UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000053991
Receipt number R000060974
Scientific Title A prospective observational study using a wearable device to assess physical activity in early-stage breast cancer patients starting neoadjuvant chemotherapy.(TRACK-BC)
Date of disclosure of the study information 2024/03/28
Last modified on 2024/03/28 13:13:52

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Basic information

Public title

A prospective observational study using a wearable device to assess physical activity in early-stage breast cancer patients starting neoadjuvant chemotherapy.(TRACK-BC)

Acronym

TRACK-BC

Scientific Title

A prospective observational study using a wearable device to assess physical activity in early-stage breast cancer patients starting neoadjuvant chemotherapy.(TRACK-BC)

Scientific Title:Acronym

TRACK-BC

Region

Japan


Condition

Condition

Patients with early-stage breast cancer (Stage I-IIIA) scheduled to start neoadjuvant chemotherapy in an outpatient setting

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To clarify the amount of change in physical activity due to chemotherapy in early-stage breast cancer patients starting neoadjuvant chemotherapy, and to investigate the relationship between changes in physical activity and changes in health status.

Basic objectives2

Others

Basic objectives -Others

To investigate the feasibility of using a wearable device to objectively measure physical activity in early-stage breast cancer patients starting neoadjuvant chemotherapy.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Amount of change in physical activity (TPA and MVPA) measured using a wearable device from the average value during the baseline period (7 days before the start of chemotherapy) to the 7-day average value from the start of the 2nd cycle of chemotherapy to 7 days after the start of chemotherapy.

The following two scores are set as the amount of physical activity:
-Total Physical Activity (TPA)
Metabolic Equivalent for Tasks (METs*) x Total Time (hours) Performed.
*The intensity of an activity is indicated by how many times more energy is expended than when the resting state is set to 1.
-Moderate to Vigorous Physical Activity (MVPA)
Time spent in physical activity of 3 METs or more.

Key secondary outcomes

1. Amount of changes from baseline in activity-related (TPA, MVPA, sedentary time, calories burned, distance traveled, vertical distance traveled, number of steps), sleep-related (sleep duration, sleep duration in each sleep stage [deep sleep, shallow sleep, REM sleep, wakefulness]), heart rate-related (heart rate, resting heart rate, heart rate zone time during activity [time heart rate increases to a specific value]), and other (respiratory rate, blood oxygen saturation, skin temperature) measured using a wearable device.
2. Amount of change from baseline in PRO-CTCAE* (Patient-Reported Outcome Common Terminology Criteria for Adverse Events) each item and HADS (Hospital Anxiety and Depression Scale) each score.
3. Amount of change from baseline in physical activity (TPA and MVPA) measured by wearable devices for each PRO-CTCAE* item and each HADS score.
4. Building a model with activity-related (TPA, MVPA, sedentary time, calories burned, distance traveled, vertical distance traveled, number of steps), sleep-related (sleep duration, sleep duration in each sleep stage [deep sleep, shallow sleep, REM sleep, wakefulness]), heart rate-related (heart rate, resting heart rate, heart rate zone time during activity), and other (respiratory rate, blood oxygen saturation, skin temperature)measured using a wearable device as an explanatory variable.
* 11 items of the PRO-CTCAE questionnaire including decreased appetite, nausea, vomiting, shortness of breath, swelling, heart palpitations, numbness , memory, joint pain, insomnia, fatigue are evaluated.
5. Average daily wear time of the wearable device and percentage of study subjects who wore the device for more than the specified time.
6. SyncWell input compliance rate for each study subject.
7. Percentage of treatment completed by each cohort and by each chemotherapy regimen.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients who have freely and voluntarily given their consent to participate in research, either electronically or in writing.
2) Patients who are at least 18 years of age at the time consent is obtained.
3) Patients diagnosed with early-stage breast cancer (Stage I-IIIA).
4) Patients scheduled to start neoadjuvant chemotherapy within 28 days after 7 days of obtaining consent.
5) Patients newly starting neoadjuvant chemotherapy with one of the following three regimens in one of the following three cohorts after obtaining consent.
-Cohort1
(1)Pembrolizumab + paclitaxel every week + carboplatin every week
(2)Pembrolizumab + paclitaxel every week + carboplatin every 3 weeks
-Cohort2
(1)dose dense doxorubicin + cyclophosphamide
(2)dose dense epirubicin + cyclophosphamide
-Cohort3
(1)Doxorubicin + cyclophosphamide every 3 weeks
(2)Epirubicin + cyclophosphamide every 3 weeks
(3)Docetaxel + cyclophosphamide every 3 weeks +/- anti-HER2 therapy
(4)Docetaxel + anti-HER2 therapy every 3 weeks
6) Patients who have a smartphone that meets the following requirements, can operate the study's wearable device and electronic patient-reported outcomes system (SyncWell), and are deemed by the investigator to be able to continue wearing the wearable device and using SyncWell daily.
Requirements: iPhone with iOS 15 or higher installed or smartphone with Android 11 or higher installed.
7) Patients who wear the wearable device for at least 7 days after obtaining informed consent and before starting neoadjuvant chemotherapy, and who are able to obtain baseline data.



Key exclusion criteria

1) Patients who have received previous drug therapy for breast cancer.
2) Patients who may experience a significant decrease in physical activity measured by the wearable device, such as those who use a wheelchair.
3) Patients who are deemed by the investigators or others to be ineligible because of psychiatric disorders that may affect the evaluation to be conducted in this study.
4) Patients who are scheduled to be hospitalized during participation in the study.
5) Patients who are scheduled to travel abroad during participation in the study.
6) Pregnant patients or patients who plan to become pregnant during the study period.
7) Patients who are participating or will participate in a clinical trial involving an intervention.
8) Patients who are deemed inappropriate as research subjects by the investigators or others, regardless of the reason.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Yuichiro
Middle name
Last name Kikawa

Organization

Kansai Medical University Hospital

Division name

Breast Surgery

Zip code

573-1191

Address

573-1191,2-3-1 Shinmachi, Hirakata City, Osaka, Japan

TEL

072-804-0101

Email

bj.u1ro@gmail.com


Public contact

Name of contact person

1st name Yuichiro
Middle name
Last name Kikawa

Organization

Kansai Medical University Hospital

Division name

Breast Surgery

Zip code

573-1191

Address

573-1191,2-3-1 Shinmachi, Hirakata City, Osaka, Japan

TEL

072-804-0101

Homepage URL


Email

bj.u1ro@gmail.com


Sponsor or person

Institute

Kansai Medical University Hospital

Institute

Department

Personal name



Funding Source

Organization

Daiichi Sankyo Company, Limited

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kansai Medical University Hospital Research Ethics Review Committee

Address

2-3-1 Shinmachi, Hirakata City, Osaka, Japan

Tel

072-804-0101

Email

rinriirb@hirakata.kmu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

兵庫県立尼崎総合医療センター(兵庫県)、社会医療法人博愛会相良病院(鹿児島県)、医療法人渓仁会手稲渓仁会病院(北海道)、八尾市立病院(大阪府)


Other administrative information

Date of disclosure of the study information

2024 Year 03 Month 28 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2024 Year 03 Month 15 Day

Date of IRB

2024 Year 03 Month 18 Day

Anticipated trial start date

2024 Year 03 Month 28 Day

Last follow-up date

2025 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2024 Year 03 Month 28 Day

Last modified on

2024 Year 03 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060974


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name