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Prehabilitation in Patients With Esophageal or Gastric Cancers

Primary Purpose

Esophageal Cancer, Gastric Cancer

Status
Completed
Phase
Not Applicable
Locations
Belgium
Study Type
Interventional
Intervention
Prehabilitation group
Sponsored by
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Esophageal Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Diagnosis of esophageal cancer or gastric cancer requiring surgery
  • More than 18 years
  • Able to read, write and understand French or English
  • Time before surgery > 2 weeks

Exclusion Criteria:

  • Surgical emergency
  • Cognitive or neuropsychiatric diseases
  • Neuromuscular or orthopedic disorders limiting exercises
  • Cardiopulmonary disease contraindicating exercises

Sites / Locations

  • Cliniques universitaires Saint-Luc

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Prehabilitation group

Arm Description

Subjects will carry out a preoperative internet-based program including aerobic and resistance training three sessions per week

Outcomes

Primary Outcome Measures

Retention rate
Proportion of patients who complete the tele-prehabilitation and all assessments
Attendance
(Number of completed sessions/Number of planned sessions) x 100
Program satisfaction
Program satisfaction will be evaluated by a questionnaire including items about internet program
Percentage of patients who experienced one or more adverse events
Adverse events will be evaluated by listing adverse events that occur (e.g. fall, injury or exercise-related symptom)
Recruitment rate
ratio of the number of the recruited patients to the number of eligible patients

Secondary Outcome Measures

Change in functional capacity
Functional capacity will be assessed by 6-minute walk test
Change in quality of life
Quality of life using the Functional Assessment of Cancer Therapy-General (FACT-G). Each item is rated from 0 (not at all) to 4 (very much) with a total score ranging from 0 to 102. The higher the score, the better the QoL.
Change in fatigue
Fatigue using the Functional Assessment of Cancer Therapy-Fatigue questionnaire (FACIT-F). Each item is rated from 0 (not at all) to 4 (very much) with a total score ranging from 0 to 52. The higher the score, the lower the fatigue.
Change in anxiety and depression
Anxiety and depression using the Hospital Anxiety and Depression Scale (HADS). Scores for each subscale (depression and anxiety) are summed-up and range from 0 to 21. Values from 0-7 indicate normal levels, 8-10 are border values, and values from 11-21 are considered to be pathological

Full Information

First Posted
January 10, 2018
Last Updated
May 19, 2020
Sponsor
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
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1. Study Identification

Unique Protocol Identification Number
NCT03418298
Brief Title
Prehabilitation in Patients With Esophageal or Gastric Cancers
Official Title
Prehabilitation in Patients With Esophageal or Gastric Cancers
Study Type
Interventional

2. Study Status

Record Verification Date
May 2020
Overall Recruitment Status
Completed
Study Start Date
February 27, 2018 (Actual)
Primary Completion Date
November 1, 2019 (Actual)
Study Completion Date
December 15, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cliniques universitaires Saint-Luc- Université Catholique de Louvain

4. Oversight

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

5. Study Description

Brief Summary
Objectives: The primary objective of this study is to assess the feasibility of a internet-based preoperative exercise program in patients with esophageal or gastric cancers. Secondary objectives are to evaluate the effects of this preoperative program on functional capacity, anxiety and depression, quality of life and fatigue Methods: This feasibility study will be conduct at University Hospital Saint-Luc in Brussels. Twenty patients with esophageal or gastric cancers will participate in internet-based program 3 sessions per week. Each session will combine aerobic and resistance training. Moreover, inspiratory muscle strengthening (IMT) will be performed daily. The researcher will conduct weekly telephone calls to educate and motivate subjects. Assessments will be performed at baseline, one day before surgery, 1 month and 3 months after surgery. The following parameters will be measured: functional capacity, quality of life, fatigue, anxiety and depression.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Esophageal Cancer, Gastric Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Prehabilitation group
Arm Type
Experimental
Arm Description
Subjects will carry out a preoperative internet-based program including aerobic and resistance training three sessions per week
Intervention Type
Behavioral
Intervention Name(s)
Prehabilitation group
Intervention Description
Subjects will performed an internet-based exercise program before surgery
Primary Outcome Measure Information:
Title
Retention rate
Description
Proportion of patients who complete the tele-prehabilitation and all assessments
Time Frame
At study completion (3 months after surgery)
Title
Attendance
Description
(Number of completed sessions/Number of planned sessions) x 100
Time Frame
At study completion (3 months after surgery)
Title
Program satisfaction
Description
Program satisfaction will be evaluated by a questionnaire including items about internet program
Time Frame
At study completion (3 months after surgery)
Title
Percentage of patients who experienced one or more adverse events
Description
Adverse events will be evaluated by listing adverse events that occur (e.g. fall, injury or exercise-related symptom)
Time Frame
At study completion (3 months after surgery)
Title
Recruitment rate
Description
ratio of the number of the recruited patients to the number of eligible patients
Time Frame
At study completion (3 months after surgery)
Secondary Outcome Measure Information:
Title
Change in functional capacity
Description
Functional capacity will be assessed by 6-minute walk test
Time Frame
Baseline, one day before surgery, 1 and 3 months after surgery
Title
Change in quality of life
Description
Quality of life using the Functional Assessment of Cancer Therapy-General (FACT-G). Each item is rated from 0 (not at all) to 4 (very much) with a total score ranging from 0 to 102. The higher the score, the better the QoL.
Time Frame
Baseline, one day before surgery, 1 and 3 months after surgery
Title
Change in fatigue
Description
Fatigue using the Functional Assessment of Cancer Therapy-Fatigue questionnaire (FACIT-F). Each item is rated from 0 (not at all) to 4 (very much) with a total score ranging from 0 to 52. The higher the score, the lower the fatigue.
Time Frame
Baseline, one day before surgery, 1 and 3 months after surgery
Title
Change in anxiety and depression
Description
Anxiety and depression using the Hospital Anxiety and Depression Scale (HADS). Scores for each subscale (depression and anxiety) are summed-up and range from 0 to 21. Values from 0-7 indicate normal levels, 8-10 are border values, and values from 11-21 are considered to be pathological
Time Frame
Baseline, one day before surgery, 1 and 3 months after surgery

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of esophageal cancer or gastric cancer requiring surgery More than 18 years Able to read, write and understand French or English Time before surgery > 2 weeks Exclusion Criteria: Surgical emergency Cognitive or neuropsychiatric diseases Neuromuscular or orthopedic disorders limiting exercises Cardiopulmonary disease contraindicating exercises
Facility Information:
Facility Name
Cliniques universitaires Saint-Luc
City
Brussels
State/Province
Woluwé-Saint-Lambert
ZIP/Postal Code
1200
Country
Belgium

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Prehabilitation in Patients With Esophageal or Gastric Cancers

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