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Thoracic DiseasesPREHAB-COURTNCT04351815

Short-term Prehabilitation Program : Interest of on Resumption of Function at 2 Months

A study testing Short term prehabilitation (2 weeks) and No specific intervention in people with Thoracic Diseases and Urologic Diseases, run by Hopital Foch.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This study aimed to evaluated the interest of a short-term (2 weeks) prehabilitation program compared to no prehabilitation before thoracic or urological surgery Read more about this study

Who is it for?
Ages 55 years and older
Conditions the study is for
Thoracic Diseases, Urologic Diseases
What is being tested?
Short term prehabilitation (2 weeks) and No specific intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
20 Dec 2019to 11 Mar 2022
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 55 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men or women aged 55 or over
  • Requiring major surgery (thoracic or urological surgery: kidney or bladder) within 15 days after the completion of the inclusion assessment
  • Having signed a consent form after a reflection period
  • Being affiliated to a Health Insurance plan.

Who cannot join

  • Pregnant, parturient or lactating women
  • Persons deprived of their liberty: minors or adults subject to legal protection measures or out of state to express their consent
  • Patients (men or women) aged <55 years;
  • Inability to walk or initial physical assessment
  • Inability to complete questionnaires
  • Walk> 450 meters in the 6 minute test
  • Patients under guardianship or curators.

About this study

Official title: Short-term Prehabilitation Program : Interest of on Resumption of Function at 2 Months: a Randomized Controlled Study

This study aimed to evaluated the interest of a short-term (2 weeks) prehabilitation program compared to no prehabilitation before thoracic or urological surgery

Read the detailed description

Prehabilitation is a form of global strength training, aims to improve functional capacity before surgery.This preparation compensate for its decrease due to the intervention. This process includes physical training, nutritional and psychological care.

Previous studies consider 4 weeks to be the ideal duration time for such program. However, extended program duration may reduce subject compliance and may not be possible for patient who can not or do not want to postponed their surgery.

Being tested
Short term prehabilitation (2 weeks), No specific intervention
Keywords
prehabilitation
Medical subject headings
Thoracic Diseases, Urologic Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Short term prehabilitation (2 weeks)Behavioural

    • Initial assessment visit with a dietitian, a psychologist, a physiotherapist, a doctor (physical medicine) and a geriatrician (for patients over 75 years old)
    • Patient will be asked to follow a 2 weeks prehabilitation program
    • 2 months post-surgery assessment visit with a dietitian, a psychologist, a physiotherapist, a doctor (physical medicine)
    • 6 months post-surgery assessment visit with a dietitian, a psychologist, a physiotherapist, a doctor (physical medicine)
  • No specific interventionOther

    • Standard care: Initial assessment visit with a dietitian, a psychologist, a physiotherapist, a doctor (physical medicine) and a geriatrician (for patients over 75 years old)
    • Patients will be asked to maintain regular physical activity without support
    • 2 months post-surgery assessment visit with a dietitian, a psychologist, a physiotherapist, a doctor (physical medicine)
    • 6 months post-surgery assessment visit with a dietitian, a psychologist, a physiotherapist, a doctor (physical medicine)
Study groups in NCT04351815
Study groupRoleWhat they receive
Short prehabilitationExperimentalThis arm will benefit from a 2 weeks prehabilitation program including a personalized dietetic and physical training program as well as psychological support.
Receives: Behavioral: Short term prehabilitation (2 weeks)
No prehabilitationOtherThis arm will not benefit from a prehabilitation program before surgery. Patients will be told to maintain a regular physical activity without support.
Receives: Other: No specific intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Evaluated the change in physical condition of patient following a short prehabilitation compared to the initial assessment (6 minutes walk test)

    Change on the 6-minute walk test (distance covered over a time of 6 minutes in meters)

    Measured: 7 months

  2. Evaluated the change in physical condition of patient following a short prehabilitation compared to the initial assessment (Borg scale)

    Change in the Borg scale (exertion from 0 to 10: 0 meaning no exertion, 10 meaning maximal exertion)

    Measured: 7 months

Secondary outcomes (44)
  1. Evaluated the change in cardio-respiratory capacity (VO2 max) of patient following a short prehabilitation at 15 days compared to the initial assessment

    VO2 Max Testing, measured in milliliters of oxygen used in one minute per kilogram of body weight (milliliter per kilogram per minute).

    Measured: 15 days

  2. Evaluated the change in cardio-respiratory capacity (spirometry: maximal voluntary ventilation) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Evolution of Maximal Voluntary Ventilation (MVV in liter per minute).

    Measured: 15 days

  3. Evaluated the change in cardio-respiratory capacity (spirometry: vital capacity) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Evolution of Vital Capacity (VC in liter)

    Measured: 15 days

  4. Evaluated the change in cardio-respiratory capacity (spirometry: functional residual capacity) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Evolution of Functional residual capacity (FRC in milliliter per kilogram).

    Measured: 15 days

  5. Evaluated the change in cardio-respiratory capacity (heart rate) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Heart rate at 40 watt during a cardiac stress test (beats per minute).

    Measured: 15 days

  6. Evaluated the change in the muscular mass of patient following a short prehabilitation at 15 days compared to the initial assessment

    Quadriceps area in square centimeters.

    Measured: 15 days

  7. Evaluated the change in the muscular strength of patient following a short prehabilitation at 15 days compared to the initial assessment

    Hand grip Test (measure in Newton).

    Measured: 15 days

  8. Evaluated the change in the body mass (weight) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Weight in kilogram.

    Measured: 15 days

  9. Evaluated the change in the body mass (lean mass) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Percentage of lean mass.

    Measured: 15 days

  10. Evaluated the change on the psychological state (quality of life) of patient following a short prehabilitation at 15 days compared to the initial assessment

    SF-36 quality of life scale (eight health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. Each items are scored on a 0 to 100 range. A high score defines a more favorable health state).

    Measured: 15 days

  11. Evaluated the change on the psychological state (anxiety and depression) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Hospital Anxiety and Depression Scale (HADS)(a fourteen item scale that generates : Seven of the items relate to anxiety and seven relate to depression. Each item on the questionnaire is scored from 0-3 and this means that a person can score between 0 and 21 for either anxiety or depression).

    Measured: 15 days

  12. Evaluated the change on the psychological state (fatigue) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Patient-Reported Outcomes Measurement Information System (PROMIS) : PROMIS Fatigue-Short Form (seven items that measure both the experience of fatigue and the interference of fatigue on daily activities over the past week on a 5-point Likert scale, ranging from 1 = never to 5 = always).

    Measured: 15 days

  13. Evaluated the change on the psychological state (sleep) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Patient-Reported Outcomes Measurement Information System (PROMIS): PROMIS-Sleep Disturbance-Short Form (eight items that measure both the experience problems with sleep and the interference of problems with sleep on daily activities over the past week, ranging from 1 = not at all to 5 = very much).

    Measured: 15 days

  14. Evaluated the change on the psychological state (pain) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Patient-Reported Outcomes Measurement Information System (PROMIS): PROMIS Pain Interference - Short Form (six items that measure both the experience of pain and the interference of pain on daily activities over the past week, ranging from 1 = not at all to 5 = very much).

    Measured: 15 days

  15. Evaluated the change on the psychological state (geriatric health) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Geriatric health status screening tool (G8 score) (8 questions score between 0 and 17, a higher score indicates a better health status). For geriatric patient only.

    Measured: 15 days

  16. Evaluated the change on the psychological state (daily living) of patient following a short prehabilitation at 15 days compared to the initial assessment

    Instrumental activities of daily living scale (8 domains of function ranges from 0 (low function, dependent) to 8 (high function, independent))

    Measured: 15 days

  17. Evaluate compliance to the prehabilitation program

    Overall compliance score regarding physical training, proteins intake, well-being and fatigue (complete, partial or non compliance).

    Measured: 15 days

  18. Evaluate post-surgery complications (classification)

    Classification of complications according to Dindo and Clavien (grades I, II, IIIa, IIIb, IVa, IVb or V).

    Measured: 2 months and 6 months

  19. Evaluate post-surgery complications (length of stay)

    Length of stay in hospital, in intensive care unit or continuous monitoring unit (number of days).

    Measured: 2 months and 6 months

  20. Evaluate post-surgery complications (mortality)

    Hospital and 30-day mortality (patient status).

    Measured: 2 months and 6 months

  21. Evaluate post-surgery complications (re-hospitalization)

    Re-hospitalization in the same hospital within 30 days of discharge from the initial hospitalization (yes/no).

    Measured: 2 months and 6 months

  22. Evaluate post-surgery complications : comparison between predicted complications and actual complications (ARISCAT)

    ARISCAT score (risk of postoperative respiratory complication considered to be low for a score less than 26, moderate for a score of 26 to 44, and high for a score of 45 or more).

    Measured: 2 months and 6 months

  23. Evaluate post-surgery complications : comparison between predicted complications and actual complications (LEE)

    LEE score (postoperative cardiac risk (infarction, heart failure, death): 0-1 low risk, 2 significant risk, more than 3 major risk).

    Measured: 2 months and 6 months

  24. Evaluate post-surgery complications : comparison between predicted complications and actual complications (POSPOM)

    Preoperative Score To Predict Postoperative Mortality (POSPOM) system (scale of 0 to 50 points, with 0 given to patients with the lowest risk).

    Measured: 2 months and 6 months

  25. Evaluate post-surgery complications : comparison between predicted complications and actual complications (Charlson index)

    Charlson index (22 conditions are assigned a score of 1, 2, 3, or 6, depending on the risk of dying associated with each one. Scores are summed to provide a total score to predict mortality. A higher score indicates a higher risk of mortality.)

    Measured: 2 months and 6 months

  26. Evaluate post-surgery complications : comparison between predicted complications and actual complications (POSSUM score)

    Physiologic and Operative Severity Score for the enUmeration of Mortality and Morbidity score (POSSUM score) (18 factors scored exponentially increasing from 1 to 8. A higher score indicates a higher risk of mortality).

    Measured: 2 months and 6 months

  27. Evaluated the change in cardio-respiratory capacity (6 minutes walk test) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Change on the 6-minute walk test (distance covered over a time of 6 minutes in meters).

    Measured: 2 months and 6 months

  28. Evaluated the change in cardio-respiratory capacity (VO2 max) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    VO2 Max Testing, measured in milliliters of oxygen used in one minute per kilogram of body weight (milliliter per kilogram per minute).

    Measured: 2 months and 6 months

  29. Evaluated the change in cardio-respiratory capacity (spirometry: maximal voluntary ventilation) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Evolution of Maximal Voluntary Ventilation (MVV in liter per minute).

    Measured: 2 months and 6 months

  30. Evaluated the change in cardio-respiratory capacity (spirometry: vital capacity) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Evolution of Vital Capacity (VC in liter).

    Measured: 2 months and 6 months

  31. Evaluated the change in cardio-respiratory capacity (spirometry: functional residual capacity) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Evolution of Functional residual capacity (FRC in milliliter per kilogram).

    Measured: 2 months and 6 months

  32. Evaluated the change in cardio-respiratory capacity (heart rate) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Heart rate at 40 watt during a cardiac stress test (beats per minute).

    Measured: 2 months and 6 months

  33. Evaluated the change in the muscular mass of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Quadriceps area in square centimeters.

    Measured: 2 months and 6 months

  34. Evaluated the change in the muscular strength of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Hand grip Test (measure in Newton).

    Measured: 2 months and 6 months

  35. Evaluated the change in the body mass (weight) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Weight in kilogram.

    Measured: 2 months and 6 months

  36. Evaluated the change in the body mass (lean mass) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Percentage of lean mass.

    Measured: 2 months and 6 months

  37. Evaluated the change on the psychological state (quality of life) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    SF-36 quality of life scale (eight health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. Each items are scored on a 0 to 100 range. A high score defines a more favorable health state).

    Measured: 2 months and 6 months

  38. Evaluated the change on the psychological state (anxiety and depression) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Hospital Anxiety and Depression Scale (HADS) (a fourteen item scale that generates : Seven of the items relate to anxiety and seven relate to depression. Each item on the questionnaire is scored from 0-3 and this means that a person can score between 0 and 21 for either anxiety or depression).

    Measured: 2 months and 6 months

  39. Evaluated the change on the psychological state (fatigue) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Patient-Reported Outcomes Measurement Information System (PROMIS) : PROMIS Fatigue-Short Form (seven items that measure both the experience of fatigue and the interference of fatigue on daily activities over the past week on a 5-point Likert scale, ranging from 1 = never to 5 = always).

    Measured: 2 months and 6 months

  40. Evaluated the change on the psychological state (sleep) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Patient-Reported Outcomes Measurement Information System (PROMIS): PROMIS-Sleep Disturbance-Short Form (eight items that measure both the experience problems with sleep and the interference of problems with sleep on daily activities over the past week, ranging from 1 = not at all to 5 = very much)

    Measured: 2 months and 6 months

  41. Evaluated the change on the psychological state (pain) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Patient-Reported Outcomes Measurement Information System (PROMIS): PROMIS Pain Interference - Short Form (six items that measure both the experience of pain and the interference of pain on daily activities over the past week, ranging from 1 = not at all to 5 = very much).

    Measured: 2 months and 6 months

  42. Evaluated the change on the psychological state (geriatric health) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Geriatric health status screening tool (G8 score) (8 questions score between 0 and 17, a higher score indicates a better health status). For geriatric patient only.

    Measured: 2 months and 6 months

  43. Evaluated the change on the psychological state (daily living) of patient following a short prehabilitation at 2 and 6 months compared to the initial assessment

    Instrumental activities of daily living scale (8 domains of function ranges from 0 (low function, dependent) to 8 (high function, independent)).

    Measured: 2 months and 6 months

  44. Evaluated the compliance to the prehabilitation program

    Overall compliance score regarding physical training, proteins intake, well-being and fatigue (complete, partial or non compliance)

    Measured: 2 months and 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Apr 2020
  2. Study start20 Dec 2019
  3. Primary completion11 Mar 2022
  4. Study completion11 Mar 2022

Why it stopped: As the possible regulatory deadline for the research was exceeded, due to logistical difficulties in setting up the study, and in agreement with the sponsor and the principal investigator, it was decided not to extend the study.

Resources

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04351815
Sponsor's protocol ID
2019_0011
Acronym
PREHAB-COURT
Status last verified
Aug 2022
First submitted
14 Feb 2020
Last updated
4 Aug 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Short term prehabilitation (2 weeks) and No specific intervention in people with Thoracic Diseases and Urologic Diseases, run by Hopital Foch.

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: withdrawn, as of the sponsor's last update on 4 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

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 was withdrawn before enrolling participants, so there are no results.

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?

Evaluated the change in physical condition of patient following a short prehabilitation compared to the initial assessment (6 minutes walk test) (time frame: 7 months). The study lists 2 primary outcomes in all. 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 4 Aug 2022.

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