ClinicalTrials.gg
CompletedNCT03411200PACE-MobilUpdated Jul 14, 2020

Patient Activation Through Counseling, Exercise and Mobilization

An interventional study of Multimodal and exercise-based intervention in Pancreas Cancer, Biliary Tract Cancer and Non Small Cell Lung Cancer, sponsored by Herlev and Gentofte Hospital. Completed at 1 site in Denmark. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2020-07-14.

Sponsored by Herlev and Gentofte Hospital · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
99
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 75 studies in Pancreatic Neoplasms with a site in Denmark — 18 open to participants now, 25 under way, 3 of them phase 3. Pancreatic Neoplasms · Denmark.

Enrollment
23rd of 50
99 · median 88
Started
2018
with 2 others
No phase
15 of 75
5 open now
Registered
34th of 75
by date

Among the 75 studies in Pancreatic Neoplasms with a site in Denmark, this one is the 23rd largest by enrollment of the 50 interventional ones that give a count, is one of 3 that started in 2018, is one of 15 with no phase, and was the 34th registered.

Pancreatic Neoplasms

3,896 studies on the registry are indexed under Pancreatic Neoplasms; 1,007 are open to participants now.

Browse Pancreatic Neoplasms studies →

Open to participants now

18 of the 75 studies in Pancreatic Neoplasms with a site in Denmark are open now. Recruiting first, the newest first:

13 more — sign in →

All 18 open studies →

A study can be open while its sites in Denmark have not opened yet or have stopped. Only those recruiting at a site in Denmark →

Who these studies take

Of the 746 Pancreatic Neoplasms studies recruiting now, 479 (64%) set no upper age limit and 151 (20%) stop at 75 or younger; 40 take children under 18; 59 take healthy volunteers.

This study: 65 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 75 studies in Pancreatic Neoplasms with a site in Denmark, or all of them as a file.
02

Study summary

PACE-Mobil-PBL is a prospective randomized controlled trial. The aim is to investigate the effect of a multimodal and exercise-based intervention among older patients with advanced pancreatic cancer, biliary tract cancer, or lung cancer during treatment with first-line palliative chemotherapy, immunotherapy or targeted therapy.

The hypotheses: That the multimodal intervention will increase or maintain physical function levels and strength, reduce symptoms and side-effects, improve quality of life, reduce treatment-related complications and hospital admissions, and reduce risk of cancer cachexia and sarcopenia.

03

Conditions studied

  • Pancreas Cancer
  • Biliary Tract Cancer
  • Non Small Cell Lung Cancer
  • Advanced Cancer

Keywords

  • Older
  • Advanced Cancer
  • Exercise
  • Resistance training
  • Counseling
  • Mobilization
04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Be diagnosed with locally advanced or pancreatic cancer, OR locally advanced or metastatic biliary tract cancer, OR locally advanced or metastatic non-small cell lung cancer within 12 weeks.
  • Have unresectable cancer.
  • Be treated with palliative chemotherapy, immunotherapy or targeted therapy at the Department of Oncology, Herlev and Gentofte Hospital.
  • Have an (ECOG) performance status ≤2.
  • Have the ability to speak and read Danish, and to provide a signed form.

Exclusion criteria

Exclusion Criteria, patients with:

  • Small-cell lung cancer.
  • Any physical condition that hinder the execution of physical exercise training.
  • Documented and uncontrolled that hinder participation in an exercise-based trial, based on the referring oncologist's assessment.
  • Dementia, psychotic disorders, or other cognitive diseases or conditions that hinder participation in a clinical exercise-based trial.
  • Unstable medical disease or history of serious or concurrent illness; any Medical condition that might be aggravated by exercise training or that cannot be controlled, including, but not restricted to congestive heart failure ( class II-IV), unstable angina pectoris, implantable cardioverter defibrillator, or myocardial infarction within 6 months, based on the referring oncologist's assessment.

In patients with bone :

  • A bone metastatic burden or location that poses a risk of injury in the performance of exercise training, as assessed by the referring oncologist.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
99 participants (actual)

Study arms

  • Experimental
    Intervention group (n=50)

    Participants in the intervention group will receive usual care and the multimodal and exercise-based intervention.

    Behavioral: Multimodal and exercise-based intervention

  • No intervention
    Control group (n=50)

    Participants in the control group will receive usual care.

Interventions

  • BehavioralMultimodal and exercise-based intervention

    The multimodal and exercise-based intervention is comprised of: 1. Supervised and group-based exercise two times a week (60 minutes per session). The program consists of warm-up, exercises for balance and flexibility, progressive resistance training, and stretching and relaxation. 2. Individualized activity program based on step counts (with activity tracker). Based on each participant's starting point, preferences and motivation, an individualized program will be composed. Evaluation and goal-setting will be conducted once weekly. 3. Nurse-led supportive and motivational counseling; each participant will be invited to two sessions of counseling (in week 1 + 6). Each session will be based on a holistic assessment of each participant's life situation. Advice and counseling will be provided based on identified problems and needs. 4. A nutritional supplement (protein bar or drink) will be served to participants immediately after the supervised exercise session.

06

What researchers measure

Primary outcomes

  1. Lower body strength measured with the 30-second chair stand test

    Number of stands a participant can complete in 30-seconds from a seated position with their arms crossed over the chest. The assessments will be conducted by a blinded physiotherapist

    Time frame: Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks)

Secondary outcomes

  1. Recruitment rate

    Number of participants included from eligible patients

    Time frame: Up to 2 years

  2. Adherence to exercise sessions

    Number of exercise sessions attended out of planned sessions

    Time frame: Up to 12 weeks

  3. Adherence to counseling sessions

    Number of counseling sessions attended out of planned sessions

    Time frame: Up to 12 weeks

  4. Adverse events

    Cases of exercise-related injuries or events, including, but not restricted to musculoskeletal-related events, falls, fall-related injuries, bleedings, or cardiovascular events.

    Time frame: Up to 12 weeks

  5. Physical performance measured with the 6-minute-walk-test

    The distance (measured in meters) a participant is able to walk over a total of six minutes on a hard flat surface. The assessments will be conducted by a blinded physiotherapist

    Time frame: Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks)

  6. Physical performance measured with the 6-meter Gait Speed Test

    The assessments will be conducted by a blinded physiotherapist

    Time frame: Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks)

  7. Upper-body strength measured with the Handgrip Strength Test

    Handgrip strength will be measured using a hand-held Jamar dynamometer. The assessments will be conducted by a blinded physiotherapist

    Time frame: Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks)

  8. Physical activity level

    Step Counts (measured with Garmin Vivofit 3 activity tracker).

    Time frame: Change measures (baseline, and 12 weeks).

  9. Qualitative assessment of participants' experiences

    Qualitative individual semi-structured interviews with participants from the intervention group

    Time frame: After 12 weeks

  10. Quality of life

    Measured with the EORTC Quality of Life questionnaire (EORTC QLQ-C30)

    Time frame: Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks)

  11. Symptoms of depression

    Measured with the patient questionnaire 'Hospital Anxiety and Depression Scale' (HADS)

    Time frame: Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks)

  12. Symptoms of anxiety

    Measured with the 'Hospital Anxiety and Depression Scale' (HADS) patient questionnaire

    Time frame: Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks)

  13. Symptom burden

    Measured with the 'M.D. Anderson Symptom Inventory' patient questionnaire

    Time frame: Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks)

  14. Number of participants with side-effects to oncological treatment assessed with the Common Toxicity Criteria for Adverse Events version 4

    Data will be collected from medical charts

    Time frame: Up to 6 months

  15. Body weight

    Weight will be measured using standard procedures (no shoes, light clothing) and will be reported in kilograms

    Time frame: Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks)

  16. Body mass index

    Reported in kg/m\^2

    Time frame: Change measures (baseline, 6 weeks, 12 weeks, and 16 weeks)

  17. Whole-body Lean body mass (LBM)

    Measured with Bioimpedance and DXA scans

    Time frame: Change measures (baseline, and 12 weeks)

  18. Whole-body fat mass

    Measured with Bioimpedance and DXA scans

    Time frame: Change measures (baseline, and 12 weeks)

  19. Whole-body bone mineral density

    Measured with DXA scans

    Time frame: Change measures (baseline, and 12 weeks)

  20. Inflammation (inflammatory biomarkers: C-reactive protein, Interleukin 6, YKL-40)

    Data will be collected from medical charts

    Time frame: Up to 6 months

  21. Number of hospital admissions

    Data will be collected from medical charts

    Time frame: Up to 6 months

  22. Causes of hospitalizations

    Data will be collected from medical charts

    Time frame: Up to 6 months

  23. Length of hospitalizations (days)

    Data will be collected from medical charts

    Time frame: Up to 6 months

  24. Survival

    Data will be collected from medical charts

    Time frame: Up to 2 years

07

Study locations

1 site
  • Herlev and Gentofte Hospital, Department of Oncology
    Herlev, 2730, Denmark
08

References and documents

Publications

  • Mikkelsen MK, Lund CM, Vinther A, Tolver A, Ragle AM, Johansen JS, Chen I, Engell-Noerregaard L, Larsen FO, Zerahn B, Nielsen DL, Jarden M. Engaging the older cancer patient; Patient Activation through Counseling, Exercise and Mobilization - Pancreatic, Biliary tract and Lung cancer (PACE-Mobil-PBL) - study protocol of a randomized controlled trial. BMC Cancer. 2018 Sep 27;18(1):934. doi: 10.1186/s12885-018-4835-2. PubMed 30261853 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Jul 2020, 26 months.

Of 403 non-industry interventional studies with no phase under Pancreatic Neoplasms, half reached primary completion within 45 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 75. This study's 26 months is below that.

Counting every sponsor, half of 430 studies reached it within 44 months; a quarter within 26 and three quarters within 75.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 10, 2018
First posted
Jan 26, 2018
StartActual
Apr 4, 2018
Primary completionActual
Jul 1, 2020
CompletionActual
Jul 1, 2020
Last update
Jul 14, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 14, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03411200
Lead sponsor
Herlev and Gentofte Hospital
Responsible party
Marta Kramer Mikkelsen (Principal Investigator, Rigshospitalet, Denmark) — Principal investigator
First posted
Jan 26, 2018
Start date
Apr 4, 2018
Primary completion
Jul 1, 2020
Completion
Jul 1, 2020
Last update
Jul 14, 2020

Study contacts

Marta Kramer Mikkelsen
principal investigator · Rigshospitalet, Denmark

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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