Remotely Monitored Exercise Interventions in Patients With mCSPC Undergoing ADT (Prostate 006)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexMale
Age18+
SponsorPaul Viscuse

About this trial

This study consists of two home-based exercise programs: a stationary exercise bicycle intervention (Arm A), and a walking intervention (Arm B). The study will enroll 24 patients who are starting ADT (Androgen Deprivation Therapy)/ARSI (Androgen-Receptor Signaling Inhibitors) therapy for newly diagnosed metastatic castrate-sensitive prostate cancer (mCSPC). All participants will be asked to complete 1-2 training sessions at UVA prior to starting the exercise. All participants will be asked to complete aerobic and strength testing before and after the exercise program. Participants will be asked to answer questionnaires throughout the program. The at-home exercise will last for 12 weeks.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Provision of signed and dated informed consent form

Stated willingness to comply with all study procedures and availability for the duration of the study

Male, aged ≥18 years old

Diagnosis of mCSPC (defined as either biopsy-proven metastatic prostate cancer or elevated PSA (Prostate Specific Antigen) in the setting of imaging findings typical of prostate cancer spread; patients can either have de novo metastatic disease or recurrent metastatic disease after prior definitive therapy to the primary tumor with either surgery or radiation)

Disqualifiers

Castrate-resistant prostate cancer (defined as prostate cancer previously treated with a backbone of ADT hormonal therapy with either progression of disease on imaging PSA progression with PSA increase of > 25% and 2 ng/mL above nadir, confirmed at 2 time points at least 3 weeks apart, in the setting of testosterone level < 50)

Patients with prostate cancer with biochemical recurrence (e.g., received prior definitive therapy with subsequent PSA [Prostate-Specific Antigen] rise) but radiographic imaging is negative for metastatic disease

Metastatic bone lesion(s) in the proximal femur, bone lesion causing impending fracture, or other metastatic site deemed unsafe for walking by treating physician

Medical/orthopedic comorbidities that preclude stationary cycling or walking

Trial design

Design model

Parallel

Treatments tested in this trial

  • Home-Based Exercise Intervention - Walking

    Behavioral

    30 minutes of walking or light jogging a day at a moderate intensity for 30 minutes a day, 5 days a week for 12 weeks

  • Home-Based Exercise Intervention - HIIT Cycling

    Behavioral

    Four, 4 minute high intensity intervals of exercise, separated by 3 minutes of lower intensity exercise + a 10 minute warm up and 5 minute cool down for 40 minutes a day, 3 days a week for 12 weeks

Treatment groups

24 Participants
are divided into 2 treatment groups
Group A: Arm AExperimental treatment 1 intervention
Group B: Arm BExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Number of participants who complete the post-intervention follow-up assessment

Percentage of participants who complete the post-intervention follow-up assessment

Time frame
14 weeks from the start of the intervention

Secondary outcomes

1

Treatment engagement with intervention

Frequency, intensity and duration of exercise as measured by the activity monitors.

Time frame
From the beginning of the intervention to the Post-intervention visit (about 12 weeks)
2

Acceptability of exercise

The Physical Activity Enjoyment Scale (PACES) is an 18 question, 7 point scale that includes questions regarding enjoyment of physical activity in the study.

Time frame
From the beginning of the intervention to the Post-intervention visit (about 12 weeks)
3

Patient-reported outcomes on exercise

Exit interviews include open and closed ended questions about the participant's experience in the study.

Time frame
From the beginning of the intervention to the Post-intervention visit (about 12 weeks)
4

Rate of recruitment per month

Number of individuals screened and randomized

Time frame
Each month for 12 months (estimated duration of accrual of participants)

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Paul Viscuse

Lead sponsor

University of Virginia

Sponsor institution