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LymphomaNCT06660446

Exercise During Chemotherapy Treatment As Adjuvant Program in Patients with Lymphoma: EDONOLA Study.

A study testing Exercise in people with Lymphoma, run by Biogipuzkoa Health Research Institute at 3 sites in Spain.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

In people diagnosed with lymphoma receiving immunochemotherapy treatment, a combined exercise intervention, as opposed to the general recommendations, will achieve: 1.Improve cardiorespiratory fitness, strength, psychological well-being and quality of life. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lymphoma
What is being tested?
Exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
3 sitesSpain
Study dates
8 Oct 2024to 30 Mar 2027
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

  • Age: ≥18 years old.
  • Diagnosis of lymphoma with histological confirmation and requirement of systemic treatment including chemotherapy.
  • Time available (80 minutes, two days a week for 20 weeks) to carry out physical exercise sessions.
  • Have a mobile phone to be able to contact the person and download the physical activity level app.
  • Eastern Cooperative Oncology Group performance status (ECOG) ≤2.
  • Life expectancy \>12 months.
  • Availability and desire to participate throughout the study period.

Who cannot join

  • Have a contraindication to moderate-high intensity exercise.
  • Other significant medical disorders: including psychiatric illnesses chronic or recurrent; intellectual disability, musculoskeletal problems, cardiac or pulmonary disorders that interfere with physical exercise; other malignant tumors in the last five years, with the exception of therapeutically controlled skin cancer; any other illness that may be seen affected or aggravated by physical exercise.
  • Have plans to be outside city more than two weeks.
  • People who are already physically active (that comply with the recommendations of WHO: \> 150 minutes of exercise moderate/weekly, plus training force two days/week).
  • Treatment based only with immunotherapy.
  • Central nervous system involvement due to lymphoma.
  • Have any important history that limit the capacity of the patient to participate in the study.

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Clinical Research Platform - Health Research Institut Biogipuzkoa contact

+34943006140

OSID.INVESTCLINICA@osakidetza.eus

Spain3 sites, 2 recruiting
  • Hospital Universitario Galdakao (HUG)

    Galdakao, Bizkaia, 48960

    Active, not recruiting
  • Hospital Universitario Donostia (HUD)

    San Sebastián, Guipuzcoa, 20014

    Clinical Research Platform - Clinical Research Institute Biogipuzkoa, OSID.INVESTCLINICA@osakidetza.eus

    Recruiting
  • Hospital Universitario Araba (HUA)

    Vitoria - Gateiz, Araba, 01009

    Clinical Research Platform - Clinical Research Institute Biogipuzkoa, OSID.INVESTCLINICA@osakidetza.eus

    Not yet recruiting

Other trials in Spain

About this study

Official title: Ejercicio Físico Durante El Tratamiento De Quimioterapia Como Programa Adyuvante En Pacientes Con Linfoma: Estudio EDONOLA

In people diagnosed with lymphoma receiving immunochemotherapy treatment, a combined exercise intervention, as opposed to the general recommendations, will achieve: 1.Improve cardiorespiratory fitness, strength, psychological well-being and quality of life. //2.Reduce fatigue//3.Reduce frailty

There is an association between some biological biomarkers with physical capacity and frailty.

Read the detailed description

In this study, the effectiveness of an individualized adjuvant exercise program will be analyzed in a homogeneous population of people diagnosed with lymphoma in active treatment. Taking into account the limited scientific evidence that currently exists in people affected by lymphoma and active treatment, the study could be of great relevance when it comes to providing scientific evidence in this very little field studied. The study will try to respond to the evident need to focus the research area on supervised exercise in people with lymphoma in a way innovative, with the aim of generating new hypotheses that overcome existing limitations and facilitate the introduction of this type of interventions into the health system. The present study will also analyze the effect of exercise from a gender perspective, an aspect not systematically studied until now, providing a new vision on the baseline differences and after intervention of a program based on of sex.

The study will include adults with lymphoma with special focus on the subanalysis of the group of patients equal or more than 70 years old. The lymphoma unit of the Donostia University Hospital (HUD) is part of the Onkofrail project that analyzes the impact of a physical activity in older cancer patients. The Onkofrail study has included everything type of solid tumors and very diverse treatments, which is a limitation methodology that could condition the analysis of the results. Therefore, the need of proposing a new exercise project in a homogeneous population such as that of people with lymphoma, the most prevalent hemopathy in our environment, which has a great survival, but present important adverse effects secondary to treatment systemic. 30 people with lymphoma and treatment have been included in the Onkofrail study asset. The preliminary results of said pilot study have been used for the design of this new study, making adaptations, both in the recruitment time, as well as inclusion and exclusion criteria, which guarantee and optimize the correct research development.

Main objective:

The main objective is to assess whether a supervised (2 days/week) combined (resistance+aerobic interval training) exercise intervention, plus 2 days/week unsupervised for 20 weeks improves cardiorespiratory fitness (CRF) in people diagnosed with lymphoma undergoing chemotherapy, compared to a control group receiving only general recommendations.

Secondary objectives:

  1. To estimate cardiorespiratory capacity (VO2peak) through a field test Modified Shuttle Walking Test (MSWT) and other covariates related to body composition, heart rate, among others. Validation of the predictive model.
  2. To characterise and define the profile of the population diagnosed with lymphoma at the physical, emotional, and biochemical (biomarker) and immune system level prior to an intervention with exercise.
  3. To investigate whether the implementation of an exercise programme adjuvant to immunochemotherapy treatment modifies fatigue, adherence (actual dose-intensity), and toxicity related to clinical treatment.
  4. To analyse whether the intervention with exercise is effective in increasing strength levels, improving quality of life and sleep.
  5. To clarify whether there are sex differences in the efficacy of the exercise programme adjuvant to immunochemotherapy treatment.
  6. To analyse the benefit of adding exercise programmes in different subgroups of people with lymphoma, with a special focus on the group of patients aged ≥70 years, with the aim of maximising the cost-effectiveness of implementation in the care routine in all patients.
  7. To analyse the degree of adherence to the programme: degree of attendance at planned sessions and percentage of participants who complete the post-intervention evaluation.
  8. To report the degree of satisfaction by people affected by lymphoma, as reported in an interview.
Conditions
Lymphoma
Being tested
Exercise
Keywords
Lymphoma, Physical Exercise, Fatigue, Cardiorespiratory capacity, Life Quality
Medical subject headings
Lymphoma, Motor Activity, Fatigue

What participants receive

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

  • ExerciseOther

    The lymphoma unit of the Donostia University Hospital (HUD) is part of the Onkofrail project that analyzes the impact of a physical activity in older cancer patients. The Onkofrail study has included everything type of solid tumors and very diverse treatments, which is a limitation methodology that could condition the analysis of the results. Therefore, the need of proposing a new PE project in a homogeneous population such as that of people with lymphoma, the most prevalent hemopathy in our environment, which has a great survival, but present important adverse effects secondary to treatment systemic.

Study groups in NCT06660446
Study groupRoleWhat they receive
Control GroupNo interventionThe control group will receive the usual care and indications.
Intervention GroupExperimentalThe interventional group will add a exercise program.
Receives: Other: Exercise

What is being measured

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

  1. Cardiorespiratory fitness (CRF)

    Measured by peak oxygen uptake (VO2peak) before starting chemotherapy treatment and after 20 weeks of intervention, using the cardiorespiratory exercise test.

    Measured: 20 weeks

Secondary outcomes (35)
  1. Sociodemographic, etiological and clinical health variables (A)

    Recruitment Center (Donostia University Hospital, Galdakao University Hospital , Alava University Hospital)

    Measured: 20 weeks

  2. Sociodemographic, etiological and clinical health variables (B)

    Birthdate.

    Measured: 20 weeks

  3. Sociodemographic, etiological and clinical health variables (C)

    Biological sex (man, woman, I prefer not to answer)

    Measured: 20 weeks

  4. Sociodemographic, etiological and clinical health variables (D)

    Gender (man, woman, non-binary or I prefer not to answer)

    Measured: 20 weeks

  5. Sociodemographic, etiological and clinical health variables (E)

    Educational level (no studies, elementary, high school, vocational training, university, I prefer not to answer, others)

    Measured: 20 weeks

  6. Sociodemographic, etiological and clinical health variables (F)

    Home composition (single person, lives with couple, lives with family, institutionalized, I prefer not to answer, others)

    Measured: 20 weeks

  7. Functionality and fragility variables at times T0, T1 and T2 (A.1.)

    Muscle power and fragility --> SIT - TO STAND (STS) POWER: time to repeat the action 5 (sec)

    Measured: 20 weeks

  8. Functionality and fragility variables at times T0, T1 and T2 (A.2.)

    Muscle power and fragility --> FRAILTY TRAIT TEST SCALE (FTS-5): BMI (kg/m)2; running time (sec); grip strength (kg); Progressive Romberg Test (positive/negative).

    Measured: 20 weeks

  9. Functionality and fragility variables at times T0, T1 and T2 (B.1.)

    G8 Scale (0-17 pts)

    Measured: 20 weeks

  10. Functionality and fragility variables at times T0, T1 and T2 (B.2.)

    Fried Frailty Phenotype (0-5 pts)

    Measured: 20 weeks

  11. Functionality and fragility variables at times T0, T1 and T2 (C)

    Physical Condition: Modified Shuttle Walking Field Test (meters)

    Measured: 20 weeks

  12. Functionality and fragility variables at times T0, T1 and T2 (D)

    UPPER BODY MUSCLE STRENGTH (HANGRIP) (Newton)

    Measured: 20 weeks

  13. Functionality and fragility variables at times T0, T1 and T2 (E)

    Body composition --> Height (cm); Weight (kg); Waist circumference (cm); hip circumference (cm); body mass index (kg/m2); fat free mass (kg and %); fat mass (kg and %); total body water (kg and %); phase angle (º); systolic blood pressure (mmHG); diastolic blood presure (mmHg); resistance (Ω); reactance (Ω).

    Measured: 20 weeks

  14. Functionality and fragility variables at times T0, T1 and T2 (F)

    Physical activity level --> Global Questionnaire on Physical Activity (GPAQ)

    Measured: 20 weeks

  15. Functionality and fragility variables at times T0, T1 and T2 (G)

    Sleep Quality --> Epworth Sleepiness Scale (ESS EPWORTH) (0-24 pts)

    Measured: 20 weeks

  16. Functionality and fragility variables at times T0, T1 and T2 (H)

    Acelerometry (h/d)

    Measured: 20 weeks

  17. Patient Reported Results (A)

    Quality of Life Questionnaire --> Hematological Malignancy - Patient Reported Outcome (HM-PRO) at times T0, T1 and T2 (Nothing, mild and serious)

    Measured: 20 weeks

  18. 3. Patient-reported results (PRO):

    EORTC QLQ - FA13

    Measured: 20 weeks

  19. Biomarkers

    Inflammation (pg/ml or ng/ml), Hematological (pg/ml or ng/ml), Endocrine Nutritional (pg/ml or ng/ml), Immunosenescence (pg/ml or ng/ml),

    Measured: 20 weeks

  20. Variables of Geriatric Assessment (VGA) comprehensive in patients (A)

    Gijon Scale (3-15 pts)

    Measured: 20 weeks

  21. Variables of Geriatric Assessment (VGA) comprehensive in patients (B)

    Basic Activity of Dialy Living (BADL) - Barthel Scale (0-10 pts)

    Measured: 20 weeks

  22. Variables of Geriatric Assessment (VGA) comprehensive in patients (C)

    Instrumental Activity of Dialy Livings (IADL) - Lawton Scale (0-8 pts)

    Measured: 20 weeks

  23. Variables of Geriatric Assessment (VGA) comprehensive in patients (D)

    Cognitive Function - Pfeiffer Test (0-10 pts)

    Measured: 20 weeks

  24. Variables of Geriatric Assessment (VGA) comprehensive in patients (E)

    Nutritional Status - Mini Nutritional Assessment Short-form (MNA.SFI) (0-14 pts)

    Measured: 20 weeks

  25. Variables of Geriatric Assessment (VGA) comprehensive in patients (F)

    Polypharmacy (number of chronica drug consumed by the participant)

    Measured: 20 weeks

  26. Variables of Geriatric Assessment (VGA) comprehensive in patients (G)

    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: 20 weeks

  27. Variables of Geriatric Assessment (VGA) comprehensive in patients (H)

    Pain - Visual Analogue Scale (VAS) (0-10 pts)

    Measured: 20 weeks

  28. Variables of Geriatric Assessment (VGA) comprehensive in patients (I)

    Emotional Distress - Stress Thermometer (0-10 pts)

    Measured: 20 weeks

  29. Treatment data and results after the intervention (T2) (A)

    Treatment Suspension (Yes/No)

    Measured: 20 weeks

  30. Treatment data and results after the intervention (T2) (B)

    Dose Reduction (Yes/No)

    Measured: 20 weeks

  31. Treatment data and results after the intervention (T2) (C)

    Treatment percentage completed (%)

    Measured: 20 weeks

  32. Treatment data and results after the intervention (T2) (D)

    Treatment Completion (Yes/No)

    Measured: 20 weeks

  33. Assessment of the intervention at T2 (A)

    Adverse events associated with intervention (Number of adverse events)

    Measured: 20 weeks

  34. Assessment of the intervention at T2 (B)

    Satisfaction with the intervention (Yes/No)

    Measured: 20 weeks

  35. Assessment of the intervention at T2 (C)

    Adherence to the intervention (Yes/No)

    Measured: 20 weeks

Timeline

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

  1. First posted28 Oct 2024
  2. Study start8 Oct 2024
  3. Primary completion30 Mar 2027 (estimated)
  4. Study completion30 Mar 2027 (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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06660446
Sponsor's protocol ID
EDONOLA
Status last verified
Feb 2025
First submitted
7 Oct 2024
Last updated
19 Feb 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Exercise in people with Lymphoma, 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 7 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: looking for participants now, as of the sponsor's last update on 19 Feb 2025. 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?

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 Clinical Research Platform - Health Research Institut Biogipuzkoa (+34943006140, OSID.INVESTCLINICA@osakidetza.eus), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cardiorespiratory fitness (CRF) (time frame: 20 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 19 Feb 2025.

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