Exercise-based Pre-habilitation in Bladder Cancer Patients Prior to Radical Cystectomy: a Feasibility Study
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|ClinicalTrials.gov Identifier: NCT04223063|
Recruitment Status : Not yet recruiting
First Posted : January 10, 2020
Last Update Posted : January 10, 2020
Nova Scotia Health Authority
Information provided by (Responsible Party):
Ross Mason, Nova Scotia Health Authority
The purpose of this study is to explore the feasibility and efficacy of a 12-week, home-based exercise program in bladder cancer patients undergoing curative intent neoadjuvant chemotherapy and RC.
|Condition or disease||Intervention/treatment||Phase|
|Bladder Cancer Urothelial Carcinoma||Behavioral: Exercise program||Not Applicable|
The investigators will seek to recruit 20 patients diagnosed with muscle invasive localized urothelial carcinoma of the bladder who are scheduled to receive neo-adjuvant chemotherapy prior to RC from the Queen Elizabeth Health Sciences center in Halifax, Nova Scotia. Participants will be randomly allocated to standard of care treatment versus standard of care plus a multimodal, home-based program including strength and endurance exercises. Outcomes measured will include feasibility data, patient outcomes, and post-surgical complications.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||20 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Supportive Care|
|Official Title:||Exercise-based Pre-habilitation in Bladder Cancer Patients Prior to Radical Cystectomy: a Feasibility Study|
|Estimated Study Start Date :||March 2020|
|Estimated Primary Completion Date :||March 2021|
|Estimated Study Completion Date :||March 2022|
Experimental: Exercise Intervention
Participants allocated to the exercise intervention will engage in a multimodal, home-based program including strength and endurance exercises. Participants will initially be seen in person and instructed to begin a moderate-intensity (i.e., 3-4 on 10-point Borg Scale) walking (or preferred aerobic exercise) program for a minimum of 30 minutes/day, 3-5 days/week and perform strength exercises at least 2 days/week.
Behavioral: Exercise program
As per the intervention arm
Other Name: Multimodal, home-based exercise program
No Intervention: Control
Participants allocated to the control group will not receive any formal exercise prescription or guidance, however they will be offered the opportunity to participate in a home-based intervention pending the completion of data collection.
Primary Outcome Measures :
- Health-related quality of life in patients with bladder cancer [ Time Frame: 12 weeks ]Health-related quality of life during neoadjuvant chemotherapy as measured using the Functional Assessment of Cancer Therapy - Bladder scale (FACT-Bl). The 39 item FACT-B provides subscale scores of physical (7-items), functional (7-items), emotional (6-items), and social/family (7-items) well-being as well as a bladder cancer specific sub-scale. The sum of scores on subscales evaluates a participants' quality of life with higher scores denoting higher quality of life.
- Fatigue [ Time Frame: 12 weeks ]Fatigue as measured by the Functional Assessment of Chronic Illness Therapy - Fatigue scale (FACIT-F). The FACIT-F is a 13 item scale with each item measured on a 4-point Likert scale. The total score ranges from 0 to 52. High scores represent less fatigue.
- Sleep quality [ Time Frame: 12 weeks ]Sleep quality as measured by the Pittsburgh Sleep Quality Index (PSQI). The PSQI is a 19-item tool that assesses usual sleep habits during the past month. A global sleep quality score from 0 to 21 is generated with higher scores denoting worse sleep quality
Secondary Outcome Measures :
- Post-surgical complications [ Time Frame: 30 days post-surgery ]Post-surgical complications will be assessed using the Clavien-Dindo grading system
- Post-operative length of stay [ Time Frame: 30 days post-surgery ]Post-operative length of stay measured as the number of days from surgery until initial discharge from hospital
Other Outcome Measures:
- Chemotherapy completion rates [ Time Frame: 16 weeks ]Chemotherapy completion rate measured as the percentage of patients completing four cycles of neoadjuvant chemotherapy
- Post-surgical readmission rates [ Time Frame: 90 days post-surgery ]Post-surgical readmission rates as defined by any readmission to hospital within 90 days of surgery
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