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Effectiveness of an Individualized Program of Muscular Strength and Endurance Program for Improving Germ Cell Cancer

Not Applicable
Suspended
Conditions
Testicular Germ Cell Cancer
Interventions
Device: Aerobic program
Registration Number
NCT02433197
Lead Sponsor
University of Malaga
Brief Summary

Background: Patients with testicular germ cell cancer (GCC) have a high cure rate, however impaired muscle function and fatigue are the most common complications among patients with GCC undergoing treatment with chemotherapy. Although exercise is widely recommended, information about physiopathological effects of cancer therapy in skeletal muscle is very limited.

Methods/Design: The present study is a randomized controlled trial comparing an individualized program of muscular strength and endurance with aerobic training compared to a control group. All variables will be measured at the beginning and at the end of a 8-week intervention by the same evaluator, who will hide the disposition of participants to each group. Besides, it will be monitoring during de following 6 months (24 weeks) after training for all outcome variables.

Detailed Description

Background: Patients with testicular germ cell cancer (GCC) have a high cure rate, however impaired muscle function and fatigue are the most common complications among patients with GCC undergoing treatment with chemotherapy. Although exercise is widely recommended, information about physiopathological effects of cancer therapy in skeletal muscle is very limited. Our aim is to evaluate the effects of an individualized exercise program with aerobic training in water running on cancer-related fatigue.

Methods/Design: The present study is a randomized controlled trial comparing an individualized program of muscular strength and endurance with aerobic training compared to a control group. The investigators will conduct this trial in patients undergoing chemotherapy, recruited by the Departament of Oncology of Virgen de la Victoria Hospital (Málaga). Patients will be included and evaluated before the first cycle of chemotherapy and assigned experimental or control group randomly. All variables will be measured at the beginning and at the end of a 8-week intervention by the same evaluator, who will hide the disposition of participants to each group. Besides, it will be monitoring during de following 6 months (24 weeks) after training for all outcome variables.

Recruitment & Eligibility

Status
SUSPENDED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Patients programmed to chemotherapy
Exclusion Criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Aerobic programAerobic programIndividualized physiotherapy strength and muscular endurance with aerobic training, led by physiotherapists in groups of 8-10 participants.
Primary Outcome Measures
NameTimeMethod
Cancer-related fatigue QuickPiper scale20 minutes

The primary outcome will be fatigue, assessed by the revised Cancer-related fatigue QuickPiper scale, with the semi-structured interview used by Cella et al (1998) to define phenotype of CRF

Secondary Outcome Measures
NameTimeMethod
Interleukin-6 (IL-6), Interleukin-18 (IL-18), Interleukin-4 (IL-4) and Interleukin-10 (IL 10)20 min

It will be measured in blood samples following clinical standards in 10 ml venous blood

high density lipoprotein (HDL), low density lipoprotein (LDL) cholesterol, triglycerides20 min

It will be measured in blood samples following clinical standards in 10 ml venous blood

Sf-1210 min

The state of physical and mental health

EuroQoL-5D10 min

Quality of life

C-reactive protein (CRP)20 min

It will be measured in blood samples following clinical standards in 10 ml venous blood

Tumor Necrosis Factor alpha (TNF-a)20 min

It will be measured in blood samples following clinical standards in 10 ml venous blood sample.

Profile of Mood States10 min

It is possible to obtain an overall index of altered mood and seven partial measures: stress / anxiety, depression / rejection, anger / hostility, vigor / activity, fatigue / inertia and confusion / bewilderment

Physical condition test20 min

strength peak of knee extension (quadriceps), knee flexion (hamstring), elbow extension (brachial triceps) and elbow flexion (biceps brachii) by one dynamometry instrumented with Powertruck II of JTECH, following the protocol described by Daniels \& Worthingham (1995). Hand grip strength will be evaluated by the hydraulic dynamometer JAMAR

Trial Locations

Locations (1)

Antonio Cuesta-Vargas

🇪🇸

Malaga, Spain

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