UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059115
Receipt number R000067627
Scientific Title A trial for feasibility and effectiveness of preHABilitation during NEOadjuvant chemotherapy in older patients with locally advanced Esophageal cancer
Date of disclosure of the study information 2025/09/18
Last modified on 2025/09/18 01:01:22

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Basic information

Public title

A trial for feasibility and effectiveness of preHABilitation during NEOadjuvant chemotherapy in older patients with locally advanced Esophageal cancer

Acronym

A trial for feasibility and effectiveness of preHABilitation during NEOadjuvant chemotherapy in older patients with locally advanced Esophageal cancer

Scientific Title

A trial for feasibility and effectiveness of preHABilitation during NEOadjuvant chemotherapy in older patients with locally advanced Esophageal cancer

Scientific Title:Acronym

NEOHAB-E trial

Region

Japan


Condition

Condition

Esophageal cancer

Classification by specialty

Gastrointestinal surgery Rehabilitation medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate the feasibility, safety, and effects of prehabilitation during neoadjuvant chemotherapy in older patients with locally advanced esophageal cancer.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Phase I,II


Assessment

Primary outcomes

Adherence to the intervention program: adherence rate to the exercise and nutrition program (from the initiation of neoadjuvant chemotherapy to the completion of the final cycle)

Key secondary outcomes

Safety of the intervention program (proportion of Grade 2 or more adverse events attributable to the exercise and nutrition program, assessed from initiation to completion of neoadjuvant chemotherapy cycles); skeletal muscle mass (Skeletal Muscle Mass Index [SMI] calculated from L3 CT images); physical activity (Global Physical Activity Questionnaire [GPAQ]); oral intake (Brief-type self-administered Diet History Questionnaire [BDHQ]); physical fitness (Incremental Shuttle Walk Test [ISWT]); nutritional status (body weight); functional status (WHO Disability Assessment Schedule ver. 2.0); and postoperative complications within 30 days (Clavien-Dindo classification grade II or higher).


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification

NO

Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

The intervention domains of prehabilitation during neoadjuvant chemotherapy consist of exercise and nutritional interventions, delivered through alternating inpatient (education phase) and outpatient (self-management phase: home-based intervention) settings. Patients are instructed to use a prehabilitation notebook/diary to support self-management of exercise and nutrition. The intervention period is defined as the duration from the day following the initiation of neoadjuvant chemotherapy until the T2 assessment after completion of the final chemotherapy cycle. The number of intervention sessions corresponds to the number of chemotherapy cycles administered (minimum of 1 and maximum of 3 interventions).

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

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients pathologically diagnosed with thoracic esophageal cancer (squamous cell carcinoma).
Patients scheduled to undergo curative resection following neoadjuvant therapy with the DCF regimen.
Patients aged 65 or more years at the time of enrollment.
Patients with an ECOG Performance Status of 0 to 2.
Patients capable of oral intake at the time of enrollment (Dysphagia score 2 or lower).
Patients able to provide written informed consent.
Patients able to understand the procedures for using an activity monitor and rehabilitation notebook.
Patients prior to the initiation of neoadjuvant therapy.

Key exclusion criteria

Presence of systemic infection requiring treatment.
Presence of fever 38 or more degrees Celsius.
Presence of psychiatric disorders or psychiatric symptoms that are judged to make participation in the trial difficult.
Receiving continuous systemic administration of corticosteroids (oral or intravenous).
Presence of uncontrolled hypertension.
Presence of unstable angina (new onset or worsening angina within the past 3 weeks) or history of myocardial infarction within the past 6 months.
Presence of severe interstitial pneumonia, pulmonary fibrosis, pulmonary emphysema, or acute heart failure.
History of cerebrovascular disease (such as cerebral infarction, intracerebral hemorrhage, or transient ischemic attack) within the past 6 months.
Presence of active double cancer (*1).
Any other condition judged by the principal investigator to make the patient unsuitable for enrollment in this clinical trial.

Target sample size

36


Research contact person

Name of lead principal investigator

1st name Tsuyoshi
Middle name
Last name HARADA

Organization

National Cancer Center Hospital East

Division name

Department of Rehabilitation Medicine

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba

TEL

+81-4-7133-1111

Email

tsuyoshi6167@gmail.com


Public contact

Name of contact person

1st name Tsuyoshi
Middle name
Last name HARADA

Organization

National Cancer Center Hospital East

Division name

Department of Rehabilitation Medicine

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba

TEL

+81-4-7133-1111

Homepage URL


Email

tsuyoshi6167@gmail.com


Sponsor or person

Institute

National Cancer Center

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Hospital East

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba

Tel

+81-4-7133-1111

Email

tsuyoshi6167@gmail.com


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

国立長寿医療研究センター(愛知県)、名古屋大学大学院(愛知県)


Other administrative information

Date of disclosure of the study information

2025 Year 09 Month 18 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

Preinitiation

Date of protocol fixation

2025 Year 09 Month 09 Day

Date of IRB

2025 Year 09 Month 09 Day

Anticipated trial start date

2025 Year 10 Month 01 Day

Last follow-up date

2027 Year 10 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 09 Month 18 Day

Last modified on

2025 Year 09 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000067627