Engaging the Older Cancer Patient; Patient Activation Through Counseling, Exercise and Mobilization - Pancreatic, Biliary Tract, and Lung Cancer (PACE-Mobil-PBL) - a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pancreas Cancer
- Sponsor
- Herlev and Gentofte Hospital
- Enrollment
- 99
- Locations
- 1
- Primary Endpoint
- Lower body strength measured with the 30-second chair stand test
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
PACE-Mobil-PBL is a prospective randomized controlled trial. The aim is to investigate the effect of a multimodal and exercise-based intervention among older patients with advanced pancreatic cancer, biliary tract cancer, or lung cancer during treatment with first-line palliative chemotherapy, immunotherapy or targeted therapy.
The hypotheses: That the multimodal intervention will increase or maintain physical function levels and strength, reduce symptoms and side-effects, improve quality of life, reduce treatment-related complications and hospital admissions, and reduce risk of cancer cachexia and sarcopenia.
Investigators
Marta Kramer Mikkelsen
Principal Investigator
Rigshospitalet, Denmark
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Lower body strength measured with the 30-second chair stand test
Time Frame: Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks)
Number of stands a participant can complete in 30-seconds from a seated position with their arms crossed over the chest. The assessments will be conducted by a blinded physiotherapist
Secondary Outcomes
- Symptoms of anxiety(Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks))
- Physical activity level(Change measures (baseline, and 12 weeks).)
- Adherence to counseling sessions(Up to 12 weeks)
- Recruitment rate(Up to 2 years)
- Physical performance measured with the 6-minute-walk-test(Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks))
- Upper-body strength measured with the Handgrip Strength Test(Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks))
- Symptoms of depression(Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks))
- Body mass index(Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks))
- Inflammation (inflammatory biomarkers: C-reactive protein, Interleukin 6, YKL-40)(Up to 6 months)
- Length of hospitalizations (days)(Up to 6 months)
- Adverse events(Up to 12 weeks)
- Quality of life(Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks))
- Qualitative assessment of participants' experiences(After 12 weeks)
- Adherence to exercise sessions(Up to 12 weeks)
- Physical performance measured with the 6-meter Gait Speed Test(Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks))
- Whole-body Lean body mass (LBM)(Change measures (baseline, and 12 weeks))
- Whole-body fat mass(Change measures (baseline, and 12 weeks))
- Whole-body bone mineral density(Change measures (baseline, and 12 weeks))
- Symptom burden(Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks))
- Survival(Up to 2 years)
- Number of participants with side-effects to oncological treatment assessed with the Common Toxicity Criteria for Adverse Events version 4(Up to 6 months)
- Number of hospital admissions(Up to 6 months)
- Causes of hospitalizations(Up to 6 months)
- Body weight(Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks))