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Trial Title: Internet-Based Lifestyle Intervention (iLIVE) to Eradicate Obese Frailty in Prostate Cancer Survivors

NCT ID: NCT06011499

Condition: Prostate Carcinoma

Conditions: Official terms:
Frailty

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Supportive Care

Masking: Single (Outcomes Assessor)

Masking description: Outcomes assessors are blinded to participant group assignment after completing the baseline assessment and prior to randomization. Adverse events will be reviewed on a quarterly basis by the research team in a blinded fashion

Intervention:

Intervention type: Other
Intervention name: Internet-Based Exercise Intervention
Description: Participate in online supervised, group resistance training sessions (iLIVE)
Arm group label: Arm I (iLIVE)

Intervention type: Other
Intervention name: Internet-Based Diet Intervention
Description: Receive online access to an interactive website with a series of weekly self-directed and interactive sessions on various topics associated with diet and weight loss (iLIVE)
Arm group label: Arm I (iLIVE)

Intervention type: Other
Intervention name: Education Intervention
Description: Receive usual care receiving educational information about diet and exercise for cancer survivors
Arm group label: Arm II (Usual care)

Summary: This clinical trial tests the effectiveness of an online weight loss plus resistance training intervention (iLIVE) to decrease obesity and improve frailty in men with prostate cancer who received androgen deprivation therapy (ADT). Androgen deprivation therapy increases the risk of frailty, weight gain and obesity in prostate cancer survivors. The combination of frailty and obesity can lead to a decrease in quality of life and an increased risk of recurrent falls. Using iLIVE may improve obesity and frailty in men with prostate cancer who receive ADT.

Detailed description: PRIMARY OBJECTIVE: I. To test the effectiveness of a combined online weight loss plus resistance training intervention (iLIVE) on obese frailty in prostate cancer survivors (PCS) on ADT. SECONDARY OBJECTIVES: I. To understand the effect of iLIVE on health behaviors, physical functioning, and quality of life II. To understand facilitators and barriers to implementing iLIVE in clinical and community practice OUTLINE: Patients are randomized to arm I or II. Key stakeholders are identified for implementation outcomes ARM I: Patients receive online access to an interactive weight loss website and participate in online group based resistance training sessions (iLIVE) on study. Patients also use a Fitbit fitness tracker and Aria (registered trademark) smart scale while on study. ARM II: Patients receive usual care with access to online survivorship and exercise recommendations and use a Fitbit fitness tracker and Aria (registered trademark) smart scale while on study. Patients are followed for 6 months after completion of intervention. Key stakeholders complete an interview while on study to assess barriers and facilitators to implementation of iLIVE into clinical practice.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - INTERVENTION PARTICIPANTS: Age 18 or older - INTERVENTION PARTICIPANTS: Diagnosed with histologically confirmed prostate cancer - INTERVENTION PARTICIPANTS: Received >= 6 months of ADT any time in the past 10 years - INTERVENTION PARTICIPANTS: Completed radiotherapy, chemotherapy and/or surgery > 6 weeks prior to - INTERVENTION PARTICIPANTS: No intent to start adjuvant chemotherapy or radiotherapy within 6 months of enrollment - INTERVENTION PARTICIPANTS: Overweight or obese (BMI > 25 kg/m2 to BMI ≤ 50). - INTERVENTION PARTICIPANTS: Evidence of frailty by meeting three or more of the following frailty criteria: weakness, slowness, fatigue, inactivity, and/or illness - INTERVENTION PARTICIPANTS: Not currently engaging in structured diet or resistance strength training exercise program - INTERVENTION PARTICIPANTS: Willing to be randomized into either study arm and adhere to study protocol - INTERVENTION PARTICIPANTS: Home internet sufficient for videoconferencing - INTERVENTION PARTICIPANTS: Signed informed consent - IMPLEMENTATION PARTICIPANTS: Be a key stakeholder (i.e., healthcare provider or administrative, or intervention participant [completers, partial completers, or no participation]) - IMPLEMENTATION PARTICIPANTS: Verbal informed consent following receipt of an information sheet Exclusion Criteria: - INTERVENTION PARTICIPANTS: Unintentional weight loss > 5% within the last year - INTERVENTION PARTICIPANTS: Contraindication to moderate intensity exercise - INTERVENTION PARTICIPANTS: Health or medical condition that affects weight status/body composition (e.g., Cushing's syndrome, uncontrolled hyper-/hypo- thyroidism) - INTERVENTION PARTICIPANTS: Active malignancy (other than non-melanoma skin cancer) - INTERVENTION PARTICIPANTS: Not fluent in English and therefore incapable of answer survey questions, following directions during exercise or performance testing, and providing informed consent in English

Gender: All

Minimum age: N/A

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: University of Alabama

Address:
City: Birmingham
Zip: 35294
Country: United States

Status: Not yet recruiting

Contact:
Last name: Wendy Demark-Wahnefried, PhD

Investigator:
Last name: Wendy Demark-Wahnefried, PhD
Email: Principal Investigator

Facility:
Name: OHSU Knight Cancer Institute

Address:
City: Portland
Zip: 97239
Country: United States

Status: Recruiting

Contact:
Last name: Kerri Winters-Stone

Phone: 503-494-0813
Email: wintersk@ohsu.edu

Investigator:
Last name: Kerri Winters-Stone
Email: Principal Investigator

Start date: April 2, 2024

Completion date: December 31, 2027

Lead sponsor:
Agency: OHSU Knight Cancer Institute
Agency class: Other

Collaborator:
Agency: National Cancer Institute (NCI)
Agency class: NIH

Collaborator:
Agency: Oregon Health and Science University
Agency class: Other

Collaborator:
Agency: University of Alabama at Birmingham
Agency class: Other

Source: OHSU Knight Cancer Institute

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06011499

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