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Evaluation of an Adapted Physical Activity Program in Patients With Unresectable Pancreatic Cancer


2014-11-20


2022-04-21


2023-12-30


313

Study Overview

Evaluation of an Adapted Physical Activity Program in Patients With Unresectable Pancreatic Cancer

Adapted Physical Activity (APA) program may provide an opportunity to improve symptoms for patients with unresectable pancreatic cancer. Thereby, it is proposed to conduct an open trial to assess effects of the APA program in such population

The benefit of Adapted Physical Activity (APA) has been demonstrated after cancer diagnosis in term of symptomatic improvement: reducing fatigue, pain and improving the quality of life, psychological and emotional state, and adherence to treatment. The aim of the study is to assess the effects of an APA program in pancreatic cancer population treated by usual chemotherapy. 200 randomized patients are required. The program is organized in 16 weeks. During the trial, assessments include: aerobic exercises, muscular strength, six-minute walk test, body composition (bioimpedance, L3 CT-scan), level of physical activity - International Physical Activity Questionnaire - (IPAQ questionnaire), fatigue - Multidimensional Fatigue Inventory - (MFI-20 questionnaire), quality of life - EORTC Quality of Life questionnaire C-30 - (EORTC QLQ-30 questionnaire), depression symptom - Hospital Anxiety and depression scale - (HADS questionnaire), pain (Brief Pain Inventory Short form), and nutritional evaluation (BMI, ingests EVA). Furthermore, relationships between insulin resistance, insulin secretion, Insulin like Growth Factor 1 (IGF-1) and pancreatic carcinogenesis exist. APA may improve the quality of life in decreasing insulin-resistance, insulin secretion and IGF-1.

  • Unresectable Locally Advanced Cancer
  • Metastatic Pancreatic Cancer
  • OTHER: without APA program
  • OTHER: APA program
  • APACaP D13-1
  • 2014-A00228-39 (OTHER Identifier) (OTHER: ANSM)

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2014-07-02  

N/A  

2023-09-26  

2014-07-08  

N/A  

2023-09-28  

2014-07-09  

N/A  

2023-09  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Basic Science


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
ACTIVE_COMPARATOR: Standard care without APA program

The control arm corresponds to usual care (without APA), including : * Weekday hospital chemotherapy (every 7 or 14 days, depending on chemotherapy protocol) * Evaluation by the oncologist at the usual rate * Assessment every 8 weeks (TAP scan + CA-19.9)

OTHER: without APA program

  • Control Arm : chemotherapy alone
EXPERIMENTAL: Standard care with APA program

The experimental arm corresponds to usual care, combined with a 16-week APA program. The APA program consisted of personalized aerobic and resistance exercises, with a weekly remote supervision by an APA professional trainer, and unsupervised sessions wi

OTHER: APA program

  • Experimental Arm : chemotherapy + APA program during 16 weeks (aerobic and muscular strength exercises)
Primary Outcome MeasuresMeasure DescriptionTime Frame
Health-related quality of life (HRQoL) at 16 weeksHRQoL at week 16 according to the EORTC Core Quality of Life questionnaire (EORTC QLQ-C30) with three targeted dimensions: global health status, physical function and fatigue.At 16 weeks
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Time To deterioration (TTD)Up to 24 months
Brief Pain Inventory Short form questionnaireUp to 24 months
Patient depression scale - HADS questionnaireUp to 24 months
Nutritional status evaluationNutritional Status will be measured by weigth, Body Mass Index, body composition, EVA ingests, caloric intake and protidic, albumin/prealbumin, inflammation markers (PNN and CRP)up to 24 months
Physical Activity evaluation - IPAQ questionnaireSix minutes walk test, dyspnea scale, Borg scale, muscular pain, strength test with bands and compliance programup to 24 months
Number of Adverse events (AE) grade 3 -4up to 24 months
Progression free survival (PFS)2 years
Overall Survival (OS)2 years
Accompanying partner depression scale (HADS questionnaire)up to 24 months
General state - Performance status OMSup to 24 months
Fatigue scale (EVA fatigue)up to 24 months
MFI-20 and EORTC QLQ C-30 evaluationat 6, 12 et 24 months
medico-economic evaluationup to 24 months
visual analog scale for painup to 24 months
analgesic consumptionup to 24 months
anxiolytic / antidepressant consumptionup to 24 months

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Histologically proven non resectable pancreatic adenocarcinoma
  • Indication of palliative chemotherapy
  • Life expectancy ≥ 3 months
  • Eastern Cooperative oncology group (ECOG) - Performance status ≤2
  • Age ≥18 years old
  • At least one measurable lesion as assessed by CT-scan or MRI (Magnetic resonance Imaging)
  • Identified Accompanying partner Adapted Physical Activity (AAPA)
  • Signed and dated informed consent
  • Registration in a National Health Care System (CMU included for France)

  • Exclusion Criteria:

  • Previous Cerebrovascular accident or myocardial infarction <6months
  • Uncontrolled hypertension.
  • Severe cardiovascular or respiratory disease
  • Severe cognitive or psychiatric disorder
  • Severe motor and/or sensory neuropathy
  • Rheumatologic or orthopedic problem or bone lesions with a fracture risk
  • Others comorbidities contra-indicated physical exercises
  • Patient protected by the law - Guardianship and trusteeship

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • PRINCIPAL_INVESTIGATOR: Pascal Hammel, MD, Hôpital Beaujon

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    • Neuzillet C, Vergnault M, Bonnetain F, Hammel P. Rationale and design of the Adapted Physical Activity in advanced Pancreatic Cancer patients (APACaP) GERCOR (Groupe Cooperateur Multidisciplinaire en Oncologie) trial: study protocol for a randomized controlled trial. Trials. 2015 Oct 12;16:454. doi: 10.1186/s13063-015-0983-8.