Assisted Exercise in Obese Endometrial Cancer Patients

NCT ID: NCT01870947

Last Updated: 2020-01-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

95 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-07

Study Completion Date

2019-09-04

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This is an assisted exercise trial involving exercise on a stationary bike, brain imaging and DNA(genetics)sampling. The purpose of this study is to find out if performing a progressive, supervised assisted exercise program on a stationary bike improves quality of life, increases motivation to continue to exercise, improves dietary behavior and leads to sustained weight loss in women who have had early-stage endometrial cancer. Questionnaires will be used to assess exercise motivation and dietary behavior. Brain's responses to different visual images will also be assessed.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Primary Objective:

To evaluate changes in body weight, fitness, bi-manual dexterity, exercise motivation and self-reported eating behavior (via questionnaires) before and after a 16-week exercise intervention (EOT) and 12 and 24 weeks post-EOT, in obese EC patients who will be randomized to perform 'assisted' or voluntary exercise.

Secondary Objectives:

Objective 1: To objectively examine food behavior as determined by neuronal response to high- versus low-calorie visual stimuli under fasted (hunger) and fed (satiated) states and stop/go signaling (SST) in fed states in brain regions of interest (reward and motivation circuitry) using blood oxygenation level dependent (BOLD) functional MRI before and after a 16-week exercise intervention (EOT) and 12 and 24 weeks post-intervention in obese EC patients performing 'assisted' and voluntary exercise.

Objective 2: To examine the modification of the neuronal response to high vs. low calorie food images in regions of interest by polymorphisms in key genes (e.g., dopamine receptor and dopamine transporter) and serum biomarkers (e.g., leptin, BDNF) involved in regulating homeostatic and non-homeostatic energy systems.

Patients will be randomized to receive either the assisted exercise (n=60) or voluntary exercise (n=60) group. Subjects in the voluntary group will exercise on a stationary recumbent exercise cycle and pedal at their preferred rate. Subjects in the assisted exercise group will cycle on the same stationary exercise bike; however, a motor will provide assistance to the patient in order to maintain a pedaling rate 35% greater than their voluntary rate. Subjects in the exercise groups will complete 45 minute to 1-hour sessions, three times per week for eight weeks. The control group will be asked to complete all exercise, body composition and fMRI testing similar to the exercise groups.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Stage I Endometrial Adenocarcinoma Uterine Cancer Obesity

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

'Assisted-Rate' Exercise Intervention

Subjects in the assisted exercise group will cycle on the same stationary exercise bike; however, a motor will provide assistance to the patient in order to maintain a pedaling rate 35% greater than their voluntary rate. Subjects in the exercise groups will complete 45 minute to 1-hour sessions, three times per week for eight weeks.

Group Type EXPERIMENTAL

Exercise on stationary recumbent exercise cycle

Intervention Type BEHAVIORAL

Health Education

Intervention Type BEHAVIORAL

Informational brochure ("Better Health and You," Weight Control Information Network, June, 2004)

Questionnaires

Intervention Type BEHAVIORAL

Neuroimaging

Intervention Type PROCEDURE

Imaging data will be acquired on a Siemens 3.0T Wide-Bore Verio MRI scanner.

Genetic and Biomarkers

Intervention Type PROCEDURE

Patients will be asked to fast for approximately 12 hours and will have approximately 2 Tbs. of blood drawn at baseline and the end of treatment (EOT).

'Voluntary-Rate' Exercise Intervention

Subjects in the voluntary group will exercise on a stationary recumbent exercise cycle and pedal at their preferred rate. Subjects in the exercise groups will complete 45 minute to 1-hour sessions, three times per week for eight weeks.

Group Type EXPERIMENTAL

Exercise on stationary recumbent exercise cycle

Intervention Type BEHAVIORAL

Health Education

Intervention Type BEHAVIORAL

Informational brochure ("Better Health and You," Weight Control Information Network, June, 2004)

Questionnaires

Intervention Type BEHAVIORAL

Neuroimaging

Intervention Type PROCEDURE

Imaging data will be acquired on a Siemens 3.0T Wide-Bore Verio MRI scanner.

Genetic and Biomarkers

Intervention Type PROCEDURE

Patients will be asked to fast for approximately 12 hours and will have approximately 2 Tbs. of blood drawn at baseline and the end of treatment (EOT).

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Exercise on stationary recumbent exercise cycle

Intervention Type BEHAVIORAL

Health Education

Informational brochure ("Better Health and You," Weight Control Information Network, June, 2004)

Intervention Type BEHAVIORAL

Questionnaires

Intervention Type BEHAVIORAL

Neuroimaging

Imaging data will be acquired on a Siemens 3.0T Wide-Bore Verio MRI scanner.

Intervention Type PROCEDURE

Genetic and Biomarkers

Patients will be asked to fast for approximately 12 hours and will have approximately 2 Tbs. of blood drawn at baseline and the end of treatment (EOT).

Intervention Type PROCEDURE

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Exercise Motivations Inventory (EMI-2) Intrinsic Motivational Inventory (IMI) Three-Factor Eating Questionnaire (TFEQ) Functional Assessment of Cancer Therapy - General (FACT-G) FACT-En Short-form Medical Outcomes (SF-36) Beck Depression Inventory (BDI) Godin Leisure-Time Exercise (LSI) MRI DNA Testing Biomarker Testing

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Histologically confirmed Stage I endometrial adenocarcinoma (EC), grade 1 or 2, with no adjuvant chemotherapy. Patients will be eligible to enroll as soon as 3 months after completion of treatment but no later than 4 years after completion of treatment.
* BMI ≥ 30.0 (obese)
* Approved to be contacted by the patient's treating gynecologic oncologist
* Meets screening criteria including successful completion of a cardiopulmonary stress test
* Receives medical clearance from the patient's primary care physician (PCP) or gynecologic oncologist to exercise in this study

Exclusion Criteria

* Individuals unable to read and provide informed consent.
* Women currently participating in a structured weight loss or exercise program in the past 6 months or any woman who has previously had bariatric surgery or is planning to undergo bariatric surgery in the next 12 months
* Participants who do not consent to be in the study or who will be unavailable for follow-up assessments,
* Pre-existing medical conditions that would be a barrier for participation in supervised exercise
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Case Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Nora Nock, PhD

Role: PRINCIPAL_INVESTIGATOR

Cleveland Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Cleveland Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center

Cleveland, Ohio, United States

Site Status

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

References

Explore related publications, articles, or registry entries linked to this study.

Nock NL, Dimitropoulos A, Zanotti KM, Waggoner S, Nagel C, Golubic M, Michener CM, Kirwan JP, Alberts J. Sleep, quality of life, and depression in endometrial cancer survivors with obesity seeking weight loss. Support Care Cancer. 2020 May;28(5):2311-2319. doi: 10.1007/s00520-019-05051-1. Epub 2019 Sep 2.

Reference Type DERIVED
PMID: 31478164 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

CASE5811

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Activity and Cancer Survivorship Exercise Pilot
NCT07283029 ACTIVE_NOT_RECRUITING NA