Mindful Movement in Women Receiving Adjuvant or Neoadjuvant Therapy for Breast Cancer

NCT ID: NCT03262831

Last Updated: 2019-09-03

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

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-10

Study Completion Date

2019-06-26

Brief Summary

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The investigators hypothesize that a personalized yoga program with mindful movement implemented during breast cancer therapy will benefit women in multiple ways. The investigators predict that women participating in the program will experience less weight gain and fatigue and will have an improved quality of life compared to women not participating in the program. The investigators predict that this will be associated with decreased markers of inflammation. The investigators will also evaluate whether there is improved pathologic response rate compared to historical controls. This study will provide pilot data for a larger randomized controlled trial assessing whether program can provide long-term improvement in quality of life, weight maintenance, and the serum and tumor changes correlating with a reduced risk of recurrence and mortality.

Detailed Description

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Conditions

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Breast Cancer Cancer of Breast

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Arm 1: Yoga

* Prior to start of treatment, a yoga therapist will work with each patient to develop a personalized yoga protocol using Gentle Hatha and Restorative Yoga
* Each protocol will consist of 5-10 minutes of centering poses to invite focus and relaxation, then 15-20 minutes of seated and standing active poses, ending with 5-10 minutes of guided relaxation.
* The personalized practice will be given to each participant and she will be asked to practice beginning at the start of neoadjuvant treatment at least 3 times a week (but preferably daily) at home for at least 30 minutes each time. Participants will continue their personalized yoga practice during the entirety of treatment. Each participant will be asked to journal when and for how long she practices at home and make any comments as to how the practice might have made her feel
* During participation, weekly follow-up calls will be made by a member of the study team to each participant randomized to the yoga arm.

Group Type EXPERIMENTAL

Yoga

Intervention Type OTHER

The yoga practice, Gentle Hatha and Restorative Yoga, will be based on protocols that have been found to decease fatigue and weight gain by helping the participant gain insight in recognizing stress responses and ways to relax

Blood draw

Intervention Type PROCEDURE

* Baseline and end of treatment
* To evaluate change in inflammatory markers (CRP, IL-6, and TNF)

FACT-G questionnaire

Intervention Type BEHAVIORAL

* 7 statements that other people with breast cancer have said are important, the patient is to circle or mark one number per line to indicate the response as it applies in the last 7 days
* Answers range from 0=not at all to 4=very much

Weight measurement

Intervention Type PROCEDURE

-Weight will be taken at baseline, on day 1 of each cycle, and the end of treatment

Recent Physical Activity Questionnaire

Intervention Type BEHAVIORAL

-To assess physical activity, the RPAQ will be completed at baseline and at the end of treatment.

NHANES Food Questionnaire

Intervention Type BEHAVIORAL

-To assess diet, the NHANES Food Questionnaire will be completed at baseline and at the end of treatment.

Arm 2: No Yoga

-Patients in this arm will not receive a personalized yoga plan

Group Type ACTIVE_COMPARATOR

Blood draw

Intervention Type PROCEDURE

* Baseline and end of treatment
* To evaluate change in inflammatory markers (CRP, IL-6, and TNF)

FACT-G questionnaire

Intervention Type BEHAVIORAL

* 7 statements that other people with breast cancer have said are important, the patient is to circle or mark one number per line to indicate the response as it applies in the last 7 days
* Answers range from 0=not at all to 4=very much

Weight measurement

Intervention Type PROCEDURE

-Weight will be taken at baseline, on day 1 of each cycle, and the end of treatment

Recent Physical Activity Questionnaire

Intervention Type BEHAVIORAL

-To assess physical activity, the RPAQ will be completed at baseline and at the end of treatment.

NHANES Food Questionnaire

Intervention Type BEHAVIORAL

-To assess diet, the NHANES Food Questionnaire will be completed at baseline and at the end of treatment.

Interventions

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Yoga

The yoga practice, Gentle Hatha and Restorative Yoga, will be based on protocols that have been found to decease fatigue and weight gain by helping the participant gain insight in recognizing stress responses and ways to relax

Intervention Type OTHER

Blood draw

* Baseline and end of treatment
* To evaluate change in inflammatory markers (CRP, IL-6, and TNF)

Intervention Type PROCEDURE

FACT-G questionnaire

* 7 statements that other people with breast cancer have said are important, the patient is to circle or mark one number per line to indicate the response as it applies in the last 7 days
* Answers range from 0=not at all to 4=very much

Intervention Type BEHAVIORAL

Weight measurement

-Weight will be taken at baseline, on day 1 of each cycle, and the end of treatment

Intervention Type PROCEDURE

Recent Physical Activity Questionnaire

-To assess physical activity, the RPAQ will be completed at baseline and at the end of treatment.

Intervention Type BEHAVIORAL

NHANES Food Questionnaire

-To assess diet, the NHANES Food Questionnaire will be completed at baseline and at the end of treatment.

Intervention Type BEHAVIORAL

Other Intervention Names

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RPAQ

Eligibility Criteria

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Inclusion Criteria

Eligibility Critera:

* Age ≥ 18.
* Female.
* Newly diagnosed with Stage I-III breast cancer.
* Scheduled to undergo neoadjuvant or adjuvant chemotherapy or neoadjuvant endocrine therapy.
* Not currently regularly practicing yoga (defined as at least once a month).
* Able to read and understand English
* Able to understand and willing to sign an IRB-approved written informed consent document
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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The Foundation for Barnes-Jewish Hospital

OTHER

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lindsay L Peterson, M.D., MSCR

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Locations

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Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Countries

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United States

References

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Greaney SK, Amin N, Prudner BC, Compernolle M, Sandell LJ, Tebb SC, Weilbaecher KN, Abeln P, Luo J, Tao Y, Hirbe AC, Peterson LL. Yoga Therapy During Chemotherapy for Early-Stage and Locally Advanced Breast Cancer. Integr Cancer Ther. 2022 Jan-Dec;21:15347354221137285. doi: 10.1177/15347354221137285.

Reference Type DERIVED
PMID: 36412916 (View on PubMed)

Related Links

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http://www.siteman.wustl.edu

Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

Other Identifiers

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201708076

Identifier Type: -

Identifier Source: org_study_id

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