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Trial registered on ANZCTR
Registration number
ACTRN12608000220369
Ethics application status
Approved
Date submitted
21/04/2008
Date registered
24/04/2008
Date last updated
3/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Exercise to prevent osteoporosis in breast cancer survivors.
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Scientific title
Exercise to prevent osteoporosis as a consequence of hormone treatment in post menopausal women treated for breast cancer
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Secondary ID [1]
553
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NHMRC Application No: 512555
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Universal Trial Number (UTN)
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Trial acronym
BONES
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoporosis
3081
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Breast Cancer
3082
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Condition category
Condition code
Musculoskeletal
3210
3210
0
0
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Osteoporosis
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Cancer
3249
3249
0
0
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Exercise programme - exercise training will run for 12 months, 3 x per week for approx 1 hr each session. A trainer will meet women at their local community gym 3 x per week for the first 4 weeks then reducing to once a month for the rest of the year. The program will consist of 5 min warm-up, 25 min high impact exercise using steps (jumping, running, hopping)25 mins resistance exercise in the limbs and trunk using free weights and resistance equipment, and 5 min cool down. * Daily Calcium carbonate (1200mg) and vitamin D (1000 IU) supplements
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Intervention code [1]
2832
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Prevention
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Comparator / control treatment
Daily Calcium Carbonate (1200mg) and Vitamin D (1000 IU) supplements No exercise prescription
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Control group
Active
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Outcomes
Primary outcome [1]
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Bone Mineral Density: DEXA scans of spine and hip
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Assessment method [1]
4122
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Timepoint [1]
4122
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baseline, 6 months, 12 months
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Secondary outcome [1]
6895
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Biochemical markers of bone remodelling (bone formation and resorption): automated imunoassay
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Assessment method [1]
6895
0
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Timepoint [1]
6895
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baseline, 6 months, 12 months
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Secondary outcome [2]
6923
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Self report outcomes: quality of life questionnaire and medical outcomes survey short forms
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Assessment method [2]
6923
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Timepoint [2]
6923
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baseline, 6 months, 12 months
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Secondary outcome [3]
6937
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Lymphoedema status: Bioimpedance spectroscopy
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Assessment method [3]
6937
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Timepoint [3]
6937
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baseline, 6 months, 12 months
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Secondary outcome [4]
6939
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Bone Mineral Density (BMD): DEXA scans of trochanteric, femoral neck and spinal BMD
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Assessment method [4]
6939
0
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Timepoint [4]
6939
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baseline, 6 months, 12 months
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Eligibility
Key inclusion criteria
Women will be included if they : Are postmenopausal, based on age, menses history, and/or surgery. Have stage I-III breast cancer. Have oestrogen receptor and/or progesterone receptor positive breast cancer. Have commenced taking aromatase inhibitor within 10 weeks. Have Eastern Collaborative Oncology Group performance status <=2 (Oken et al, 1982). Are sedentary.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Women will be excluded if they have:
Any clinical or radiological evidence of distant spread of disease.
Taken any HRT within the past 12 months.
Taken bisphosphonates within the past 6 months.
Received prior treatment with continuous systemic glucocorticoids within the past 6 months.
Current treatments with any drugs known to affect the skeleton (eg Calcitonin, calcitrol, mithramycin or gallium nitrate).
A history of diseases that influence bone metabolism, such as Paget's disease or ongoing thyroid toxicosis.
Previous or concomitant malignancy (apart from breast cancer) within the past 5 years except adequately treated basal or squamous cell carcinoma of the skin or in situ carcinoma of the cervix.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Particpants will be recruited from Royal Prince Alfred, Concord General Repatriation, Strathfield Private, and Westmead Hospitals.
A person not involved with the project will prepare sequentially numbered opaque envelopes with the group allocation sealed inside.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Immediately after baseline assessment, women will be randomly allocated by the research assistant to either the Exercise or the control group. The randomisation list will be computer generated in permuted blocks and stratified by whether the woman has previously used Tamoxifen. The randomisation process should distribute equally to the two groups the women receiving other therapies (eg, chemotherapy, radiotherapy), and other aspects of breast cancer management.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/05/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
3333
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Government body
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Name [1]
3333
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Cancer Australia
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Address [1]
3333
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PO Box 1201
Dickson ACT 2602
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Country [1]
3333
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Australia
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Primary sponsor type
University
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Name
University of Sydney
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Address
Faculty of Health Sciences
75 East St (PO Box 170)
Lidcombe 1825
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
2979
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Address [1]
2979
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Country [1]
2979
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
5345
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University of Sydney Ethics Committee
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Ethics committee address [1]
5345
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Level 3, Room 313 A22- Old Teacher's College University of Sydney Camperdown, 2006
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Ethics committee country [1]
5345
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Australia
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Date submitted for ethics approval [1]
5345
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Approval date [1]
5345
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27/10/2006
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Ethics approval number [1]
5345
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10-2006/9441
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Ethics committee name [2]
5346
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Royal North Shore Hospital Ethics Committee
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Ethics committee address [2]
5346
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Research Office Level 4, Vindin House Royal North Shore Hospital Pacific Hwy, St Leonards NSW 2065
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Ethics committee country [2]
5346
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Australia
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Date submitted for ethics approval [2]
5346
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Approval date [2]
5346
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22/11/2006
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Ethics approval number [2]
5346
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0609-153M
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Summary
Brief summary
Breast cancer affects 1 in 11 women. Aromatase inhibitors, a first-line treatment for the postmenopausal women treated for breast cancer, have improved the prognosis of breast cancer by at least 20%. However, one side-effect is a rapid decrease in bone mineral density. Without an effective intervention to address the osteoporosis, health costs will increase significantly. The aim of the proposed study is to determine whether the decline in BMD induced by use of aromatase inhibitors for treatment of breast cancer can be reversed in postmenopausal women. We will undertake a randomized controlled trial to determine whether high impact exercise prevents loss of bone mineral density more effectively than usual care. Participants in both groups will receive vitamin D and calcium supplements.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
28531
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Address
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Country
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Phone
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Fax
28531
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Email
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Contact person for public queries
Name
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Mr Ross Paterson
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Address
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University of Sydney
Faculty of Health Sciences
75 East St (PO BOX 170)
Lidcombe 1825
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Country
11688
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Australia
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Phone
11688
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61 2 9036 7309
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Fax
11688
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61 2 9351 9601
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Email
11688
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[email protected]
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Contact person for scientific queries
Name
2616
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A/Prof Sharon Kilbreath
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Address
2616
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University of Sydney
Faculty of Health Sciences
75 East St (PO BOX 170)
Lidcombe 1825
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Country
2616
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Australia
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Phone
2616
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61 2 9351 9272
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Fax
2616
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61 2 9351 9601
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Email
2616
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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