Exercise Program (TEAM Me) for the Improvement of Movement and Mobility in Pediatric and Adolescent and Young Adult Patients With Cancer Undergoing a Blood Stem Cell Transplant

Official title

TEAM Me (Totally Excited About Moving, Mobility, and Exercise) Clinical Research Protocol

Overview

This clinical trial studies how well an exercise program (Totally Excited About Moving, Mobility, and Exercise \[TEAM Me\]) affects the exercise and dietary habits of pediatric and adolescents and young adults with cancer undergoing a blood stem cell transplant. TEAM Me is an exercise program that reinforces behavior, such as walking and other activities, using "tokens" (i.e. stickers) that can be redeemed for rewards. Participating in the exercise program may result in increased physical fitness, physical activity level, quality of life, and function in pediatric and adolescents and young adult patients with cancer.

Detailed description

PRIMARY OBJECTIVE:

I. To evaluate the feasibility and tolerability of this exercise program using a token economy system in hospitalized pediatric and adolescent and young adult (AYA) undergoing hematopoietic stem cell transplant (HSCT).

SECONDARY OBJECTIVES:

I. To evaluate the impact of an exercise program using a token economy system in hospitalized pediatric and adolescent and young adult (AYA) cancer patients going through HSCT on measures of physical fitness.

II. To evaluate the impact of an exercise program using a token economy system in hospitalized pediatric and adolescent and young adult (AYA) cancer patients going through HSCT on physical activity.

III. To evaluate the impact of an exercise program using a token economy system in hospitalized pediatric and adolescent and young adult (AYA) cancer patients on quality of life, fatigue, sleep and function.

OUTLINE:

Patients complete a 6-minute walk test and a timed get up and go test on the day of hospital admission, on days 0 (day of stem cell transplant) and 21, the day of discharge, and day 100. Patients also complete surveys over 10 minutes about quality of life and fatigue levels on the day of hospital admission, on days 0 (day of stem cell transplant) and 21, the day of discharge, and day 100. Patients who are able and allowed to, may also walk and participate in other intense physical activities to earn stickers. Patients who are unable to walk have tailored goals created by a physical/occupational therapist to earn stickers and participate in physical activity as prescribed by their therapist.

Interventions

• Other 6 Minute Walk Functional Test
  Complete 6-minute walk test
• Behavioral Behavioral Intervention
  Participate in walking and other activities
• Other Survey Administration
  Complete survey
• Behavioral Timed Get Up and Go Test
  Complete timed get up and go test

Primary outcome measures

• Proportion of patients who enroll and complete the serial measures [Time frame: Up to 21 days post-hematopoietic stem cell transplant (HSCT)]
• Incidence of adverse events. [Time frame: Up to 100 days post-HSCT]

Secondary outcome measures (9)

• Change in 6-minute walking test (6MWT) [Time frame: Baseline up to 100 days post-HSCT]
• Change in gross grip hand strength [Time frame: Baseline up to 100 days post-HSCT]
• Change in timed up and go test [Time frame: Baseline up to 100 days post-HSCT]
• Change in Borg Rating of Perceived Exertion [Time frame: Baseline up to 100 days post-HSCT]
• Change in 30 second sit-to-stand test [Time frame: Baseline up to 100 days post-HSCT]
• Change in Fitbit mileage and intensity via heart rate [Time frame: Baseline up to 100 days post-HSCT]
• Change in Pediatric Quality of Life (PedsQL) Multidimensional Fatigue Scale [Time frame: Baseline up to 100 days post-HSCT]
• Change in PedsQL Stem Cell Transplant Model [Time frame: Baseline up to 100 days post-HSCT]
• Change in Wee Functional Independence Measure (FIM)/FIM [Time frame: Baseline up to 100 days post-HSCT]

Eligibility criteria

Inclusion criteria

• Be admitted to an inpatient pediatric ward for the purpose of HSCT for the treatment of malignancy
• Be greater than or equal to 6 years of age and less than 30 years of age
• Participants or guardians are willing and able to give written informed consent either prior to admission or within 48 hours following admission and to comply with all of the study activities and procedures
• Participants or guardians are willing and able to give written informed consent for protocol PA18-0130 (Pediatric Energy balance data repository protocol), companion protocol for the Fitbit application/assessment

Exclusion criteria

• Patients whose clinical status precludes them from participating in any physical activity including but not limited to: declining respiratory status, hypoxia requiring high flow nasal cannula (Vapotherm), hypotension, and active bleeding.
• At MD Anderson HSCT patients admitted to adult units for their transplant will not be eligible as TEAM Me is an established program on the G9 Pediatrics Unit only

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

N/A

Model

Single group

Masking

Open label

Primary purpose

Supportive care

Study locations

United States · 2 centers

• UT Southwestern/Simmons Cancer Center-Dallas — Dallas
• M D Anderson Cancer Center — Houston

Identifiers

NCT: NCT04678427 · 2020-0044 · NCI-2020-11750 · 2020-0044

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗