NCT07840599

Brief Summary

The purpose of this study is to examine which of four components of a digital health intervention using an App and Fitbit meaningfully contribute to increased physical activity in Metastatic Breast Cancer Patients. Participants will be asked to:

  • Wear a Fitbit and use an app, use 0 to 3 other components for 24 weeks and attend 6 or 12 coaching coaching calls in the first 12 weeks to increase daily steps.
  • Complete a questionnaire at baseline, week 12 and week 24
  • Complete functional performance test (FPT) via Zoom at baseline, week 12 and week 24
  • Wear a research activity monitor (Accelerometer) for 7 days at baseline, week 12 and week 24

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
224

participants targeted

Target at P75+ for not_applicable

Timeline
54mo left

Started Jan 2027

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 18, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

September 25, 2026

Completed
3 months until next milestone

Study Start

First participant enrolled

January 1, 2027

Expected
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2031

6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 15, 2031

Last Updated

October 1, 2026

Status Verified

September 1, 2026

Enrollment Period

4 years

First QC Date

September 18, 2026

Last Update Submit

September 28, 2026

Conditions

Keywords

exercisewearablescoachingEMRSocial SupportMetastatic Breast CancerMOSTphysical activity

Outcome Measures

Primary Outcomes (1)

  • Change in Steps

    The ActiGraph accelerometer will be used. Participants will wear the device during all waking hours for 7 consecutive days, except when bathing or swimming, on their non-dominant hip.

    Baseline, 12 and 24 weeks

Secondary Outcomes (13)

  • ActiGraph measured MVPA

    Baseline, 12 and 24 weeks

  • ActiGraph measured light activity

    Baseline, 12 and 24 weeks

  • ActiGraph measured sedentary behavior

    Baseline, 12 and 24 weeks

  • Godin Leisure Time Exercise Questionnaire

    Baseline, 12 and 24 weeks

  • Short Physical Performance Battery (SPPB) Total Score

    Baseline, 12 weeks, 24 weeks

  • +8 more secondary outcomes

Study Arms (16)

1- Core, EHR, Weekly Coaching, Social+, Highly Tailored Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: EHR Integration (On v. Off)Behavioral: Weekly CoachingBehavioral: Social+ (on v. off)Behavioral: Highly Tailored Goal Setting

2- Core, EHR, Bi-Weekly Coaching, Social+, Highly Tailored Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: EHR Integration (On v. Off)Behavioral: Social+ (on v. off)Behavioral: Bi-Weekly CoachingBehavioral: Highly Tailored Goal Setting

3- Core, EHR, Weekly Coaching, Static Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: EHR Integration (On v. Off)Behavioral: Weekly CoachingBehavioral: Static Goal Setting

4- Core, EHR, Bi-Weekly Coaching, Static Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: EHR Integration (On v. Off)Behavioral: Static Goal SettingBehavioral: Bi-Weekly Coaching

5- Core, EHR, Weekly Coaching, Social+, Static Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: EHR Integration (On v. Off)Behavioral: Weekly CoachingBehavioral: Social+ (on v. off)Behavioral: Static Goal Setting

6- Core, EHR, Bi-Weekly Coaching, Social+, Static Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: EHR Integration (On v. Off)Behavioral: Social+ (on v. off)Behavioral: Static Goal SettingBehavioral: Bi-Weekly Coaching

7- Core, EHR, Weekly Coaching, Highly Tailored Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: EHR Integration (On v. Off)Behavioral: Weekly CoachingBehavioral: Highly Tailored Goal Setting

8- Core, EHR, Bi-Weekly Coaching, Highly Tailored Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: EHR Integration (On v. Off)Behavioral: Bi-Weekly CoachingBehavioral: Highly Tailored Goal Setting

9- Core, Weekly Coaching, Social+, Static Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: Weekly CoachingBehavioral: Social+ (on v. off)Behavioral: Static Goal Setting

10- Core, Bi-Weekly Coaching, Social+, Static Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: Social+ (on v. off)Behavioral: Static Goal SettingBehavioral: Bi-Weekly Coaching

11- Core, Weekly Coaching, Highly Tailored Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: Weekly CoachingBehavioral: Highly Tailored Goal Setting

12- Core, Bi-Weekly Coaching, Highly Tailored Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: Bi-Weekly CoachingBehavioral: Highly Tailored Goal Setting

13- Core, Weekly Coaching, Social+, Highly Tailored Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: Weekly CoachingBehavioral: Social+ (on v. off)Behavioral: Highly Tailored Goal Setting

14- Core, Bi-Weekly Coaching, Social+, Highly Tailored Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: Social+ (on v. off)Behavioral: Bi-Weekly CoachingBehavioral: Highly Tailored Goal Setting

15- Core, Weekly Coaching, Static Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: Weekly CoachingBehavioral: Static Goal Setting

16- Core, Bi-Weekly Coaching, Static Goal Setting

EXPERIMENTAL
Behavioral: Core InterventionBehavioral: Static Goal SettingBehavioral: Bi-Weekly Coaching

Interventions

The core intervention includes educational materials, Fitbit and access to the Fit2ThriveMB Core App.

1- Core, EHR, Weekly Coaching, Social+, Highly Tailored Goal Setting10- Core, Bi-Weekly Coaching, Social+, Static Goal Setting11- Core, Weekly Coaching, Highly Tailored Goal Setting12- Core, Bi-Weekly Coaching, Highly Tailored Goal Setting13- Core, Weekly Coaching, Social+, Highly Tailored Goal Setting14- Core, Bi-Weekly Coaching, Social+, Highly Tailored Goal Setting15- Core, Weekly Coaching, Static Goal Setting16- Core, Bi-Weekly Coaching, Static Goal Setting2- Core, EHR, Bi-Weekly Coaching, Social+, Highly Tailored Goal Setting3- Core, EHR, Weekly Coaching, Static Goal Setting4- Core, EHR, Bi-Weekly Coaching, Static Goal Setting5- Core, EHR, Weekly Coaching, Social+, Static Goal Setting6- Core, EHR, Bi-Weekly Coaching, Social+, Static Goal Setting7- Core, EHR, Weekly Coaching, Highly Tailored Goal Setting8- Core, EHR, Bi-Weekly Coaching, Highly Tailored Goal Setting9- Core, Weekly Coaching, Social+, Static Goal Setting

Participant Fitbit data will synchronize with the EHR. Participants will receive automated weekly messages via the patient portal. Clinicians can view patient Fitbit data and will receive Epic InBasket messages on the day of patient appointments with a summary of patients' PA progress and talking points to encourage patients.

1- Core, EHR, Weekly Coaching, Social+, Highly Tailored Goal Setting2- Core, EHR, Bi-Weekly Coaching, Social+, Highly Tailored Goal Setting3- Core, EHR, Weekly Coaching, Static Goal Setting4- Core, EHR, Bi-Weekly Coaching, Static Goal Setting5- Core, EHR, Weekly Coaching, Social+, Static Goal Setting6- Core, EHR, Bi-Weekly Coaching, Social+, Static Goal Setting7- Core, EHR, Weekly Coaching, Highly Tailored Goal Setting8- Core, EHR, Bi-Weekly Coaching, Highly Tailored Goal Setting
Weekly CoachingBEHAVIORAL

Participants will receive 12 calls from study staff to provide feedback on PA progress and support to increase PA.

1- Core, EHR, Weekly Coaching, Social+, Highly Tailored Goal Setting11- Core, Weekly Coaching, Highly Tailored Goal Setting13- Core, Weekly Coaching, Social+, Highly Tailored Goal Setting15- Core, Weekly Coaching, Static Goal Setting3- Core, EHR, Weekly Coaching, Static Goal Setting5- Core, EHR, Weekly Coaching, Social+, Static Goal Setting7- Core, EHR, Weekly Coaching, Highly Tailored Goal Setting9- Core, Weekly Coaching, Social+, Static Goal Setting

Participants assigned to this condition will receive the social feed app module and attend 7 synchronous, facilitated group sessions during the 12-week intervention. There will also be a social feed app module is intended to enhance communication and support among participants.

1- Core, EHR, Weekly Coaching, Social+, Highly Tailored Goal Setting10- Core, Bi-Weekly Coaching, Social+, Static Goal Setting13- Core, Weekly Coaching, Social+, Highly Tailored Goal Setting14- Core, Bi-Weekly Coaching, Social+, Highly Tailored Goal Setting2- Core, EHR, Bi-Weekly Coaching, Social+, Highly Tailored Goal Setting5- Core, EHR, Weekly Coaching, Social+, Static Goal Setting6- Core, EHR, Bi-Weekly Coaching, Social+, Static Goal Setting9- Core, Weekly Coaching, Social+, Static Goal Setting

Participants will be provided with a daily step goal for the week. The goal will be progressive and tailored to each individual's progress to build efficacy and ensure safe progression until 10,000 steps/day is achieved (i.e. 4500 steps/day in week 1, 5500 steps/day in week 2, etc.).

10- Core, Bi-Weekly Coaching, Social+, Static Goal Setting15- Core, Weekly Coaching, Static Goal Setting16- Core, Bi-Weekly Coaching, Static Goal Setting3- Core, EHR, Weekly Coaching, Static Goal Setting4- Core, EHR, Bi-Weekly Coaching, Static Goal Setting5- Core, EHR, Weekly Coaching, Social+, Static Goal Setting6- Core, EHR, Bi-Weekly Coaching, Social+, Static Goal Setting9- Core, Weekly Coaching, Social+, Static Goal Setting

Participants will receive 6 calls from study staff to provide feedback on PA progress and support to increase PA.

10- Core, Bi-Weekly Coaching, Social+, Static Goal Setting12- Core, Bi-Weekly Coaching, Highly Tailored Goal Setting14- Core, Bi-Weekly Coaching, Social+, Highly Tailored Goal Setting16- Core, Bi-Weekly Coaching, Static Goal Setting2- Core, EHR, Bi-Weekly Coaching, Social+, Highly Tailored Goal Setting4- Core, EHR, Bi-Weekly Coaching, Static Goal Setting6- Core, EHR, Bi-Weekly Coaching, Social+, Static Goal Setting8- Core, EHR, Bi-Weekly Coaching, Highly Tailored Goal Setting

Participants will be prompted each morning to report the intensity of their symptom burden on a scale from 1 to 5. Based on symptom rating, prior day's step goal attainment and/or the number of steps achieved the previous day, participants will be provided with three to four goal options for that day.

1- Core, EHR, Weekly Coaching, Social+, Highly Tailored Goal Setting11- Core, Weekly Coaching, Highly Tailored Goal Setting12- Core, Bi-Weekly Coaching, Highly Tailored Goal Setting13- Core, Weekly Coaching, Social+, Highly Tailored Goal Setting14- Core, Bi-Weekly Coaching, Social+, Highly Tailored Goal Setting2- Core, EHR, Bi-Weekly Coaching, Social+, Highly Tailored Goal Setting7- Core, EHR, Weekly Coaching, Highly Tailored Goal Setting8- Core, EHR, Bi-Weekly Coaching, Highly Tailored Goal Setting

Eligibility Criteria

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

You may qualify if:

  • Female sex assigned at birth, age 18 years or older
  • Diagnosed with metastatic breast cancer or locally advanced disease not amenable to surgical resection.
  • Self-report engagement in \<150 min/week of moderate to vigorous physical activity
  • Ownership of an Android or iPhone with an up-to-date version of the operating system
  • Internet access to complete assessments
  • Fluency in spoken and written English
  • Willingness to obtain medical clearance to participate.

You may not qualify if:

  • Untreated brain metastases
  • Breast cancer with metastases to only the axillary lymph nodes.
  • Self-reported absolute contraindications to exercise (i.e., non-ambulatory, acute myocardial infarction, severe cognitive or functional impairment)
  • Currently pregnant or plans to become pregnant
  • Plans to move out of the United States in next 12 months
  • Current enrollment in another dietary or physical activity trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Northwestern University

Chicago, Illinois, 60611, United States

Location

MeSH Terms

Conditions

Breast NeoplasmsMotor Activity

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue DiseasesBehavior

Central Study Contacts

Siobhan Phillips, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

September 18, 2026

First Posted

September 25, 2026

Study Start (Estimated)

January 1, 2027

Primary Completion (Estimated)

January 1, 2031

Study Completion (Estimated)

June 15, 2031

Last Updated

October 1, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will not share

Locations