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Childhood Cancer SurvivorsPAPAYANCT04947709

Physical Activity Post-Cancer for Adolescents and Young Adults

A study testing Physical Activity in people with Childhood Cancer Survivors, run by Milton S. Hershey Medical Center at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The Physical Activity Post-Cancer for Adolescents and Young Adults (PAPAYA) trial aims to carry out a pilot randomized controlled trial among 10-17 year-old adolescents and young adults, at least 1 year and up to 5 years post-cancer treatment. Read more about this study

Who is it for?
Ages 10 to 17 years
Conditions the study is for
Childhood Cancer Survivors
What is being tested?
Physical Activity
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteUnited States
Study dates
21 Jun 2022to 1 Aug 2023
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 10 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Adolescent and young adult inclusion criteria will be as follows:
  • males and females diagnosed with cancer;
  • treated at Penn State Health Children's Hospital or Penn State Cancer Institute, Milton S. Hershey Medical Center;
  • at least 1 year and up to 5 years post-cancer treatment;
  • being aged between 10 to 17 years old at enrollment;
  • being able to speak, read and understand the English language;
Show all 10Show fewer
  • adolescents and young adults have to be able to assent, and parents/guardians have to be able to consent to the study in an informed manner;
  • Parent fluency in written and spoken English;
  • Adolescents and young adults or their parents must have access to a phone or Zoom
  • Note: The agreement of the attending oncologist will be required for the participation of adolescents and young adults eligible for this study.

Who cannot join

  • Adolescent and young adult exclusion criteria will be as follows:
  • Received follow-up at a location other than Penn State Health Children's Hospital or Penn State Cancer Institute, Milton S. Hershey Medical Center;
  • Evidence in the medical record of an absolute contraindication for physical activity;
  • cardiac exclusion criteria: Class II, III or IV heart failure as defined by the New York Heart Association (NYHA) functional classification system, history of acute coronary syndromes, uncertain or uncontrolled arrhythmia, uncontrolled hypertension, syncope, acute myocarditis, pericarditis, or endocarditis, acute pulmonary embolus or pulmonary infarction, thrombosis of lower extremities, suspected dissecting aneurysm, pulmonary edema, respiratory failure, acute non-cardiopulmonary disorder that may affect exercise performance or be aggravated by exercise, mental impairment leading to inability to cooperate;
  • History of refractory or recurrent diseases
  • Already meeting physical activity guidelines.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Penn State Health Milton S. Hershey Medical Center

    Hershey, Pennsylvania, 17033

Other trials in United States

About this study

Official title: Physical Activity Post-Cancer for Adolescents and Young Adults (PAPAYA)

The Physical Activity Post-Cancer for Adolescents and Young Adults (PAPAYA) trial aims to carry out a pilot randomized controlled trial among 10-17 year-old adolescents and young adults, at least 1 year and up to 5 years post-cancer treatment. The trial will evaluate the effects of a 12 week physical activity intervention to improve patient reported outcomes and physical function, in comparison to a delayed-intervention control group.

Read the detailed description

The investigators will recruit 40 adolescents and young adults at least 1 year, and up to 5 years post-cancer treatment, and randomize them (20 randomized to each condition) to either a 12-week physical activity intervention to improve patient-reported outcomes and physical function, or delayed-intervention control group.

Participants randomized to the intervention group: The physical activity intervention will be structured to increase moderate-to-vigorous intensity aerobic physical activity, to achieve the 60 minute goal, five days per week. The intervention will also include weekly support calls from research staff. The physical activity intervention will be individualized by research staff according to the adolescents and young adults' health status, results from the physical fitness assessment, and most recent week's achieved minutes. The physical activity intervention will be modified during weekly support calls with a study team member, including frequency, intensity, time, and type, to maximize adherence and compliance

Participants randomized to the delayed-intervention control group: They will not receive the physical activity intervention, and they will not receive weekly support calls. Physical activity advice according to the Children's Oncology Group Guidelines for Diet and Physical Activity recommendations will be offered to participants randomized to the delayed-intervention control group following completion of 12-week follow-up.

Being tested
Physical Activity

What participants receive

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

  • Physical ActivityBehavioural

    The main structure of the physical activity program will focus on increasing physical activity. Physical activity will initially start at a duration of 15-30 minute bouts, and at rate of perceived exertion levels of 5-6 (somewhat hard). Over the course of the intervention, goals will be set to progress to 60 minutes of continuous physical activity, at a rate of perceived exertion level of 5-6 (somewhat hard). Participants will be instructed on the use of the ratings of the perceived exertion scale (Borg's RPE 1-10 scale). Participants will be instructed to walk, or engage in other forms of leisure-time physical activity to achieve these goals (cycling, running, swimming, etc). As the adolescent and young adults' health and fitness status improve, frequency, intensity, and session duration will be modified accordingly during weekly support calls. Moreover, goals will be responsive to the most recent week's achieved minutes and rate of perceived exertion.

Study groups in NCT04947709
Study groupRoleWhat they receive
Physical activity intervention groupExperimentalThe physical activity intervention will be structured to increase moderate-to-vigorous intensity aerobic physical activity, to achieve the 60-minute goal, five days per week. The intervention will also include weekly support calls from research staff to improve compliance to physical activity intervention.
Receives: Behavioral: Physical Activity
Delayed-intervention control groupOtherParticipants randomized to the delayed-intervention control group will serve as the control group for 12 weeks, and will not receive physical activity intervention during this time and will not receive weekly support calls. After completion of the control group, participants will be offered physical activity advice according to the Children's Oncology Group Guidelines for Diet and Physical Activity recommendations. This delayed-intervention control group design is used not only to boost recruitment, but to eventually confer the benefits of physical activity to all those who enter the trial.
Receives: Behavioral: Physical Activity

What is being measured

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

  1. Acceptability-the proportion of adolescents and young adults who agree to participate

    The proportion of adolescents and young adults who agree to participate among those deemed eligible by the attending oncologist

    Range 0-100%-Higher scores indicate greater acceptability

    Measured: Baseline

  2. Feasibility-the proportion of adolescents and young adults who complete at least 50% of the physical activity intervention

    The percentage of those randomized to the physical activity intervention that complete at least 50% of the physical activity intervention. Participants will be instructed by a project manager during weekly support calls to accumulate a specific amount of physical activity each week. Participants who self-report completing at least 50% of the physical activity, determined by the Godin-Shephard Leisure-Time Physical Activity Questionnaire, will be deemed compliant.

    Range 0-100%-Higher scores indicate greater feasibility

    Measured: Baseline to week 12

Secondary outcomes (26)
  1. Patient reported outcomes-physical function mobility

    the physical function mobility assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater physical function mobility

    Measured: Baseline

  2. Patient reported outcomes-physical function mobility

    the physical function mobility assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater physical function mobility

    Measured: week 12

  3. Patient reported outcomes-anxiety

    the anxiety assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater anxiety

    Measured: Baseline

  4. Patient reported outcomes-anxiety

    the anxiety assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater anxiety

    Measured: Week 12

  5. Patient reported outcomes-depressive symptoms

    the depressive symptoms assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater depressive symptoms

    Measured: baseline

  6. Patient reported outcomes-depressive symptoms

    the depressive symptoms assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater depressive symptoms

    Measured: Week 12

  7. Patient reported outcomes-fatigue

    the fatigue assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater fatigue

    Measured: baseline

  8. Patient reported outcomes-fatigue

    the fatigue assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater fatigue

    Measured: week 12

  9. Patient reported outcomes-peer relationships

    the peer relationships assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater peer relationships

    Measured: baseline

  10. Patient reported outcomes-peer relationships

    the peer relationships assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater peer relationships

    Measured: week 12

  11. Patient reported outcomes-social isolation

    the social isolation assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater social isolation

    Measured: baseline

  12. Patient reported outcomes-social isolation

    the social isolation assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater social isolation

    Measured: week 12

  13. Patient reported outcomes-pain interference

    the pain interference assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater pain interference

    Measured: baseline

  14. Patient reported outcomes-pain interference

    the pain interference assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater pain interference

    Measured: week 12

  15. Patient reported outcomes-pain intensity

    the pain intensity assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 0-10, higher scores indicate greater pain intensity

    Measured: baseline

  16. Patient reported outcomes-pain intensity

    the pain intensity assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 0-10, higher scores indicate greater pain intensity

    Measured: week 12

  17. Patient reported outcomes-sleep disturbance

    the sleep disturbance assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater sleep disturbance

    Measured: baseline

  18. Patient reported outcomes-sleep disturbance

    the sleep disturbance assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 8-40, higher scores indicate greater sleep disturbance

    Measured: week 12

  19. Patient reported outcomes-cognitive function

    the cognitive function assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 7-35, higher scores indicate greater cognitive function

    Measured: baseline

  20. Patient reported outcomes-cognitive function

    the cognitive function assessment domain from the PROMIS (Patient-Reported Outcomes Measurement Information System Pediatric Profile v2.0-Profile-49)

    Range 7-35, higher scores indicate greater cognitive function

    Measured: week 12

  21. physical function-six minute walking test

    The six minute walking test will be administered to assess physical function. Participants will aim to walk as far as possible for 6 minutes.

    Further distances indicate greater physical function

    Measured: baseline

  22. physical function-six minute walking test

    The six minute walking test will be administered to assess physical function. Participants will aim to walk as far as possible for 6 minutes.

    Further distances indicate greater physical function

    Measured: week 12

  23. physical function-30 second chair stand

    The 30 second chair stand test will be administered to assess physical function. Participants will aim to sit and rise out of a chair as many times as possible in 30 seconds.

    Greater amounts of sit/stands indicate greater physical function

    Measured: baseline

  24. physical function-30 second chair stand

    The 30 second chair stand test will be administered to assess physical function. Participants will aim to sit and rise out of a chair as many times as possible in 30 seconds.

    Greater amounts of sit/stands indicate greater physical function

    Measured: week 12

  25. physical function-timed up and go

    The timed up and go test will be administered to assess physical function. Participants will aim to stand up, walk 3 meters, turn around, and walk back to the chair as fast as possible.

    Shorter durations indicate greater physical function

    Measured: baseline

  26. physical function-timed up and go

    The timed up and go test will be administered to assess physical function. Participants will aim to stand up, walk 3 meters, turn around, and walk back to the chair as fast as possible.

    Shorter durations indicate greater physical function

    Measured: week 12

Timeline

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

  1. First posted1 Jul 2021
  2. Study start21 Jun 2022
  3. Primary completion27 Feb 2023
  4. Study completion1 Aug 2023

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized controlled trial, utilizing a delayed-intervention control group.
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04947709
Sponsor's protocol ID
STUDY00018148
Acronym
PAPAYA
Status last verified
Aug 2023
First submitted
9 Jun 2021
Last updated
14 Aug 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Caru M, Dandekar S, Gordon B, Conroy DE, Barb ED, Doerksen SE, Smink GM, McKeone DJ, Shah NB, Greiner RJ, Schramm JW, Rao P, McGregor L, Schmitz KH. Implementing a behavioral physical activity program in children and adolescent survivors of childhood cancer: a pilot randomized controlled trial. J Behav Med. 2024 Oct;47(5):792-803. doi: 10.1007/s10865-024-00497-z. Epub 2024 May 12.

    PubMed 38735024

Questions about this trial

What is this clinical trial studying?

A study testing Physical Activity in people with Childhood Cancer Survivors, run by Milton S. Hershey Medical Center 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 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: finished, as of the sponsor's last update on 14 Aug 2023. 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?

Acceptability-the proportion of adolescents and young adults who agree to participate (time frame: Baseline). 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?

On the ClinicalTrials.gov record for NCT04947709, 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 14 Aug 2023.

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