Breast NeoplasmsPhase 3PREDICOPNCT02035631
Prevention of Breast Cancer Recurrence Through Weight Control, Diet, and Physical Activity Intervention
A Phase 3 study testing Diet, Physical activity and Minimal diet intervention in people with Breast Neoplasms and Recurrence, run by Institut Català d'Oncologia at 5 sites in Spain.
Trial summary
The main purpose of our study is to assess the effect of a lifestyle intervention combining weight control, diet and physical activity on the risk of recurrences among breast cancer patients with non-metastatic tumours in terms of 5-year cumulative incidence of recurences. Read more about this study
- Who is it for?
- Ages 18 to 75 years, women only
- Conditions the study is for
- Breast Neoplasms, Recurrence
- What is being tested?
- Diet, Physical activity and Minimal diet intervention
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,000 participants
- Where
- 5 sitesSpain
- Study dates
- Jan 2014to Jan 2022
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- incident primary breast cancer (ICD-O C50)
- stage at diagnosis I, II, IIIA (or T1-3, N0-N2, M0)
- age at diagnosis below 76 years
- within 3 months since completion of standard treatment (excluding hormonal therapy) and within 15 months since the diagnosis of the disease
Who cannot join
- morbid obesity (BMI >40kg/m²) or underweight (BMI <18kg/m²)
- ischemic heart disease (coronary syndrome, unstable angina or myocardial infarction) or cerebrovascular incident (ischemic or hemorrhagic) during the previous 12 months
- diabetes (only if unstable - glycosylated haemoglobin >9%)
- current medical or surgical treatment to lose weight
- mental illness that would prevent the patient from carrying out the intervention
- logistical factors which would prevent the patient from carrying out the intervention (distance to travel, work or family commitments)
- pregnant or planning pregnancy
Trial locations and contacts
5 sites in 1 country.
5 sites in 1 country
Spain5 sites
Fundació Institut d'Investigació Germans Trias i Pujol
Badalona, Barcelona, 08916
Beatriz Cirauqui Cirauqui, MD, +34 934978925, bcirauqui@iconcologia.net
Beatriz Cirauqui Cirauqui, MD
Hospital Vall d'Hebron
Barcelona, Barcelona, 08035
Vanesa Ortega Cebrián, MD, +34 934894350, vortega@vhebron.net
Vanesa Ortega Cebrián, MD
Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta
Girona, Girona, 17003
Sonia Del Barco Berron, MD, +34 972225834, sdelbarco@iconcologia.net
Sonia Del Barco Berron, MD
Institut Catala d'Oncologia - L'Hospitalet
L'Hospitalet de Llobregat, Barcelona, 08908
Antonio Agudo, MD, +34 932607401, a.agudo@iconcologia.net
Antonio Agudo, MD
Consorci Sanitari de Terrassa
Terrassa, Barcelona, 08227
Maria Angeles Arcusa Lanza, MD, +34 937003612, aarcusa@cst.cat
Maria Angeles Arcusa Lanza, MD
About this study
The main purpose of our study is to assess the effect of a lifestyle intervention combining weight control, diet and physical activity on the risk of recurrences among breast cancer patients with non-metastatic tumours in terms of 5-year cumulative incidence of recurences.
Read the detailed description
BACKGROUND/MAIN OBJECTIVE: The main purpose of our study is to assess the effect of a lifestyle intervention combining weight control, diet and physical activity on the risk of recurrences among breast cancer patients with non-metastatic tumours. As secondary objectives we aim to assess whether the proposed intervention is able to improve the overall survival or the disease-free survival, as well as quality of life of breast cancer patients. METHODOLOGY: This multicentric randomized controlled trial aims to include 2108 women (1054 per arm), aged up to 75 years, diagnosed with a non-metastatic breast cancer (stage I, II, IIIA) in the participating centres, whose standard treatment was completed within the last 3 months. Participants will be assigned to either an intervention or a control group, and followed for five years. Patients assigned to the control arm will continue with the usual care, including standard guidelines for weight control applied in the centre. Patients in the intervention group will be involved in a lifestyle program with two components. The dietary part will aim to achieve a calorie reduction while maintaining nutritional quality; the physical activity part will include supervised sessions of moderate intensity. Data will be analyzed on an intention to treat basis using time-toevent analysis. HYPOTHESES: We expect a significant reduction in the 5-year cumulative incidence of recurrences (primary outcome) in the intervention group. Furthermore, as secondary outcomes, we expect a significant increase in overall survival and an improvement of quality of life of patients included in the intervention arm.
- Conditions
- Breast Neoplasms, Recurrence
- Being tested
- Diet, Physical activity, Minimal diet intervention, Minimal physical activity intervention
- Keywords
- Breast Neoplasms, Recurrence, Motor Activity, Diet, Quality of Life
- Medical subject headings
- Breast Neoplasms, Recurrence, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DietBehavioural
The dietary component, aimed to reduce calorie intake according to individual requirements, will be structured in 1-hour weekly sessions led by trained nutritionists. Sessions will concentrate on teaching participants about food groups, the food pyramid and Mediterranean diet, how to chose, prepare and cook hypo-caloric meals.
Physical activityBehavioural
The physical activity component will include two sessions per week led by trained physical activity monitors including aerobic exercise of high/moderate intensity, and instruction about the at-home exercise activities (3 more sessions).
Minimal diet interventionBehavioural
Some basic diet recommendations
Minimal physical activity interventionBehavioural
Some basic recommendations on physical activity
| Study group | Role | What they receive |
|---|---|---|
| Intervention | Experimental | Lifestyle intervention combining weight control, diet and physical activity Receives: Behavioral: Diet; Behavioral: Physical activity |
| Minimal intervention | Sham comparator | Minimal diet intervention and minimal physical activity intervention Receives: Behavioral: Minimal diet intervention; Behavioral: Minimal physical activity intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to local and distant recurrence
Time between recruitment date and local and distant recurrence date or end of the 5-year follow-up which ever occurs first
Measured: 5 years from recruitment day
Secondary outcomes (3)
Overall survival
Time between recruitment date and death date or end of 5-year follow-up which ever occurs first
Measured: 5 years
Disease free survival
Time between recruitment date and recurrence (local or distant) or death or end of 5-year follow-up which ever occurs first
Measured: 5 years
Quality of life
Quality of life assessments using the SF36, the FACIT (fatigue questionnaire) and the HADS (Anxiety and depression)
Measured: Baseline, one year and three years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jan 2014 (estimated)
- Study startJan 2014
- Primary completionJan 2022 (estimated)
- Study completionJan 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Breast NeoplasmsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 2,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Institut Català d'Oncologia
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Beatriz Cirauqui Cirauqui, MD, Principal investigator, Fundació Institut d'Investigació Germans Trias i PujolSonia Del Barco Berron, MD, Principal investigator, Institut d'Investigació Biomèdica de Girona Dr. Josep TruetaVanesa Ortega Cebrián, MD, Principal investigator, Hospital Vall d'HebronMaria Angeles Arcusa Lanza, MD, Principal investigator, Consorci Sanitari de TerrassaAntonio Agudo, MD, Principal investigator, Institut Català d'Oncología - L'Hospitalet (ICO)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02035631
- Sponsor's protocol ID
- PREDICOP
- Acronym
- PREDICOP
- Status last verified
- Jan 2014
- First submitted
- 10 Jan 2014
- Last updated
- 14 Jan 2014
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Jan 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prevention of Breast Cancer Recurrence Through Weight Control, Diet, and Physical Activity Intervention
- ClinicalTrials.gov ID
- NCT02035631
- Acronym / sponsor ID
- PREDICOP / PREDICOP
- Conditions
- Breast Neoplasms, Recurrence
- Keywords
- Breast Neoplasms, Recurrence, Motor Activity, Diet, Quality of Life
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 2,000 participants (estimated)
- Lead sponsor
- Institut Català d'OncologiaUniversity, hospital or other
- Study start
- Jan 2014
- Primary completion
- Jan 2022 (estimated)
- Study completion
- Jan 2022 (estimated)
- First posted
- 14 Jan 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of our study is to assess the effect of a lifestyle intervention combining weight control, diet and physical activity on the risk of recurrences among breast cancer patients with non-metastatic tumours in terms of 5-year cumulative incidence of recurences.
Detailed description
BACKGROUND/MAIN OBJECTIVE: The main purpose of our study is to assess the effect of a lifestyle intervention combining weight control, diet and physical activity on the risk of recurrences among breast cancer patients with non-metastatic tumours. As secondary objectives we aim to assess whether the proposed intervention is able to improve the overall survival or the disease-free survival, as well as quality of life of breast cancer patients. METHODOLOGY: This multicentric randomized controlled trial aims to include 2108 women (1054 per arm), aged up to 75 years, diagnosed with a non-metastatic breast cancer (stage I, II, IIIA) in the participating centres, whose standard treatment was completed within the last 3 months. Participants will be assigned to either an intervention or a control group, and followed for five years. Patients assigned to the control arm will continue with the usual care, including standard guidelines for weight control applied in the centre. Patients in the intervention group will be involved in a lifestyle program with two components. The dietary part will aim to achieve a calorie reduction while maintaining nutritional quality; the physical activity part will include supervised sessions of moderate intensity. Data will be analyzed on an intention to treat basis using time-toevent analysis. HYPOTHESES: We expect a significant reduction in the 5-year cumulative incidence of recurrences (primary outcome) in the intervention group. Furthermore, as secondary outcomes, we expect a significant increase in overall survival and an improvement of quality of life of patients included in the intervention arm.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention | Experimental | Behavioral: Diet, Behavioral: Physical activityLifestyle intervention combining weight control, diet and physical activity |
| Minimal intervention | Sham comparator | Behavioral: Minimal diet intervention, Behavioral: Minimal physical activity interventionMinimal diet intervention and minimal physical activity intervention |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- incident primary breast cancer (ICD-O C50)
- stage at diagnosis I, II, IIIA (or T1-3, N0-N2, M0)
- age at diagnosis below 76 years
- within 3 months since completion of standard treatment (excluding hormonal therapy) and within 15 months since the diagnosis of the disease
Key exclusion criteria (7 listed)
- morbid obesity (BMI >40kg/m²) or underweight (BMI <18kg/m²)
- ischemic heart disease (coronary syndrome, unstable angina or myocardial infarction) or cerebrovascular incident (ischemic or hemorrhagic) during the previous 12 months
- diabetes (only if unstable - glycosylated haemoglobin >9%)
- current medical or surgical treatment to lose weight
- mental illness that would prevent the patient from carrying out the intervention
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DietThe dietary component, aimed to reduce calorie intake according to individual requirements, will be structured in 1-hour weekly sessions led by trained nutritionists. Sessions will concentrate on teaching participants about food groups, the food pyramid and Mediterranean diet, how to chose, prepare and cook hypo-caloric meals. | Behavioural | Intervention |
| Physical activityThe physical activity component will include two sessions per week led by trained physical activity monitors including aerobic exercise of high/moderate intensity, and instruction about the at-home exercise activities (3 more sessions). | Behavioural | Intervention |
| Minimal diet interventionSome basic diet recommendations | Behavioural | Minimal intervention |
| Minimal physical activity interventionSome basic recommendations on physical activity | Behavioural | Minimal intervention |
Primary outcome
Time to local and distant recurrence
Time frame: 5 years from recruitment day
Time between recruitment date and local and distant recurrence date or end of the 5-year follow-up which ever occurs first
3 secondary outcomes
Overall survival
Time frame: 5 years
Disease free survival
Time frame: 5 years
Quality of life
Time frame: Baseline, one year and three years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Jan 2014.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Beatriz Cirauqui Cirauqui, MD principal investigator
Fundació Institut d'Investigació Germans Trias i Pujol
Sonia Del Barco Berron, MD principal investigator
Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta
Vanesa Ortega Cebrián, MD principal investigator
Hospital Vall d'Hebron
5 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Diet, Physical activity and Minimal diet intervention in people with Breast Neoplasms and Recurrence, run by Institut Català d'Oncologia at 5 sites in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 14 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Antonio Agudo, MD-PhD (+34 932607401, a.agudo@iconcologia.net), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to local and distant recurrence (time frame: 5 years from recruitment day). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jan 2014.