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OncologyONKO-FRAILNCT05131113

Stratification of Patients in Oncogeriatrics and Personalization of Interventions

A study testing Physical exercise in people with Oncology and Solid Tumor, Adult, run by Biogipuzkoa Health Research Institute at 3 sites in Spain.

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

Multicenter randomized controlled trial. Patients will be randomly assigned to the control group or the intervention group in each of the health centers. The control group will receive the usual care, while the intervention group will add an individualized physical exercise program to the usual care. Read more about this study

Who is it for?
Ages 70 to 100 years
Conditions the study is for
Oncology, Solid Tumor, Adult
What is being tested?
Physical exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
186 participants
Where
3 sitesSpain
Study dates
27 Jan 2022to 3 May 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 70 to 100 years
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Patients aged 70 or over.
  • Solid cancer.
  • Candidates for systemic treatment (chemotherapy, hormone therapy, biological therapies or immunotherapy) if the time that has elapsed since the last dose of treatment has been at least 1 month (washout period).
  • Patients with breast, gynecological, lung, pleural, digestive, urological, ENT area, sarcomas, brain tumors, melanomas and patients with tumors of unknown origin will be included.Regarding tumor type and stage for patients with lymphoma: 1) Diffuse large B-cell NHL: include stages I-II if Bulky (>7.5 cm) or R-IPI>1. 2) Hodgkin lymphoma: stages I-II if Bulky (>10 cm). 3) Follicular NHL and marginal NHL without GELF treatment criteria. 4) 80 years old receiving 6 R-mini CHOP cycles.

Who cannot join

  • ECOG ≥3
  • cases of advanced dementia
  • serious psychiatric illnesses
  • Lack of basic fluency in the Basque or Spanish language
  • those patients unable to get up from the chair and walk independently with or without auxiliary device.
  • Neither will those patients who participate in other studies in which they are undertaking a physical exercise program be included.
  • Absolute or relative contraindications in which the risk of adverse effects outweighs the possible benefits such as unstable angina, acute symptomatic heart failure ...

Trial locations and contacts

3 sites in 1 country.

Spain3 sites
  • Hospital Universitario Basurto

    Bilbao, 48013

  • Hospital Universitario Donostia

    San Sebastián, Guipuzcoa, 20014

  • Hospital Universitario de Araba

    Vitoria-Gasteiz, Álava, 01009

Other trials in Spain

About this study

Multicenter randomized controlled trial. Patients will be randomly assigned to the control group or the intervention group in each of the health centers.

The control group will receive the usual care, while the intervention group will add an individualized physical exercise program to the usual care.

Read more

Cancer is a disease of the elderly. More than 65% of all malignancies affect this population. At the same time, the incidence of cancer cases increases and the need to better understand the biological characteristics of the disease, as well as those of the elderly who suffer from it, is highlighted.

Oncogeriatrics is the area that addresses the care of the elderly patient with cancer, taking into account that physiological aging causes older people to have their own characteristics that require a differential approach in care. The low inclusion in clinical trials of elderly patients and the few specific trials carried out in this subpopulation together with the progressive aging of the population mean that the development of this area has become a priority in health policies.

Therefore, there is a need to focus the research area on supervised physical exercise in older people with cancer in an innovative way, with the aim of generating new hypotheses that overcome existing limitations and facilitate the introduction into the health system of this type of interventions.

Read the detailed description

It seems useful to have instruments that help to objectively evaluate the fragilty and comorbidity of patients with the intention of adequately indicating the administration of antineoplastic treatment. In addition, nowadays, with the arrival of new less toxic treatments, it is essential to make a good selection of the patients to be treated, since there is a risk of treating patients who are not going to benefit from an active treatment just for having more comfortable medications and with less toxicity.

There are several instruments that can help to better select the patients that the investigators are going to treat and to select the supportive care that can help to better tolerate the proposed treatments while maintaining the best possible quality of life. Some of those instruments are aimed at detecting fragility such as comprehensive geriatric assessment. They identify in more detail the different vulnerabilities that can affect the patient in the benefit vs. toxicity balance of the treatment and in the long-term quality of life

Many authors emphasize the importance of including a physical exercise program during and after cancer treatment. Despite this, older people with cancer usually have low levels of physical activity, and few adhere to the recommendations they receive from health centers. For this reason, involving older people with cancer in a regular physical activity program becomes a challenge for those in charge of health centers.

Some studies have shown that physical exercise can reduce the usual loss of functional capacity and reduce frailty during cancer treatment. On the other hand, physical exercise can help reduce pain, toxicity and improve the completion rate of systemic treatment. Recent studies have found that physical exercise on the days of chemotherapy cycles is safe and may be beneficial in reducing neuropathy and maintaining physical well-being. Additionally, physical exercise can impact one of the most common and strenuous adverse effects of cancer treatment, fatigue.

Being tested
Physical exercise
Keywords
fragility, physical exercise, biomarkers, oncogeriatrics
Medical subject headings
Neoplasms, Motor Activity

What participants receive

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

  • Physical exerciseOther

    Physical exercise

Study groups in NCT05131113
Study groupRoleWhat they receive
Control groupNo interventionThe control group will receive the usual care and hygiene recommendations of the movement
Interventionist groupExperimentalThe interventional group will add an individualized physical exercise program to the usual care.
Receives: Other: Physical exercise

What is being measured

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

  1. Short Physical Performance Battery

    Short Physical Performance Battery (SPPB) evaluates balance, gait ability, and leg strength using a single tool. The score for each part is given in categorical modality (0-4). The best score will be 12 points. 1 point of change in the total score has demostrated to be of clinical relevance.

    Measured: 12 weeks

Secondary outcomes (47)
  1. Integral Geriatric Assessment -Socio-familial situation:

    Abbreviated Gijón Scale (3-15 pts)

    Measured: 12 weeks

  2. Integral Geriatric Assessment - Basic Activities of Daily Living ( BADL):

    Barthel Index (0-100 pts)

    Measured: 12 weeks

  3. Integral Geriatric Assessment -Instrumental Activities of Daily Living (IADL):

    Lawton´s test (0-8 pts)

    Measured: 12 weeks

  4. Integral Geriatric Assessment -Cognitive function:

    Pfeiffer test (0-10 pts)

    Measured: 12 weeks

  5. Integral Geriatric Assessment - Depression:

    Yesavage test-short form (0-15 pts) (Yes/No)

    Measured: 12 weeks

  6. Integral Geriatric Assessment -Nutritional status:

    MNA-SF test (0-14)

    Measured: 12 weeks

  7. Integral Geriatric Assessment -Polypharmacy:

    Number of chronic drugs consumed by the patient

    Measured: 12 weeks

  8. Integral Geriatric Assessment - Geriatric syndromes:

    Immobility and pressure ulcers (Yes/No); instability and falls (Yes/No); urinary and faecal incontinence (Yes/No); dementia and acute confusional syndrome ( Yes//No); malnutrition (Yes/No); alterations in sight and hearing (Yes/No);constipation, faecal impaction (Yes/No);depression/insomnia (Yes/No)

    Measured: 12 weeks

  9. Integral Geriatric Assessment -Pain:

    VAS (0-10 pts)

    Measured: 12 weeks

  10. Integral Geriatric Assessment - Emotional distress:

    Stress thermometer (0-10 pts)

    Measured: 12 weeks

  11. Cognitive function

    • Montreal Cognitive Assessment (MOCA) test (0-30 pts)

    Measured: 12 weeks

  12. Anthropometry - Weight:

    Unit of measure: kg

    Measured: 12 weeks

  13. Anthropometry - Height:

    Unit of measure: cm

    Measured: 12 weeks

  14. Anthropometry -Waist, hip and calf circumference:

    Unit of measure: cm

    Measured: 12 weeks

  15. Anthropometry -Blood pressure:

    • Unit of measure: mmHg

    Measured: 12 weeks

  16. Anthropometry 1: - Bioimpedance (in some centers) 1

    • Resistance (Ω)

    Measured: 12 weeks

  17. Anthropometry 2: - Bioimpedance (in some centers) 1

    • Phase angle (º)

    Measured: 12 weeks

  18. Biomarkers>> a.1 Inflammation markers (pg/ml or ng/ml):

    • Interleukins 1beta, 2, 4, 6, and 8 (IL-1 b, IL-2, IL-4, IL-6, and IL-8/CXCL8).

    Measured: 12 weeks

  19. Biomarkers>> a.2 Inflammation markers (pg/ml or ng/ml):

    • Tumor necrosis factor alpha (TNFa)

    Measured: 12 weeks

  20. Biomarkers>> a.3 Inflammation markers (pg/ml or ng/ml):

    • Interferon gamma (IFN)

    Measured: 12 weeks

  21. Biomarkers>> a.4 Inflammation markers (pg/ml or ng/ml):

    • C-reactive protein (CRP)

    Measured: 12 weeks

  22. Biomarkers>> a.5 Inflammation markers (pg/ml or ng/ml):

    • Brain-derived neurotrophic factor (BDNF)

    Measured: 12 weeks

  23. Biomarkers>> a.6 Inflammation markers (pg/ml or ng/ml):

    • CMV serology

    Measured: 12 weeks

  24. Biomarkers>> b.1 Endocrine-nutritional and muscle wasting markers (pg/ml or ng/ml):

    • Insulin-derived growth factor (IGF-1).

    Measured: 12 weeks

  25. Biomarkers>> b.2 Endocrine-nutritional and muscle wasting markers (pg/ml or ng/ml):

    • Dehydroepiandrosterone sulfate (DHEA sulfate)

    Measured: 12 weeks

  26. Biomarkers>> b.3 Endocrine-nutritional and muscle wasting markers (pg/ml or ng/ml):

    • Vitamin D

    Measured: 12 weeks

  27. Biomarkers>> b.4 Endocrine-nutritional and muscle wasting markers (pg/ml or ng/ml):

    • Albumin

    Measured: 12 weeks

  28. Biomarkers>> c. Hematological (AU):

    Biomarkers in the cell fraction of blood samples. Panel of 7 genes related to aging and frailty in RNA extracted from blood leukocytes, by quantitative PCR (qPCR): EGR1, Hsa-miR454, DDX11L1, G0S2, GJB6, CXCL8 and NSF. This panel has been developed at Biodonostia as a diagnostic and frailty stratification tool (European Patent Application EP3599286).

    Measured: 12 weeks

  29. Functional assessment and frailty: - Steep Ramp test (A)

    >Heart rate (bpm)

    Measured: 12 weeks

  30. Functional assessment and frailty: - Steep Ramp test (B)

    >Time spent cycling (min/sec)

    Measured: 12 weeks

  31. Functional assessment and frailty: - Steep Ramp test (C)

    > Maximum W

    Measured: 12 weeks

  32. Functional assessment and frailty: - Frailty

    G8 scale ( 0-17); Fried Frailty Phenotype (0-5 pts)

    Measured: 12 weeks

  33. Functional assessment and frailty: - Dynamic balance:

    8 Foot Up and Go Test (8FUGT) (sec)

    Measured: 12 weeks

  34. Functional assessment and frailty: - Physical activity: 1.Accelerometry

    Sleep efficiency (%)

    Measured: 12 weeks

  35. Functional assessment and frailty: - Physical activity: 2. Accelerometry

    Moderate too vigorous physical activity (min/d)

    Measured: 12 weeks

  36. Functional assessment and frailty: - Physical activity: 3. Accelerometry

    Sedentary time (h/d)

    Measured: 12 weeks

  37. Functional assessment and frailty: - Physical activity: 4. Accelerometry

    Light physical activity (min/d)

    Measured: 12 weeks

  38. Patient-reported outcomes (PRO): -Fatigue:

    EORTC QLQ-FA12

    Measured: 12 weeks

  39. Patient-reported outcomes (PRO): - Quality of life:

    EORTC QLQ-C30

    Measured: 12 weeks

  40. Patient-reported outcomes (PRO): - Nutrition:

    Simplified Nutritional Appetite Questionnire

    Measured: 12 weeks

  41. Patient-reported outcomes (PRO): - Cognition:

    Cognitive Failures Questionnaire

    Measured: 12 weeks

  42. Patient-reported outcomes (PRO): - Physical activity:

    Godin Physical Activity Questionnaire

    Measured: 12 weeks

  43. Adverse events (CTCAE)

    • Treatment discontinuation (Yes/ No)
    • Dose reduction (Yes/ No)
    • Percentage of treatment completed (Yes/ No)
    • Completion of treatment (Yes/ No)

    Measured: 12 weeks

  44. Factors related to physical exercise adherence

    Beliefs, barriers, facilitators and self-efficacy in relation to physical exercise ( self-developed questionnaire)

    Measured: 12 weeks

  45. Intervention assessment - Follow-up of the intervention

    Self- developed questionnaire

    Measured: 12 weeks

  46. Intervention assessment - Adverse events associated with the intervention

    Self- developed questionnaire

    Measured: 12 weeks

  47. Intervention assessment - Satisfaction with the intervention

    Self- developed questionnaire

    Measured: 12 weeks

Timeline

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

  1. First posted23 Nov 2021
  2. Study start27 Jan 2022
  3. Primary completion1 Jan 2024
  4. Study completion3 May 2024

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
Masking
None (open label)
Enrolment
186 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05131113
Sponsor's protocol ID
ONKO-FRAIL
Acronym
ONKO-FRAIL
Status last verified
Jun 2023
First submitted
29 Jul 2021
Last updated
20 Aug 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Garcia-Garcia J, Rodriguez-Larrad A, de Rituerto Zeberio MM, Mediavilla JG, Vicente BL, Artola NT, Etxetxipia IZ, Garmendia I, Alberro A, Otaegui D, Borrego F, Caffarel MM, Vrotsou K, Irazusta J, Arrieta H, Pelaez M, Belloso J, Basterretxea L. Effects of a 12-week multicomponent exercise programme on physical function in older adults with cancer: Study protocol for the ONKO-FRAIL randomised controlled trial. J Geriatr Oncol. 2026 Mar;17(2):102818. doi: 10.1016/j.jgo.2025.102818. Epub 2025 Dec 5.

    PubMed 41352214

Questions about this trial

What is this clinical trial studying?

A study testing Physical exercise in people with Oncology and Solid Tumor, Adult, run by Biogipuzkoa Health Research Institute at 3 sites in Spain.

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: finished, as of the sponsor's last update on 20 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Spain. 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?

Short Physical Performance Battery (time frame: 12 weeks). 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 NCT05131113, 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 20 Aug 2024.

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