Prehabilitation for Stage IIIC-IV Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Patients

NCT ID: NCT05047926

Last Updated: 2025-08-08

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

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-05

Study Completion Date

2025-07-08

Brief Summary

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This clinical trial evaluates whether a prehabilitation program started at the time of neoadjuvant chemotherapy will affect surgical recovery in patients with stage IIIC-IV ovarian, fallopian tube, or primary peritoneal cancer. A prehabilitation program may improve the quality of life after surgery for patients with ovarian, fallopian tube, or primary peritoneal cancer.

Detailed Description

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PRIMARY OBJECTIVES:

I. To evaluate the baseline difference in objective frailty measurements in patients with advanced ovarian cancer clinically deemed acceptable for primary surgery versus neoadjuvant chemotherapy.

II. To evaluate level of adherence and retention of patients with advanced ovarian cancer undergoing neoadjuvant chemotherapy with a prehabilitation program.

EXPLORATORY OBJECTIVE:

I. Will examine longitudinal trends and variability in function by the Short Physical Performance Battery (SPPB) over time and in response to the intervention.

OUTLINE: Patients are assigned to 1 of 3 cohorts.

COHORT 1: Patients undergoing primary surgical intervention complete surveys, undergo computed tomography (CT), and undergo collection of blood samples at baseline.

COHORT 2: Patients undergoing neoadjuvant chemotherapy complete physical activity for 30 minutes per day 3 times a week. Patients receive nutritional supplement drink up to 4.5 times daily, and complete Resilient Living program in-person or remotely over 60 minutes. Patients also undergo CT scans throughout the trial.

COHORT 3: Patients undergoing neoadjuvant chemotherapy complete physical activity remotely for 30 minutes per day 3 times a week. Patients receive nutritional supplement drink up to 4.5 times daily. Patients also undergo health coaching remotely for 60 minutes weekly, complete Resilient Living program remotely over 60 minutes, and may wear a FitBit throughout the study.

Conditions

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Advanced Ovarian Carcinoma Stage IIIC Fallopian Tube Cancer AJCC v8 Stage IIIC Ovarian Cancer AJCC v8 Stage IIIC Primary Peritoneal Cancer AJCC v8 Stage IV Fallopian Tube Cancer AJCC v8 Stage IV Ovarian Cancer AJCC v8 Stage IV Primary Peritoneal Cancer AJCC v8

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Cohort 1 (surveys, CT, blood samples)

Patients undergoing primary surgical intervention complete surveys, undergo CT, and undergo collection of blood samples at baseline.

Group Type EXPERIMENTAL

Survey Administration

Intervention Type OTHER

Complete surveys

Computed Tomography

Intervention Type PROCEDURE

Undergo CT scans

Biospecimen Collection

Intervention Type PROCEDURE

Undergo blood collection

Cohort 2 (exercise, supplement, Resilient Living)

Patients undergoing neoadjuvant chemotherapy complete physical activity for 30 minutes per day 3 times a week. Patients receive nutritional supplement drink up to 4.5 times daily, and complete Resilient Living program in-person or remotely over 60 minutes. Patients also undergo CT scans throughout the trial.

Group Type EXPERIMENTAL

Nutritional Supplement Drink

Intervention Type DIETARY_SUPPLEMENT

Given Boost or Ensure

Physical Activity

Intervention Type OTHER

Complete physical activity assignments

Survey Administration

Intervention Type OTHER

Complete surveys

Computed Tomography

Intervention Type PROCEDURE

Undergo CT scans

Health Education

Intervention Type BEHAVIORAL

Complete Resilient Living program

Cohort 3 (exercise, supplement, coaching, Resilient Living)

Patients undergoing neoadjuvant chemotherapy complete physical activity remotely for 30 minutes per day 3 times a week. Patients receive nutritional supplement drink up to 4.5 times daily. Patients also undergo health coaching remotely for 60 minutes weekly, complete Resilient Living program remotely over 60 minutes, and may wear a FitBit throughout the study.

Group Type EXPERIMENTAL

Behavioral Counseling

Intervention Type BEHAVIORAL

Undergo behavioral counseling

Nutritional Supplement Drink

Intervention Type DIETARY_SUPPLEMENT

Given Boost or Ensure

Physical Activity

Intervention Type OTHER

Complete physical activity assignments

Survey Administration

Intervention Type OTHER

Complete surveys

Health Education

Intervention Type BEHAVIORAL

Complete Resilient Living program

Medical Device Usage and Evaluation

Intervention Type OTHER

Wear a FitBit

Interventions

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Behavioral Counseling

Undergo behavioral counseling

Intervention Type BEHAVIORAL

Nutritional Supplement Drink

Given Boost or Ensure

Intervention Type DIETARY_SUPPLEMENT

Physical Activity

Complete physical activity assignments

Intervention Type OTHER

Survey Administration

Complete surveys

Intervention Type OTHER

Computed Tomography

Undergo CT scans

Intervention Type PROCEDURE

Biospecimen Collection

Undergo blood collection

Intervention Type PROCEDURE

Health Education

Complete Resilient Living program

Intervention Type BEHAVIORAL

Medical Device Usage and Evaluation

Wear a FitBit

Intervention Type OTHER

Other Intervention Names

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Behavior Counseling Behavioral Psychotherapy Boost Ensure Polymeric Enteral Nutrition Formula CAT CAT Scan Computed Axial Tomography (CAT) computerized axial tomography Computerized axial tomography (procedure) Computerized Tomography (CT) scan Computerized Tomography CT CT Scan tomography Biological Sample Collection Biospecimen Collected Specimen Collection

Eligibility Criteria

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Inclusion Criteria

* Age \>= 18 years old
* Diagnosed with epithelial ovarian, fallopian tube, or primary peritoneal cancer based on imaging and physician diagnosis
* Suspected Stage IIIC or IV disease based on clinician staging and imaging
* Curative intent treatment with platinum-based chemotherapy
* Planned surgical intervention at some point during treatment course
* Ability to read English
* No diagnosed severe cognitive impairment
* Ability to provide consent
* Ability to utilize technology to watch online modules for the Resilient Living Program

Exclusion Criteria

* Hemiplegia or paraplegia
* Current pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Amanika A. Kumar, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic in Rochester

Locations

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Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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NCI-2021-09494

Identifier Type: REGISTRY

Identifier Source: secondary_id

21-005226

Identifier Type: -

Identifier Source: org_study_id

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