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Trial Title: Evaluating the Impact of a Virtually Supervised Exercise Intervention and Group Counseling on Inflammation and the Microbiome of Smokers at High Risk for Lung Cancer, BE FIT Trial

NCT ID: NCT06445192

Condition: Lung Carcinoma

Conditions: Official terms:
Lung Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Prevention

Masking: Single (Outcomes Assessor)

Masking description: Outcome assessments will be obtained by research staff blinded to treatment group assignment.

Intervention:

Intervention type: Other
Intervention name: Best Practice
Description: Receive usual care
Arm group label: Group II (usual care)

Other name: standard of care

Other name: standard therapy

Intervention type: Procedure
Intervention name: Biospecimen Collection
Description: Undergo collection of blood samples
Arm group label: Group I (exercise intervention)
Arm group label: Group II (usual care)

Other name: Biological Sample Collection

Other name: Biospecimen Collected

Other name: Specimen Collection

Intervention type: Other
Intervention name: Exercise Counseling
Description: Attend group counseling
Arm group label: Group I (exercise intervention)

Intervention type: Other
Intervention name: Exercise Intervention
Description: Receive aerobic and resistance exercise intervention via telehealth
Arm group label: Group I (exercise intervention)

Intervention type: Other
Intervention name: Medical Device Usage and Evaluation
Description: Wear Fitbit
Arm group label: Group I (exercise intervention)
Arm group label: Group II (usual care)

Intervention type: Other
Intervention name: Physical Performance Testing
Description: Ancillary studies
Arm group label: Group I (exercise intervention)
Arm group label: Group II (usual care)

Other name: Physical Fitness Testing

Other name: Physical Function Testing

Intervention type: Other
Intervention name: Questionnaire Administration
Description: Ancillary studies
Arm group label: Group I (exercise intervention)
Arm group label: Group II (usual care)

Intervention type: Other
Intervention name: Telemedicine
Description: Receive aerobic and resistance exercise intervention via telehealth
Arm group label: Group I (exercise intervention)

Other name: Telehealth

Summary: This phase II trial evaluates how a virtually supervised exercise intervention in combination with group counseling affects inflammation and the bacterial composition (microbiome) of the gut in smokers who are at high risk for lung cancer. Physical exercise has been shown to reduce lung cancer development and to have beneficial effects on the gut microbiome and inflammation. Group counseling may promote adherence to the exercise intervention by empowering participants to exert greater control over their behavior and environment. This clinical trial may help researchers understand how exercise impacts inflammation and the microbiome in people at risk for lung cancer and whether or not exercise with counseling can improve health outcomes in high-risk individuals.

Detailed description: PRIMARY OBJECTIVES: I. To evaluate the feasibility and preliminary efficacy of establishing a multi-component virtually-delivered exercise intervention trial with longitudinal biomarker and microbiome collection in the Ohio State University Lung Cancer Screening Clinic (OSULCSC). II. To determine the impact of the multi-component virtually-delivered exercise intervention on the microbiome and inflammatory biomarkers. OUTLINE: Participants are randomized to 1 of 2 groups. GROUP I: Participants receive the supervised aerobic and resistance exercise intervention over 1 hour via telehealth twice a week (BIW) in weeks 1-8 and once a week (QW) in weeks 9-12 and then continue with unsupervised exercise sessions BIW in weeks 13-52. Participants also attend group counseling sessions over 1 hour QW in weeks 1-8 and bi-weekly in weeks 9-12. Participants also wear a Fitbit throughout the trial and undergo collection of blood samples at baseline and follow up. GROUP II: Participants receive usual care consisting of education on standard recommendations for physical activity, the benefits of exercise, and an example of a light walking program. Participants also wear a Fitbit throughout the trial and undergo collection of blood samples at baseline and follow up. After completion of study intervention, participants are followed up at 12 weeks and 1 year.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - 50-77 years of age - Current or former smoker with 20-pack year smoking history and within the last 15 years - Fewer than 60 minutes of participation in moderate intensity physical activity each week - All participants must be free of severe heart, respiratory (e.g. chronic obstructive pulmonary disease [COPD]), or systemic disease that would make moderate intensity exercise participation unsafe - Willing to sign an informed consent Exclusion Criteria: - Person is on a regimen of the following medications: immunosuppressants, bisphosphonates, steroids, anticoagulants, warfarin, apixaban, probiotics - Person undergoing treatment for cancer in any form - Person plans to enter smoking cessation or change status

Gender: All

Minimum age: 55 Years

Maximum age: 77 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Ohio State University Comprehensive Cancer Center

Address:
City: Columbus
Zip: 43210
Country: United States

Status: Recruiting

Contact:
Last name: Marisa Bittoni, PhD

Phone: 614-206-3518
Email: Marisa.Bittoni@osumc.edu

Investigator:
Last name: Marisa Bittoni, PhD
Email: Principal Investigator

Start date: November 3, 2023

Completion date: December 31, 2025

Lead sponsor:
Agency: Ohio State University Comprehensive Cancer Center
Agency class: Other

Source: Ohio State University Comprehensive Cancer Center

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06445192
http://cancer.osu.edu

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