About this trial
RESILIENCE is 24-week randomized controlled trial that assesses the efficacy of a digital wellness platform, combined with online support from healthcare professionals, to enhance waist circumference and other vital health outcomes in endometrial cancer survivors.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
≥ 18 years old
Histologically confirmed endometrioid adenocarcinoma (low-grade), FIGO 2009 stages I to III.
1 month to 10 years post-surgery and completion of adjuvant treatment.
Self-reported BMI ≥25 and ≤45 kg/m2, or self-reported BMI ≥18.5 and ≤24.9 kg/m2 together with a cardiometabolic condition or waist circumference ≥80 cm. Cardiometabolic conditions are also self-reported and included type 2 diabetes, prediabetes, hypertension, dyslipidemia, coronary artery disease, and stroke among others.
Disqualifiers
Recurrent (local, regional, or distant) or metastatic EC.
Abnormal (i.e., mutated) p53 status in combination with FIGO 2009 stage III or IV
Weight fluctuations (±5 kg) within the previous 3 months.
Planned surgery in the next 6 months.
Trial design
Parallel
Treatments tested in this trial
Digital wellness platform
BehavioralA digital wellness platform based on preventive self-care that contains tools to monitor nutrition, physical activity, and mental wellbeing will be accessed daily for 24 weeks.
Online healthcare professional support
BehavioralIndividual sessions with a registered dietitian, an exercise professional, and a mental health therapist for 16 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Change from baseline in waist circumference at week 16.
Waist circumference will be measured in centimeters (cm) using an inelastic tape at the level of the iliac crest at the end of normal expiration.
Secondary outcomes
Change from baseline in waist circumference at week 24.
Waist circumference will be measured in centimeters (cm) using an inelastic tape at the level of the iliac crest at the end of normal expiration.
Change from baseline in body weight (in kg) at weeks 16 and 24.
Weight will be measured in kilograms (kg) in triplicate following standardized procedures; average values will be used for analysis.
Change from baseline in fat mass by DXA at weeks 16 and 24.
Percentage fat mass will be measured using dual-energy x-ray absorptiometry (DXA), which is a precise and reliable technique.
Change from baseline in appendicular lean soft tissue by DXA at weeks 16 and 24.
Appendicular lean soft tissue will be measured using dual-energy x-ray absorptiometry (DXA), which is a precise and reliable technique. Appendicular lean soft tissue will be adjusted for body weight.
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