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Support and Rehabilitation Protocol for Non Metastatic Breast Cancer Patients in Complete Remission After Chemotherapy

Not Applicable
Terminated
Conditions
Non Metastatic Breast Cancer
Interventions
Behavioral: dietaty education, physical training, physiotherapy and SPA cares
Registration Number
NCT01563588
Lead Sponsor
Centre Jean Perrin
Brief Summary

Many breast cancer patients (BCP) will gain weight during chemotherapy and about 10% of them are able to find back to their initial weight after all treatments are finished. Other studies have shown that overweight at diagnosis was associated to a twice higher risk of relapse while a weight gain during treatments increased by 30% to 50% the risk of relapse. In western countries, 75% of BCP have insufficient physical activity. Dietary and activity programs seem to be able to significantly reduce the mortality risk after breast cancer.

The investigators performed a prospective randomized trial consisting in dietary counseling, physical training and physiotherapy in hydrothermal centers. Intervention were delivered in small group session lasting 12 days. SPA cares were offered to patients. Patients in the control group also received dietary counseling given by a dietetician inside anticancer hospital, and were asked to perform more physical activities. Main endpoints of the trial addressed quality of life (SF36) one year after inclusion, weight reduction, anxiety/depression (HAD), sleep quality and long term compliance to instructions. An economic study was associated to the protocol, for volunteers only.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
Female
Target Recruitment
251
Inclusion Criteria
  • breast cancer
  • treatment including a chemotherapy
  • in complete remission
  • last treatment in the last 9 months before inclusion
  • signed consent
Exclusion Criteria
  • metastatic disease
  • relapse
  • women enable to have physical activity
  • heart disease or any pathology preventing physical activity

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
dietary and physical trainingdietaty education, physical training, physiotherapy and SPA cares12 days session of physical training, dietary education, physiotherapy and SPA cares in small group (less than 12 women) delivered in hydrothermal centers
Primary Outcome Measures
NameTimeMethod
Quality of life (SF36)one year after inclusion

Quality of life was measured with the SF36 questionnaire before randomization, at 6, 12, 18, 24 and 36 months. The difference at one year was the main endpoint.

Secondary Outcome Measures
NameTimeMethod
economic figuresduring 2 years after inclusion

health related costs, health insurance costs, social costs

Anxiety/depression scores (HAD)inclusion, 6, 12, 18, 24, 36 months

HAD questionnaire is a validated instrument that complete the SF36 QoL questionnaire.

Weight and morphometric measuresinclusion, 6, 12, 18, 24, 36 months

Weight(kg), impedancemetry, hip/waist circumference are needed to characterize eventual weight changes in both allocation groups

Sleep qualityinclusion, 6, 12, 18, 24, 36 months

6 questions are asked: it rates the delay before sleep onset, the lenght of sleep, the number of awakening, the lenght of wake periods during the night, the concentration/alertness after sleep, and the fatigue in the morning.

Trial Locations

Locations (2)

Centre Jean Perrin

🇫🇷

Clermont-Ferrand, Puy de Dome, France

Pole Santé-République

🇫🇷

Clermont-Ferrand, Puy de Dome, France

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