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NCT03672396

Home-based Exercise Intervention for Patients With Metastatic Prostate Cancer

Completed NA Results posted Last updated 20 April 2021
What this trial tests

NA trial testing Home-based exercise in Castration-resistant Prostate Cancer in 22 participants. Completed in 31 December 2019.

Timeline
1 April 2017
Primary endpoint
31 December 2019
31 December 2019

Quick facts

Lead sponsorUNC Lineberger Comprehensive Cancer Center
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposehealth services research
Enrollment22
Start date1 April 2017
Primary completion31 December 2019
Estimated completion31 December 2019
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

UNC Lineberger Comprehensive Cancer Center — full company profile →

Who can join

18 and older, male only, with Castration-resistant Prostate Cancer or Androgen Deprivation Therapy. 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.

Percentage of Patients Who Complete the Pre/Post Exercise Intervention Testing. Primary · 12 weeks after baseline testing

To estimate the feasibility of a 12 week, home-based exercise intervention in metastatic castrate resistant prostate cancer (mCPRC) patients undergoing androgen deprivation therapy by reporting the percentage of patients who complete the pre/post testing following the intervention. This was calculated as the number of subjects who completed the trial compared to the total number who completed baseline testing.

GroupValue95% CI
Home-based Exercise16
Adherence to the Intervention Secondary · 12 weeks after baseline testing

To report the level of adherence to the exercise intervention in patients completing pre/post testing. Successful adherence to the program is completion of 75% of all prescribed exercise and will be assessed using wearable technology to track walking and exercise logs to track resistance training adherence. Adherence was determined as the number of exercise sessions attempted/completed over the total number of session prescribed.

Overall
GroupValue95% CI
Home-based Exercise80.1
Walking
GroupValue95% CI
Home-based Exercise65.5
Resistance Training
GroupValue95% CI
Home-based Exercise72.8
Physical Function: 6m Walk Secondary · 12 weeks after baseline testing

The time to complete (in sec) the 6m rapid walk test will be performed.

Baseline
GroupValue95% CI
Home-based Exercise4.4± 1.5
Post Intervention
GroupValue95% CI
Home-based Exercise4.5± 1.5
Physical Function: Timed Up and Go Secondary · 12 weeks after baseline testing

The time to complete (in sec) the 2.44m (8 ft) timed up and go test will be performed as an indicator of agility, balance, and physical function. A lower total time is indicative of greater performance.

Baseline
GroupValue95% CI
Home-based Exercise10.4± 9.1
Post Intervention
GroupValue95% CI
Home-based Exercise10.8± 11.0
Physical Function: Stair Climb Secondary · 12 weeks after baseline testing

The time to climb a flight of stairs (in sec) will be performed as an indicator of functional strength, muscle power, and balance. A lower total time (and higher calculated power output) is indicative of greater performance.

Baseline
GroupValue95% CI
Home-based Exercise6.4± 2.8
Post Intervention
GroupValue95% CI
Home-based Exercise6.2± 3.2
Physical Function: 400m Walk Secondary · 12 weeks after baseline testing

The time to walk 400m (in sec) will be performed as an indicator of walking endurance and gait speed will be determined. A lower total time and higher gait speed indicates greater cardiorespiratory capacity and will be correlated with cardiopulmonary function scores (outcome 14).

Baseline
GroupValue95% CI
Home-based Exercise329.8± 97.8
Post Intervention
GroupValue95% CI
Home-based Exercise313.5± 87.3
Patient Reported Outcomes: Fatigue Secondary · 12 weeks after baseline testing

Fatigue will be measure using the Functional Assessment of Chronic Illness Therapy Fatigue, a 1 page form that uses a rating scale that goes from 0 to 52. It assesses the patient's fatigue levels in the last 7 days. It also measures how usual activities, performing work, walking, relationship, and enjoyment of life are affected by fatigue. A higher score indicates higher quality of life (and lower fatigue).

Baseline
GroupValue95% CI
Home-based Exercise39± 10
Post Intervention
GroupValue95% CI
Home-based Exercise40± 11
Patient Reported Outcomes: Quality of Life Secondary · 12 weeks after baseline testing

Quality of life will be measured using the Functional Assessment of Cancer Therapy-Prostate (FACT-P). The FACT-P is composed of both multi-item scales and single-item measures. These include physical, social, emotional, and functional well-being, along with an assessment of prostate-specific health status. five functional scales, three symptom scales, a global health status / QoL scale, and six single items. All of the individual questions are scored from 0-4 with total scores ranging between 0 and 156 where a higher number represents higher QoL.

Baseline
GroupValue95% CI
Home-based Exercise119± 20
Post Intervention
GroupValue95% CI
Home-based Exercise119± 16
Patient Reported Outcomes: Depression Secondary · 12 weeks after baseline testing

Depression will be measured using the Hospital Anxiety and Depression Scale, a concise, self-administered 1 page form that categorizes anxiety and depression. The total score goes from 0-21, and scores are categorized from minimal to severe depression/anxiety. Higher total scores indicate greater levels of depression.

Baseline
GroupValue95% CI
Home-based Exercise3± 2
Post Intervention
GroupValue95% CI
Home-based Exercise3± 3
Patient Reported Outcomes: Anxiety Secondary · 12 weeks after baseline testing

Depression will be measured using the Hospital Anxiety and Depression Scale, a concise, self-administered 1 page form that categorizes anxiety and depression. The total score goes from 0-21, and scores are categorized from minimal to severe depression/anxiety. Higher total scores indicate greater levels of depression.

Baseline
GroupValue95% CI
Home-based Exercise4± 3
Post Intervention
GroupValue95% CI
Home-based Exercise3± 2
Muscle Size (Cross-sectional Area) Secondary · 12 weeks after baseline testing

Muscle size will be analyzed using ultrasound of the vastus lateralis of the dominant leg. All assessments will be completed before and after the intervention to determine the muscle size. Higher muscle mass and quality are associated with greater muscle strength, physical function, QoL, and mortality.

Baseline
GroupValue95% CI
Home-based Exercise8.3± 2.9
Post Intervention
GroupValue95% CI
Home-based Exercise10.2± 4.0
Muscle Quality Secondary · 12 weeks after baseline testing

Muscle architecture will be analyzed using ultrasound of the vastus lateralis of the dominant leg. All assessments will be completed before and after the intervention to determine the muscle quality. Higher muscle mass and quality are associated with greater muscle strength, physical function, QoL, and mortality. Muscle quality is reported in arbitrary units, where a lower value indicates a higher/better muscle quality.

Baseline
GroupValue95% CI
Home-based Exercise110.2± 22
Post Intervention
GroupValue95% CI
Home-based Exercise114.3± 16.6

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Home-based Exercise
Serious: 0/22 (0%)
Deaths: 0/22
Other adverse events (1 terms — click to expand)

ReactionSystemHome-based Exercise
calcium pyrophosphate deposition diseaseMusculoskeletal and connective tissue disorders

Data from ClinicalTrials.gov NCT03672396 adverse events section.

Sponsor's own description

This single arm, multi-site pilot study aims to evaluate the feasibility of recruiting and adherence to a 12 week home-based exercise intervention to be conducted in men with metastatic castration resistant prostate cancer (mCRPC) receiving androgen deprivation therapy (ADT). Thirty patients will be enrolled, with the expectation that 20-25 will complete all follow-up measures.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of Home-based exercise

Trials testing the same drug.

Other recruiting trials for Castration-resistant Prostate Cancer

Currently open trials in the same condition.

Other UNC Lineberger Comprehensive Cancer Center trials

Trials by the same sponsor.

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