Physical Activity With or Without Dexamethasone in Reducing Cancer-Related Fatigue in Participants With Advanced, Metastatic, or Recurrent Cancer



Status:Recruiting
Healthy:No
Age Range:Any
Updated:9/8/2018
Start Date:June 29, 2018
End Date:April 30, 2019
Contact:Sriram Yennu
Email:syennu@mdanderson.org
Phone:713-792-6085

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A Combination Therapy for Cancer-Related Fatigue in Advanced Cancer Patients

The goal of this clinical research study is to learn about the effects of combining physical
activity with dexamethasone to treat fatigue in patients with advanced cancer.

In this study, dexamethasone will be compared to a placebo. A placebo is not a drug. It looks
like the study drug but is not designed to treat any disease or illness. It is designed to be
compared with a study drug to learn if the study drug has any real effect.

This is an investigational study. Dexamethasone is FDA approved and commercially available
for the treatment of loss of appetite, tiredness, pain, and nausea. It is investigational to
combine dexamethasone and exercise to treat fatigue in advanced cancer patients. The study
doctor can explain how the study drug is designed to work.

Up to 70 participants will be enrolled in this study. All will take part at MD Anderson.


Inclusion Criteria:

1. Diagnosis of advanced cancer (defined as metastatic or recurrent incurable cancer)
with fatigue >/= 4/10 (0-10 scale) on the Edmonton Symptom Assessment Scale (ESAS)

2. Presence of fatigue for at least 2 weeks

3. Normal cognition defined as Memorial Delirium Assessment Scale (MDAS) of
4. Hemoglobin >10 g/L within 1 week of enrollment in the study

5. Zubrod performance status
6. Life expectancy of >/= 4 months

7. Able to read, write, and speak English.

Exclusion Criteria:

1. Patients with a history of hypersensitivity to dexamethasone or having any
contraindication to physical activity as determined by the treating physician

2. Reports of a fall in the past 30 days

3. Diabetes mellitus, sepsis and/or acute, chronic, or ongoing infections that are
currently being treated with systemic antimicrobials

4. Current, active peptic ulcer disease

5. Neutropenia as defined by an absolute neutrophil count (ANC) of < 1000 cells/mm

6. Regular participation in moderate- or vigorous-intensity physical activity for >/= 30
minutes at least 5 times a week and strength training for >/= 2 days

7. Severe cardiac disease (New York Heart Association functional class III or IV) or
coronary artery disease

8. Patients currently on immunotherapy

9. Inability to comply with study protocol procedures
We found this trial at
1
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Houston, Texas 77030
Principal Investigator: Sriram Yennu
Phone: 713-792-6085
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Houston, TX
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