CANCERProActIF-01NCT05441163
ProActIF-01 Trial: Feasibility Study of an Individualized Program of Nutrition and Adapted Physical Activity in Frail Patients With Advanced Digestive Cancers
A study testing APA and nutrition intervention in people with CANCER, run by Institut Curie at 18 sites in France.
Trial summary
The ProActIF-01 trial aims to assess the feasibility of a supervised 8-week combined APA and nutrition individualized program, in advanced digestive cancer patients. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- CANCER
- What is being tested?
- APA and nutrition intervention
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 18 sitesFrance
- Study dates
- 8 Apr 2023to 7 Oct 2029
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed and dated informed consent.
- Age ≥ 18 years (no superior limit), men and women.
- First-line treatment (chemotherapy and/or immunotherapy) for advanced disease (previous adjuvant therapy allowed).
- Histologically confirmed adenocarcinoma or squamous cell carcinoma of digestive tract (colorectal, esogastric, pancreas, biliary tract).
- Locally advanced or metastatic disease not amenable to surgery, radiation, or combined modality therapy with curative intent (previous resection of primary tumor allowed).
- ECOG PS 0-2. Note: patient with ECOG PS 3-4 are excluded because they are usually not eligible for chemotherapy.
Show all 11Show fewer
- Having at least one risk factor among the following: ECOG PS = 2 and/or malnutrition (weight loss ≥5% of body weight in 1 month or ≥10% in 6 months or compared to usual weight before disease or BMI <18.5 kg/m2 for patients aged <70 years and 22 for patients aged ≥70 years).
- Life expectancy ≥ 8 weeks.
- Able to answer questionnaires in French.
- Availability of an APA partner (family member or friend who will attend the exercise sessions at least once a week).
- Registration in a national health care system (Couverture Maladie Universelle, CMU included).
Who cannot join
- Neuroendocrine carcinoma histology.
- Any medical (including psychiatric, musculoskeletal, or neurological) condition contra-indicating exercise practice.
- Note: bone or brain metastases are allowed if not at risk of complications and if associated symptoms do not limit exercise practice; radiotherapy is allowed if terminated ≥ 2 weeks prior to study inclusion.
- Nonfunctional gastrointestinal tract compromising oral/enteral feeding. Note: gastrointestinal tract obstruction is allowed if the tumor can be bypassed or stented (e.g. esophageal cancer with gastric tube-stoma or esophageal stent).
- Participation to another physical activity or nutritional structured intervention program (in the first two months).
- Note: participation to another concomitant clinical trial (except for trials evaluating supportive care programs involving physical activity or nutritional intervention) is allowed but the patient must inform the Investigator and get an authorization from the Sponsor.
Show all 11Show fewer
- Major risk of refeeding syndrome: BMI <16 kg/m2 or low blood levels of potassium, phosphorus or magnesium prior to refeeding (Note : oral and/or IV supplementation is allowed and patients can be included after correction of blood levels of potassium, phosphorus and magnesium).
- Note : - malnourished patients who have started nutritional intervention (ONS, artificial nutrition) are eligible if they have not started chemotherapy/immunotherapy.
- progressive increase in calory/protein is possible in severely malnourished patients but the targets should be reached before the 2nd chemotherapy/immunotherapy cycle.
- Pregnancy or breastfeeding.
- Protected adults (individuals under guardianship by court order).
Trial locations and contacts
18 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Cindy NEUZILLET, MD contact
18 sites in 1 country
France18 sites, 9 recruiting
- Recruiting
Institut du cancer Avignon-Provence
Avignon, 84000
May MABRO, MD
May MABRO, MD
- Withdrawn
Institut Bergonié
Bordeaux, 33076
- Recruiting
Centre de Lutte Contre le Cancer Jean Perrin
Clermont-Ferrand, 63011
Florence OSAER-POLYCARPE, MD
Florence OSAER-POLYCARPE
- Withdrawn
Institut Daniel Hollard - Groupe Hospitalier Mutualiste
Grenoble, 38000
- Withdrawn
centre Oscar Lambret
Lille, 59020
- Recruiting
Hôpital de la Croix Rousse - Hospices Civils de Lyon
Lyon, 69004
Mélissa GRUNER, MD
Mélissa Gruner, MD
- Recruiting
centre Léon Bérard
Lyon, 69373
Pamela FUNK DEBLEDS, MD
Pamela FUNK DEBLEDS
- Withdrawn
Institut du Cancer de Montpellier (ICM)
Montpellier, 34298
- Recruiting
Institut Curie
Paris, 75005
Timothée MARCHAL, MD
Timothée MARCHAL, MD
- Withdrawn
Hôpital COCHIN AP-HP
Paris, 75014
- Recruiting
CHU Reims
Reims, 51092
Olivier BOUCHE, MD
Olivier BOUCHE, MD
- Withdrawn
Institut Jean Godinot
Reims, 51100
- Withdrawn
Centre Eugène Marquis
Rennes
- Recruiting
Institut Curie
Saint-Cloud, 92210
Lucie GENTILHOMME, MD
Lucie GENTILHOMME, MD
- Withdrawn
Institut de Cancérologie de l'Ouest (ICO)
Saint-Herblain, 44805
- Withdrawn
Hôpital Foch
Suresnes, 92150
- Recruiting
CHRU de Tours
Tours, Institut Curie, 37044
Thierry LECOMTE, MD
Thierry LECOMTE, MD
- Not yet recruiting
Hôpital Paul Brousse
Villejuif, 94800
Cindy NEUZILLET
About this study
The ProActIF-01 trial aims to assess the feasibility of a supervised 8-week combined APA and nutrition individualized program, in advanced digestive cancer patients.
- Conditions
- CANCER
- Being tested
- APA and nutrition intervention
- Keywords
- gastrointestinal cancer
- Medical subject headings
- Neoplasms, Gastrointestinal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
APA and nutrition interventionOther
- APA intervention: weekly supervised sessions at home with the APA professional combined with unsupervised sessions, alone or with the APA partner, for 8 weeks.
The supervised session will be broken down as follows: warm-up block (approximately 10'), aerobic block (15'), muscle strengthening/resistance block (15') and stretching/relaxation block (10'). The remaining 10' will be used to review the session and the individual sessions. This program can be adapted to the needs and abilities of the patient if necessary.
- Nutritional intervention: dietitian weekly visits at home during 8 weeks with dietetic counseling; decision of oral, enteral and/or parenteral feeding validated by the clinical steering committee according to the Société Francophone de Nutrition Clinique et Métabolisme (SFNCM) guidelines.
| Study group | Role | What they receive |
|---|---|---|
| APA and nutrition program | Experimental | Not described Receives: Other: APA and nutrition intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Assess the feasibility of a supervised 8-week combined APA and nutrition individualized program
The rate of eligible and evaluable patients who complete successfully the nutrition and APA program. For a given patient, the success of the program is defined by:
- at least 75% of the planned supervised APA sessions: 6 of 8 home-based sessions with an APA professional
- at least 75% of the nutritional evaluations: 6 of 8 planned home-based evaluations.
Measured: 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jul 2022
- Study start8 Apr 2023
- Primary completion7 Oct 2028 (estimated)
- Study completion7 Oct 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for 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
- Health services research
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Intervention : standard of care plus a supervised 8-week combined APA and nutrition individualized program
- Masking
- None (open label)
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Institut Curie
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Cindy NEUZILLET, MD, Principal investigator, Hôpital Paul Brousse
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05441163
- Sponsor's protocol ID
- IC 2021-01
- Acronym
- ProActIF-01
- Status last verified
- Jul 2026
- First submitted
- 28 Jun 2022
- Last updated
- 9 Jul 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Sponsor will share de-identified data sets. Documents generated under the project will be disseminated in accordance with Institut Curie policies.
Study at a glance
From the registry record, last updated by the sponsor on 9 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- ProActIF-01 Trial: Feasibility Study of an Individualized Program of Nutrition and Adapted Physical Activity in Frail Patients With Advanced Digestive Cancers
- ClinicalTrials.gov ID
- NCT05441163
- Acronym / sponsor ID
- ProActIF-01 / IC 2021-01
- Conditions
- CANCER
- Keywords
- gastrointestinal cancer
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- Institut CurieUniversity, hospital or other
- Study start
- 8 Apr 2023 (actual)
- Primary completion
- 7 Oct 2028 (estimated)
- Study completion
- 7 Oct 2029 (estimated)
- First posted
- 1 Jul 2022 (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 ProActIF-01 trial aims to assess the feasibility of a supervised 8-week combined APA and nutrition individualized program, in advanced digestive cancer patients.
Study design
- Primary purpose
- Health services research
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Intervention : standard of care plus a supervised 8-week combined APA and nutrition individualized program
| Arm | Type | Receives |
|---|---|---|
| APA and nutrition program | Experimental | Other: APA and nutrition intervention |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Signed and dated informed consent.
- Age ≥ 18 years (no superior limit), men and women.
- First-line treatment (chemotherapy and/or immunotherapy) for advanced disease (previous adjuvant therapy allowed).
- Histologically confirmed adenocarcinoma or squamous cell carcinoma of digestive tract (colorectal, esogastric, pancreas, biliary tract).
- Locally advanced or metastatic disease not amenable to surgery, radiation, or combined modality therapy with curative intent (previous resection of primary tumor allowed).
Key exclusion criteria (11 listed)
- Neuroendocrine carcinoma histology.
- Any medical (including psychiatric, musculoskeletal, or neurological) condition contra-indicating exercise practice.
- Note: bone or brain metastases are allowed if not at risk of complications and if associated symptoms do not limit exercise practice; radiotherapy is allowed if terminated ≥ 2 weeks prior to study inclusion.
- Nonfunctional gastrointestinal tract compromising oral/enteral feeding. Note: gastrointestinal tract obstruction is allowed if the tumor can be bypassed or stented (e.g. esophageal cancer with gastric tube-stoma or esophageal stent).
- Participation to another physical activity or nutritional structured intervention program (in the first two months).
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 |
|---|---|---|
| APA and nutrition intervention- APA intervention: weekly supervised sessions at home with the APA professional combined with unsupervised sessions, alone or with the APA partner, for 8 weeks. The supervised session will be broken down as follows: warm-up block (approximately 10'), aerobic block (15'), muscle strengthening/resistance block (15') and stretching/relaxation block (10'). The remaining 10' will be used to review the session and the individual sessions. This program can be adapted to the needs and abilities of the patient if necessary. - Nutritional intervention: dietitian weekly visits at home during 8 weeks with dietetic counseling; decision of oral, enteral and/or parenteral feeding validated by the clinical steering committee according to the Société Francophone de Nutrition Clinique et Métabolisme (SFNCM) guidelines. | Other | APA and nutrition program |
Primary outcome
Assess the feasibility of a supervised 8-week combined APA and nutrition individualized program
Time frame: 8 weeks
The rate of eligible and evaluable patients who complete successfully the nutrition and APA program. For a given patient, the success of the program is defined by: * at least 75% of the planned supervised APA sessions: 6 of 8 home-based sessions with an APA professional * at least 75% of the nutritional evaluations: 6 of 8 planned home-based evaluations.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jul 2026.
- Individual participant dataSharing planned: Yes. Sponsor will share de-identified data sets. Documents generated under the project will be disseminated in accordance with Institut Curie policies.
Related trials for CANCER
RecruitingPhase 2
A Study to Evaluate the Efficacy of Cemsidomide + Dexamethasone in Participants With Relapsed/Refractory Multiple Myeloma
Multiple Myeloma, Relapsed/Refractory Multiple Myeloma
Not yet recruiting
Effect of a Health Belief Model Based Digital Nudge Intervention on Breast Cancer Screening
Breast Cancer Screening, Breast Cancer Awareness
Not yet recruiting
The AYA Oncology Self-care Movement
Acute Lymphobkastic Leukemia, Medication Adherence
Not yet recruitingPhase 1/2
177Lu-DOTA-EB-TATE in Adult Patients With Metastatic, Radioactive Iodine Non-Responsive Oncocytic (Hurthle-Cell) Thyroid Cancer
Thyroid Cancer
RecruitingPhase 2
The COSMYC Trial (COmbined Suppression of MYC)
Metastatic Castration-resistant Prostate Cancer
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.
Cindy NEUZILLET, MD contact
Cindy NEUZILLET, MD principal investigator
Hôpital Paul Brousse
18 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing APA and nutrition intervention in people with CANCER, run by Institut Curie at 18 sites in France.
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 11 inclusion and 11 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: looking for participants now, as of the sponsor's last update on 9 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 18 sites in France. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Anne-Sophie PLISSONNIER (0033147112378, anne-sophie.plissonnier@curie.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Assess the feasibility of a supervised 8-week combined APA and nutrition individualized program (time frame: 8 weeks). 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 9 Jul 2026; AzTrials last refreshed its copy on 31 Oct 2026.