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Trial registered on ANZCTR
Registration number
ACTRN12624001441505
Ethics application status
Approved
Date submitted
16/10/2024
Date registered
11/12/2024
Date last updated
11/12/2024
Date data sharing statement initially provided
11/12/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Exercise as a novel therapeutic approach for sensitising prostate cancer to radiotherapy
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Scientific title
Exercise as a novel therapeutic approach for sensitising prostate cancer to radiotherapy
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Secondary ID [1]
313162
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
ERADICATE-REX
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Linked study record
This record is a sub-study of ACTRN12624000786594
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Health condition
Health condition(s) or problem(s) studied:
Prostate cancer
335439
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Condition category
Condition code
Physical Medicine / Rehabilitation
332143
332143
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0
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Other physical medicine / rehabilitation
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Cancer
331998
331998
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0
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will attend a single session of resistance exercise (also known as resistance training or strength training) before starting their treatment with external beam radiation therapy; specifically, the exercise session will be performed within 7 days prior to radiation therapy commencement. The exercise session/intervention will be individually supervised by an appropriately qualified exercise professional (e.g., an Exercise and Sports Science Australia [ESSA] accredited exercise physiologist) and will be delivered face to face (in person). The exercise session will comprise 20 minutes of resistance training targeting the major upper- and lower-body muscle groups and will be performed at moderate to vigorous intensity. Resistance training will include 4-5 exercises that involve the major upper- and lower-body muscle groups, including squats, calf raises, deadlifts, and step ups (or appropriate alternatives depending on participant constitution and ability). Each resistance exercise will be performed for 2-3 sets at a load of 8-12 repetitions per set (i.e., the maximum load with which 8-12 repetitions can be performed with correct form, approximately 75% 1RM). The exercise intervention will be delivered at a medical research facility in the Perth metropolitan area. Intervention adherence will be assessed by the supervising exercise physiologist by recording the amount of completed exercise (i.e., duration, intensity, and volume).
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Intervention code [1]
329729
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Treatment: Other
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Change in tumour perfusion
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Assessment method [1]
339599
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MRI scan
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Timepoint [1]
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Baseline/pre exercise and immediately post exercise (within 7 days prior to radiation therapy commencement)
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Primary outcome [2]
339600
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Change in tumour hypoxia
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Assessment method [2]
339600
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MRI scan
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Timepoint [2]
339600
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Baseline/pre exercise and immediately post exercise (within 7 days prior to radiation therapy commencement)
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Secondary outcome [1]
440548
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Change in tumour apparent diffusion coefficient (ADC)
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Assessment method [1]
440548
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MRI scan
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Timepoint [1]
440548
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Baseline/pre exercise and immediately post exercise (within 7 days prior to radiation therapy commencement)
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Secondary outcome [2]
440558
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Safety
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Assessment method [2]
440558
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Incidence and severity of adverse events (e.g. dizziness or number of falls, assessed by self-report or observation and scored using the CTCAE v5.0)
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Timepoint [2]
440558
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Assessed during the exercise session
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Secondary outcome [3]
440557
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Exercise adherence/compliance
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Assessment method [3]
440557
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Exercise tracking log
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Timepoint [3]
440557
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Assessed during the exercise session
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Eligibility
Key inclusion criteria
I) Patients diagnosed with localised or locally advanced prostate cancer;
II) Patients scheduled for conventional or hypofractionated external beam radiotherapy; and
III) Approval from treating oncologist to participate in study.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
I) Previous radical prostatectomy;
II) Patients already engaging in regular exercise (defined as undertaking structured, i.e. planned and individualised, aerobic or resistance exercise on 2 or more days per week within the past 3 months);
III) Acute illness or musculoskeletal/ cardiovascular/ neurological disorder that could put patients at risk during exercise testing or training;
IV) Bone metastases; and
V) Contraindication to magnetic resonance imaging.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people analysing the results/data
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
16/12/2024
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
12
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
317604
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Government body
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Name [1]
317604
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Cancer Australia
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Address [1]
317604
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Country [1]
317604
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Australia
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Primary sponsor type
University
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Name
Edith Cowan University
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Address
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Country
Australia
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Secondary sponsor category [1]
319912
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None
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Name [1]
319912
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Address [1]
319912
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Country [1]
319912
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
316307
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Edith Cowan University Human Research Ethics Committee
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Ethics committee address [1]
316307
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http://www.ecu.edu.au/GPPS/ethics
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Ethics committee country [1]
316307
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Australia
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Date submitted for ethics approval [1]
316307
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09/10/2024
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Approval date [1]
316307
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07/11/2024
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Ethics approval number [1]
316307
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Summary
Brief summary
The purpose of this study is to investigate if a single bout of resistance exercise can acutely reduce tumour hypoxia in prostate cancer patients who are scheduled to receive external beam radiation therapy. Who is it for? You may be eligible to join this study if you are a male aged 18 years or over, have a diagnosis of localised or locally advanced prostate cancer, and are scheduled to receive conventional or hypofractionated external beam radiation therapy in the Perth metropolitan area. Study details: Participants in this study will attend a single supervised exercise session before starting their radiation therapy treatment. The study intervention involves performing resistance exercises at a medical research facility. Specifically, the exercise session is 20 minutes in duration and takes place at the Harry Perkins Institute of Medical Research, where you will also have an MRI scan immediately before and after the exercise session to measure tumour blood flow and tumour oxygen levels. All participants will also complete a baseline assessments at the Exercise Medicine Research Institute (Edith Cowan University) to evaluate their physical activity levels, aerobic fitness and muscle strength. It is hoped this research will contribute to new knowledge that will help improve treatment outcomes and survivorship care for prostate cancer patients by demonstrating the benefits of engaging in physical exercise while undergoing external beam radiation therapy.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Oliver Schumacher
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Address
137474
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Exercise Medicine Research Institute, Edith Cowan University, 270 Joondalup Drive, Joondalup WA 6027
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Country
137474
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Australia
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Phone
137474
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+61 8 6304 3444
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Fax
137474
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Email
137474
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[email protected]
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Contact person for public queries
Name
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Mrs Cailyn Walker
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Address
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Exercise Medicine Research Institute, Edith Cowan University, 270 Joondalup Drive, Joondalup WA 6027
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Country
137475
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Australia
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Phone
137475
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+61 8 6304 2307
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Fax
137475
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Email
137475
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[email protected]
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Contact person for scientific queries
Name
137476
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Dr Oliver Schumacher
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Address
137476
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Exercise Medicine Research Institute, Edith Cowan University, 270 Joondalup Drive, Joondalup WA 6027
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Country
137476
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Australia
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Phone
137476
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+61 8 6304 3444
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Fax
137476
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Email
137476
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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