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Feasibility of a Health Care Provider Guided Exercise Intervention Prior to Surgical Resection of Pancreatic Cancer


2022-11-15


2024-08-13


2024-08-14


16

Study Overview

Feasibility of a Health Care Provider Guided Exercise Intervention Prior to Surgical Resection of Pancreatic Cancer

Pilot study evaluating the feasibility of a 2-4 week health care provider guided exercise intervention prior to surgery for pancreatic cancer.

N/A

  • Pancreatic Cancer
  • BEHAVIORAL: HCP-Guided Exercise Training Program
  • 22-00289

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

2022-07-29  

N/A  

2025-05-01  

2022-07-29  

N/A  

2025-05-02  

2022-08-01  

N/A  

2025-05  

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:
Supportive Care


Allocation:
Non Randomized


Interventional Model:
Parallel


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: HCP-Guided Exercise

Participants will schedule twice-weekly in-person visits to conduct health care provider (HCP)-supervised exercise activity for a minimum of 30 minutes. At least 3 additional times per week, participants will conduct self-directed exercise at home. Activi

BEHAVIORAL: HCP-Guided Exercise Training Program

  • Individually tailored exercise program consisting of aerobic training (5 days per week for a minimum of 30 minutes at moderate intensity) and strength training (2 days per week at moderate intensity). Two days per week the participant will receive their
NO_INTERVENTION: Control

Participants will not participate in the HCP-guided exercise intervention but will wear the Actigraph Centrepoint Insight Watch.

Primary Outcome MeasuresMeasure DescriptionTime Frame
Number of Intervention Arm Participants in Compliance with HCP Exercise InterventionCompliance with HCP exercise intervention is defined as successful completion of at least 150 minutes of weekly moderate-to-intense physical activity over a minimum of 2 weeks for every week of the prescribed intervention (2, 3 or 4 weeks).Up to Week 4
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Number of Participants who Experience Adverse Events (AEs)AEs defined as any symptom, sign, illness or experience that develops or worsens in severity during the course of the study.Up to Week 4
Number of Participants who Experience an Event that Leads to Delay in Surgical ResectionUp to Week 4
Change in Number of Tumor-Infiltrating CD8-Positive T CellsMultiplex immune-fluorescence staining conducted on tumor tissue samples to assess number of cluster designation 8 (CD8)-positive T cells.Baseline, Final Study Visit (Between Weeks 2-4)
Change in Number of Tumor-Infiltrating CD8-Positive T Cells Expressing IL-15RaMultiplex immune-fluorescence staining conducted on tumor tissue samples to assess number of CD8-positive T cells expressing Interleukin 15 Receptor Alpha Subunit (IL-15Ra).Baseline, Final Study Visit (Between Weeks 2-4)
Change in Number of Tumor-Infiltrating CD8-Positive T Cells Expressing GZMBMultiplex immune-fluorescence staining conducted on tumor tissue samples to assess number of CD8-positive T cells expressing Granzyme B (GZMB).Baseline, Final Study Visit (Between Weeks 2-4)
Change in Number of Tumor-Infiltrating CD8-Positive T Cells Expressing CD3Multiplex immune-fluorescence staining conducted on tumor tissue samples to assess number of CD8-positive T cells expressing cluster designation 3 (CD3).Baseline, Final Study Visit (Between Weeks 2-4)
Change in Number of Circulating CD8-Positive T Cells Expressing IL-15Ra as Assessed by Flow CytometryFlow cytometry conducted on patient blood samples to assess number of circulating CD8-positive T cells expressing Interleukin 15 Receptor Alpha Subunit (IL-15Ra).Baseline, Final Study Visit (Between Weeks 2-4)
Time Spent in Moderate-to-Vigorous Physical Activity (MVPA)Monitored using the ActiGraph Centrepoint Insight Watch in conjunction with ActiLife software and validated algorithms. Moderate Activity is defined as between 3.00 and 5.99 metabolic equivalents (METs). Vigorous Activity is defined as at least 6.00 METs. MET is defined as the ratio of the work metabolic rate to the resting metabolic rate.Up to Week 4
Time Spent in Sedentary BehaviorMonitored using the ActiGraph Centrepoint Insight Watch in conjunction with ActiLife software and validated algorithms. Sedentary Behavior is defined as less than 0.11 metabolic equivalents (METs). MET is defined as the ratio of the work metabolic rate to the resting metabolic rate.Up to Week 4
Average Daily MET RatesMonitored using the ActiGraph Centrepoint Insight Watch in conjunction with ActiLife software and validated algorithms. MET is defined as the ratio of the work metabolic rate to the resting metabolic rate. Light intensity activities are defined as less than 3 METs, moderate intensity activities are defined as between 3 and 5.99 METs, and vigorous intensity activities are defined as 6 METs or greater.Up to Week 4
Total Physical Activity Energy ExpenditureMonitored using the ActiGraph Centrepoint Insight Watch in conjunction with ActiLife software and validated algorithms. Expressed in kcal/day.Up to Week 4
Minutes Spent in Rapid Eye Movement (REM) SleepMonitored using ActiGraph Centrepoint Insight Watch.Up to Week 4

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:
    1. Willingness and ability to participate in the study procedures 2. Pathologically confirmed pancreatic cancer 3. Candidate for neoadjuvant therapy followed by surgical resection with potentially curative intent. Note: There is no limitation on duration of neoadjuvant therapy. 4. Planned to have at least 2 weeks after completing the last neoadjuvant therapy and surgery 5. Over the age of 18 6. Ability to engage in physical activity as determined by physiatrist review after completion of the Physical Activity Readiness questionnaire (PAR-Q) exercise survey and chart review 7. Agree to study blood draws and tissue collection
    Exclusion Criteria:
    1. Evidence of metastatic disease 2. Inability to complete physical activity due to recent injury or surgery 3. Uncontrolled heart disease limiting physical activity 4. Participation in another interventional trial that excludes participation in this protocol 5. Subjects who anticipate undergoing a procedure during the course of the trial that will render them unable to engage in physical activity for more than 48 hours 6. Pregnant subjects 7. Individuals who lack the capacity to consent

Collaborators and Investigators

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


    • PRINCIPAL_INVESTIGATOR: Paul Oberstein, MD, NYU Langone Medical Center

    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

    No publications available