640 Participants Needed

Weight Loss Program for Breast Cancer Survivors

HG
JW
Overseen ByJenny Whitten-Brannon
Age: 18+
Sex: Female
Trial Phase: Academic
Sponsor: Fred Hutchinson Cancer Center
Must be taking: Endocrine therapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

This clinical trial evaluates a remotely delivered, culturally tailored weight loss interventions in Latina breast cancer (BC) survivors. Cancer is the leading cause of death among Latinos, and among Latinas, BC is the leading cause of cancer death. An estimated 80% of Latinas in the United States have overweight/obesity, which is associated with poorer BC outcomes. However, few, if any, effective interventions exist to promote and maintain weight loss in Latina BC survivors. The development of an adaptive program that provides survivors the support they need, as opposed to what is typically available, is essential to reducing persistent inequities in cancer survivorship.

Will I have to stop taking my current medications?

The trial protocol does not specify whether you need to stop taking your current medications. However, current endocrine therapy is allowed, so you may not need to stop all medications.

What data supports the effectiveness of the treatment Remotely Delivered, Culturally Tailored Weight Loss Interventions for breast cancer survivors?

Research shows that a group phone-based weight loss program for rural breast cancer survivors led to significant weight loss and improvements in diet and physical activity. Participants lost an average of 12.5 kg (about 13.9% of their starting weight) over six months, indicating the potential effectiveness of remotely delivered interventions.12345

Is the weight loss program safe for breast cancer survivors?

The Living Well after Breast Cancer™ Pilot Trial assessed the safety of a telephone-delivered weight loss intervention for breast cancer survivors and found it to be safe. This suggests that similar remotely delivered weight loss programs are generally safe for humans.24678

How is the Remotely Delivered, Culturally Tailored Weight Loss Interventions treatment unique for breast cancer survivors?

This treatment is unique because it is delivered remotely through group phone sessions, making it accessible for rural breast cancer survivors who may have limited access to in-person support. It combines a reduced-calorie diet with prepackaged meals, increased physical activity, and group support, which helps address both dietary and social support needs.23489

Research Team

HG

Heather Greenlee

Principal Investigator

Fred Hutch/University of Washington Cancer Consortium

Eligibility Criteria

This trial is for Latina women who have survived breast cancer, are overweight with a BMI of 30 or higher, and are at least 60 days post-treatment. They must be fluent in Spanish or English, have no recurrent disease, and be able to use the internet and phone. Exclusions include insulin-dependent diabetics, those with major health issues preventing weight loss, active smokers, pregnant women or those planning pregnancy.

Inclusion Criteria

Access to internet and smartphone, tablet, or computer to participate in the online program and to be able to sync study WiFi devices
You live in an area where the online grocery delivery service can deliver your groceries.
I was diagnosed with stage I-III breast cancer in the last 5 years.
See 11 more

Exclusion Criteria

I am diabetic and use insulin or other medications to lower my blood sugar.
You have significant health problems or physical limitations that would make it hard for you to lose weight or be physically active.
I am using hormones for gender transition.
See 3 more

Timeline

Baseline

Participants receive written instructions and website link to an instructional video along with supportive materials including measuring tape, Aria WiFi-enabled scale, and Actigraph accelerometer to be worn for 7 days at baseline. Patients also undergo blood sample collection at baseline.

1 week
1 visit (remote)

Stage I

Eligible participants are randomized to receive the online ¡Vida! program with health education sessions, dietary modifications, and home-based exercise sessions. Supportive materials include a Fitbit Aria scale, a Fitbit Luxe, the Fitbit app, and access to the Cook for Your Life website. Blood samples are collected.

26 weeks
Multiple sessions (remote)

Stage II

Participants achieving >= 2% weight loss continue their assigned interventions. Non-responders are re-randomized to receive additional interventions including lifestyle sessions, health coaching, and monthly groceries.

Up to 12 months
Multiple sessions (remote)

Follow-up

Participants are monitored for safety and effectiveness after treatment, with body weight percent change assessed up to 12 months.

4 weeks

Treatment Details

Interventions

  • Remotely Delivered, Culturally Tailored Weight Loss Interventions
Trial Overview The study tests a weight loss program tailored for Latina breast cancer survivors that includes lifestyle counseling, exercise programs, nutritional advice and more—all delivered remotely via phone or internet. The goal is to see if this support can help them lose weight effectively.
Participant Groups
7Treatment groups
Experimental Treatment
Group I: Stage II, Arm VI (¡Vida!, lifestyle sessions, coaching, food))Experimental Treatment13 Interventions
Participants participate in the online ¡Vida! program consisting of 26 health education online sessions, dietary modifications, and home-based exercise sessions on study. Participants receive supportive materials consisting of a Fitbit Aria scale, a Fitbit Luxe (or latest device), the Fitbit app, and access to the Cook for Your Life website on study. Participants also attend remote lifestyle health education sessions and receive 14 30-minute individualized telephone health coaching sessions and receive a bag of groceries each month on study. Patients also undergo blood sample collection on study.
Group II: Stage II, Arm V (¡Vida!, lifestyle sessions, coaching)Experimental Treatment12 Interventions
Participants receive interventions as in arm IV.
Group III: Stage II, Arm IV (¡Vida!, lifestyle sessions, coaching)Experimental Treatment12 Interventions
Participants participate in the online ¡Vida! program consisting of 26 health education online sessions, dietary modifications, and home-based exercise sessions on study. Participants receive supportive materials consisting of a Fitbit Aria scale, a Fitbit Luxe (or latest device), the Fitbit app, and access to the Cook for Your Life website on study. Participants also attend remote lifestyle health education sessions and receive 14 30-minute individualized telephone health coaching sessions. Patients also undergo blood sample collection on study.
Group IV: Stage II, Arm III (¡Vida!, lifestyle sessions)Experimental Treatment11 Interventions
Participants receive interventions as in arm II.
Group V: Stage I, Arm II (¡Vida!, lifestyle sessions)Experimental Treatment11 Interventions
Participants participate in the online ¡Vida! program consisting of 26 health education online sessions, dietary modifications, and home-based exercise sessions on study. Participants receive supportive materials consisting of a Fitbit Aria scale, a Fitbit Luxe (or latest device), the Fitbit app, and access to the Cook for Your Life website on study. Participants also attend remote lifestyle health education sessions on study. Patients also undergo blood sample collection on study.
Group VI: Stage I, Arm I (¡Vida!)Experimental Treatment10 Interventions
Participants participate in the online ¡Vida! program consisting of 26 health education online sessions, dietary modifications, and home-based exercise sessions on study. Participants receive supportive materials consisting of a Fitbit Aria scale, a Fitbit Luxe (or latest device), the Fitbit app, and access to the Cook for Your Life website on study. Patients also undergo blood sample collection on study.
Group VII: Baseline (instructions, video, tape, scale, accelerometer)Experimental Treatment4 Interventions
Participants receive written instructions and website link to an instructional video along with supportive materials including measuring tape, Aria WiFi-enabled scale, and Actigraph accelerometer to be worn for 7 days at baseline. Patients also undergo blood sample collection at baseline.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Fred Hutchinson Cancer Center

Lead Sponsor

Trials
583
Recruited
1,341,000+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Findings from Research

A group-based weight control intervention delivered via conference calls led to an average weight loss of 12.5 kg (13.9% of baseline weight) among obese breast cancer survivors in rural areas, demonstrating its efficacy in this population.
Participants also showed significant improvements in waist circumference, dietary habits, physical activity levels, and quality of life, including mood and body image, indicating that the intervention positively impacted both health and well-being.
Outcomes of a weight loss intervention among rural breast cancer survivors.Befort, CA., Klemp, JR., Austin, HL., et al.[2021]
A telephone-delivered weight loss intervention for women with a BMI of 25-40 kg/m2 after breast cancer treatment resulted in a significant average weight loss of 3.1 kg compared to usual care, demonstrating its efficacy.
The intervention was found to be feasible and acceptable, with high participant satisfaction, and only one reported adverse event, indicating it is a safe option for this population.
The Living Well after Breast Cancer™ Pilot Trial: a weight loss intervention for women following treatment for breast cancer.Reeves, M., Winkler, E., Mccarthy, N., et al.[2022]

References

A qualitative evaluation of a group phone-based weight loss intervention for rural breast cancer survivors: Themes and mechanisms of success. [2018]
Awareness of link between obesity and breast cancer risk is associated with willingness to participate in weight loss intervention. [2022]
Outcomes of a weight loss intervention among rural breast cancer survivors. [2021]
A pilot randomized controlled trial of a commercial diet and exercise weight loss program in minority breast cancer survivors. [2022]
Change in Physical Activity During a Weight Management Intervention for Breast Cancer Survivors: Association with Weight Outcomes. [2018]
The Living Well after Breast Cancer™ Pilot Trial: a weight loss intervention for women following treatment for breast cancer. [2022]
Comparing Outcomes of a Digital Commercial Weight Loss Program in Adult Cancer Survivors and Matched Controls with Overweight or Obesity: Retrospective Analysis. [2022]
Protocol and recruitment results from a randomized controlled trial comparing group phone-based versus newsletter interventions for weight loss maintenance among rural breast cancer survivors. [2021]
Weight control needs and experiences among rural breast cancer survivors. [2021]