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A pilot randomized controlled trial on the feasibility and efficacy of an exercise intervention to improve cognitive functioning in patients with glioma

Phase 2
Completed
Conditions
cognitieve stoornissen
glioma
brain tumour
10029211
Registration Number
NL-OMON40500
Lead Sponsor
niversiteit van Tilburg
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
170
Inclusion Criteria

Adult patients with supratentorial glioma, in particular:
(1a) histologically proven low-grade glioma (LGG; astrocytoma, oligodendroglioma, oliogo-astrocytoma), or presumed (i.e., suspected) LGG based on both clinical and MR imaging features (>18 years of age < 70); or
(1b) anaplastic glioma (anaplastic astrocytoma, anaplastic oligodendroglioma, anaplastic oliogo-astrocytoma) under age 50 and with good performance status (KPS > 70),
who:
(2) have been clinically stable for a minimum of 6 months prior to study entry (as determined by recent CT or MR imaging); and
(3) have had no anti-tumor treatment during that period of time (i.e., surgery, radiotherapy, chemotherapy, corticosteroids); and
(4) are interested in undergoing a physical exercise program; and
(5) have a relative VO2peak (% predicted based on variables such as age and gender) that leaves room for further improvement of cardiorespiratory fitness.

Exclusion Criteria

Potentially eligible patients will be screened for the presence of comorbid conditions that would contraindicate participation in a physical activity/exercise program. This includes patients with serious orthopedic conditions or motor deficits, and patients with serious cardiovascular, cardiopulmonary and neurological conditions (or risks) who would not be able to train at the intensity level required by the programs. Patients judged to have psychiatric (including alcohol and drug abuse) or severe cognitive problems that would preclude them from program participation will be excluded from the study. For assessment purposes, study participants will need to have basic fluency in the Dutch language.
In addition, patients who report to engage in vigorous exercise (>=7 METs (Metabolic equivalents of task)) for more than 20 minutes on at least 3 days per week on a regular basis will be excluded from participation, as there will be no room for further improvement of aerobic fitness.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Primary outcome measures will include indicators of feasibility (accrual,<br /><br>adherence, compliance and attrition) and (size of the effect on) performance<br /><br>scores on neuropsychological testing (attention, memory and executive<br /><br>function). </p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Secondary outcome measures will include performance measures of physical<br /><br>fitness as measured with CPET (cardiorespiratory exercise testing on a cycle<br /><br>ergometer with ECG and gas exchange measurement), and self-report<br /><br>questionnaires of subjective cognitive functioning, fatigue, sleep, mood and<br /><br>quality of life. </p><br>
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