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NCT02454517: PALS

Diet and Exercise Program to Promote Weight Loss and Improve Health in Men With Low- or Low-Intermediate-Risk Prostate Cancer

Terminated NA Results posted Last updated 4 January 2023
What this trial tests

NA trial testing Behavioral Dietary Intervention in Prostate Adenocarcinoma in 117 participants. Terminated before completion.

Timeline
19 May 2016
Primary endpoint
30 September 2021
30 September 2021

Quick facts

Lead sponsorFred Hutchinson Cancer Center
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposesupportive care
Enrollment117
Start date19 May 2016
Primary completion30 September 2021
Estimated completion30 September 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Fred Hutchinson Cancer Center — full company profile →

Who can join

40 and older, male only, with Prostate Adenocarcinoma or Stage I Prostate Cancer AJCC V7. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in Fasting Glucose at 6 Months Primary · Baseline to 6 months

Mean and standard deviation of change from baseline.

GroupValue95% CI
Arm I (Diet and Exercise Lifestyle Intervention)-3.65± 21
Arm II (Control)4.5± 47
Change From Baseline in Fasting C-peptide, IGF-1, IGF-BP3, and Adiponectin at 6 Months Primary · Baseline to 6 months

Mean and standard deviation of change from baseline.

C-peptide (ng/mL)
GroupValue95% CI
Arm I (Diet and Exercise Lifestyle Intervention)-0.55± 0.72
Arm II (Control)0.06± 0.65
IGF-BP3 (ng/mL)
GroupValue95% CI
Arm I (Diet and Exercise Lifestyle Intervention)-363± 818
Arm II (Control)-297± 881
IGF-1 (ng/mL)
GroupValue95% CI
Arm I (Diet and Exercise Lifestyle Intervention)6.2± 54
Arm II (Control)-4.7± 51
Adiponectin (ng/mL)
GroupValue95% CI
Arm I (Diet and Exercise Lifestyle Intervention)696± 3124
Arm II (Control)4.2± 1652
Weight at 12 Months Primary · 12 months (6 months after active intervention)

Mean and standard deviation of weight at 12 months

GroupValue95% CI
Arm I (Diet and Exercise Lifestyle Intervention)90.0± 14.3
Arm II (Control)99.2± 20.1
Change From Baseline in Fasting Insulin at 6 Months Primary · Baseline to 6 months

Mean and standard deviation of change from baseline.

GroupValue95% CI
Arm I (Diet and Exercise Lifestyle Intervention)-2.3± 4.9
Arm II (Control)-0.19± 4.6
Health Related Quality of Life (HRQOL) at 6 Months Secondary · 6 months

Mean and standard deviation of Quality of Life measures at 6 months.

Overall Anxiety (MAX-PC); range 0-54, higher score indicates more anxiety
GroupValue95% CI
Arm I (Diet and Exercise Lifestyle Intervention)16.9± 7.5
Arm II (Control)16.6± 6.3
Urinary Quality of Life (EPIC-26); range 0-100, higher score indicates better urinary QOL
GroupValue95% CI
Arm I (Diet and Exercise Lifestyle Intervention)88.1± 11.6
Arm II (Control)82.9± 12.7

Adverse events — posted to ClinicalTrials.gov

Time frame: 6 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm I (Diet and Exercise Lifestyle Intervention)
Serious: 0/58 (0%)
Deaths: 0/58
Arm II (Control)
Serious: 0/59 (0%)
Deaths: 0/59
Other adverse events (15 terms — click to expand)

ReactionSystemArm I (Diet and Exercise L…Arm II (Control)
ArthralgiaInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
FallInjury, poisoning and procedural complications
Wound dehiscenceInjury, poisoning and procedural complications
Back surgeryMusculoskeletal and connective tissue disorders
Transurethral resection of the prostateSurgical and medical procedures
Rectal hemorrhageInjury, poisoning and procedural complications
Cystitis, non-infectiveInjury, poisoning and procedural complications
FractureMusculoskeletal and connective tissue disorders
Shin splintsMusculoskeletal and connective tissue disorders
Atrial FibrillationCardiac disorders
Conduction disorderCardiac disorders
Premature Ventricular ComplexCardiac disorders
Atrioventricular block, 2nd degreeCardiac disorders
Acute arrhythmiaCardiac disorders

Data from ClinicalTrials.gov NCT02454517 adverse events section.

Sponsor's own description

This randomized phase III trial studies a diet and exercise program based on the Diabetes Prevention Program to promote weight loss and improve health in men with low-risk or low-intermediate-risk prostate cancer on active surveillance. A lifestyle intervention that promotes weight loss may influence prostate health. A combined diet and exercise program that is based on the Diabetes Prevention Program may affect markers (or "biomarkers") of prostate cancer progression. Gathering this information may help doctors understand how obesity affects prostate cancer progression and may help lead to a program that can reduce the risk of prostate cancer progression.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Randomized trial evaluating the role of weight loss in overweight and obese men with early stage prostate Cancer on active surveillance: Rationale and design of the Prostate Cancer Active Lifestyle Study (PALS).
    Schenk JM, Neuhouser ML, Beatty SJ, VanDoren M, et al · · 2019 · cited 16× · PMID 31002955 · DOI 10.1016/j.cct.2019.04.004
  2. The Prostate Cancer Active Lifestyle Study (PALS): A randomized controlled trial of diet and exercise in overweight and obese men on active surveillance.
    Wright JL, Schenk JM, Gulati R, Beatty SJ, et al · · 2024 · cited 9× · PMID 38353455 · DOI 10.1002/cncr.35241
  3. Mounting Weight of Evidence on the Importance of Body Weight for Men With Prostate Cancer.
    Marshall CH, Joshu CE. · · 2020 · cited 3× · PMID 32369400 · DOI 10.1200/jco.20.00791
  4. Reduced adipose tissue with limited loss of lean mass after weight loss: results from the Prostate Cancer Active Lifestyle Study.
    Schenk JM, Gulati R, Beatty SJ, Plymate S, et al · · 2025 · PMID 40347455 · DOI 10.1093/jnci/djaf113

Verify or expand the search:

Other trials of Behavioral Dietary Intervention

Trials testing the same drug.

Other recruiting trials for Prostate Adenocarcinoma

Currently open trials in the same condition.

Other Fred Hutchinson Cancer Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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