About this trial
The proposed pilot study aims at determining the feasibility of a lifestyle intervention including adherence to a personalised dietary regimen combined with regular physical activity in patients newly diagnosed with prostate cancer under androgen deprivation therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Written informed consent according to ICH/GCP regulations before registration.
Age ≥ 18 years
Histology of adenocarcinoma of the prostate
Patients with PCa receiving ADT alone or ADT+NHT (abiraterone, enzalutamide, apalutamide or darolutamide)
Disqualifiers
Ongoing treatment with docetaxel, cabazitaxel, radionuclides or investigational treatments
Evidence of clinical progression or progression of disease on imaging
Bone metastases excluding the safety of physical exercise
Prior confirmed severe osteoporosis or other diseases affecting the bone with history of fractures
Trial design
Single group
Treatments tested in this trial
Lifestyle intervention
Behavioral12-week lifestyle intervention including adherence to a personalized balanced dietary regimen (low total fat, low saturated fat, high ω3 fatty acids, optimized protein content, low simple sugars) combined with regular physical activity (including physiotherapy sessions and self-training).
Treatment groups
Trial outcomes
Primary outcomes
Patient initiation rate
Study initiation rate (total number of patients enrolled divided by the number of patients screened for the study)
Patient retention rate
Retention rate (number of patients completing the study divided by total number of patients enrolled at baseline)
Adherence to prescribed training program
Adherence rate (fraction of scheduled physical activity appointments/selftrainings attended/carried out by the patients)
Adherence to prescribed dietary regimen
Adherence rate (fraction of days of adherence to the prescribed dietary regimen)
Secondary outcomes
Effect of lifestyle intervention on PSA progression
Percentage of PSA non-progressors (patients with \<25% PSA rise compared to baseline) at weeks 8, 12 and 24
Effect of lifestyle intervention on PSA levels
PSA doubling time calculated with the formula PSA doubling time = ln (2) / PSA Slope \[PSA Slope = (ln (PSA level 2) - ln (PSA level 1)) / Time (no. of months)\]
Effect of lifestyle intervention on radiographic progression
Percentage of patients being free of radiographic progression according to PCWG3 at weeks 12 and 24
Effect of lifestyle intervention on patient-reported quality of life
Change in patient-reported quality of life from baseline using Functional Assessment of Cancer Therapy - Prostate (FACT-P) scoring from baseline to weeks 8, 12 and 24
Sponsors and contacts
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