Breast CancerNCT03262831
Mindful Movement in Women Receiving Adjuvant or Neoadjuvant Therapy for Breast Cancer
A study testing Yoga, Blood draw and FACT-G questionnaire in people with Breast Cancer and Cancer of Breast, run by Washington University School of Medicine at 1 site in United States.
Trial summary
The investigators hypothesize that a personalized yoga program with mindful movement implemented during breast cancer therapy will benefit women in multiple ways. The investigators predict that women participating in the program will experience less weight gain and fatigue and will have an improved quality of life… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Cancer, Cancer of Breast
- What is being tested?
- Yoga, Blood draw and FACT-G questionnaire
- Type of treatment
- Surgery or procedure, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteUnited States
- Study dates
- 10 Jan 2018to 26 Jun 2019
- 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
Eligibility Critera:
- Age ≥ 18.
- Female.
- Newly diagnosed with Stage I-III breast cancer.
- Scheduled to undergo neoadjuvant or adjuvant chemotherapy or neoadjuvant endocrine therapy.
- Not currently regularly practicing yoga (defined as at least once a month).
- Able to read and understand English
- Able to understand and willing to sign an IRB-approved written informed consent document
Trial locations and contacts
1 site in 1 country.
United States1 site
Washington University School of Medicine
St Louis, Missouri, 63110
About this study
Official title: The Role of Mindful Movement in Women Receiving Adjuvant or Neoadjuvant Therapy for Breast Cancer
The investigators hypothesize that a personalized yoga program with mindful movement implemented during breast cancer therapy will benefit women in multiple ways. The investigators predict that women participating in the program will experience less weight gain and fatigue and will have an improved quality of life compared to women not participating in the program. The investigators predict that this will be associated with decreased markers of inflammation. The investigators will also evaluate whether there is improved pathologic response rate compared to historical controls. This study will provide pilot data for a larger randomized controlled trial assessing whether program can provide long-term improvement in quality of life, weight maintenance, and the serum and tumor changes correlating with a reduced risk of recurrence and mortality.
- Conditions
- Breast Cancer, Cancer of Breast
- Being tested
- Yoga, Blood draw, FACT-G questionnaire, Weight measurement, Recent Physical Activity Questionnaire
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
YogaOther
The yoga practice, Gentle Hatha and Restorative Yoga, will be based on protocols that have been found to decease fatigue and weight gain by helping the participant gain insight in recognizing stress responses and ways to relax
Blood drawProcedure or surgery
- Baseline and end of treatment
- To evaluate change in inflammatory markers (CRP, IL-6, and TNF)
FACT-G questionnaireBehavioural
- 7 statements that other people with breast cancer have said are important, the patient is to circle or mark one number per line to indicate the response as it applies in the last 7 days
- Answers range from 0=not at all to 4=very much
Weight measurementProcedure or surgery
-Weight will be taken at baseline, on day 1 of each cycle, and the end of treatment
Recent Physical Activity QuestionnaireBehavioural
Also called RPAQ
-To assess physical activity, the RPAQ will be completed at baseline and at the end of treatment.
NHANES Food QuestionnaireBehavioural
-To assess diet, the NHANES Food Questionnaire will be completed at baseline and at the end of treatment.
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: Yoga | Experimental | * Prior to start of treatment, a yoga therapist will work with each patient to develop a personalized yoga protocol using Gentle Hatha and Restorative Yoga
* Each protocol will consist of 5-10 minutes of centering poses to invite focus and relaxation, then 15-20 minutes of seated and standing active poses, ending with 5-10 minutes of guided relaxation.
* The personalized practice will be given to each participant and she will be asked to practice beginning at the start of neoadjuvant treatment at least 3 times a week (but preferably daily) at home for at least 30 minutes each time. Participants will continue their personalized yoga practice during the entirety of treatment. Each participant will be asked to journal when and for how long she practices at home and make any comments as to how the practice might have made her feel
* During participation, weekly follow-up calls will be made by a member of the study team to each participant randomized to the yoga arm. Receives: Other: Yoga; Procedure: Blood draw; Behavioral: FACT-G questionnaire; Procedure: Weight measurement; Behavioral: Recent Physical Activity Questionnaire; Behavioral: NHANES Food Questionnaire |
| Arm 2: No Yoga | Active comparator | -Patients in this arm will not receive a personalized yoga plan Receives: Procedure: Blood draw; Behavioral: FACT-G questionnaire; Procedure: Weight measurement; Behavioral: Recent Physical Activity Questionnaire; Behavioral: NHANES Food Questionnaire |
What is being measured
The primary outcome is the main question the study is designed to answer.
Feasibility of enrolling patients to larger randomized controlled trial using yoga and mindful movement as measured the number of eligible patients enrolled
-Feasibility is defined as the ability to enroll 60% of eligible patients
Measured: Completion of study enrollment (estimated to be 6 months)
Feasibility of conducting a larger randomized trial using yoga and mindful movement
-Feasibility is defined as the ability to have an 80% completion rate of the intervention
Measured: Completion of study enrollment (estimated to be 6 months)
Efficacy of yoga exercise as measured by weight change from baseline to completion
Measured: Completion of treatment (estimated to be 6 months)
Secondary outcomes (4)
Effect of yoga exercise as measured by rate of pathologic response (partial and complete) (neoadjuvant subset only)
Measured: Completion of treatment (estimated to be 6 months)
Effect of yoga exercise as measured by inflammatory markers
Measured: Completion of treatment (estimated to be 6 months)
Effect of yoga exercise as measured by fatigue index
-Fatigue index will be measured by FACT-G questionnaire
Measured: Completion of treatment (estimated to be 6 months)
Effect of yoga exercise as measured by quality of life
-Quality of life will be measured by FACT-G questionnaire
Measured: Completion of treatment (estimated to be 6 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Aug 2017
- Study start10 Jan 2018
- Primary completion26 Jun 2019
- Study completion26 Jun 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by Washington University School of MedicineThe sponsor's other registered studies.
- 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
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Washington University School of Medicine
- Sponsor type
- University, hospital or other
- Collaborators
- The Foundation for Barnes-Jewish Hospital
- Responsible party
- Sponsor
- Investigators
- Lindsay L Peterson, M.D., MSCR, Principal investigator, Washington University School of Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03262831
- Sponsor's protocol ID
- 201708076
- Status last verified
- Aug 2019
- First submitted
- 23 Aug 2017
- Last updated
- 3 Sep 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Greaney SK, Amin N, Prudner BC, Compernolle M, Sandell LJ, Tebb SC, Weilbaecher KN, Abeln P, Luo J, Tao Y, Hirbe AC, Peterson LL. Yoga Therapy During Chemotherapy for Early-Stage and Locally Advanced Breast Cancer. Integr Cancer Ther. 2022 Jan-Dec;21:15347354221137285. doi: 10.1177/15347354221137285.
PubMed 36412916
Study at a glance
From the registry record, last updated by the sponsor on 3 Sep 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Role of Mindful Movement in Women Receiving Adjuvant or Neoadjuvant Therapy for Breast Cancer
- ClinicalTrials.gov ID
- NCT03262831
- Acronym / sponsor ID
- 201708076
- Conditions
- Breast Cancer, Cancer of Breast
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Washington University School of MedicineUniversity, hospital or other
- Collaborators
- The Foundation for Barnes-Jewish Hospital
- Study start
- 10 Jan 2018 (actual)
- Primary completion
- 26 Jun 2019 (actual)
- Study completion
- 26 Jun 2019 (actual)
- First posted
- 25 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 investigators hypothesize that a personalized yoga program with mindful movement implemented during breast cancer therapy will benefit women in multiple ways. The investigators predict that women participating in the program will experience less weight gain and fatigue and will have an improved quality of life compared to women not participating in the program. The investigators predict that this will be associated with decreased markers of inflammation. The investigators will also evaluate whether there is improved pathologic response rate compared to historical controls. This study will provide pilot data for a larger randomized controlled trial assessing whether program can provide long-term improvement in quality of life, weight maintenance, and the serum and tumor changes correlating with a reduced risk of recurrence and mortality.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm 1: Yoga | Experimental | Other: Yoga, Procedure: Blood draw, Behavioral: FACT-G questionnaire, Procedure: Weight measurement, Behavioral: Recent Physical Activity Questionnaire, Behavioral: NHANES Food Questionnaire* Prior to start of treatment, a yoga therapist will work with each patient to develop a personalized yoga protocol using Gentle Hatha and Restorative Yoga * Each protocol will consist of 5-10 minutes of centering poses to invite focus and relaxation, then 15-20 minutes of seated and standing active poses, ending with 5-10 minutes of guided relaxation. * The personalized practice will be given to each participant and she will be asked to practice beginning at the start of neoadjuvant treatment at least 3 times a week (but preferably daily) at home for at least 30 minutes each time. Participants will continue their personalized yoga practice during the entirety of treatment. Each participant will be asked to journal when and for how long she practices at home and make any comments as to how the practice might have made her feel * During participation, weekly follow-up calls will be made by a member of the study team to each participant randomized to the yoga arm. |
| Arm 2: No Yoga | Active comparator | Procedure: Blood draw, Behavioral: FACT-G questionnaire, Procedure: Weight measurement, Behavioral: Recent Physical Activity Questionnaire, Behavioral: NHANES Food Questionnaire-Patients in this arm will not receive a personalized yoga plan |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| YogaThe yoga practice, Gentle Hatha and Restorative Yoga, will be based on protocols that have been found to decease fatigue and weight gain by helping the participant gain insight in recognizing stress responses and ways to relax | Other | Arm 1: Yoga |
| Blood draw* Baseline and end of treatment * To evaluate change in inflammatory markers (CRP, IL-6, and TNF) | Procedure or surgery | Arm 1: Yoga, Arm 2: No Yoga |
| FACT-G questionnaire* 7 statements that other people with breast cancer have said are important, the patient is to circle or mark one number per line to indicate the response as it applies in the last 7 days * Answers range from 0=not at all to 4=very much | Behavioural | Arm 1: Yoga, Arm 2: No Yoga |
| Weight measurement-Weight will be taken at baseline, on day 1 of each cycle, and the end of treatment | Procedure or surgery | Arm 1: Yoga, Arm 2: No Yoga |
| Recent Physical Activity QuestionnaireAlso: RPAQ-To assess physical activity, the RPAQ will be completed at baseline and at the end of treatment. | Behavioural | Arm 1: Yoga, Arm 2: No Yoga |
| NHANES Food Questionnaire-To assess diet, the NHANES Food Questionnaire will be completed at baseline and at the end of treatment. | Behavioural | Arm 1: Yoga, Arm 2: No Yoga |
Primary outcome
Feasibility of enrolling patients to larger randomized controlled trial using yoga and mindful movement as measured the number of eligible patients enrolled
Time frame: Completion of study enrollment (estimated to be 6 months)
-Feasibility is defined as the ability to enroll 60% of eligible patients
Feasibility of conducting a larger randomized trial using yoga and mindful movement
Time frame: Completion of study enrollment (estimated to be 6 months)
-Feasibility is defined as the ability to have an 80% completion rate of the intervention
Efficacy of yoga exercise as measured by weight change from baseline to completion
Time frame: Completion of treatment (estimated to be 6 months)
4 secondary outcomes
Effect of yoga exercise as measured by rate of pathologic response (partial and complete) (neoadjuvant subset only)
Time frame: Completion of treatment (estimated to be 6 months)
Effect of yoga exercise as measured by inflammatory markers
Time frame: Completion of treatment (estimated to be 6 months)
Effect of yoga exercise as measured by fatigue index
Time frame: Completion of treatment (estimated to be 6 months)
Effect of yoga exercise as measured by quality of life
Time frame: Completion of treatment (estimated to be 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 3 Sep 2019.
- Derived from this study: PubMed 36412916Greaney SK, Amin N, Prudner BC, Compernolle M, Sandell LJ, Tebb SC, Weilbaecher KN, Abeln P, Luo J, Tao Y, Hirbe AC, Peterson LL. Yoga Therapy During Chemotherapy for Early-Stage and Locally Advanced Breast Cancer. Integr Cancer Ther. 2022 Jan-Dec;21:15347354221137285. doi: 10.1177/15347354221137285.
- Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of MedicineLink provided by the sponsor.
- 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.
Lindsay L Peterson, M.D., MSCR principal investigator
Washington University School of Medicine
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Yoga, Blood draw and FACT-G questionnaire in people with Breast Cancer and Cancer of Breast, run by Washington University School of Medicine 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?
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 3 Sep 2019. 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?
Feasibility of enrolling patients to larger randomized controlled trial using yoga and mindful movement as measured the number of eligible patients enrolled (time frame: Completion of study enrollment (estimated to be 6 months)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03262831, which also lists 1 linked publication.
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 3 Sep 2019.