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Trial Title: High Impact Training to Patients With Prostate Cancer and Bone Metastases

NCT ID: NCT06259279

Condition: Prostate Cancer

Conditions: Official terms:
Prostatic Neoplasms
Neoplasm Metastasis

Conditions: Keywords:
bone metastases
exercise
bone mineral density
resistance and impact training

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: RCT

Primary purpose: Supportive Care

Masking: Single (Outcomes Assessor)

Masking description: Testers of physical tests (Handgrip strength test and chair-stand-test) and the the statistician will be blinded for allocation.

Intervention:

Intervention type: Behavioral
Intervention name: High intensity high impact exercise intervention
Description: Patients in the intervention group will receive a 32-week exercise-based intervention that includes: - Supervised and group-based exercise training in the hospital, twice a week. Each session lasts approximately 30 minutes.
Arm group label: Intervention Group

Summary: HIP is a randomized controlled trial. The aim is investigate the effect, safety and feasibility of brief, high-impact exercise targeting bones in patients with prostate cancer and bone metastases. Furthermore, to investigate the effects of the intervention on bone status (bone mineral density) and body composition, physical function and performance, patient reported quality-of-life outcomes, falls and hospitalizations.

Detailed description: Participants assigned to the intervention group will participate in a 32-week, twice-weekly, 30-minute, supervised HIP program at the hospital in Herlev, Denmark. To ensure a safe transition to high-intensity exercise, the first eight weeks of the intervention includes self-bodyweight and low-impact variations with a focus on getting used to use weight training equipment and gradually learning the movement patterns of the HIP exercises. All participants should be able to perform the four basic exercises of the intervention within two months. The resistance exercises (deadlift, overhead press, and squats) will be performed in five sets of five repetitions for the remaining intervention period, maintaining an intensity of > 80% to 85% of 1 repetition maximum (RM).

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Patients with metastatic hormone sensitive prostate cancer (mHSPC) - Patients must have bone metastases according to the most recent imaging (Bone scan, CT, MRI and/or PET) - Patients must be treated with androgen deprivation therapy (ADT) (orchiectomy, luteinizing hormone-releasing hormone (LHRH) agonist or antagonist treatment) started < 12 months ago. Additional treatment in the mHSPC setting, i.e., radiotherapy (RT) of the prostate, novel hormone agents (NHA) and/or docetaxel is permitted - Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status score <2 - Patients must be able to speak and read Danish and provide a signed informed consent form - Patients must be ambulatory without walking aids Exclusion Criteria: - Patients with any physical condition that interferes with the performance of physical exercise training - Patients with presence of any musculoskeletal, cardiovascular, or neurologic conditions that may prevent patients from exercising - Patients with bone pain requiring opioids - Patients with planned or prior palliative radiation therapy to the bone - Patients with major surgery within the past 6 months

Gender: Male

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Herlev and Gentofte Hospital

Address:
City: Herlev
Zip: 2730
Country: Denmark

Status: Recruiting

Contact:
Last name: Anne-Mette Ragle, PhD student

Phone: +4527128044
Email: anne-mette.ragle@regionh.dk

Contact backup:
Last name: Peter B Østergren, MD PhD
Email: peter.busch.oestergren@regionh.dk

Start date: February 6, 2024

Completion date: December 31, 2026

Lead sponsor:
Agency: Copenhagen University Hospital at Herlev
Agency class: Other

Source: Copenhagen University Hospital at Herlev

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06259279

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