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Fournier B, Nicolas-Virelizier E, Russo C, Pérol O, Millet GY, Maire A, Delrieu L, Michallet AS, Assaad S, Belhabri A, Gilis L, Guillermin Y, Lebras L, Rey P, Santana C, Pretet-Flamand E, Terret C, Michallet M, Fervers B. Individualised physical activity programme in patients over 65 years with haematological malignancies (OCAPI): protocol for a single-arm feasibility trial. BMJ Open 2021; 11:e046409. [PMID: 34083339 PMCID: PMC8183222 DOI: 10.1136/bmjopen-2020-046409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
INTRODUCTION Older adults with cancer suffer from the combined effects of ageing, cancer disease and treatment side effects. The main treatment for patients with haematological malignancies is chemotherapy, associated with significant toxicities. Chemotherapy can alter patients' physical function and quality of life which are often already diminished in older patients due to ageing and comorbidities. It therefore seems essential to develop and to evaluate interventions capable of preventing physical and psychosocial decline and its consequences. Promoting physical activity is a promising approach to improve physical function and quality of life in older adults with cancer, but there are limited data on the feasibility of such interventions among older patients with haematological malignancies, concomitant to chemotherapy. METHODS AND ANALYSIS OCAPI (OnCogeriatric and Individualized Physical Activity) is a single-arm, interdisciplinary, prospective, interventional, feasibility study. It is intended to include 40 patients (20 patients with acute myeloid leukaemia and 20 patients with non-Hodgkin's lymphoma) over 65 years in an individualised 6-month physical activity programme. The programme consists of individually supervised exercise sessions with an increasing volume of physical activity either at home and/or in a laminar airflow room (depending on the disease and treatment regimen) followed by unsupervised sessions and phone follow-ups. Patients will receive an activity tracker during the 6 months of the programme. Evaluations will take place at inclusion and at 3, 6 and 12 months to assess the feasibility of the programme and to explore potential changes in physical, psychosocial and clinical outcomes. The results will generate preliminary data to implement a larger randomised controlled trial. ETHICS AND DISSEMINATION The study protocol was approved by the French ethics committee (Comité de protection des personnes Est I, N°ID-RCB 2019-A01231-56, 12 July 2019). All participants will have to sign and date an informed consent form. The findings will be disseminated in peer-reviewed journals and academic conferences. TRIAL REGISTRATION NUMBER NCT04052126.
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Affiliation(s)
- Baptiste Fournier
- Département Prévention Cancer Environnement, Centre Léon Bérard, Lyon, France
- Radiations: Défense, Santé, Environnement, INSERM UMR1296, Lyon, France
| | | | - Chiara Russo
- Département de Cancérologie médicale, Centre Léon Bérard, Lyon, France
| | - Olivia Pérol
- Département Prévention Cancer Environnement, Centre Léon Bérard, Lyon, France
- Radiations: Défense, Santé, Environnement, INSERM UMR1296, Lyon, France
| | - Guillaume Y Millet
- Laboratoire Interuniversitaire de Biologie de la Motricité, Université Jean Monnet Saint-Etienne, Saint-Etienne, France
- Institut Universitaire de France, Paris, France
| | - Aurélia Maire
- Département Prévention Cancer Environnement, Centre Léon Bérard, Lyon, France
| | - Lidia Delrieu
- Département Prévention Cancer Environnement, Centre Léon Bérard, Lyon, France
- Laboratoire Interuniversitaire de Biologie de la Motricité, Université de Lyon, Lyon, France
| | | | - Souad Assaad
- Département de Cancérologie médicale, Centre Léon Bérard, Lyon, France
| | - Amine Belhabri
- Département de Cancérologie médicale, Centre Léon Bérard, Lyon, France
| | - Lila Gilis
- Département de Cancérologie médicale, Centre Léon Bérard, Lyon, France
| | - Yann Guillermin
- Département de Cancérologie médicale, Centre Léon Bérard, Lyon, France
| | - Laure Lebras
- Département de Cancérologie médicale, Centre Léon Bérard, Lyon, France
| | - Philippe Rey
- Département de Cancérologie médicale, Centre Léon Bérard, Lyon, France
| | - Clémence Santana
- Département de Cancérologie médicale, Centre Léon Bérard, Lyon, France
| | | | - Catherine Terret
- Département de Cancérologie médicale, Centre Léon Bérard, Lyon, France
| | - Mauricette Michallet
- Département Prévention Cancer Environnement, Centre Léon Bérard, Lyon, France
- Département de Cancérologie médicale, Centre Léon Bérard, Lyon, France
| | - Béatrice Fervers
- Département Prévention Cancer Environnement, Centre Léon Bérard, Lyon, France
- Radiations: Défense, Santé, Environnement, INSERM UMR1296, Lyon, France
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