Mixed CancerCHOiCENCT04226508
"CHOiCE"! Choose Health: Oncological Patients Cenetered Exercise
A study testing Physical exercise in people with Mixed Cancer, run by Universita di Verona at 2 sites in Italy.
Trial summary
The "CHOICE!" study is an exercise program following the recommendation of the American College of Sports Science for cancer patients. The aims of the intervention are to test the safety and feasibility of a structured program, letting patients choose the modality of delivery. Read more about this study
- Who is it for?
- Ages 18 to 90 years
- Conditions the study is for
- Mixed Cancer
- What is being tested?
- Physical exercise
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- 2 sitesItaly
- Study dates
- 1 Sep 2019to 30 Jul 2024
- 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 to 90 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- a confirmed cancer diagnosis;
- ≥ 8 weeks post-surgical procedure;
- Medical clearance for participation provided by primary care physician or oncologist;
- Informed consent signed;
Who cannot join
- Age < 18 years old;
- Pregnancy;
- Inability to ambulate;
- Contraindication to participation in a regular physical activity program;
- Inability to understand the instructions for PA and/or Mini Mental State index <24;
- Serious physical limitation and/or Karnofsky index <50.
Trial locations and contacts
2 sites in 1 country.
Italy2 sites
Italian League for Fight Cancer
Biella, Turin, 13900
University of Verona
Verona, 37131
About this study
Official title: Different Modalities of Exercise for Physical Activity Promotion in Cancer Patients
The "CHOICE!" study is an exercise program following the recommendation of the American College of Sports Science for cancer patients. The aims of the intervention are to test the safety and feasibility of a structured program, letting patients choose the modality of delivery. Secondary endpoints include exercise health-related skills and quality of life. The program considers the preferences of exercise of cancer survivors, giving the possibility to choose the exercise modality (autonomous, with a personal trainer or group class). This program will be tested in different cancer populations with different study designs based on different patients cohort (i.e., RCT or single-arm).
- Conditions
- Mixed Cancer
- Being tested
- Physical exercise
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Physical exerciseOther
The patients can choose between three modality of EX:
- Autonomous supervised training : a personalized activity is proposed. People choosing this modality have a written material, in which all the exercise, the activity, the frequency, the duration, the intensity are specifically described and reported, to perform the training at home. A training diary and 7 meetings (face to face, or skype or other modality) are proposed for monitoring the intervention.
- Personal training program: a personalized activity is proposed. Patients are followed individually in a gym contest by a qualified kinesiologist.
- Group training program: the training is performed in a small group, supervised and monitored by a qualified kinesiologist. The instructor-user ratio is 1:4 - 1:8, depending on the functional conditions and the heterogeneity of the participants.
| Study group | Role | What they receive |
|---|---|---|
| Control | No intervention | Not described |
| Physical exercise | Experimental | Not described Receives: Other: Physical exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
The number of participants with an adverse event
Adverse events will categorize according to the Common Terminology Criteria for Adverse Events (version 5.0)
Measured: Change from baseline to 12 weeks
The eligibility rate
The number of patients considered eligible dividing the number of subjects who meet inclusion criteria
Measured: At 12 weeks
The recruitment rate
The number of patients randomized dividing the number of subjects considered eligible
Measured: At 12 weeks
The adherence to exercise protocol
Measured by the total number of exercise sessions attended
Measured: At 12 weeks
The dropouts rate
Defined as a participant who leaves the study for any reason prior to completing the 12-week (24 session) exercise program. All reasons for drop out will be reported.
Measured: At 6 months
Secondary outcomes (10)
Cardiorespiratory fitness
Using the Six minutes walking test
Measured: Change from baseline cardiorespiratory fitness at 3 months
Upper limb muscle strength
Using the Handgrip strength test
Measured: Change from baseline muscle strength at 3 months
Lower limb muscle strength
Using the Isometric Leg Press strength test
Measured: Change from baseline muscle strength at 3 months
Upper limb flexibility
Using the Back Scratch test
Measured: Change from baseline flexibility at 3 months
Lower limb flexibility
Using the Sit and Reach test
Measured: Change from baseline flexibility at 3 months
Body mass index
Calculated from weight and height
Measured: Change from baseline antrhopometric values at 3 months
Waist-hip ratio
Calculated usign the waist and hip circumferences
Measured: Change from baseline antrhopometric values at 3 months
Enjoyment
Using the Physical Activity Enjoyment Scale (PACES), ranging from 0 (no enjoyment) to 75 (max enjoyment)
Measured: Change from baseline enjoyment at 3 months
Quality of life (QoL)
Using European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ C-30), ranging from 0 (lowest QoL) to 100 (highest QoL)
Measured: Change from baseline quality of life at 3 months
Physical activity level
Using the Godin's Leisure Time Exercise Questionnaire (GLTEQ). GLTEQ inquires about frequency of vigorous, moderate and mild intensity EX as defined by Godin. Subsequently, each frequency is multiplied by its correspondent metabolic equivalent of the task (MET), i.e. vigorous*9; moderate*5; mild*3. A Leisure Score Index (LSI) was calculated, using the sum of vigorous and moderate components. Based on LSI patients were then classified as active (if LSI≥ 24) and insufficiently active (if LSI<24) according to the American College of Sport Medicine Physical Activity Guidelines.
Measured: Change from baseline physical activity level at 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jan 2020
- Study start1 Sep 2019
- Primary completion30 Jun 2023
- Study completion30 Jul 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Mixed 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
- Model description
- The CHOiCE includes different substudies, with different study designs, i.e., RCT, single arm.
- Masking
- None (open label)
- Enrolment
- 80 participants (actual)
Sponsor and investigators
- Lead sponsor
- Universita di Verona
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Alice Avancini, Universita di Verona
- Investigators
- Massimo Lanza, Principal investigator, Universita di Verona
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04226508
- Sponsor's protocol ID
- 33320
- Acronym
- CHOiCE
- Status last verified
- Nov 2023
- First submitted
- 20 Dec 2019
- Last updated
- 14 Nov 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Avancini A, Borsati A, Adamoli G, Toniolo L, Ciurnelli C, Trevisan A, Belluomini L, Trestini I, Tregnago D, Sposito M, Insolda J, Manduca S, Auriemma A, Fiorio E, Milella M, Lanza M, Schena F, Pilotto S. Real-world feasibility and effectiveness of a personalized exercise program during cancer treatment: results from the CHOiCE prospective study. Oncologist. 2026 May 8;31(6):oyag153. doi: 10.1093/oncolo/oyag153.
PubMed 42015889Avancini A, Borsati A, Baldo E, Ciurnelli C, Trestini I, Tregnago D, Belluomini L, Sposito M, Insolda J, Auriemma A, Fiorio E, Piacentini M, Schena F, Milella M, Pilotto S. A Feasibility Study Investigating an Exercise Program in Metastatic Cancer Based on the Patient-Preferred Delivery Mode. Oncologist. 2024 Jun 3;29(6):e828-e836. doi: 10.1093/oncolo/oyae002.
PubMed 38206849
Study at a glance
From the registry record, last updated by the sponsor on 14 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Different Modalities of Exercise for Physical Activity Promotion in Cancer Patients
- ClinicalTrials.gov ID
- NCT04226508
- Acronym / sponsor ID
- CHOiCE / 33320
- Conditions
- Mixed Cancer
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 80 participants (actual)
- Lead sponsor
- Universita di VeronaUniversity, hospital or other
- Study start
- 1 Sep 2019 (actual)
- Primary completion
- 30 Jun 2023 (actual)
- Study completion
- 30 Jul 2024 (estimated)
- First posted
- 13 Jan 2020 (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 "CHOICE!" study is an exercise program following the recommendation of the American College of Sports Science for cancer patients. The aims of the intervention are to test the safety and feasibility of a structured program, letting patients choose the modality of delivery. Secondary endpoints include exercise health-related skills and quality of life. The program considers the preferences of exercise of cancer survivors, giving the possibility to choose the exercise modality (autonomous, with a personal trainer or group class). This program will be tested in different cancer populations with different study designs based on different patients cohort (i.e., RCT or single-arm).
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- The CHOiCE includes different substudies, with different study designs, i.e., RCT, single arm.
| Arm | Type | Receives |
|---|---|---|
| Control | No intervention | – |
| Physical exercise | Experimental | Other: Physical exercise |
Who may qualify
- Ages
- 18 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- a confirmed cancer diagnosis;
- ≥ 8 weeks post-surgical procedure;
- Medical clearance for participation provided by primary care physician or oncologist;
- Informed consent signed;
Key exclusion criteria (6 listed)
- Age < 18 years old;
- Pregnancy;
- Inability to ambulate;
- Contraindication to participation in a regular physical activity program;
- Inability to understand the instructions for PA and/or Mini Mental State index <24;
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 |
|---|---|---|
| Physical exerciseThe patients can choose between three modality of EX: 1. Autonomous supervised training : a personalized activity is proposed. People choosing this modality have a written material, in which all the exercise, the activity, the frequency, the duration, the intensity are specifically described and reported, to perform the training at home. A training diary and 7 meetings (face to face, or skype or other modality) are proposed for monitoring the intervention. 2. Personal training program: a personalized activity is proposed. Patients are followed individually in a gym contest by a qualified kinesiologist. 3. Group training program: the training is performed in a small group, supervised and monitored by a qualified kinesiologist. The instructor-user ratio is 1:4 - 1:8, depending on the functional conditions and the heterogeneity of the participants. | Other | Physical exercise |
Primary outcome
The number of participants with an adverse event
Time frame: Change from baseline to 12 weeks
Adverse events will categorize according to the Common Terminology Criteria for Adverse Events (version 5.0)
The eligibility rate
Time frame: At 12 weeks
The number of patients considered eligible dividing the number of subjects who meet inclusion criteria
The recruitment rate
Time frame: At 12 weeks
The number of patients randomized dividing the number of subjects considered eligible
The adherence to exercise protocol
Time frame: At 12 weeks
Measured by the total number of exercise sessions attended
The dropouts rate
Time frame: At 6 months
Defined as a participant who leaves the study for any reason prior to completing the 12-week (24 session) exercise program. All reasons for drop out will be reported.
10 secondary outcomes
Cardiorespiratory fitness
Time frame: Change from baseline cardiorespiratory fitness at 3 months
Upper limb muscle strength
Time frame: Change from baseline muscle strength at 3 months
Lower limb muscle strength
Time frame: Change from baseline muscle strength at 3 months
Upper limb flexibility
Time frame: Change from baseline flexibility at 3 months
Lower limb flexibility
Time frame: Change from baseline flexibility at 3 months
Body mass index
Time frame: Change from baseline antrhopometric values at 3 months
Waist-hip ratio
Time frame: Change from baseline antrhopometric values at 3 months
Enjoyment
Time frame: Change from baseline enjoyment at 3 months
Quality of life (QoL)
Time frame: Change from baseline quality of life at 3 months
Physical activity level
Time frame: Change from baseline physical activity level at 3 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Nov 2023.
- Derived from this study: PubMed 42015889Avancini A, Borsati A, Adamoli G, Toniolo L, Ciurnelli C, Trevisan A, Belluomini L, Trestini I, Tregnago D, Sposito M, Insolda J, Manduca S, Auriemma A, Fiorio E, Milella M, Lanza M, Schena F, Pilotto S. Real-world feasibility and effectiveness of a personalized exercise program during cancer treatment: results from the CHOiCE prospective study. Oncologist. 2026 May 8;31(6):oyag153. doi: 10.1093/oncolo/oyag153.
- Derived from this study: PubMed 38206849Avancini A, Borsati A, Baldo E, Ciurnelli C, Trestini I, Tregnago D, Belluomini L, Sposito M, Insolda J, Auriemma A, Fiorio E, Piacentini M, Schena F, Milella M, Pilotto S. A Feasibility Study Investigating an Exercise Program in Metastatic Cancer Based on the Patient-Preferred Delivery Mode. Oncologist. 2024 Jun 3;29(6):e828-e836. doi: 10.1093/oncolo/oyae002.
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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.
Massimo Lanza principal investigator
Universita di Verona
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Physical exercise in people with Mixed Cancer, run by Universita di Verona at 2 sites in Italy.
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 6 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 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Italy. 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?
Results are not available in the source record.
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?
The number of participants with an adverse event (time frame: Change from baseline to 12 weeks). The study lists 5 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 NCT04226508, which also lists 2 linked publications.
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 Nov 2023.