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Exercise Intervention for Pts With Metastatic Castration-Resistant Prostate Cancer Receiving Abiraterone or Enzalutamide

Primary Purpose

Metastatic Castration Resistant Prostate Cancer (mCRPC)

Status
Withdrawn
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Exercise
Sponsored by
UNC Lineberger Comprehensive Cancer Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Metastatic Castration Resistant Prostate Cancer (mCRPC) focused on measuring Metastatic Castration Resistant Prostate Cancer, Prostate Cancer, mCRPC, Pilot Study, UNC Lineberger, Exercise

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. ≥18 years of age
  2. Metastatic disease that has progressed despite castrate levels of testosterone (surgically or medically castrated, with testosterone levels of < 50 ng/dL)
  3. No prior chemotherapy
  4. Initiated therapy with either abiraterone plus a glucocorticoid or enzalutamide within the 3 months prior to randomization
  5. Ability to engage safely in moderate exercise as determined by their treating physician
  6. Not previously engaged in regular exercise training (>1-2 d/wk for > 30 min/d) in the past 6 months
  7. Be able to speak and read English

Exclusion Criteria:

  1. Any condition that causes severe pain with exertion
  2. History of bone fractures
  3. Active cardiovascular disease including any of the following:

    • New York Heart Association (NYHA) Grade II or greater congestive heart failure
    • History of myocardial infarction or unstable angina within 6 months prior to Day 1
    • History of stroke or transient ischemic attack within 6 months prior to Day 1
  4. Acute or chronic respiratory disease
  5. Acute or chronic bone/joint/muscular abnormalities compromising their ability to exercise
  6. Neurological conditions that affect balance and, or muscle strength
  7. Dementia, altered mental status or any psychiatric condition prohibiting the understanding or rendering of informed consent

Sites / Locations

  • Lineberger Comprehensive Cancer Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Exercise Intervention Arm

Non-Exercise Control Arm

Arm Description

The exercise intervention will consist of a combination of aerobic (cardiovascular exercise) and strength training (emphasis of the intervention) 3 times per week for 12 weeks with each session lasting ~1.5 hours.

Participants in the Non-Exercise Control Arm will not exercise for 12 weeks.

Outcomes

Primary Outcome Measures

Change in lean mass between mCPRC patients undergoing a 12-week exercise intervention (intervention group) and mCPRC patients who do not undergo the exercise intervention (control group)
DEXA (Dual-energy X-ray absorptiometry) scans will measure lean mass at baseline and after the 12-week intervention.

Secondary Outcome Measures

Full Information

First Posted
May 1, 2014
Last Updated
February 10, 2016
Sponsor
UNC Lineberger Comprehensive Cancer Center
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1. Study Identification

Unique Protocol Identification Number
NCT02130947
Brief Title
Exercise Intervention for Pts With Metastatic Castration-Resistant Prostate Cancer Receiving Abiraterone or Enzalutamide
Official Title
Randomized, Controlled Study of an Exercise Intervention Program for Patients With Metastatic Castration-Resistant Prostate Cancer Receiving Either Abiraterone or Enzalutamide
Study Type
Interventional

2. Study Status

Record Verification Date
February 2016
Overall Recruitment Status
Withdrawn
Why Stopped
We were not able to accrue any participants.
Study Start Date
April 2014 (undefined)
Primary Completion Date
February 2016 (Actual)
Study Completion Date
February 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
UNC Lineberger Comprehensive Cancer Center

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This randomized pilot study will be conducted in men with metastatic castration resistant prostate cancer (mCRPC) within 3 months of initiating abiraterone or enzalutamide. The purpose of this pilot study is to evaluate the effects of a 12 week exercise intervention in mCRPC patients who have recently started on additional androgen suppression therapy.
Detailed Description
This randomized pilot study will be conducted in men with metastatic castration resistant prostate cancer (mCRPC) within 3 months of initiating abiraterone or enzalutamide. The purpose of this pilot study is to evaluate the effects of a 12 week exercise intervention in mCRPC patients who have recently started on additional androgen suppression therapy. The investigators will also explore the effects of the exercise training on biomarkers of inflammation-hormonal status and their potential association with changes in lean mass and function.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Castration Resistant Prostate Cancer (mCRPC)
Keywords
Metastatic Castration Resistant Prostate Cancer, Prostate Cancer, mCRPC, Pilot Study, UNC Lineberger, Exercise

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Exercise Intervention Arm
Arm Type
Experimental
Arm Description
The exercise intervention will consist of a combination of aerobic (cardiovascular exercise) and strength training (emphasis of the intervention) 3 times per week for 12 weeks with each session lasting ~1.5 hours.
Arm Title
Non-Exercise Control Arm
Arm Type
No Intervention
Arm Description
Participants in the Non-Exercise Control Arm will not exercise for 12 weeks.
Intervention Type
Behavioral
Intervention Name(s)
Exercise
Primary Outcome Measure Information:
Title
Change in lean mass between mCPRC patients undergoing a 12-week exercise intervention (intervention group) and mCPRC patients who do not undergo the exercise intervention (control group)
Description
DEXA (Dual-energy X-ray absorptiometry) scans will measure lean mass at baseline and after the 12-week intervention.
Time Frame
12 weeks

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ≥18 years of age Metastatic disease that has progressed despite castrate levels of testosterone (surgically or medically castrated, with testosterone levels of < 50 ng/dL) No prior chemotherapy Initiated therapy with either abiraterone plus a glucocorticoid or enzalutamide within the 3 months prior to randomization Ability to engage safely in moderate exercise as determined by their treating physician Not previously engaged in regular exercise training (>1-2 d/wk for > 30 min/d) in the past 6 months Be able to speak and read English Exclusion Criteria: Any condition that causes severe pain with exertion History of bone fractures Active cardiovascular disease including any of the following: New York Heart Association (NYHA) Grade II or greater congestive heart failure History of myocardial infarction or unstable angina within 6 months prior to Day 1 History of stroke or transient ischemic attack within 6 months prior to Day 1 Acute or chronic respiratory disease Acute or chronic bone/joint/muscular abnormalities compromising their ability to exercise Neurological conditions that affect balance and, or muscle strength Dementia, altered mental status or any psychiatric condition prohibiting the understanding or rendering of informed consent
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anthony C Hackney, Ph.D., D.Sc.
Organizational Affiliation
University of North Carolina
Official's Role
Principal Investigator
Facility Information:
Facility Name
Lineberger Comprehensive Cancer Center
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599
Country
United States

12. IPD Sharing Statement

Links:
URL
http://unclineberger.org/
Description
Lineberger Comprehensive Cancer Center website
URL
http://www.cancer.gov/
Description
National Cancer Institute (NCI) website

Learn more about this trial

Exercise Intervention for Pts With Metastatic Castration-Resistant Prostate Cancer Receiving Abiraterone or Enzalutamide

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