Trial Outcomes & Findings for Exercise Intervention for Cancer Survivors and Caregivers (NCT NCT01883635)

NCT ID: NCT01883635

Last Updated: 2016-02-05

Results Overview

Change in psychological distress in the cancer survivor from baseline to 6 weeks, as measured by the Profile of Moods States (POMS) total score. At each time point (baseline and 6 weeks), this questionnaire had a total score range of 0-200, with lower scores signifying less distress. We subtracted the baseline POMS score from the 6 week POMS score; the change score reported below thus has a range from -200 to 200, with lower scores signifying less distress.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

44 participants

Primary outcome timeframe

Baseline to post-intervention (6 weeks later)

Results posted on

2016-02-05

Participant Flow

Both cancer survivors and their caregivers were screened, consented, and randomized to one of two intervention arms (Individual Exercise or Dyadic Exercise). 22 cancer survivor/caregiver dyads were recruited (44 individuals).

Participant milestones

Participant milestones
Measure
Individual Exercise Intervention
Progressive walking and resistance exercise treatment, prescribed solely to cancer survivors (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Dyadic Exercise Intervention
Progressive walking and resistance exercise treatment, prescribed to both cancer survivors and their caregivers (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Overall Study
STARTED
24
20
Overall Study
COMPLETED
20
20
Overall Study
NOT COMPLETED
4
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Individual Exercise Intervention
Progressive walking and resistance exercise treatment, prescribed solely to cancer survivors (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Dyadic Exercise Intervention
Progressive walking and resistance exercise treatment, prescribed to both cancer survivors and their caregivers (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Overall Study
Withdrawal by Subject
4
0

Baseline Characteristics

Exercise Intervention for Cancer Survivors and Caregivers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Individual Exercise Intervention
n=24 Participants
Progressive walking and resistance exercise treatment, prescribed solely to cancer survivors (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Dyadic Exercise Intervention
n=20 Participants
Progressive walking and resistance exercise treatment, prescribed to both cancer survivors and their caregivers (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Total
n=44 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
19 Participants
n=93 Participants
16 Participants
n=4 Participants
35 Participants
n=27 Participants
Age, Categorical
>=65 years
5 Participants
n=93 Participants
4 Participants
n=4 Participants
9 Participants
n=27 Participants
Age, Continuous
56.17 Years
STANDARD_DEVIATION 11.05 • n=93 Participants
53.90 Years
STANDARD_DEVIATION 12.59 • n=4 Participants
55.12 Years
STANDARD_DEVIATION 11.71 • n=27 Participants
Sex: Female, Male
Female
12 Participants
n=93 Participants
12 Participants
n=4 Participants
24 Participants
n=27 Participants
Sex: Female, Male
Male
12 Participants
n=93 Participants
8 Participants
n=4 Participants
20 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=93 Participants
19 Participants
n=4 Participants
43 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
White
24 Participants
n=93 Participants
20 Participants
n=4 Participants
44 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
24 participants
n=93 Participants
20 participants
n=4 Participants
44 participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline to post-intervention (6 weeks later)

Population: The Primary Outcome analysis looked only at cancer survivors assigned to the Individual Exercise Intervention (n=22) and the Dyadic Exercise Intervention (n=20).

Change in psychological distress in the cancer survivor from baseline to 6 weeks, as measured by the Profile of Moods States (POMS) total score. At each time point (baseline and 6 weeks), this questionnaire had a total score range of 0-200, with lower scores signifying less distress. We subtracted the baseline POMS score from the 6 week POMS score; the change score reported below thus has a range from -200 to 200, with lower scores signifying less distress.

Outcome measures

Outcome measures
Measure
Individual Exercise Intervention
n=22 Participants
Progressive walking and resistance exercise treatment, prescribed solely to cancer survivors (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Dyadic Exercise Intervention
n=20 Participants
Progressive walking and resistance exercise treatment, prescribed to both cancer survivors and their caregivers (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Psychological Distress
2.25 units on a scale
Standard Deviation 14.24
-.65 units on a scale
Standard Deviation 9.84

SECONDARY outcome

Timeframe: Baseline to post-intervention (6 weeks later)

Population: The Secondary Outcome analysis looked only at cancer survivors assigned to the Individual Exercise Intervention (n=22) and the Dyadic Exercise Intervention (n=20).

We measured improvement in immune biomarkers with IL-6, an inflammatory cytokine assessed in the serum of cancer survivors. Numbers presented below are change scores calculated by subtracting baseline IL-6 from post-intervention IL-6 (6 weeks later); lower numbers indicate less inflammation, hypothesized to be linked with better immune function.

Outcome measures

Outcome measures
Measure
Individual Exercise Intervention
n=22 Participants
Progressive walking and resistance exercise treatment, prescribed solely to cancer survivors (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Dyadic Exercise Intervention
n=20 Participants
Progressive walking and resistance exercise treatment, prescribed to both cancer survivors and their caregivers (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Immune Biomarkers
1.17 ng/mL
Standard Deviation 1.57
1.42 ng/mL
Standard Deviation 1.24

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline to post-intervention (6 weeks later)

Population: This Additional Outcome analysis looked only at cancer survivors assigned to the Individual Exercise Intervention (n=22) and the Dyadic Exercise Intervention (n=20).

Change in provision of social support from baseline to 6 weeks as reported by the cancer survivor was measured by the Dyadic Support Questionnaire (DSQ). At each time point (baseline and 6 weeks), this questionnaire had a total score range of 0-45, with higher scores signifying more support. We subtracted the baseline score from the 6 week DSQ score; the change score reported below thus has a range from -45 to 45, with higher scores signifying more support.

Outcome measures

Outcome measures
Measure
Individual Exercise Intervention
n=22 Participants
Progressive walking and resistance exercise treatment, prescribed solely to cancer survivors (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Dyadic Exercise Intervention
n=20 Participants
Progressive walking and resistance exercise treatment, prescribed to both cancer survivors and their caregivers (daily walking and resistance prescription for 6 weeks) Progressive walking and resistance exercise program
Provision of Social Support
-2.90 units on a scale
Standard Deviation 1.03
-1.90 units on a scale
Standard Deviation 1.10

Adverse Events

Individual Exercise Intervention - Cancer Survivors

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Dyadic Exercise Intervention - Cancer Survivors

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Individual Exercise Intervention - Caregivers

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Dyadic Exercise Intervention - Caregivers

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Individual Exercise Intervention - Cancer Survivors
n=22 participants at risk
Progressive walking and resistance exercise treatment, prescribed solely to cancer survivors (daily walking and resistance prescription for 6 weeks)
Dyadic Exercise Intervention - Cancer Survivors
n=20 participants at risk
Progressive walking and resistance exercise treatment, prescribed to both cancer survivors and their caregivers (daily walking and resistance prescription for 6 weeks)
Individual Exercise Intervention - Caregivers
n=22 participants at risk
Progressive walking and resistance exercise treatment, prescribed solely to cancer survivors (daily walking and resistance prescription for 6 weeks)
Dyadic Exercise Intervention - Caregivers
n=20 participants at risk
Progressive walking and resistance exercise treatment, prescribed to both cancer survivors and their caregivers (daily walking and resistance prescription for 6 weeks)
Cardiac disorders
1 mm segment depression in EKG
0.00%
0/22 • 2 years, 3 months
0.00%
0/20 • 2 years, 3 months
0.00%
0/22 • 2 years, 3 months
5.0%
1/20 • Number of events 1 • 2 years, 3 months
Musculoskeletal and connective tissue disorders
Back Pain
0.00%
0/22 • 2 years, 3 months
5.0%
1/20 • Number of events 1 • 2 years, 3 months
0.00%
0/22 • 2 years, 3 months
0.00%
0/20 • 2 years, 3 months

Additional Information

Dr. Charles Kamen

University of Rochester

Phone: 585-275-9958

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place