear normal conversation;
- Must be able to join an intervention group by personal computer, smartphone or telephone call and should agree to recording of an interview;
- Be without any serious medical condition that precludes safe participation in an exercise program;
- Speak English
- Be unable to undergo MRI (i.e., ferromagnetic materials in body, inability to lie flat, claustrophobia);
- Have contraindications to exercise testing;
- Have pre-existing overt cardiovascular disease/heart failure;
- Active illness/infection;
- Hemoglobin < 7.0 grams/dL
- Platelet count < 10 x 109/L
Contactos centrales del ensayo
Contacto: Alexander R Lucas, PhD, 804 628-6610, [email protected]
Contacto: Alexandra Marshall, MS, 804 628-1215, [email protected]
2 Sitios del ensayo en 1 países
Virginia
Richmond Veterans Affairs Medical Center, Richmond, Virginia, 23249, United States
Alexander R Lucas, PhD, Contacto, 804-628-6610, [email protected]
Alexandra L Marshall, MS, Contacto, 804 628-1215, [email protected]
Alexander R Lucas, PhD, Investigador principal
Aún no recluta
Virginia Commonwealth University Massey Cancer Center, Richmond, Virginia, 23298, United States
Alexandra Marshall, Contacto, [email protected]
Alexander Lucas, PhD, Contacto, 804-628-6610, [email protected]
Alexander Lucas, Ph.D, Investigador principal
Reclutando