Heading Off Peripheral Neuropathy With Exercise (HOPE)
Recruitment status was Not yet recruiting
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Purpose
Chemotherapy for the treatment of breast cancer can affect nerves and muscles leading to loss of sensation in the hands and feet for feeling hot and cold, difficulty walking, and muscle weakness. This study will explore if exercises such as walking and strength training may prove helpful in preventing or lessening chemotherapy-induced peripheral neuropathy from chemotherapy, making the therapy easier to tolerate and increasing overall quality of life.
| Condition | Intervention |
|---|---|
|
Peripheral Nervous System Disorders Breast Neoplasms Chemotherapy |
Behavioral: Aerobic/ Resistance Exercise Intervention Behavioral: Attention control |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Supportive Care |
| Official Title: | Pilot Randomized Study of Aerobic and Resistance Exercise for Women Undergoing Treatment for Breast Cancer With Taxanes. |
- effect size for reduction of neuropathic symptoms [ Time Frame: Baseline, 4, 8 12, 24 weeks ] [ Designated as safety issue: No ]
- effect size for potential covariates (age, taxane dose, baseline level of exercise participation, breast cancer-related symptoms) on measures of chemotherapy-induced peripheral neuropathy [ Time Frame: Baseline, 4, 8, 12, 24 weeks ] [ Designated as safety issue: No ]
- determine the feasibility and acceptability of a home-based aerobic and strength training exercise program during and after taxane-based chemotherapy. [ Time Frame: Baseline, 4, 8, 12, 24 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 200 |
| Study Start Date: | April 2009 |
| Estimated Study Completion Date: | June 2011 |
| Estimated Primary Completion Date: | June 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Exercise
combination aerobic (walking) and resistance (strength training) exercise
|
Behavioral: Aerobic/ Resistance Exercise Intervention
The intervention will consist of a tailored home-based program of both aerobic (walking, using pedometer) and strength training exercises for upper and lower extremities using resistance power bands.
|
|
Sham Comparator: attention control
attention control with daily journal and cancer-related education
|
Behavioral: Attention control |
Detailed Description:
This pilot study will test the effects of a tailored home-based walking (aerobic) and strength training (resistance) exercise program for individuals receiving taxane-based chemotherapy for breast cancer on neuropathy, breast cancer-related symptoms, cold thermal sensation, vibratory sensation, gait & balance, upper and lower extremity muscle strength, and quality of life.
The objective of this pilot study is to determine the effect size, feasibility and acceptability of a 12-week combination exercise program consisting of aerobic exercise (walking) and strength training for preventing or ameliorating the clinical manifestations and symptoms of CIPN in individuals with Stage I-IIIa non-metastatic breast cancer.
Eligibility| Ages Eligible for Study: | 19 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- age 19 or older with newly diagnosed Stage I-IIIa invasive breast cancer who are to be treated with a taxane-based chemotherapy regimen (with paclitaxel or docetaxel) and thus are at risk for the development of CIPN.
Exclusion Criteria:
- any disease (e.g. diabetes, HIV) that results in peripheral neuropathy;
- any disease or disorder that results in muscle weakness (such as chronic fatigue syndrome, multiple sclerosis, spinal cord tumors or injuries, stroke, preexisting cardiopulmonary disease);
- any disease or disorder that would preclude strength training exercises (such as bone metastasis, osteoporosis);
- individuals with diagnosed lymphedema or advanced disease (> Stage IIIa, or metastatic disease) at high risk for bone metastases and pathologic fracture will be excluded.
Contacts and Locations| Contact: Constance Visovsky, PhD | 402-559-5468 | cvisovsky@unmc.edu |
| United States, Nebraska | |
| University of Nebraska Medical Center | Not yet recruiting |
| Omaha, Nebraska, United States, 68198 | |
| Contact: Constance Visovsky, PhD 402-559-5468 cvisovsky@unmc.edu | |
| Principal Investigator: Constance Visovsky, PhD | |
| Principal Investigator: | Constance Visovsky, PhD | University of Nebraska |
More Information
No publications provided
| Responsible Party: | Dr. Constance Visovsky, University of Nebraska Medical Center, College of Nursing |
| ClinicalTrials.gov Identifier: | NCT00869804 History of Changes |
| Other Study ID Numbers: | 478-08-FB |
| Study First Received: | March 25, 2009 |
| Last Updated: | March 25, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Nebraska:
|
breast cancer chemotherapy-induced peripheral neuropathy exercise |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms Nervous System Diseases Peripheral Nervous System Diseases |
Neoplasms by Site Breast Diseases Skin Diseases Neuromuscular Diseases |
ClinicalTrials.gov processed this record on May 16, 2013