Exercise Effect on Chemotherapy-Induced Neuropathic Pain
Primary Purpose
Cancer, Breast, Cancer, Colorectal, Cancer, Lung
Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
aerobic exercise intervention
control group
resistive training
Sponsored by
About this trial
This is an interventional treatment trial for Cancer, Breast focused on measuring exercise, neuropathy
Eligibility Criteria
Inclusion Criteria:
- Diagnosis with cancer, stage I-IV
- History of treatment with oxaliplatin, docetaxel, or paclitaxel, either alone or in combination with other agents
- Completion of chemotherapy > 6 months < 1 year
- Ability to walk on a treadmill
- Medical clearance from oncologist or primary care provider
- Presence of CIPN per National Cancer Institute Common Toxicity Criteria grade 1-3 (0-no signs/symptoms, 1-minor loss of function, 2-increased symptoms not interfering with activities of daily living (ADLs), 3-severe symptoms interfering with ADL, 4-disabling, and 5 is death)
- Score on Neuropathic Pain Scale >1
- Age 21-70
Exclusion Criteria:
- Denial of CIPN
- Other motor/sensory neuropathy caused by other than chemotherapy (i.e.alcohol-related, autoimmune diseases, diabetes)
- Coronary artery disease
- History of >1 chemotherapy regimen
- Musculoskeletal conditions which preclude participation in an exercise training program
- Pregnancy
- Regular exerciser, defined as >90 minutes per week of aerobic exercise and any resistive training
Sites / Locations
- Baltimore VA Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Other
Experimental
Experimental
Arm Label
control
aerobic exercise
resistive training
Arm Description
This is an attention control group with regular contact by study staff.
Aerobic exercise intervention is for 12 weeks 3 times weekly with training on site.
Intervention is for 12 weeks 3 times weekly with training on site.
Outcomes
Primary Outcome Measures
Sensory pain
Thermal, mechanical, and vibration sensation by quantitative sensory testing
Secondary Outcome Measures
Nerve fiber density
laboratory examination of skin biopsy samples for measurement of nerve fiber density
Full Information
NCT ID
NCT02991677
First Posted
November 30, 2016
Last Updated
July 19, 2021
Sponsor
Baltimore VA Medical Center
1. Study Identification
Unique Protocol Identification Number
NCT02991677
Brief Title
Exercise Effect on Chemotherapy-Induced Neuropathic Pain
Official Title
Exercise Effect on Chemotherapy-Induced Neuropathic Pain, Peripheral Nerve Fibers
Study Type
Interventional
2. Study Status
Record Verification Date
July 2021
Overall Recruitment Status
Unknown status
Study Start Date
March 1, 2018 (Actual)
Primary Completion Date
March 2022 (Anticipated)
Study Completion Date
June 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Baltimore VA Medical Center
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Chemotherapy-induced peripheral neuropathy (CIPN) continues to be a serious healthcare concern. It is painful, persistent, resistant to conventional pain therapies, and results in long-term suffering and decreased quality of life for many cancer survivors. The role of exercise to decrease CIPN-related neuropathic pain (CIPN-NP) will be investigated, with the goal of identifying the mechanisms associated with this therapeutic approach to manage CIPN-NP.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cancer, Breast, Cancer, Colorectal, Cancer, Lung, Cancer, Ovarian
Keywords
exercise, neuropathy
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
control
Arm Type
Other
Arm Description
This is an attention control group with regular contact by study staff.
Arm Title
aerobic exercise
Arm Type
Experimental
Arm Description
Aerobic exercise intervention is for 12 weeks 3 times weekly with training on site.
Arm Title
resistive training
Arm Type
Experimental
Arm Description
Intervention is for 12 weeks 3 times weekly with training on site.
Intervention Type
Behavioral
Intervention Name(s)
aerobic exercise intervention
Intervention Description
Exercise physiologist supervised walking or running on the treadmill 3 times weekly for 12 weeks.
Intervention Type
Other
Intervention Name(s)
control group
Intervention Description
weekly contact by study staff with survivorship information offered not related to neuropathy.
Intervention Type
Behavioral
Intervention Name(s)
resistive training
Intervention Description
Exercise physiologist supervised upper and lower extremity resistive training 3 times weekly for 12 weeks
Primary Outcome Measure Information:
Title
Sensory pain
Description
Thermal, mechanical, and vibration sensation by quantitative sensory testing
Time Frame
13 weeks
Secondary Outcome Measure Information:
Title
Nerve fiber density
Description
laboratory examination of skin biopsy samples for measurement of nerve fiber density
Time Frame
13 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis with cancer, stage I-IV
History of treatment with oxaliplatin, docetaxel, or paclitaxel, either alone or in combination with other agents
Completion of chemotherapy > 6 months < 1 year
Ability to walk on a treadmill
Medical clearance from oncologist or primary care provider
Presence of CIPN per National Cancer Institute Common Toxicity Criteria grade 1-3 (0-no signs/symptoms, 1-minor loss of function, 2-increased symptoms not interfering with activities of daily living (ADLs), 3-severe symptoms interfering with ADL, 4-disabling, and 5 is death)
Score on Neuropathic Pain Scale >1
Age 21-70
Exclusion Criteria:
Denial of CIPN
Other motor/sensory neuropathy caused by other than chemotherapy (i.e.alcohol-related, autoimmune diseases, diabetes)
Coronary artery disease
History of >1 chemotherapy regimen
Musculoskeletal conditions which preclude participation in an exercise training program
Pregnancy
Regular exerciser, defined as >90 minutes per week of aerobic exercise and any resistive training
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alice Ryan, PhD
Organizational Affiliation
University of Maryland at Baltimore School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Baltimore VA Medical Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21201
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Exercise Effect on Chemotherapy-Induced Neuropathic Pain
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