Internet-based Perioperative Exercise Program in Patients With Barrett's Carcinoma Scheduled for Esophagectomy

NCT ID: NCT02478996

Last Updated: 2017-10-26

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

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2019-06-30

Brief Summary

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This study will evaluate, if an intensive individually adaptated training program via online supervision during neoadjuvant therapy will improve lung function and reduce pulmonary complications following esophagectomy for Barrett's cancer.

Detailed Description

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Patients undergoing surgery for esophageal cancer have a high risk for postoperative deterioration of lung function and pulmonal complications. This may be partly due to one-lung ventilation during the thoracic part of the operation. This often encounters for prolonged periods of reconvalescence and reduced quality of life, apart from socioeconomic disadvantages. Physical preconditioning has become a crucial leverage to optimize fitness and lung function in patients scheduled for esophagectomy, in particular during the interval of neoadjuvant therapy.

Conditions

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Barrett Esophagus

Keywords

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perioperative internet-based exercise program

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Internet-based exercise program

The intervention group is supervised by a sports scientist eight to twelve weeks before and after surgery. Patients receive an individually designed intensive exercise program based on the functional and Fitness measurements at first diagnosis.

Group Type EXPERIMENTAL

Internet-based exercise program

Intervention Type OTHER

Patients undergo internet-based perioperative exercise program (iPEP), including daily endurance, resistance and ventilation training

Basis therapy

Participants of the Treatment as usual (TAU) group receive written information material enlightening the importance of regular physical activities and general releases on preparation for esophagectomy.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Internet-based exercise program

Patients undergo internet-based perioperative exercise program (iPEP), including daily endurance, resistance and ventilation training

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Histologically proven adenocarcinoma of the esophagus or adenocarcinoma of the esophagogastric junction type I according to Siewert's classification, clinical stages IIB-IIIC (T3/T4 and/or N+; M0) according to Union Internationale Contre le Cancer (UICC), 7th Edition
* Resectable stage according to discussion in the local multidisciplinary tumor board (MDT) of the participating centers and patient medically fit for multimodality therapy (ECOG performance status at least 1 or better, no severe impairment of cardiac, renal, hepatic, endocrine, bone marrow and cerebral functions)
* Planned abdominal-thoracic esophagectomy with gastric pull-up and intrathoracic or cervical anastomosis
* Cognitive ability of the patient to understand the perioperative program and to participate actively

Exclusion Criteria

* Presence of a second malignant tumor (unless curatively treated \> 5 years ago)
* Chemotherapy or radiochemotherapy in patient's history
* Orthopedic, rheumatologic, cardiovascular or neurologic (epilepsy, stroke, Parkinson's disease, muscle wasting diseases such as amyotrophic lateral sclerosis or multiple sclerosis) contraindications for the sports program
* Inability to use the internet or no internet Access
* Inability to communicate in German
* Each active disease, which hinders completion of the study
* Active alcoholism or illegal drug consumption within the last six months before study entry
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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University of Leipzig

OTHER

Sponsor Role lead

Responsible Party

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Dr. Ines Gockel

Prof. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Perikles Simon, Prof.Dr.Dr.

Role: PRINCIPAL_INVESTIGATOR

Department of Sports Medicine, Disease Prevention and Rehabilitation, Johannes Gutenberg-University of Mainz

Ines Gockel, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Department of Visceral, Transplantation, Vascular and Thoracic Surgery, University Hospital of Leipzig

Locations

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Department of Visceral, Transplantation, Vascular and Thoracic Surgery

Leipzig, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Daniel Pfirrmann

Role: CONTACT

Phone: +49 6131 392 3571

Email: [email protected]

Facility Contacts

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Ines Gockel

Role: primary

References

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Other Identifiers

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AFSM-01

Identifier Type: -

Identifier Source: org_study_id