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Trial Title: EXTRA-Meso (EXercise TheRApy in Mesothelioma) Feasibility

NCT ID: NCT06491784

Condition: Mesothelioma

Conditions: Official terms:
Mesothelioma
Mesothelioma, Malignant

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: 1:1 randomisation, feasibility study

Primary purpose: Other

Masking: None (Open Label)

Masking description: Open label, no masking

Intervention:

Intervention type: Other
Intervention name: Exercise Therapy
Description: 12 week personalised exercise, nutrition and wellbeing programme
Arm group label: Exercise Therapy (Intervention)

Summary: The goal of this clinical trial is to learn whether running an exercise study in patients with mesothelioma is feasible. The main question(s) it aims to answer are: 1. Is it feasible to recruit patients to a randomised clinical trial of exercise therapy 2. What are the barriers to study recruitment 3. What are the barriers to study retention Participants who decide to take part in the study will be randomly allocated one of two study arms: 1. Standard of care, where the participant will undergo their usual clinical follow-up 2. Exercise therapy, where the participant will receive a personalised 12 week exercise, nutrition and wellbeing programme Participants in both study arms will be asked to complete quality of life questionnaires and a basic fitness assessment at the start and end of the study follow-up period. Participants will be asked if they would be happy to conduct a short interview with a member of the research team, to assess their views on the study. This interview will be audio recorded and the audio recording will be transcribed anonymously to allow researchers to improve future study design.

Detailed description: The aim of this study is to examine the feasibility of a randomised trial of exercise therapy in Mesothelioma. It will define likely rate of recruitment based on performance in two mesothelioma centres and identify barriers to recruitment and retention. Outcomes from the study will help refine the design of a future definitive phase 3 trial. That future phase 3 trial will have a patient-centred primary endpoint, e.g. a meaningful improvement in Health Related Quality of Life (HRQOL) or an increase in treatment uptake or tolerance. Additional outcome measures are likely to include functional fitness, hospital admissions and overall survival. A randomised prospective feasibility study will be performed over 12 months in two centres in the United Kingdom (Glasgow and Manchester). If eligible for the study, patients will be randomised 1:1 to receive a personalised exercise programme or standard care. Patients randomised to the intervention (exercise) arm will undergo an individualised assessment by either a physiotherapist or a qualified exercise specialist with specialised exercise and health condition qualifications. Following this initial assessment, patients will receive a tailored exercise, wellbeing and nutritional support package. The investigators will assess functional fitness and health-related quality of life scores as study outcome measures. The investigators also aim to conduct semi-structured interviews in patients who decline to participate or drop out of the study in order to examine barriers to study recruitment and retention.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Diagnosis of mesothelioma, ratified by a mesothelioma multi-disciplinary team (MDT) meeting 2. Performance status 0 - 2 3. Clinical frailty score ≤5 4. Informed written consent Exclusion Criteria: 1. Performance status ≥3 2. Clinical frailty score ≥6 3. Unlikely to be able to participate in an exercise programme (clinician/physiotherapist judgement)

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Queen Elizabeth University Hospital

Address:
City: Glasgow
Zip: G51 4TF
Country: United Kingdom

Status: Recruiting

Contact:
Last name: Selina Tsim, PhD

Phone: 0141 451 6163
Email: Selina.Tsim@ggc.scot.nhs.uk

Investigator:
Last name: Selina Tsim, PhD
Email: Principal Investigator

Facility:
Name: Wythenshawe Hospital

Address:
City: Manchester
Zip: M23 9LT
Country: United Kingdom

Status: Recruiting

Contact:
Last name: Matthew Evison, MD

Phone: 0161 915 320
Email: Matthew.Evison@mft.nhs.uk

Investigator:
Last name: Matthew Evison, MD
Email: Principal Investigator

Start date: January 25, 2024

Completion date: July 31, 2025

Lead sponsor:
Agency: NHS Greater Glasgow and Clyde
Agency class: Other

Collaborator:
Agency: University of Surrey
Agency class: Other

Collaborator:
Agency: Manchester University NHS Foundation Trust
Agency class: Other

Collaborator:
Agency: Mesothelioma UK
Agency class: Other

Source: NHS Greater Glasgow and Clyde

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06491784

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