Exercise for Esophageal and Stomach Cancer Survivors

(PRECISE Trial)

JJ
Overseen ByJingran Ji, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Jonsson Comprehensive Cancer Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a personalized, supervised exercise program conducted remotely to improve physical function in individuals who have survived early-stage esophageal or stomach cancer. These cancers are challenging to overcome, and treatments often leave patients feeling weak and less independent. The study aims to determine if regular, guided exercise sessions can help survivors regain strength and reduce fatigue. It seeks individuals diagnosed with early-stage esophageal or stomach cancer, who completed treatment within the last year, and are experiencing physical difficulties. Participants will use an app to complete exercise sessions at home three times a week for eight weeks. As an unphased trial, this study offers a unique opportunity to contribute to research that could enhance recovery and quality of life for cancer survivors.

What prior data suggests that this exercise intervention is safe for gastroesophageal cancer survivors?

Studies have shown that exercise programs can be safe for cancer survivors. For example, a review of several studies found that exercise helps people with oesophagogastric cancer improve their physical abilities and feel less tired. Other research shows that patients who exercised after esophageal surgery experienced significant improvements in their physical health.

These exercise programs have not reported any serious side effects. In fact, cancer survivors generally tolerate exercise well, meaning most people can perform the exercises without major issues. Overall, the evidence suggests that exercise is a safe way to help improve the physical abilities of those recovering from gastroesophageal cancer.12345

Why are researchers excited about this trial?

Researchers are excited about the remote exercise intervention for esophageal and stomach cancer survivors because it offers a personalized, supervised fitness program delivered directly to patients' homes. Unlike traditional treatments that may focus solely on medical or surgical options, this approach emphasizes physical rehabilitation through individually tailored aerobic and resistance exercises. Additionally, the use of the Moterum application for remote supervision allows for consistent support and motivation, which could lead to improved overall health and quality of life for survivors. This innovative method seeks to empower patients by integrating exercise into their recovery, potentially enhancing their physical and mental well-being.

What evidence suggests that this exercise intervention is effective for improving physical function in gastroesophageal cancer survivors?

Studies have shown that exercise can help cancer survivors regain strength and improve their quality of life. Research indicates that personalized exercise programs enhance physical abilities and reduce tiredness in cancer patients. This trial will provide participants with an individually tailored, supervised, remote exercise intervention. Specifically, one study found that stomach cancer patients significantly improved their physical performance after joining a remote exercise program. Additionally, patients often report high satisfaction with these programs due to their convenience and ability to fit into daily routines. Overall, exercise programs show promise in helping stomach and esophagus cancer survivors feel stronger and more independent after treatment.16789

Who Is on the Research Team?

JJ

Jingran Ji, MD

Principal Investigator

UCLA / Jonsson Comprehensive Cancer Center

Are You a Good Fit for This Trial?

Inclusion Criteria

I have early-stage (I-III) esophageal, GE junction, or gastric cancer.
I am 18 years old or older.
* Have evidence of physical function impairment, defined as a SPPB score of \< 12) at baseline
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive access to the Moterum application and complete remotely delivered, supervised exercise sessions, over 1 hour, 3 times per week for 8 weeks. Sessions consist of both aerobic and resistance training exercises.

8 weeks
24 sessions (remote)

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Individually Tailored, Supervised, Remote Exercise Intervention

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Supportive care (Remote exercise intervention)Experimental Treatment8 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Jonsson Comprehensive Cancer Center

Lead Sponsor

Trials
373
Recruited
35,200+

Citations

Individually Tailored, Supervised, Remote Exercise ...

An individually tailored, supervised, remote exercise intervention may improve physical function for stage I-III gastroesophageal cancer ...

Individually Tailored, Supervised, Remote Exercise ...

This clinical trial tests an individually tailored, supervised, remote exercise intervention to improve physical function for stage I-III ...

Individually Tailored, Supervised, Remote Exercise ...

This clinical trial tests an individually tailored, supervised, remote exercise intervention to improve physical function for stage I-III gastroesophageal ...

Postoperative exercise in gastric cancer patients ...

Compliance with intervention in-patient exercise was 96% and remote exercise was 79%. The significant difference in SPPB scores of 11.4±1.3 in ...

Effects of remote coaching following supervised exercise ...

This study aimed to assess the effectiveness of a six-month remote coaching intervention, following a supervised exercise oncology rehabilitation program.

Identifying outcomes reported in exercise interventions ... - PMC

This systematic review quantifies and describes the domains and outcomes examined in exercise interventions in oesophagogastric cancer survivors.

Evaluating the Impact of Post-Esophagectomy Exercise on 2

For esophageal cancer pa- tients specifically, one observational study in patients who un- derwent esophagectomy suggested a 23% and 53% reduction in physically ...

8.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/34022821/

Identifying outcomes reported in exercise interventions ...

The aim of this systematic review is to identify the domains and outcomes reported in exercise interventions in oesophagogastric cancer ...

9.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/38164022/

Pilot study of a telehealth intervention for personalized self ...

Results: Fifty-three patients were enrolled. 22/27 usual care and 21/26 intervention patients completed the study for a retention rate of 81%.