Testing Home-based Exercise Strategies in Underserved Minority Cancer Patients Undergoing Chemotherapy: the THRIVE Study
- Conditions
- Breast CancerColorectal CancerProstate Cancer
- Interventions
- Behavioral: Attention ControlBehavioral: Supervised Home-Based ExerciseBehavioral: Unsupervised Home-Based Exercise
- Registration Number
- NCT05327452
- Lead Sponsor
- Dana-Farber Cancer Institute
- Brief Summary
The purpose of this research is to determine whether a 16 week, home-based, aerobic and resistance exercise intervention will increase physical activity levels in Black and Hispanic breast, colorectal, or prostate cancer patients.
The names of the study interventions involved in this study are:
* Supervised aerobic and resistance exercise (SUP) - virtually supervised 16- week aerobic and resistance exercise performed at home via Zoom.
* Unsupervised aerobic and resistance exercise (UNSUP) - home-based 16- week aerobic and resistance exercise.
* Attention control (AC) - 16-week home-based stretching.
- Detailed Description
This is a randomized control trial of Black and Hispanic patients who have been newly diagnosed with breast, colorectal, or prostate cancer and are being prescribed chemotherapy to determine the effects of home-based exercise on levels of physical activity. It will also evaluate the impact of home-based exercise on cardiovascular (heart health) risk factors.
The research study procedures include: screening for eligibility and study treatment including evaluations of body composition, blood tests, fitness and strength assessments, and surveys at study entry and follow-up visits.
Participants in this study will be randomly assigned to one of three groups: 1) Supervised aerobic and resistance exercise (SUP), 2) Unsupervised aerobic and resistance exercise (UNSUP), or 3) Attention control (AC).
Participation is expected to last for 8 months.
It is expected that about 135 people will take part in this research study.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 135
- Over 18 years old; children under the age of 18 will be excluded due to rarity of disease
- Newly diagnosed with stage I-III breast, colorectal or prostate cancer
- Self-identify as Hispanic or Black
- Are within 4 weeks of initiating chemotherapy
- Overweight or obese (BMI >25kg/m2 or body fat percent >30)
- Physician's clearance to participate in moderate-vigorous intensity exercise
- Speak English or Spanish
- Engaging in less than 90 minutes of moderate-or-vigorous physical activity per week
- Willing to travel to Dana-Farber Cancer Institute for necessary data collection
- Ability to understand and the willingness to sign a written informed consent document.
- Pre-existing musculoskeletal or cardiorespiratory conditions
- Patients should not have any uncontrolled illness including ongoing or active infection, uncontrolled diabetes, hypertension, or thyroid disease
- Patients with other active malignancies
- Patients with metastatic disease
- Participate in more than 90 minutes of structured exercise/week
- Unable to travel to Dana-Farber Cancer Institute for necessary data collection
- Subjects, who in the opinion of the investigator, may not be able to comply with the safety monitoring requirements of the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Attention Control (AC) Attention Control Participants will be randomly assigned to receive 3x weekly at home stretching exercise for 16 weeks. Participants will also have a baseline test, mid intervention cardiovascular and strength tests and one postintervention and one follow up visit. Supervised aerobic and resistance exercise (SUP) Supervised Home-Based Exercise Participants will be randomly assigned to receive 3x weekly at home, virtually supervised aerobic and resistance exercise sessions with a certified exercise trainer for 16 weeks. Participants will also have a baseline test, mid intervention cardiovascular and strength tests and one postintervention and one follow up visit. Unsupervised aerobic and resistance exercise (UNSUP) Unsupervised Home-Based Exercise Participants will be randomly assigned to receive 3x weekly at home, unsupervised aerobic and resistance exercise sessions with a 1x weekly telehealth call with a certified exercise trainer for 16 weeks. Participants will also have a baseline test, mid intervention cardiovascular and strength tests and one postintervention and one follow up visit.
- Primary Outcome Measures
Name Time Method Change in Physical Activity Participation Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Changes from baseline in physical activity participation measured by Godin Leisure-Time Exercise Questionnaire.
- Secondary Outcome Measures
Name Time Method Cardiorespiratory Fitness Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Cardiorespiratory fitness will be assessed by the 6-minute walk test.
Cardiopulmonary Fitness Evaluated at week 1 for baseline, week 9 for mid-point, week 16 for post-intervention assessment, and week 32 for follow-up Cardiopulmonary fitness will be measured by a submaximal graded exercise cycling test.
Physical Fitness Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Physical Fitness will be measured by the short physical performance battery (SPPB).
Patient Reported Outcomes - Sleep Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Quality of life will be assessed by the Pittsburg Sleep Quality Index (PSQI).
Augmentation Index Time Frame: Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Augmentation index (a marker for arterial stiffness) will also be assessed using Mobil-O-Graph device.
Biomarkers for Cardiovascular and Metabolic Health - glucose Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Fasting blood will be drawn from the antecubital vein by a trained phlebotomist. Glucose will be measured.
Biomarkers for Cardiovascular and Metabolic Health - HbA1c Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up. Fasting blood will be drawn from the antecubital vein by a trained phlebotomist. HbA1c will be measured.
Blood Pressure Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Blood pressure will be assessed using an automated blood pressure cuff to measure both systolic and diastolic blood pressure.
Muscular Strength Evaluated at week 1 for baseline, week 9 for mid-point, week 16 for post-intervention assessment, and week 32 for follow-up Muscular strength will be assessed with a 10 repetition maximum test.
Patient Reported Outcomes - Symptoms Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Symptomatic toxicities will be assessed by PRO-CTCAE.
Biomarkers for Cardiovascular and Metabolic Health - insulin Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Fasting blood will be drawn from the antecubital vein by a trained phlebotomist. Insulin will be measured.
Body Composition Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Body composition (lean mass and fat mass) will be assessed via bioelectrical impedance using a validated scale.
Patient Reported Outcomes - Health-related domains Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Health-related domains of patient reported outcomes will be assessed by PROMIS-29 Profile v2.1.
Dietary Assessment Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Dietary recall will be used to assess recent dietary patterns for two weekdays and one weekend day using NutriBase 11.
Feasibility of Intervention Questionnaire Ratings Evaluated at months 2 and 4 Intervention acceptability and feasibility will be assessed via Acceptability of Intervention and Feasibility of Intervention questionnaires. Items are measured on a 5-point Likert scale (completely disagree to completely agree). Score is calculated mean. An average rating of 4 or higher will be considered feasible/acceptable.
Biomarkers for Cardiovascular and Metabolic Health - c-reactive protein Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up. Fasting blood will be drawn from the antecubital vein by a trained phlebotomist. C-reactive protein (CRP; biomarker of system inflammation) will be measured.
Patient Reported Outcomes - Quality of Life Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up Quality of life will be assessed by EORTC QLQ C-30.
Acceptability of Intervention Questionnaire Ratings Evaluated at months 2 and 4 Intervention acceptability and feasibility will be assessed via Acceptability of Intervention and Feasibility of Intervention questionnaires. Items are measured on a 5-point Likert scale (completely disagree to completely agree). Score is calculated mean. An average rating of 4 or higher will be considered feasible/acceptable.
Biomarkers for Cardiovascular and Metabolic Health - c-peptide Evaluated at week 1 for baseline, week 16 for post-intervention assessment, and week 32 for follow-up. Fasting blood will be drawn from the antecubital vein by a trained phlebotomist. C-peptide (biomarkers of glycemic control and insulin resistance) will be measured.
Trial Locations
- Locations (2)
Brigham and Women's Hospital
🇺🇸Boston, Massachusetts, United States
Dana Farber Cancer Institute
🇺🇸Boston, Massachusetts, United States