Resistance Exercise Combined With Protein Supplementation for Skeletal Muscle Mass in People With Pancreatic Cancer Undergoing Chemotherapy: The RE-BUILD Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Exercise Session Attendance Rate
研究概览
简要总结
The purpose of this research is to determine whether a virtually supervised resistance exercise (RE) intervention combined with protein supplementation (PS) is feasible in pancreatic cancer patients initiating chemotherapy and if it will improve skeletal muscle mass.
The names of the study interventions involved in this study are:
- Resistance training and protein supplement intake (RE + PS)
- Resistance training (RE)
- Attention control (AC), home-based stretching
详细描述
This research study is a randomized controlled trial that will assess feasibility and compare skeletal muscle mass, biomarkers of tissue wasting, physical function, and overall quality of life between three groups - exercise and supplement, exercise-only, and attention control. This study intends to evaluate whether resistance exercise and protein supplementation can improve skeletal muscle mass as well as decrease tissue wasting biomarkers in the blood, among patients undergoing chemotherapy for pancreatic cancer as there is some evidence that pancreatic cancer patients can experience muscle wasting while on chemotherapy.
The research study procedures include: screening for eligibility and study treatment including extensive evaluations of participant fitness and body composition including CT, blood tests, fitness and strength assessments, and surveys at study entry, half-way through the intervention, and follow-up visit.
Participants in this study will be randomly assigned to one of three groups: 1) Resistance exercise and protein supplementation (RE+ PS), 2) Resistance exercise (RE), or 3) Attention control (AC).
This research study is expected to last for up to a total of 4 months.
It is expected that about 45 people will take part in this research study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Non-metastatic pancreatic cancer patients initiating neoadjuvant chemotherapy.
- •Ability to understand and the willingness to sign a written informed consent document.
- •Over the age of 18 years; children under the age of 18 will be excluded due to rarity of disease.
- •Speak English or Spanish.
- •Able to provide physician clearance to participate in the exercise program.
- •Able to initiate a supervised exercise program (free from any cardiovascular, respiratory or musculoskeletal disease or joint problems that preclude moderate physical activity).
- •Currently participate in less than or equal to 60 minutes of structured moderate or vigorous exercise/week.
- •Does not smoke (no smoking during previous 12 months).
- •Willing to travel to DFCI for assessments.
排除标准
- •Patients should not have any uncontrolled illness including ongoing or active infection, uncontrolled diabetes, hypertension or thyroid disease.
- •Patients may not be receiving any other investigational agents.
- •Patients with other active malignancies are ineligible for this study.
- •Patients with metastatic disease.
- •History of any musculoskeletal, cardiorespiratory or neurological diseases that preclude the participation in exercise.
- •Patients expected to receive other cancer directed treatments during the study and assessment period.
- •Participates in more than 60 minutes of structured moderate or vigorous exercise/week.
- •Currently smokes.
- •Subjects, who in the opinion of the investigator, may not be able to comply with the safety monitoring requirements of the study.
- •Is unable to travel to DFCI for assessments.
- •Patients who are pregnant due to the unknown effects of exercise on the developing fetus.
研究组 & 干预措施
Resistance Training (RT) and Protein Supplementation (PS)
Participants will be randomly assigned to the Resistance Training (RT) and Protein Supplementation (PS) group and receive virtually (Zoom) supervised home-based exercise program 3-days a week with daily protein supplementation for the duration of their chemotherapy with a maximum of 16-weeks of exercise. Exercises will be tailored to the participants' fitness levels.
Sessions will last ~60 minutes including 5-minute warm-up and 5-minute cool-down.
Participants will also have two body composition scans using CT over the span of chemotherapy treatment (maximum 16 weeks) and approximately 3 hours of evaluation of testing on 3 occasions.
干预措施: Resistance Training (RT) and Protein Supplementation (PS) (Behavioral)
Resistance Training (RT)
Participants will be randomly assigned to the Resistance Training (RT) group and receive virtually (Zoom) supervised home-based exercise program 3-days a week. Exercises will be tailored to the participants' fitness levels.
Participants will also have two body composition scans using CT over the span of chemotherapy treatment (maximum 16 weeks) and approximately 3 hours of evaluation of testing on 3 occasions.
干预措施: Resistance Training (RT) (Behavioral)
Attention Control (AC)
Participants will be randomly assigned to the Attention Control (AC) group and receive instruction on a home-based, 3 days a week stretching program.
Participants will also have two body composition scans using CT over the span of chemotherapy treatment (maximum 16 weeks) and approximately 3 hours of evaluation of testing on 3 occasions.
The attention control group will be given the option to participate in the exercise intervention after their treatment is completed, with a cap of a 16-week period.
干预措施: Attention Control (AC (Behavioral)
结局指标
主要结局
Exercise Session Attendance Rate
时间窗: Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks)
The primary outcome is feasibility. Feasibility of the resistance exercise (RE) +protein supplementation (PS) intervention will be defined as the proportion of exercise sessions attended and consumption of the PS. The intervention is considered feasible if the proportion of enrolled participants who complete the exercise sessions and daily PS is ≥70%, respectively.
Protein Supplementation (PS) Rate
时间窗: Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks)
The primary outcome is feasibility. Feasibility of the resistance exercise (RE) +protein supplementation (PS) intervention will be defined as the proportion of exercise sessions attended and consumption of the PS. The intervention is considered feasible if the proportion of enrolled participants who complete the exercise sessions and daily PS is ≥70%, respectively.
次要结局
- Physical Fitness - Sit to Stand(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Gait Speed(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Muscular Strength(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Tissue Wasting Biomarker Change(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Physical Fitness - Performance(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Physical Function - 6 minute walk test(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Psychosocial function - Fatigue(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Skeletal Muscle Mass Change(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Physical function - Margaria Stair Climb(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Physical Function - Handgrip Strength(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Psychosocial function - Depression(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Psychosocial function - Pain(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Psychosocial function - Physical Function(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Psychosocial function - Quality of Life(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Psychosocial function - Sleep(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Psychosocial function - Barriers to Recruitment(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Psychosocial function - Benefits and Barriers(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Psychosocial function - Burden(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
- Psychosocial function - Anxiety(Evaluating change between baseline, mid-intervention, and post-intervention (up to 16 weeks))
研究者
Christina Dieli-Conwright, PhD
Principal Investigator
Dana-Farber Cancer Institute