Breast CancerNCT03243786
Stay on Track: A Study of Exercise Effects During Radiation
A study testing Lifestyle- Supportive Care in people with Breast Cancer, run by Medical College of Wisconsin at 1 site in United States.
Trial summary
The purpose of this study is to examine the impact of a lifestyle intervention. The study will examine the Stay on Track program, dietary and activity patterns, body composition, biomarkers and quality of life in breast cancer patients undergoing radiation therapy. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Cancer
- What is being tested?
- Lifestyle- Supportive Care
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 47 participants
- Where
- 1 siteUnited States
- Study dates
- 12 Apr 2017to 31 Oct 2018
- Phase
- Interventional
- 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 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- > 18 years of age;
- confirmed primary non-metastatic breast adenocarcinoma;
- planned lumpectomy/segmentectomy/partial mastectomy surgery for primary breast cancer;
- planning to undergo adjuvant whole breast radiation therapy following a lumpectomy;
- Have a Karnovsky Performance Score of 70 or above (see Appendix)
- Patient's Body Mass Index (BMI) is greater than determine by the treating physician, not currently meeting physical activity guidelines: moderate physical activity for at least 30 minutes at least five days a week AND 2 weekly sessions of resistance exercise;
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- have access to a mobile phone with capacity for text messaging (either unlimited or aware and accepting of text messaging charges);
- understand and speak English;
- physically able to engage in the intervention;
- accepting of randomization (Note that anti-estrogen therapy is allowed.)
Who cannot join
- Patients who have metastatic disease;
- Patients with a history of prior malignancy within the past 3 years, other than non-melanoma skin cancer.
- Patients with serious orthopedic, cardiovascular, or pulmonary conditions, have serious psychiatric or cognitive problems.
- Patients who have received chemotherapy for their breast cancer.
- Patients with prior radiotherapy to primary site or adjacent site that results in overlapping radiation fields.
Trial locations and contacts
1 site in 1 country.
United States1 site
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
About this study
Official title: Stay on Track: A Pilot Study of the Effects of Exercise on Mitigating Side Effects and Altering Inflammatory Biomarker Profiles During Radiation Therapy for Breast Cancer
The purpose of this study is to examine the impact of a lifestyle intervention. The study will examine the Stay on Track program, dietary and activity patterns, body composition, biomarkers and quality of life in breast cancer patients undergoing radiation therapy.
Read the detailed description
Research Design. The investigators will be conducting an randomized trial in 60 women undergoing radiation treatment for breast cancer to examine the feasibility of a 12-week lifestyle intervention that addresses diet and physical activity and to explore the impact on behavioral, biological and psychosocial outcomes.
Procedure Summary. Patients who are eligible are consented by the research coordinator, after which a baseline assessment will be scheduled. The baseline assessment requires 60 minutes and includes questionnaires, height/weight, dual energy x-ray absorptiometry (DEXA), and phlebotomy. Participants will also wear the Fitbit for one week to establish baseline activity level. After the baseline assessment, women are then randomly assigned to: the 12-week "Stay on Track" lifestyle intervention or the 12-week self-guided control. Both groups complete a post-intervention and a 3-month follow-up visit identical to their baseline assessment. Self-guided controls can utilize their Fitbit and will receive informative binders 24 weeks' post-intervention.
- Conditions
- Breast Cancer
- Being tested
- Lifestyle- Supportive Care
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Lifestyle- Supportive CareBehavioural
The intervention examines dietary and activity patterns, body composition, biomarkers and quality of life in breast cancer patients undergoing radiation therapy
| Study group | Role | What they receive |
|---|---|---|
| 12-week "Stay on Track" intervention | Active comparator | The study intervention includes three personal exercise training sessions, three dietary counseling sessions, use of a physical activity tracking device, and approximately three weekly text messaging Receives: Behavioral: Lifestyle- Supportive Care |
| 12-week self-guided control | Active comparator | The self guided group does not receive the study intervention, but is offered a Nutrition and wellness guide at the end of 6 months Receives: Behavioral: Lifestyle- Supportive Care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent time of personal fitness tracker use during the intervention period for the Stay on Track intervention arm
Measured: 6 months
Secondary outcomes (28)
Percent of participant retention thoughout the 12-week intervention through the six month follow-up
Measured: 6 months
The percent of eligible patient who choose to take part in the study
Measured: 6 months
Number of personal exercise sessions were attended by members in the Stay on Track Intervention Arm
Measured: 6 months
Changes in lean soft tissue over the study period associated with intervention and activity
Measured: 6 months
Changes in BMI (weight and height will be combined to report BMI in kg/m^2) over the study period associated with intervention and activity
Measured: 6 months
Measures of physical activity (self-report and objective)
Measured: 6 months
Dietary intake (assessed via Full Length Block Questionnaire)
Measured: 6 months
Measures of fatigue (Piper Fatigue Scale Score and physician CTCAE v4.0 Scoring)
Measured: 6 months
Measures of skin side effects (CTCAE v4.0 Scoring)
Measured: 6 months
Quality of life (FACT-B Questionnaire) over the study period associated with intervention and activity
Measured: 6 months
Measures of pain (PROMIS Scale v1.0- Pain Intensity 3a Questionnaire) over the study period associated with intervention and activity
Measured: 6 months
Changes in biomarker (GM-CSF) associated with intervention and activity
Measured: 6 months
Changes in biomarker (IFN-gamma) associated with intervention and activity
Measured: 6 months
Changes in biomarker (IL-1alpha) associated with intervention and activity
Measured: 6 months
Changes in biomarker (IL-1beta) associated with intervention and activity
Measured: 6 months
Changes in biomarker (IL-4) associated with intervention and activity
Measured: 6 months
Changes in biomarker (IL-6) associated with intervention and activity
Measured: 6 months
Changes in biomarker (IL-8) associated with intervention and activity
Measured: 6 months
Changes in biomarker (IL-10) associated with intervention and activity
Measured: 6 months
Changes in biomarker (IL-12) associated with intervention and activity
Measured: 6 months
Changes in biomarker (MCP-1) associated with intervention and activity
Measured: 6 months
Changes in biomarker (TNF-alpha) associated with intervention and activity
Measured: 6 months
Changes in biomarker (adiponectin) associated with intervention and activity
Measured: 6 months
Changes in biomarker (leptin) associated with intervention and activity
Measured: 6 months
Changes in biomarker (CRP) associated with intervention and activity
Measured: 6 months
Changes in blood insulin level associated with intervention and activity
Measured: 6 months
Changes in blood hemoglobin A1C level associated with intervention and activity
Measured: 6 months
Changes in blood glucose level associated with intervention and activity
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Aug 2017
- Study start12 Apr 2017
- Primary completion1 Sep 2018
- Study completion31 Oct 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Breast CancerStudies 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 N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 47 participants (actual)
Sponsor and investigators
- Lead sponsor
- Medical College of Wisconsin
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, John Longo, Medical College of Wisconsin
- Investigators
- Carmen Bergom, MD, Principal investigator, Medical College of Wisconsin
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03243786
- Sponsor's protocol ID
- PRO00027661
- Status last verified
- Nov 2021
- First submitted
- 16 Feb 2017
- Last updated
- 30 Nov 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 30 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Stay on Track: A Pilot Study of the Effects of Exercise on Mitigating Side Effects and Altering Inflammatory Biomarker Profiles During Radiation Therapy for Breast Cancer
- ClinicalTrials.gov ID
- NCT03243786
- Acronym / sponsor ID
- PRO00027661
- Conditions
- Breast Cancer
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 47 participants (actual)
- Lead sponsor
- Medical College of WisconsinUniversity, hospital or other
- Study start
- 12 Apr 2017 (actual)
- Primary completion
- 1 Sep 2018 (actual)
- Study completion
- 31 Oct 2018 (actual)
- First posted
- 9 Aug 2017 (actual)
- 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 purpose of this study is to examine the impact of a lifestyle intervention. The study will examine the Stay on Track program, dietary and activity patterns, body composition, biomarkers and quality of life in breast cancer patients undergoing radiation therapy.
Detailed description
Research Design. The investigators will be conducting an randomized trial in 60 women undergoing radiation treatment for breast cancer to examine the feasibility of a 12-week lifestyle intervention that addresses diet and physical activity and to explore the impact on behavioral, biological and psychosocial outcomes.
Procedure Summary. Patients who are eligible are consented by the research coordinator, after which a baseline assessment will be scheduled. The baseline assessment requires 60 minutes and includes questionnaires, height/weight, dual energy x-ray absorptiometry (DEXA), and phlebotomy. Participants will also wear the Fitbit for one week to establish baseline activity level. After the baseline assessment, women are then randomly assigned to: the 12-week "Stay on Track" lifestyle intervention or the 12-week self-guided control. Both groups complete a post-intervention and a 3-month follow-up visit identical to their baseline assessment. Self-guided controls can utilize their Fitbit and will receive informative binders 24 weeks' post-intervention.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 12-week "Stay on Track" intervention | Active comparator | Behavioral: Lifestyle- Supportive CareThe study intervention includes three personal exercise training sessions, three dietary counseling sessions, use of a physical activity tracking device, and approximately three weekly text messaging |
| 12-week self-guided control | Active comparator | Behavioral: Lifestyle- Supportive CareThe self guided group does not receive the study intervention, but is offered a Nutrition and wellness guide at the end of 6 months |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- > 18 years of age;
- confirmed primary non-metastatic breast adenocarcinoma;
- planned lumpectomy/segmentectomy/partial mastectomy surgery for primary breast cancer;
- planning to undergo adjuvant whole breast radiation therapy following a lumpectomy;
- Have a Karnovsky Performance Score of 70 or above (see Appendix)
Key exclusion criteria (5 listed)
- Patients who have metastatic disease;
- Patients with a history of prior malignancy within the past 3 years, other than non-melanoma skin cancer.
- Patients with serious orthopedic, cardiovascular, or pulmonary conditions, have serious psychiatric or cognitive problems.
- Patients who have received chemotherapy for their breast cancer.
- Patients with prior radiotherapy to primary site or adjacent site that results in overlapping radiation fields.
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 |
|---|---|---|
| Lifestyle- Supportive CareThe intervention examines dietary and activity patterns, body composition, biomarkers and quality of life in breast cancer patients undergoing radiation therapy | Behavioural | 12-week "Stay on Track" intervention, 12-week self-guided control |
Primary outcome
Percent time of personal fitness tracker use during the intervention period for the Stay on Track intervention arm
Time frame: 6 months
28 secondary outcomes
Percent of participant retention thoughout the 12-week intervention through the six month follow-up
Time frame: 6 months
The percent of eligible patient who choose to take part in the study
Time frame: 6 months
Number of personal exercise sessions were attended by members in the Stay on Track Intervention Arm
Time frame: 6 months
Changes in lean soft tissue over the study period associated with intervention and activity
Time frame: 6 months
Changes in BMI (weight and height will be combined to report BMI in kg/m^2) over the study period associated with intervention and activity
Time frame: 6 months
Measures of physical activity (self-report and objective)
Time frame: 6 months
Dietary intake (assessed via Full Length Block Questionnaire)
Time frame: 6 months
Measures of fatigue (Piper Fatigue Scale Score and physician CTCAE v4.0 Scoring)
Time frame: 6 months
Measures of skin side effects (CTCAE v4.0 Scoring)
Time frame: 6 months
Quality of life (FACT-B Questionnaire) over the study period associated with intervention and activity
Time frame: 6 months
Measures of pain (PROMIS Scale v1.0- Pain Intensity 3a Questionnaire) over the study period associated with intervention and activity
Time frame: 6 months
Changes in biomarker (GM-CSF) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (IFN-gamma) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (IL-1alpha) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (IL-1beta) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (IL-4) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (IL-6) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (IL-8) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (IL-10) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (IL-12) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (MCP-1) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (TNF-alpha) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (adiponectin) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (leptin) associated with intervention and activity
Time frame: 6 months
Changes in biomarker (CRP) associated with intervention and activity
Time frame: 6 months
Changes in blood insulin level associated with intervention and activity
Time frame: 6 months
Changes in blood hemoglobin A1C level associated with intervention and activity
Time frame: 6 months
Changes in blood glucose level associated with intervention and activity
Time frame: 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Nov 2021.
- Individual participant dataSharing planned: No
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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.
Carmen Bergom, MD principal investigator
Medical College of Wisconsin
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Lifestyle- Supportive Care in people with Breast Cancer, run by Medical College of Wisconsin at 1 site in United States.
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 10 inclusion and 5 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: finished, as of the sponsor's last update on 30 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percent time of personal fitness tracker use during the intervention period for the Stay on Track intervention arm (time frame: 6 months). 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 30 Nov 2021.