NCT04125914

Brief Summary

This trial studies how well weight management and health behavior intervention works in helping patients with hereditary breast and ovarian cancer and Lynch syndrome mutation carriers lose or maintain a healthy weight and lower their risk for cancer. Lifestyle behaviors such as physical activity, diet, and weight management may play a key role in preventing cancers and improving outcomes even in those with hereditary cancer syndromes.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
384

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2017

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 26, 2017

Completed
2.3 years until next milestone

First Submitted

Initial submission to the registry

May 6, 2019

Completed
5 months until next milestone

First Posted

Study publicly available on registry

October 14, 2019

Completed
6.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2026

Completed
Last Updated

April 16, 2026

Status Verified

April 1, 2026

Enrollment Period

9.3 years

First QC Date

May 6, 2019

Last Update Submit

April 13, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Percent weight loss

    The data from the proposed factorial experiment will be analyzed through analysis of variance (ANOVA) with repeated measures. The outcome variable is the percent weight loss of each participant at 4 months. The fixed covariates include indicator variables for all intervention components. The model includes a random intercept that introduces within-family correlation. The main effect of each intervention component will be tested in an F-test at alpha = 0.0125 level. The pairwise interactions of the intervention components will be studied in an exploratory fashion. The optimal intervention is defined to be the combination of the four components that produces the best percent weight loss result within the resource constraints. Data can also be analyzed jointly in a linear mixed model that includes intervention components and time as fixed effect, family as random intercept and longitudinal correlation between 4 and 8 month data.

    Baseline to 4 months

Secondary Outcomes (3)

  • Fruit and vegetable consumption

    Up to 8 months

  • Percent energy from fat

    Up to 8 months

  • Physical activity

    Up to 8 months

Study Arms (1)

Prevention (weight management, health behavior intervention)

EXPERIMENTAL

Participants undergo weight management and health behavior intervention with a combination of 4 components for 16 weeks. TELEPHONE COACHING: Participants receive 1 phone call each week from a coach over 30-45 minutes to discuss diet, physical activity and goal setting. EMAIL COACHING: Participants receive 1 phone call to discuss the process over 10-15 minutes and then receive 1 email each week for 16 weeks. NO COACHING: Participants receive 1 phone call the first week over 10-15 minutes to discuss the process. TEXT MESSAGING: Participants receive 7-12 text messages comprising information about diet and physical activity each week for 16 weeks. SELF-MONITORING: Participants record their food intake and weight directly into the Fitbit website or application 4-7 days each week or 1 day each week for 16 weeks. FAMILY TEAM INTERVENTION: Participants receive 2 group phone calls and join a Facebook group that is monitored by research staff where they can interact with each other and coaches.

Behavioral: Behavioral Dietary InterventionOther: E-mailBehavioral: Exercise InterventionOther: Health Promotion and EducationOther: Internet-Based InterventionOther: Questionnaire AdministrationBehavioral: Telephone-Based Intervention

Interventions

Record food intake

Prevention (weight management, health behavior intervention)
E-mailOTHER

Receive e-mails

Also known as: Electronic Mail, Email
Prevention (weight management, health behavior intervention)

Undergo exercise

Prevention (weight management, health behavior intervention)

Receive text messages

Prevention (weight management, health behavior intervention)

Join Facebook page

Prevention (weight management, health behavior intervention)

Ancillary studies

Prevention (weight management, health behavior intervention)

Receive telephone coaching

Prevention (weight management, health behavior intervention)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • HEALTH4Families only: Positive for either HBOC or LS predisposing mutations OR a family member of a mutation carrier (family members do not need to be biological relatives).
  • HEALTH4Families only: Index participant ONLY: Must have at least one family member who is eligible and consents to participation.
  • Have at least one of the following risk factors:
  • Body mass index (BMI) of 25 or higher
  • \< 5 servings of vegetables and fruits per day
  • \< 150 minutes per week of moderate intensity activity
  • minutes per week of vigorous intensity activity
  • Able to read and write English.
  • Have a cellular telephone and are able and willing to send and receive text messages.
  • Access to internet via desktop or mobile device.
  • Capable of participating in moderate-vigorous unsupervised exercise.
  • HEALTH4CPC only: Patient in MD Anderson's Cancer Prevention Center coming in to the clinic for one of the following appointment types: consult and new patient screening appointments
  • HEALTH4CPC only: Female.
  • HEALTH4CPC only: Lives in the Houston area or surrounding counties (within 150 miles of MD Anderson's main campus).
  • HEALTH4CPC only: Has a smartphone.

You may not qualify if:

  • Unable to walk without crutches, walker, cane, or other assistive device.
  • Women who are pregnant or nursing (by self-report).
  • Currently receiving radiation therapy or cytotoxic chemotherapy.
  • Within 3 months of major surgery.
  • Does not live in the United States.
  • HEALTH4CPC only: Persons diagnosed with any invasive cancer excluding non-melanoma skin cancer.
  • HEALTH4CPC only: Patient at high risk for cancer.
  • HEALTH4CPC only: Participated in the HEALTH 4 MD Anderson pilot study (protocol 2014-0230).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

M D Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Related Links

MeSH Terms

Conditions

Breast Cancer, FamilialColorectal Neoplasms, Hereditary Nonpolyposis

Interventions

Health PromotionEducational Status

Condition Hierarchy (Ancestors)

Colorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsNeoplastic Syndromes, HereditaryDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesDNA Repair-Deficiency DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Health EducationPreventive Health ServicesHealth ServicesHealth Care Facilities Workforce and ServicesSocioeconomic FactorsPopulation Characteristics

Study Officials

  • Karen M Basen-Engquist

    M.D. Anderson Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 6, 2019

First Posted

October 14, 2019

Study Start

January 26, 2017

Primary Completion

April 30, 2026

Study Completion

April 30, 2026

Last Updated

April 16, 2026

Record last verified: 2026-04

Locations