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Breast CancerUPLIFT-BCNCT05371847

Identifying Prognostic Variables for Persistent UL Dysfunctions After Breast Cancer Treatment -Reliability and Validity

A study testing assessment for upper limb dysfunction and retest assessment in people with Breast Cancer, run by KU Leuven at 1 site in Belgium.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Breast cancer is the most frequently occurring cancer, assuming that it accounts for 29% of all new cancers in women (European Cancer Information System). The number of long-term survivors is increasing rapidly due to improving accuracy of the detecting methods, the early diagnosis and advances in cancer treatment. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Breast Cancer
What is being tested?
assessment for upper limb dysfunction and retest assessment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
1 siteBelgium
Study dates
26 Apr 2022to Feb 2025
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
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Patients scheduled for surgery (mastectomy or breast conserving surgery; in combination with axillary lymph node dissection or sentinel node biopsy) for unilateral primary breast cancer or patients with oligometastatic breast cancer.
  • Patients who receive adjuvant radiotherapy .
  • Patients with a cognitive and language functioning enabling coherent Dutch communication between the examiner and the participant
  • Patients who can comply with the protocol at baseline assessment and willing to provide written informed consent
  • Healthy women and men(quickDASH<15) age- and gender-matched with a breast cancer patient from the main study
  • Volunteers who can comply with the protocol at baseline assessment and willing to provide written informed consent

Who cannot join

  • BCS with widespread distance metastases, previous breast surgery, or planned bilateral surgery
  • And/or with a diagnosis of a neurological or rheumatological condition, diabetes,
  • And/or BCS who are not available the entire duration of the study
  • History of breast cancer
  • Patients with a diagnosis of neurological or rheumatological condition, diabetes

Trial locations and contacts

1 site in 1 country.

An De Groef, Prof. Dr. contact

003216376668

an.degroef@kuleuven.be

Nieke Vets contact

nieke.vets@kuleuven.be

Belgium1 site, 1 recruiting
  • Universitair Ziekenhuis Leuven

    Leuven, 3000

    An De Groef, Prof, +3216376668, an.degroef@kuleuven.be

    Nieke Vets, PhD, nieke.vets@kuleuven.be

    Recruiting

Other trials in Belgium

About this study

Official title: Identifying Prognostic Variables for Persistent Upper Limb Dysfunctions After Breast Cancer Treatment: Longitudinal Cohort Study

Breast cancer is the most frequently occurring cancer, assuming that it accounts for 29% of all new cancers in women (European Cancer Information System). The number of long-term survivors is increasing rapidly due to improving accuracy of the detecting methods, the early diagnosis and advances in cancer treatment.

The International Consortium for Health Outcomes Measurement Initiative described upper limb (UL) function as the health outcome that matters most for breast cancer survivors (BCS). 50% of BCS at 6 months post-radiotherapy suffer from of decreased UL function, i.e. difficulties in performing activities of daily living with the upper limb. Patients experiencing UL dysfunctions and other problems are less likely to be physically active. Given that physical inactivity is associated with an increased risk of mortality after breast cancer, taking away the barriers to physical activity (e.g. UL dysfunctions) is very important. Identifying these factors contributing to chronic UL dysfunction is important in terms of identifying targets for prospective evaluation and specific treatment approaches at specific time points during breast cancer treatment.

This study aims to find reliable and valid assessment methods for the prognostic factors and upper limb function itself in a small group of BCS and healthy volunteers.

Conditions
Breast Cancer
Being tested
assessment for upper limb dysfunction, retest assessment
Keywords
upper limb dysfunction
Medical subject headings
Breast Neoplasms

What participants receive

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

  • assessment for upper limb dysfunctionOther

    clinical assessments and questionnaires

  • retest assessmentOther

    For the test-retest reliability testing, participants will be invited to have an additional appointment approximately 1 week after the main assessment.

Study groups in NCT05371847
Study groupRoleWhat they receive
breast cancer patientsActive comparatorWomen and men in the prospective cohort study will be invited to participate in this additional validity and/or reliability testing
Receives: Other: assessment for upper limb dysfunction; Other: retest assessment
healthy volunteersActive comparatorage- and gender-matched
Receives: Other: assessment for upper limb dysfunction; Other: retest assessment

What is being measured

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

  1. Reliability of measurements with MyotonPro

    Inter- and intra-rater reliability will be tested. The MyotonPRO assessment for soft-tissue stiffness and elasticity will take place at the pectoralis major, upper trapezius, infraspinatus and teres major region, from which a mean stiffness index (N/m) will be calculated.

    approximately 1 week between test \& retest

    Measured: 1 week

  2. Validity of the evaluation tool for Myofascial Adhesions in Patients after Breast Cancer

    The validity of the evaluation tool for Myofascial Adhesions in Patients after Breast Cancer (MAP-BC evaluation tool), developed during PhD project of Prof. An De Groef will be investigated. This clinical assessment tool consists of the assessment of soft-tissue adhesion at 7 locations at the upper limb region: axillary and breast region scars, pectoral region, axilla, frontal chest wall, lateral chest wall and the inframammary fold. At each location, the degree of the adhesions will be scored at three levels (skin, superficial and deep) on a 4-point scale (between no adhesions and very stiff adhesions).

    results will be compared with the results of the Myoton pro. approximately 1 week between test \& retest

    Measured: 1 week

  3. Validity of palpation for general stiffness

    Palpation for general tissue stiffness scored on a Linkert Scale (0-5) at the different locations will be explored and the sum of total score of all locations will be calculated (0-35).

    results will be compared with the results of the Myoton pro. approximately 1 week between test \& retest

    Measured: 1 week

  4. Reliability for the assessment of movement functions

    The reliability of goniometer, digital goniometer (EasyAngle®, Meloq AB, Stockholm) and inclinometer will be assessed for the following tasks: shoulder abduction, flexion, external rotation, and the ULIFT functional task. The inertial sensors are easy to use in daily practice, portable but come with a high cost in comparison to a goniometer, digital goniometer or inclinometer.

    The scapular movement assessment of the inertial sensors will be compared with the results of the inclinometer and digital goniometer. The glenohumeral movements will be compared with the results of the goniometer, digital goniometer and inclinometer.

    approximately 1 week between test \& retest

    Measured: 1 week

  5. Construct validity for the assessment of movement functions

    The validity of goniometer, digital goniometer (EasyAngle®, Meloq AB, Stockholm) and inclinometer will be assessed for the following tasks: shoulder abduction, flexion, external rotation, and the ULIFT functional task. The inertial sensors are easy to use in daily practice, portable but come with a high cost in comparison to a goniometer, digital goniometer or inclinometer.

    The scapular movement assessment of the inertial sensors will be compared with the results of the inclinometer and digital goniometer. The glenohumeral movements will be compared with the results of the goniometer, digital goniometer and inclinometer.

    approximately 1 week between test \& retest

    Measured: 1 week

  6. Validity of machine learning model for Upper limb functioning from ActiGraph sensors for breast cancer survivors

    The accelerometer to evaluate upper limb functioning will be validated against video annotated data as proposed by Lum and colleagues. Established methods use a machine learning pipeline to accurately and automatically recognize functional upper limb activities from accelerometer data in healthy subjects. These models will be evaluated against video annotated data to assess accuracy and correlation for our subsample of breast cancer survivors.

    approximately 1 week between test \& retest

    Measured: 1 week

  7. Validity of the use of hot/cold tubes for temperature sensations

    Hot/cold tubes will be used for the cold and heat detection, but to validate this assessment method is will be compared with thermorollers.

    approximately 1 week between test \& retest

    Measured: 1 week

  8. Validity of the assessment of upper limb activities through accelerometry

    The accelerometer will be used as comparable sign and dependent variable to evaluate the upper limb function to capture the 'activity and participation level' of the ICF model.

    approximately 1 week between test \& retest

    Measured: 1 week

  9. Validity of the assessment of upper limb activities: quickDASH

    The quickDASH will be used as comparable sign and dependent variable to evaluate the upper limb function to capture the 'activity and participation level' of the ICF model.

    The QuickDASH is a shortened version of the DASH Outcome Measure. The QuickDASH uses 11 items to measure physical function and symptoms in people with any or multiple musculoskeletal disorders of the upper limb. The resultant score is reported on a scale of 0 to 100, where 0 represents no disability and 100 represents total disability

    approximately 1 week between test \& retest

    Measured: 1 week

Timeline

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

  1. First posted12 May 2022
  2. Study start26 Apr 2022
  3. Primary completionFeb 2025 (estimated)
  4. Study completionFeb 2025 (estimated)

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
Screening
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05371847
Sponsor's protocol ID
s66248-aim2
Acronym
UPLIFT-BC
Status last verified
Apr 2024
First submitted
17 Mar 2022
Last updated
1 May 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • De Groef A, Van der Gucht E, Dams L, Evenepoel M, Teppers L, Toppet-Hoegars J, De Baets L. The association between upper limb function and variables at the different domains of the international classification of functioning, disability and health in women after breast cancer surgery: a systematic review. Disabil Rehabil. 2022 Apr;44(8):1176-1189. doi: 10.1080/09638288.2020.1800835. Epub 2020 Aug 8.

    PubMed 32772650
  • De Groef A, Van Kampen M, Vervloesem N, De Geyter S, Dieltjens E, Christiaens MR, Neven P, Geraerts I, Devoogdt N. An evaluation tool for myofascial adhesions in patients after breast cancer (MAP-BC evaluation tool): Development and interrater reliability. PLoS One. 2017 Jun 9;12(6):e0179116. doi: 10.1371/journal.pone.0179116. eCollection 2017.

    PubMed 28598978
  • Yang EJ, Park WB, Seo KS, Kim SW, Heo CY, Lim JY. Longitudinal change of treatment-related upper limb dysfunction and its impact on late dysfunction in breast cancer survivors: a prospective cohort study. J Surg Oncol. 2010 Jan 1;101(1):84-91. doi: 10.1002/jso.21435.

    PubMed 19924721
  • Kilbreath SL, Refshauge KM, Beith JM, Ward LC, Lee M, Simpson JM, Hansen R. Upper limb progressive resistance training and stretching exercises following surgery for early breast cancer: a randomized controlled trial. Breast Cancer Res Treat. 2012 Jun;133(2):667-76. doi: 10.1007/s10549-012-1964-1.

    PubMed 22286332
  • Lum PS, Shu L, Bochniewicz EM, Tran T, Chang LC, Barth J, Dromerick AW. Improving Accelerometry-Based Measurement of Functional Use of the Upper Extremity After Stroke: Machine Learning Versus Counts Threshold Method. Neurorehabil Neural Repair. 2020 Dec;34(12):1078-1087. doi: 10.1177/1545968320962483. Epub 2020 Nov 5.

    PubMed 33150830

Questions about this trial

What is this clinical trial studying?

A study testing assessment for upper limb dysfunction and retest assessment in people with Breast Cancer, run by KU Leuven at 1 site in Belgium.

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 6 inclusion and 5 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 1 May 2024. 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 Belgium. 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?

Contact An De Groef, Prof. Dr. (003216376668, an.degroef@kuleuven.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Reliability of measurements with MyotonPro (time frame: 1 week). The study lists 9 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 NCT05371847, which also lists 5 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 1 May 2024.

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