A Physical Activity Program to Improve Quality of Life and Reduce Fatigue in Metastatic Breast Cancer

NCT ID: NCT04354233

Last Updated: 2024-08-21

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

244 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-24

Study Completion Date

2025-06-30

Brief Summary

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INTRODUCTION: Patients with a metastatic breast cancer suffer from a deteriorated quality of life and numerous symptoms such as pain, severe fatigue and a decrease of their physical fitness. As the feasibility of a physical activity program has been demonstrated in this population, ABLE02 aims to assess the efficacy of a 6 month-physical activity program based on connected devices to improve health-related quality of life and to reduce fatigue in women with metastatic breast cancer.

METHODS/ANALYSIS: ABLE02 is a prospective, multicenter, randomized, controlled and, open-label study. 244 patients with a metastatic breast cancer , at least one positive hormone receptor and a first-line chemotherapy planned will be randomly assigned (1:1 ratio) to: (i) the intervention arm to receive physical activity recommendations, an activity tracker to wear 24 hours a day during the whole intervention (6 months) with at least three walking sessions weekly and quizzes to answer each week on physical activity and nutrition (ii) the control arm to receive physical activity recommendations only. Assessments will be conducted at baseline, M3, M6, M12 and M18 to evaluate the clinical, physical, biological and psychological parameters and survival of participants. All questionnaires will be completed on a dedicated application.

DISCUSSION: An activity program based on smartphone application linked to an activity tracker may help to improve quality of life and reduce fatigue of patients with a metastatic breast cancer. The growth of e-health offers the opportunity to get real-time data as well as improving patient empowerment in order to change long-term behaviors.

Detailed Description

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Conditions

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Metastatic Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

At the first visit of the study, participants will be randomly assigned (1:1 ratio), with minimization based on the presence of visceral metastases (presence vs. absence of visceral metastases), the method of administration of chemotherapy (intravenous vs. per os) and the 6-minute walking distance (6MWD) (\<455 versus ≥ 455m based on the median of the pilot ABLE study) to: (i) the intervention arm to receive PA recommendations and benefit from a 6-month APA program (ii) the control arm to receive PA recommendations only.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Physical activity intervention with connected devices

Women randomized to the intervention arm will follow a 6-month physical activity intervention using a connected device that includes an activity tracker, a smartphone and a mobile application. Patients will also receive physical activity international recommendations

Group Type EXPERIMENTAL

Physical activity intervention with connected devices

Intervention Type DEVICE

Participants randomized in the intervention arm will receive recommandations in physical activity. They will also receive an activity tracker Withings Steel to wear during 6 months. The tracker will be connected to the "Withings Health Mate" application and the ABLE02 application. Participants will be encouraged to practice at least three walking sessions weekly of more than 10 consecutive minutes. Concerning the number of steps per day, the first objective will be determined according to the 6-min walking distance and to participants' preferences and capacities. The objective will be recalculated monthly according to the number of steps performed the previous week and will be adapted by the physical activity (PA) instructor and participants. Phone calls with the participants are regularly planned. Weekly quizzes on PA and nutrition will be proposed through the ABLE02 application. A messaging system and a phone line will be available for participants to contact the study team.

Standard care

Women will receive stardard care and physical activity international recommendations, without further intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Physical activity intervention with connected devices

Participants randomized in the intervention arm will receive recommandations in physical activity. They will also receive an activity tracker Withings Steel to wear during 6 months. The tracker will be connected to the "Withings Health Mate" application and the ABLE02 application. Participants will be encouraged to practice at least three walking sessions weekly of more than 10 consecutive minutes. Concerning the number of steps per day, the first objective will be determined according to the 6-min walking distance and to participants' preferences and capacities. The objective will be recalculated monthly according to the number of steps performed the previous week and will be adapted by the physical activity (PA) instructor and participants. Phone calls with the participants are regularly planned. Weekly quizzes on PA and nutrition will be proposed through the ABLE02 application. A messaging system and a phone line will be available for participants to contact the study team.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 1\) female,
* 2\) ≥ 18 years old,
* 3\) histologically confirmed metastatic breast cancer, with at least one positive hormone receptor (HR+) and HER2-,
* 4\) first-line chemotherapy planned (or until 1 month after the chemotherapy has started) with intravenous (Paclitaxel or Doxorubicin or Cyclophosphamide or Carboplatin) or per os (Capecitabine or Vinorelbine) administration - NB : a patient who has previously received one or more lines of hormone therapy and who must start a 1st line of chemotherapy is eligible,
* 5\) Eastern Cooperative Oncology Group (ECOG) Performance status ≤ 2,
* 6\) life expectancy ≥ 3 months,
* 7\) willing to be involved throughout the study,
* 8\) ability to practice a adapted physical activity (APA) certified by a medical certificate issued by the referring oncologist or the clinical investigator,
* 9\) using a compatible smartphone or Tablet PC to download the application ABLE02 and Withings Health Mate (from iOS 10 and android 6.0 and more recent),
* 10\) Internet access,
* 11\) valid health insurance affiliation,
* 12\) able to read, write and understand French.

Exclusion Criteria

* 1\) presence of unstable bone metastases or unconsolidated pathological fractures,
* 2\) presence of central nervous system involvement with neurological deficits that prevent from walking,
* 3\) presence of a history or co-existence of other primary cancer (except of in situ cancer regardless of the site and/or basal cell skin cancer and/or non-mammary cancer in complete remission for more than 5 years),
* 4\) severe undernutrition (HAS) (i.e. for women ≤ 70 years old: a weight loss of ≥ 15% in 6 months or ≥10% in 1 month and for women over 70 years old: a weight loss of ≥ 15% in 6 months or ≥10% in 1 month, and body mass index \<18 kg/m²),
* 5\) presenting a PA contraindication (e.g., uncontrolled hypertension, uncontrolled heart disease),
* 6\) concurrent participation in another PA study,
* 7\) unable to be followed for medical, social, family, geographical or psychological reasons throughout the study,
* 8\) deprived of liberty by judicial or administrative decision,
* 9\) pregnant.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fondation ARC

OTHER

Sponsor Role collaborator

Janssen, LP

INDUSTRY

Sponsor Role collaborator

Centre Leon Berard

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Olivier TREDAN, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Centre Leon Berard

Locations

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CHU Amiens

Amiens, , France

Site Status ACTIVE_NOT_RECRUITING

Institut de Cancérologie de l'Ouest (ICO)

Angers, , France

Site Status ENROLLING_BY_INVITATION

CHU Avignon

Avignon, , France

Site Status RECRUITING

CH Fleyriat

Bourg-en-Bresse, , France

Site Status RECRUITING

CH Cotentin

Cherbourg, , France

Site Status ACTIVE_NOT_RECRUITING

CH Cholet

Cholet, , France

Site Status RECRUITING

CGFL

Dijon, , France

Site Status ENROLLING_BY_INVITATION

Groupement Hospitalier Mutualiste

Grenoble, , France

Site Status RECRUITING

Centre Léon Bérard (CLB)

Lyon, , France

Site Status RECRUITING

Hospices Civils de Lyon

Lyon, , France

Site Status ENROLLING_BY_INVITATION

CH Morlaix

Morlaix, , France

Site Status TERMINATED

AP-HP

Paris, , France

Site Status ACTIVE_NOT_RECRUITING

Institut Curie

Paris, , France

Site Status RECRUITING

Institut Godinot

Reims, , France

Site Status RECRUITING

Centre Eugène Marquis

Rennes, , France

Site Status ENROLLING_BY_INVITATION

Institut de Cancérologie Lucien Neuwirth (ICLN)

Saint-Etienne, , France

Site Status ACTIVE_NOT_RECRUITING

Institut de Cancérologie de l'Ouest (ICO)

Saint-Herblain, , France

Site Status ENROLLING_BY_INVITATION

Institut Gustave Roussy

Villejuif, , France

Site Status ACTIVE_NOT_RECRUITING

Countries

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France

Central Contacts

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Aurélia MAIRE, MSc

Role: CONTACT

0469856362

Olivia PEROL, MSc

Role: CONTACT

0478782897

Facility Contacts

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Philippe DEBOURDEAU

Role: primary

Hubert ORFEUVRE

Role: primary

Margot NOBLECOURT

Role: primary

Elise BONNET

Role: primary

Aurélia MAIRE, MSc

Role: primary

0469856362

Olivia PEROL, MSc

Role: backup

0478782897

Florence COUSSY

Role: primary

Christelle JOUANNAUD

Role: primary

References

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Delrieu L, Anota A, Tredan O, Freyssenet D, Maire A, Canada B, Fournier B, Febvey-Combes O, Pilleul F, Bouhamama A, Caux C, Joly F, Fervers B, Pialoux V, Perol D, Perol O. Design and methods of a national, multicenter, randomized and controlled trial to assess the efficacy of a physical activity program to improve health-related quality of life and reduce fatigue in women with metastatic breast cancer: ABLE02 trial. BMC Cancer. 2020 Jul 3;20(1):622. doi: 10.1186/s12885-020-07093-9.

Reference Type DERIVED
PMID: 32620149 (View on PubMed)

Other Identifiers

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ET20-022

Identifier Type: OTHER

Identifier Source: secondary_id

ABLE02

Identifier Type: -

Identifier Source: org_study_id

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