Exercise Program for Cancer
(DEFEND Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if an exercise program delivered via video calls can help cancer patients manage treatment side effects like fatigue and loss of strength. Participants will engage in virtual sessions with trained staff to guide resistance exercises and will receive guidance for aerobic exercises to perform independently. This distance-based exercise program seeks cancer patients who are beginning chemotherapy for at least ten weeks, are employed full-time, can walk for six minutes, and are not currently involved in competitive sports or rigorous exercise programs.
As an unphased trial, this study provides a unique opportunity for patients to explore innovative ways to enhance their well-being during treatment.
Do I need to stop my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It focuses on an exercise program for cancer patients, so it's best to discuss your medications with your doctor.
What prior data suggests that this exercise program is safe for cancer patients?
Research has shown that exercise is generally safe for cancer patients. A review of studies found that exercise can reduce unwanted side effects and improve well-being for people with cancer, lowering risks and enhancing quality of life. Another study found that exercise significantly reduced the risk of death among cancer patients. Several studies indicate that regular exercise also improves physical function and quality of life.
Distance-based exercise, like the one under study, offers similar benefits. Although some reviews found only small changes in physical activity levels, exercise is overall well-tolerated and safe for those undergoing cancer treatment.12345Why are researchers excited about this trial?
Researchers are excited about the Exercise Program for Cancer because it offers a novel approach to supporting cancer patients during treatment. Unlike traditional cancer therapies that focus solely on medication and surgery, this program incorporates distance-based exercise, blending supervised resistance training and unsupervised aerobic sessions. This approach aims to enhance patients' physical resilience and overall well-being while undergoing chemotherapy, potentially reducing treatment-related side effects. Additionally, the use of adjustable-weight dumbbells and accelerometers tailors the exercise regimen to each patient's capacity, promoting a personalized and proactive strategy in cancer care.
What evidence suggests that this exercise program is effective for cancer patients?
Research has shown that exercise can enhance the quality of life and health for people with cancer. Studies have found that exercise reduces tiredness and boosts physical fitness, addressing common challenges faced by cancer patients during treatment. One study discovered that online, home-based exercise programs can improve body shape and physical health over time. Additionally, exercise has been linked to lower death rates in cancer patients, potentially extending their lives. This trial will evaluate a distance-based exercise program, which shows some promise, although previous studies suggest it hasn't significantly increased physical activity among cancer survivors. Overall, exercise can be a valuable component of cancer care.12467
Who Is on the Research Team?
Kathryn Schmitz, MD
Principal Investigator
Alliance for Clinical Trials in Oncology
Jennifer Ligibel, MD
Principal Investigator
Alliance for Clinical Trials in Oncology
Are You a Good Fit for This Trial?
This trial is for adults aged 18-64 with confirmed cancer who are starting outpatient chemotherapy aimed at curing their disease. Participants must work full-time, be able to walk for 6 minutes, not have metastatic cancer or severe heart/lung/joint problems, and cannot be pregnant or breastfeeding.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants complete supervised telehealth exercise sessions and unsupervised aerobic exercise sessions until the end of chemotherapy or up to 6 months
Follow-up
Participants are monitored for changes in physical activity and patient-reported outcomes after the intervention
What Are the Treatments Tested in This Trial?
Interventions
- Distance-Based Exercise
Trial Overview
The study tests if a supervised exercise program delivered through video calls (telemedicine) can help people undergoing cancer treatment stay strong and active. The program includes resistance exercises with dumbbells and aerobic activities done at home, guided by trained staff.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Patients complete supervised TH exercise sessions consisting of progressive resistance exercise BIW and complete unsupervised aerobic exercise sessions over 30 minutes TIW until the end of SOC chemotherapy or up to a total of 6 months, whichever comes first, in the absence of disease progression or unacceptable toxicity. Patients also receive adjustable-weight dumbbells on study and wear an accelerometer throughout the study.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Alliance for Clinical Trials in Oncology
Lead Sponsor
National Cancer Institute (NCI)
Collaborator
Citations
Distance-based delivery of exercise for people treated ... - PMC
Regular exercise has been shown to have beneficial health effects in cancer survivors, including improving quality of life and other important health outcomes.
Systematic review and meta-analysis of distance-based ...
Overall, reviewed distance-based interventions showed a very small and limited effect on physical activity behavior. •. Studies are targeting a subset of cancer ...
Effect of a Long-Term Online Home-Based Supervised ... - PMC
The aim of this study was to analyze the effect of a synchronous-supervised online home-based exercise program during 24 weeks on body composition, physical ...
Effects of live-remote exercise on quality of life and other ...
Exercise following cancer treatment has been shown to improve health-related quality of life (HRQoL) and other important health outcomes, ...
5.
semanticscholar.org
semanticscholar.org/paper/Systematic-review-and-meta-analysis-of-physical-for/b8fee6fce08c84e718f47216e6fa117f96c9bc95Systematic review and meta-analysis of distance-based ...
Systematic review and meta-analysis of distance-based physical activity interventions for cancer survivors (2013-2018): We still haven't found what we're ...
A distance-based, randomized controlled trial for reducing ...
Physical activity (PA) has a positive impact on many clinical outcomes, including improved quality of life (QoL), cancer-specific mortality, and ...
7.
oncologynews.com.au
oncologynews.com.au/latest-news/new-clinical-trial-studies-impact-of-exercise-on-cancer-patients/New clinical trial studies impact of exercise on cancer ...
Exploratory outcomes will examine changes in physical function, such as grip strength and distance covered in the 6-Minute Walk Test, as well as ...
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