Body and Cancer: a randomised phase III study in cancer patients undergoing chemotherapy - a supervised group exercise intervention versus standard care

ISRCTN ISRCTN05322922
DOI https://doi.org/10.1186/ISRCTN05322922
Secondary identifying numbers N/A
Submission date
05/07/2007
Registration date
13/08/2007
Last edited
02/11/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Lis Adamsen
Scientific

The University Hospitals Centre for Nursing and Care Research (UCSF)
Copenhagen University Hospital
Department 7331
Blegdamsvej 9
Copenhagen
DK-2100
Denmark

Phone +45 35457336
Email lisadams@ucsf.dk

Study information

Study designSingle-centre randomised prospective open label trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeQuality of life
Scientific title
Study acronymBCIII
Study objectivesThe hypothesis to be tested is that the outcomes - health benefits - in the intervention group is better than in the control group.
Ethics approval(s)Approval received from:
1. The Scientific Committees of the Copenhagen and Frederiksberg municipalities on the 24th June 2003 (ref: 01-273/00)
2. The Danish Data Protection Agency on the 1st August 2003 (ref: 2000-41-0-149)
Health condition(s) or problem(s) studiedOncological and haematological cancer patients undergoing chemotherapy
InterventionCancer patients will be recruited from the Copenhagen University Hospital, Department of Oncology, Department of Haematology and from The Herlev Hospital, Department of Oncology.

After informed consent and baseline measures randomisation (Clinical Internet Trial Management System [CITMAS]). Data is anonymised using an ID-code and administrative data is kept in a separate database.

The intervention group:
The exercise intervention included four components:
1. Physical exercise (resistance and cardiovascular/fitness training)
2. Relaxation training
3. Body awareness training
4. Massage

The intervention took place in a specially designed workout room located at the Copenhagen University Hospital and was carried out over a six-week period, nine hours per week, in the mornings. Patients came in especially to participate in the exercise programme. On Mondays, Wednesdays and Fridays, the patients participated in physical exercise for 1.5 hours followed by 0.5 hours of relaxation. On Tuesdays, the programme included 1.5 hours of body awareness training followed by 0.5 hours of relaxation. Finally, on Mondays and Fridays, the patients received 0.5 hours of massage.

The different components of the programme constituted a total package, which implied that the patients could not select one activity in preference of another. Seven to ten patients of mixed gender were included in each group. Physiotherapists and a cancer nurse specialist supervised the programme. Pre-exercise screening was performed every second day before the high-intensity physical training.

If one of the following criteria were met, the patient was excluded from the physical training component of the programme on that specific day:
1. Diastolic blood pressure less than 45 mmHg or greater than 95 mmHg
2. Pulse at rest greater 100 beats per minute
3. Temperature greater than 38°C
4. Respiration frequency greater than 20 (number of respirations per minute)
5. Infection requiring treatment with antibiotics
6. Ongoing bleeding
7. Fresh petechiae
8. Bruises
9. Thrombocytes less than 50 x 10^9/l
10. Leucocytes less than 1.0 x 10^9/l

Heart rate was continuously monitored and measured by means of a wireless heart rate transmitter worn by the patients.

Control group:
Patients assigned to the control group received usual care from the health care team and completed outcome measures on the same time frame as the intervention group (no supervised exercise during a six-week period).
Intervention typeOther
Primary outcome measureFatigue measure: European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), measured at baseline, after six weeks and after three months.
Secondary outcome measures1. Improvement in muscular strength, aerobic fitness measured using One Repetition Maximum (1RM), Maximal oxygen uptake (VO2max), measured at baseline and after six weeks
2. Improvement in quality of life measured using QLQ-C30, Functional Assessment Cancer Therapy-Anaemia (FACT-An), measured at baseline, after six weeks and after three months
3. Improvement in general well-being measured using Medical Outcomes Study 36-item Short Form (MOS SF-36), measured at baseline, after six weeks and after three months
4. Reduction in anxiety and depression measured using Hospital Anxiety and Depression Scale (HADS), measured at baseline, after six weeks and after three months
5. Physical activity level I - IV measured using the Saltin Scale, measured at baseline, after six weeks and after three months
Overall study start date01/10/2003
Completion date01/03/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexNot Specified
Target number of participants250
Key inclusion criteria1. World Health Organization (WHO) performance stage score zero to one
2. A diagnosis of cancer (one month previously), admitted to hospital for out-patient chemotherapy
3. Received at least one series of chemotherapy
4. Previously undergone surgery and/or radiotherapy
5. Age 18 to 65 years inclusive
6. Residence in the Greater Copenhagen Council
7. Written informed consent
Key exclusion criteria1. Brain metastases
2. Bone metastases
3. Thrombocytopenia
4. Cardiovascular symptoms-cardial insufficiencies
5. No recent myocardial infarct
6. Normal blood pressure
Date of first enrolment01/10/2003
Date of final enrolment01/03/2007

Locations

Countries of recruitment

  • Denmark

Study participating centre

The University Hospitals Centre for Nursing and Care Research (UCSF)
Copenhagen
DK-2100
Denmark

Sponsor information

The University Hospitals Centre for Nursing and Care Research (UCSF) (Denmark)
Hospital/treatment centre

The Copenhagen University Hospital
Department 7331
Blegdamsvej 9
Copenhagen
DK-2100
Denmark

Phone +45 35457336
Email lisadams@ucsf.dk
Website http://www.ucsf.dk/
ROR logo "ROR" https://ror.org/05bpbnx46

Funders

Funder type

Charity

The Danish Cancer Society (Denmark)

No information available

The Lundbeck Foundation (Denmark)

No information available

The Novo Nordic Foundation (Denmark)

No information available

The Ministry of Culture Committee on Sports Research (Denmark)

No information available

The Copenhagen University Hospital (Denmark)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 13/10/2009 Yes No