Scale Down for Endometrial Cancer

Washington University School of Medicine155 enrolled

Overview

This proposal will pilot a weight management program for patients with endometrial cancer, the cancer most associated with obesity. If successful, this pilot could be expanded to include obese women with other gynecologic cancers (ovarian and cervical) and could be expanded and adapted for use not only upon completion of treatment, but during chemotherapy or radiation. Furthermore, other obstetricians and gynecologists could use this strategy for obese women as a practical cancer prevention strategy for obesity-associated cancers.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

155

Conditions

Endometrial Cancer Cancer of the Endometrium

Interventions

ScaleDownBEHAVIORAL

-Participants receives behavioral prompts and daily feedback by text messaging with motivational instructions for specific dietary and behavior modifications

Enhanced Usual Care PacketsBEHAVIORAL

-From the American Cancer Society Website

12-Item Short Form Health SurveyOTHER

-Measures functional health and well-being from the patient's perspective

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Female women 18 years of age or older and with biopsy-proven endometrial cancer. * BMI greater than or equal to 30 kg/m\^2. * Must be able to read and speak English. * All patients must be informed of the investigational nature of this study and must sign and give written informed consent for Aim 1 study activities in accordance with institutional and federal guidelines. * Has completed prior surgical management and adjuvant endometrial cancer treatment, if adjuvant treatment is indicated, prior to starting Aim 1. * Is not receiving concurrent cytotoxic chemotherapy and/or radiation therapy at time of enrollment AND, if randomized, is not anticipated that the participant will need to receive concurrent cytotoxic chemotherapy and/or radiation therapy at any time during the Aim 1 intervention * Patients with BMI greater than or equal to 30 kg/m\^2 who are undergoing hormonal treatment of endometrial cancer. * Eastern Cooperative Oncology Group (ECOG) performance status 0-2 * Life expectancy of at least one year * Must have a phone capable of receiving text messages. Exclusion Criteria: * Females under the age of 18 years * BMI less than 30 kg/m\^2 * Must not be participating in another formal weight loss program. * Must not have any other clinically significant medical disease or condition that, in the Investigator's opinion, may interfere with protocol adherence or a participant's ability to give informed consent. * For participants who are randomized in Aim 1: * No uncontrolled serious medical or psychiatric condition(s) that would affect the patient's ability to participate in the interventional study, e.g., uncontrolled hypertension, symptomatic cardiac disease, or severe/uncontrolled depression as indicated by a previously completed Patient Health Questionnaire (PHQ-9) score \>9 (Kroenke) * No diagnoses of any other invasive malignancy other than endometrial cancer or non-melanoma skin cancer which required active treatment currently or within the last 2 years.

Locations (1)

Washington University School of Medicine

St Louis, Missouri, United States

Outcomes

Primary Outcomes

Mean weight loss compared between the two arms

-The purpose will be to obtain estimates for the size of an effect achievable by the experimental intervention in order to power and justify a full-scale trial of a weight management program in women with endometrial cancer.

Time frame: Up to 12 months

Data from ClinicalTrials.gov

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