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Pilot Study of the Haymakers for Hope Fitness Program

Not Applicable
Terminated
Conditions
Mood
Fatigue
Quality of Life
Cancer
Biomarkers
Exercise Test
Interventions
Other: H4H fitness program
Registration Number
NCT04220216
Lead Sponsor
Massachusetts General Hospital
Brief Summary

This research study is assessing the effect of an exercise program on cancer survivors.

The exercise program is Haymakers for Hope 16-week exercise program

Detailed Description

This is a pilot study, it is the first time investigators are examining the effect of this exercise program on cancer survivors physical and emotional functioning. The exercise programs is based on the conditioning program used by boxers.- Haymakers for Hope 16-week exercise program

* The research study procedures include screening for eligibility and study treatment including evaluations and follow up visits.

* Participants will attend the 16-week program of boxing conditioning. It is expected that about 10 people will take part in this research study.

* This 16 week will include supervised exercises designed to improve strength, flexibility, balance and cardiopulmonary fitness.

* There will be 4 sessions of 1 hour each week for each of the 10 participants.

* The program will be conducted at gymnasiums contracted with the H4H program and outcomes assessments at Massachusetts General Hospital and the gymnasiums..

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Cancer diagnosis excluding non-melanoma skin cancer
  • Age ≥ 18 years
  • ECOG performance status ≤1
  • Medical clearance by treating clinician
  • No known contraindications to moderate intensity exercise such as (but not limited to) brain metastases, serious or non-healing wound, peripheral neuropathy greater than or equal to Grade 3, or myocardial infarction within 1- year.
  • Able to complete forms and understand instruction in English
  • Willing and able to attend the H4H program for 16 weeks
  • Willing and able to complete the baseline and follow-up visits at MGH
  • Ability to understand and the willingness to sign a written informed consent document
Exclusion Criteria
  • Participants who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier
  • Participants who have had surgery within 4 weeks prior to entering the study or those who have not recovered from adverse events due to surgery more than 4 weeks earlier.
  • Blastic or lytic bone lesions
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
  • Chest pain brought on by physical activity
  • Pregnant women or women intending to become pregnant during the study period
  • Presence of dementia or major psychiatric illness that would preclude participation in a group program

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
H4H fitness programH4H fitness programThe research study procedures include screening for eligibility and study treatment including evaluations and follow up visits. * Patients will attend the 16-week program of boxing conditioning. * This 16-week program will include supervised exercises designed to improve strength, flexibility, balance,and cardiopulmonary fitness. * There will be 4, 1-hour sessions each week per participant
Primary Outcome Measures
NameTimeMethod
Rate of Attendance16 weeks

Participants will be considered to have completed the fitness program if they attend at least 70% of the sessions

Rate of Completion16 weeks

Feasibility will be demonstrated if ≥60% of participants complete the fitness program

Secondary Outcome Measures
NameTimeMethod
Change in cardiopulmonary fitness as assessed by the 6-minute walk test16 weeks

summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences

Change in strength16 weeks

summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences

Change in tumor necrosis factor alpha (pg/mL)16 weeks

Summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences), pg/mL

Change in QOL as assessed by the Functional Assessment of Cancer Therapy - General16 weeks

summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences

Change in fatigue as assessed by Functional Assessment of Chronic Illness Therapy - Fatigue16 weeks

summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences

Change in lipid profile16 weeks

Summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences). (total cholesterol: mg/dL; triglycerides: mg/dL; high-density lipoprotein cholesterol mg/dL; low-density lipoprotein cholesterol mg/dL; very low-density lipoprotein cholesterol: mg/dL; cholesterol/HDL ratio mg/dL).

Change in leptin (ng/mL)16 weeks

Summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences) (ng/mL)

Change in interleukin-6 (pg/mL)16 weeks

Summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences), pg/mL

Change in sleep quality as assessed by the Rand Medical Outcome Survey (MOS) Sleep Scale (min score: 0; max score: 100. A higher core indicates more sleep problems)16 weeks

summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences

Change in body composition as assessed by change in total lean mass, extremity lean mass, total fat and trunk fat mass, as well as visceral adipose tissue mass which will be quantified using Hologic APEX 3.1 software.16 weeks

summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences

Change in anxiety as assessed by Hospital Anxiety and Depression Scale (HADS) (min score: 0; max score: 21. A higher score indicates more anxiety)16 weeks

summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences

Change in psychological well-bring as assessed by the Ryff Psychological Well-Being Scale (Min score: 42, Max score: 252. A higher score indicating higher psychological well-being)16 weeks

summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences

Change in physical activity level as assessed using the using the Godin Leisure-Time Exercise Questionnaire.16 weeks

summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences

Change in hemoglobin A1c (%)16 weeks

Summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences), hemoglobin A1c reported as percentage of average blood sugar level (mg/dL or mmol/L), higher % corresponds to higher average blood sugar levels (normal A1C level is below 5.7%)

Change in depression as assessed by Hospital Anxiety and Depression Scale (HADS) (min score: 0; max score: 21. A higher score indicates more depression)16 weeks

summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences

Change in adiponectin level (microgram/mL)16 weeks

Summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences) (microgram/mL)

Change in c-reactive protein (mg/L)16 weeks

Summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences), mg/L (hs-CRP level of 1 mg/L or lower indicates low risk of CVD, hs-CRP level of 1-3 mg/L indicates moderate risk of CVD, hs-CRP level of greater than 3 mg/L indicates high risk of CVD)

Change in insulin (mcU/mL)16 weeks

Summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences) (mcU/mL)

Change in insulin-like growth factor (ng/mL)16 weeks

Summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences) (ng/mL)

Change in homeostatic model assessment of insulin resistance (estimates beta cell function (%B) and insulin sensitivity (%S), as percentages of a normal reference population)16 weeks

Summarize changes from the baseline to follow-up assessment including calculation of the effect size (mean within-subject difference divided by standard deviation of differences). Plasma glucose: mmol/L (or mg/dL), Insulin: pmol/L (or microunits/mL)

Trial Locations

Locations (1)

Massachusetts General Hospital Cancer Center

🇺🇸

Boston, Massachusetts, United States

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