Exercise and Nutrition Interventions for Platinum Chemotherapy-induced Neuropathy R21

NCT ID: NCT05452902

Last Updated: 2024-12-19

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-19

Study Completion Date

2025-12-31

Brief Summary

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Chemotherapy-induced peripheral neuropathy (CIPN) is a highly prevalent and severe side-effect of platinum-based chemotherapy, often used to treat gastrointestinal cancers. Unfortunately there are very limited treatments for CIPN. This is a phase II randomized controlled trial to test the preliminary efficacy of exercise vs. nutrition education on CIPN, to systematically investigate the potential roles of inflammation and interoception, and to obtain data with a more accurate effect size to inform a future study.

Detailed Description

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Conditions

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Chemotherapy-induced Peripheral Neuropathy

Keywords

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Chemotherapy Brain Exercise Nutrition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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EXCAP Exercise

Exercise for Cancer Patients (EXCAP©®) involves face-to-face instruction and a prescription for an at-home progressive walking and resistance exercise program.

Group Type EXPERIMENTAL

EXCAP Exercise

Intervention Type BEHAVIORAL

12 weeks of at-home walking and resistance exercise.

Nutrition Education

Nutrition education involves equal time and attention as the exercise arm, but the content covers nutrition for cancer patients and lacks an exercise prescription.

Group Type ACTIVE_COMPARATOR

Nutrition Education

Intervention Type BEHAVIORAL

12 weeks of implementing eating tips and tracking food.

Interventions

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EXCAP Exercise

12 weeks of at-home walking and resistance exercise.

Intervention Type BEHAVIORAL

Nutrition Education

12 weeks of implementing eating tips and tracking food.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Have a diagnosis of cancer
2. Be scheduled to receive platinum chemotherapy (specifically oxaliplatin or cisplatin) without other neurotoxic chemotherapy (taxanes, bortezomib, thalidomide). Patients may be enrolled before their first (preferred), second, or third infusion of neurotoxic chemotherapy
3. Be able to read English
4. Be ≥18 years

Exclusion Criteria

1. Be performing regular exercise, which is any planned physical activity (e.g., brisk walking, aerobics, jogging, bicycling, swimming, rowing, weight lifting, resistance training, yoga, pilates, etc.) performed to increase physical fitness. To be considered exercise, physical activity should be performed 3-5 times per week for 20-60 minutes per session and should be done at a level that increases your breathing rate and causes you to break a sweat.
2. Have physical limitations (e.g., cardiorespiratory, orthopedic, central nervous system) that contraindicate participation in maximal physiological fitness testing and a low/moderate intensity home-based walking and progressive resistance exercise program.
3. Have planned surgery or radiation treatment in the 12 weeks after baseline.


1. Have current or prior cancer in the spine, brainstem, or brain (to allow standard brain MRI analysis)
2. Have contraindications for MRI scanning (pacemaker, ferrous metal implants, pregnancy, etc. note that most port-a-caths are safe for MRI scanning)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

University of Maryland, Baltimore

OTHER

Sponsor Role lead

Responsible Party

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Ian Kleckner, PhD, MPH

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Maryland Medical System

Baltimore, Maryland, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Ian Kleckner, PhD, MPH

Role: CONTACT

Phone: 410-706-5981

Email: [email protected]

Javier Rosales, BS, MS

Role: CONTACT

Phone: 410-706-7391

Email: [email protected]

Facility Contacts

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Ian Kleckner, PhD, MPH

Role: primary

References

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Postma TJ, Aaronson NK, Heimans JJ, Muller MJ, Hildebrand JG, Delattre JY, Hoang-Xuan K, Lanteri-Minet M, Grant R, Huddart R, Moynihan C, Maher J, Lucey R; EORTC Quality of Life Group. The development of an EORTC quality of life questionnaire to assess chemotherapy-induced peripheral neuropathy: the QLQ-CIPN20. Eur J Cancer. 2005 May;41(8):1135-9. doi: 10.1016/j.ejca.2005.02.012. Epub 2005 Apr 14.

Reference Type BACKGROUND
PMID: 15911236 (View on PubMed)

Other Identifiers

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R21CA259422

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HP-00100000

Identifier Type: -

Identifier Source: org_study_id