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Motivating to Exercise and Diet, and Educating to Healthy Behaviors After Breast Cancer (MEDEA)

Primary Purpose

Overweight or Obese Breast Cancer Patients

Status
Unknown status
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
The personalized telephone based intervention
Sponsored by
Gustave Roussy, Cancer Campus, Grand Paris
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Overweight or Obese Breast Cancer Patients

Eligibility Criteria

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

Inclusion Criteria:

This study will be focused on an overweight/obese (BMI ≥25 kg/m2) population of patients with early BC. Particularly, patients will be eligible if they have:

  • Documentation of Disease:

    1. Subjects must have histologically confirmed invasive BC and registration must occur within 12 months after the end of active treatment,
    2. Bilateral breast carcinoma is allowed,
    3. Patients must have Stage I toIII BC and no evidence of distant metastatic or locally recurrent disease,
    4. No history of invasive BC in 5 years prior to study registration other than the current diagnosis (prior Ductal Carcinoma in situ (DCIS) at any time does not make a patient ineligible).
  • Documentation of overweight/obesity: Subjects must have a BMI ≥25 kg/m2 objectively assessed at the time of eligibility evaluation or reported in the medical records within 56 days prior to study registration. The most recent BMI obtained must be used for eligibility. If most recent BMI is <25 then the patient is not eligible to enroll.
  • Prior Treatment :

    1. All adjuvant or neoadjuvant CT, radiation, and surgery completed at least 21 days prior to registration to a maximum of 365 days after the end of treatment,
    2. Patients may have breast reconstruction during protocol participation, but definitive BC surgery must be completed at least 21 days prior to registration,
    3. Biologic therapy, hormonal therapy, and bisphosphonates are acceptable.
  • Other:

    1. Age ≥ 18 years,
    2. ECOG Performance Status 0 or 1,
    3. Self-reported ability to walk at least 400 metres (at any pace),
    4. Patient should understand, sign, and date the written informed consent form prior to any protocol-specific procedures performed. Patient should be able and willing to comply with study visits and procedures as per protocol,
    5. Patients must be affiliated to a social security system or beneficiary of the same.

Exclusion Criteria:

  1. Participation in another clinical study with an investigational product that has Fatigue as a known frequent adverse effects during the last 3 months and while on study treatment,
  2. Participating in another weight loss, physical activity or dietary intervention clinical trial. Participants in both arms are also allowed to pursue weight loss and physical activity programs on their own, as long as these programs are not provided as part of a clinical trial,
  3. Comorbid conditions, such as other malignancy, diabetes, inflammatory bowel disease, history of severe cardiovascular, respiratory or musculoskeletal disease that would preclude adherence to the study diet or physical activity program or significantly affect the physical status, or the ability to give an informed consent,
  4. Secondary overweight or obesity documented or suspected,
  5. Chronic consumption of corticosteroids,
  6. Self reported pregnancy or intent to become pregnant in the year after enrollement,
  7. Patient under guardianship or deprived of his liberty by a judicial or administrative decision or incapable of giving its consent

Sites / Locations

  • Gustave RoussyRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Personalised telephone-based health education

Standard health educational program

Arm Description

The personalized telephone based intervention: Provide Behavioral support to facilitate lifestyle change by a weight loss coach located at a centralized call center. Participants will be paired with an individual coach who will work with the participant through all phases of the 1-year weight loss program. The behavior change program will be based on Social Cognitive Theory, which hypothesizes that the interactions between environmental, personal and behavioral elements determine behavioral change (Bandura 1989); Utilize a toolbox approach that will allow for tailoring the intervention to the individual participant. Examples of possible Toolbox solutions include: alternative dietary approaches, instructions for strength-training exercises.

Outcomes

Primary Outcome Measures

Fatigue
will be assessed using the EORTC QLQ-C30 questionnaire

Secondary Outcome Measures

Full Information

First Posted
March 9, 2020
Last Updated
February 23, 2021
Sponsor
Gustave Roussy, Cancer Campus, Grand Paris
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1. Study Identification

Unique Protocol Identification Number
NCT04304924
Brief Title
Motivating to Exercise and Diet, and Educating to Healthy Behaviors After Breast Cancer
Acronym
MEDEA
Official Title
Motivating to Exercise and Diet, and Educating to Healthy Behaviors After Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Unknown status
Study Start Date
June 17, 2020 (Actual)
Primary Completion Date
March 2023 (Anticipated)
Study Completion Date
March 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gustave Roussy, Cancer Campus, Grand Paris

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of MEDEA is to compare the effect of a personalised telephone-based health education weight loss program based on motivational coaching, exercise and diet versus a standard health educational program control on fatigue of overweight or obese BC patients (as measured by the EORTC QLQ C30 (Aaronson et al. 1993; Sprangers et al. 1996))

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Overweight or Obese Breast Cancer Patients

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Randomized controlled trial that compares two weight loss programs (control health education program vs. personalized telephone-based health education program) for overweight patients with early breast cancer
Masking
None (Open Label)
Allocation
Randomized
Enrollment
220 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Personalised telephone-based health education
Arm Type
Experimental
Arm Description
The personalized telephone based intervention: Provide Behavioral support to facilitate lifestyle change by a weight loss coach located at a centralized call center. Participants will be paired with an individual coach who will work with the participant through all phases of the 1-year weight loss program. The behavior change program will be based on Social Cognitive Theory, which hypothesizes that the interactions between environmental, personal and behavioral elements determine behavioral change (Bandura 1989); Utilize a toolbox approach that will allow for tailoring the intervention to the individual participant. Examples of possible Toolbox solutions include: alternative dietary approaches, instructions for strength-training exercises.
Arm Title
Standard health educational program
Arm Type
No Intervention
Intervention Type
Other
Intervention Name(s)
The personalized telephone based intervention
Intervention Description
The personalized telephone based intervention: Provide Behavioral support to facilitate lifestyle change by a weight loss coach located at a centralized call center. Participants will be paired with an individual coach who will work with the participant through all phases of the 1-year weight loss program. The behavior change program will be based on Social Cognitive Theory, which hypothesizes that the interactions between environmental, personal and behavioral elements determine behavioral change (Bandura 1989); Utilize a toolbox approach that will allow for tailoring the intervention to the individual participant. Examples of possible Toolbox solutions include: alternative dietary approaches, instructions for strength-training exercises.
Primary Outcome Measure Information:
Title
Fatigue
Description
will be assessed using the EORTC QLQ-C30 questionnaire
Time Frame
up to 12 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: This study will be focused on an overweight/obese (BMI ≥25 kg/m2) population of patients with early BC. Particularly, patients will be eligible if they have: Documentation of Disease: Subjects must have histologically confirmed invasive BC and registration must occur within 12 months after the end of active treatment, Bilateral breast carcinoma is allowed, Patients must have Stage I toIII BC and no evidence of distant metastatic or locally recurrent disease, No history of invasive BC in 5 years prior to study registration other than the current diagnosis (prior Ductal Carcinoma in situ (DCIS) at any time does not make a patient ineligible). Documentation of overweight/obesity: Subjects must have a BMI ≥25 kg/m2 objectively assessed at the time of eligibility evaluation or reported in the medical records within 56 days prior to study registration. The most recent BMI obtained must be used for eligibility. If most recent BMI is <25 then the patient is not eligible to enroll. Prior Treatment : All adjuvant or neoadjuvant CT, radiation, and surgery completed at least 21 days prior to registration to a maximum of 365 days after the end of treatment, Patients may have breast reconstruction during protocol participation, but definitive BC surgery must be completed at least 21 days prior to registration, Biologic therapy, hormonal therapy, and bisphosphonates are acceptable. Other: Age ≥ 18 years, ECOG Performance Status 0 or 1, Self-reported ability to walk at least 400 metres (at any pace), Patient should understand, sign, and date the written informed consent form prior to any protocol-specific procedures performed. Patient should be able and willing to comply with study visits and procedures as per protocol, Patients must be affiliated to a social security system or beneficiary of the same. Exclusion Criteria: Participation in another clinical study with an investigational product that has Fatigue as a known frequent adverse effects during the last 3 months and while on study treatment, Participating in another weight loss, physical activity or dietary intervention clinical trial. Participants in both arms are also allowed to pursue weight loss and physical activity programs on their own, as long as these programs are not provided as part of a clinical trial, Comorbid conditions, such as other malignancy, diabetes, inflammatory bowel disease, history of severe cardiovascular, respiratory or musculoskeletal disease that would preclude adherence to the study diet or physical activity program or significantly affect the physical status, or the ability to give an informed consent, Secondary overweight or obesity documented or suspected, Chronic consumption of corticosteroids, Self reported pregnancy or intent to become pregnant in the year after enrollement, Patient under guardianship or deprived of his liberty by a judicial or administrative decision or incapable of giving its consent
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ines VAZ LUIS, MD
Phone
0142114211
Ext
+33
Email
INES-MARIA.VAZ-DUARTE-LUIS@gustaveroussy.fr
First Name & Middle Initial & Last Name or Official Title & Degree
Stefan MICHIELS, MD
Phone
0142114211
Ext
+33
Email
Stefan.michiels@gustaveroussy.fr
Facility Information:
Facility Name
Gustave Roussy
City
Villejuif
State/Province
Val De Marne
ZIP/Postal Code
94805
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ines VAZ LUIS, MD
Phone
0142114211
Ext
+33
Email
INES-MARIA.VAZ-DUARTE-LUIS@gustaveroussy.fr

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
35246219
Citation
Di Meglio A, Martin E, Crane TE, Charles C, Barbier A, Raynard B, Mangin A, Tredan O, Bouleuc C, Cottu PH, Vanlemmens L, Segura-Djezzar C, Lesur A, Pistilli B, Joly F, Ginsbourger T, Coquet B, Pauporte I, Jacob G, Sirven A, Bonastre J, Ligibel JA, Michiels S, Vaz-Luis I. A phase III randomized trial of weight loss to reduce cancer-related fatigue among overweight and obese breast cancer patients: MEDEA Study design. Trials. 2022 Mar 4;23(1):193. doi: 10.1186/s13063-022-06090-6.
Results Reference
derived

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Motivating to Exercise and Diet, and Educating to Healthy Behaviors After Breast Cancer

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