ClinicalTrials.gg
RecruitingNCT05850182ACTIDIET-PROUpdated Nov 18, 2025

Lifestyle Intervention in Patients With Metastatic Prostate Cancer

An interventional study of Lifestyle intervention in Prostate Cancer, sponsored by Oncology Institute of Southern Switzerland. Recruiting at 1 site in Switzerland. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-18.

Sponsored by Oncology Institute of Southern Switzerland · Not applicable, Interventional, and Other

From the registry’s dates

  • Started Nov 2023; still recruiting 2 years 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 136 studies in Prostatic Neoplasms with a site in Switzerland — 40 open to participants now, 58 under way, 20 of them phase 3. Prostatic Neoplasms · Switzerland.

Planned enrollment
87th of 107
30 · median 140
Started
2023
with 5 others
No phase
23 of 136
8 open now
Primary completion
2026-12
later than 17 of 57 live
Registered
98th of 136
by date
Lead sponsor
5 of 136
Oncology Institute of Southern Switzerland

Among the 136 studies in Prostatic Neoplasms with a site in Switzerland, this one is the 87th largest by planned enrollment of the 107 interventional ones that give a count, is one of 6 that started in 2023, is one of 23 with no phase, reaches primary completion later than 17 of the 57 other live ones, and was the 98th registered.

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,579 are open to participants now.

Browse Prostatic Neoplasms studies →

Open to participants now

40 of the 136 studies in Prostatic Neoplasms with a site in Switzerland are open now. Recruiting first, the newest first:

35 more — sign in →

All 40 open studies →

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

Who these studies take

Of the 1,228 Prostatic Neoplasms studies recruiting now, 927 (75%) set no upper age limit and 76 (6%) stop at 75 or younger; 67 take children under 18; 82 take healthy volunteers.

This study: 18 Years and older · male · no healthy volunteers.

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02

Study summary

The proposed pilot study aims at determining the feasibility of a lifestyle intervention including adherence to a personalised dietary regimen combined with regular physical activity in patients newly diagnosed with prostate cancer under androgen deprivation therapy.

Read the detailed description

Prostate cancer (PCa) is among the most frequent tumor types and is the second deadliest type of cancer in men.

PCa has a multifactorial aetiology; modifiable environmental factors, including diet and obesity, have been associated with prostate carcinogenesis. Furthermore, patients with PCa are treated with androgen deprivation therapy (ADT), which has negative effects on the cardiovascular system and body composition, particularly on the fat and muscle mass, bone health and psychological wellbeing.

Data in the current literature suggests that a lifestyle intervention e.g. with targeted and supervised exercise therapy or a dietary intervention with a prudent dietary patternmay positively influence the quality of life and the course of the disease of patients under ADT. However, conclusive data is missing.

The proposed pilot study aims at determining the feasibility and the effect of a lifestyle intervention including adherence to a personalised dietary regimen combined with regular physical activity in patients newly diagnosed with PCa under ADT.

03

Conditions studied

  • Prostate Cancer

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
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

  • Written according to ICH/GCP regulations before registration.
  • Age ≥ 18 years
  • Histology of adenocarcinoma of the prostate
  • Patients with PCa receiving ADT alone or ADT+NHT (abiraterone, enzalutamide, apalutamide or darolutamide)
  • Rising PSA (two consecutively rising PSA levels > 25% above nadir at least three weeks apart), with no evidence of clinical or radiographic progression on instrumental evaluation
  • PSA doubling time > 8 weeks
  • Continuation of ongoing systemic treatment is deemed feasible by treating physician

Exclusion criteria

Exclusion Criteria:

  • Ongoing treatment with docetaxel, cabazitaxel, radionuclides or treatments
  • Evidence of clinical progression or progression of disease on imaging
  • Bone excluding the safety of physical exercise
  • Prior confirmed severe osteoporosis or other diseases affecting the bone with history of fractures
  • cardiovascular disease (i.e. myocardial infarction within 6 months before screening; uncontrolled angina within 3 months before screening; congestive heart failure class 3 or 4; history of clinically significant arrhythmias; uncontrolled hypertension indicated by systolic blood pressure > 170 mm Hg or diastolic blood pressure > 105 mm Hg at screening)
  • Clinically significant
  • Any concurrent disease or comorbid condition that interferes with the ability of the patient to participate in the study
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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Metastases

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

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Arm treated with lifestyle intervention

    Patients with prostate cancer will receive a lifestyle intervention on diet and physical activity.

    Behavioral: Lifestyle intervention

Interventions

  • BehavioralLifestyle intervention

    12-week lifestyle intervention including adherence to a personalized balanced dietary regimen (low total fat, low saturated fat, high ω3 fatty acids, optimized protein content, low simple sugars) combined with regular physical activity (including physiotherapy sessions and self-training).

06

What researchers measure

Primary outcomes

  1. Patient initiation rate

    Study initiation rate (total number of patients enrolled divided by the number of patients screened for the study)

    Time frame: 12 weeks

  2. Patient retention rate

    Retention rate (number of patients completing the study divided by total number of patients enrolled at baseline)

    Time frame: 12 weeks

  3. Adherence to prescribed training program

    Adherence rate (fraction of scheduled physical activity appointments/selftrainings attended/carried out by the patients)

    Time frame: 12 weeks

  4. Adherence to prescribed dietary regimen

    Adherence rate (fraction of days of adherence to the prescribed dietary regimen)

    Time frame: 12 weeks

Secondary outcomes

  1. Effect of lifestyle intervention on PSA progression

    Percentage of PSA non-progressors (patients with \<25% PSA rise compared to baseline) at weeks 8, 12 and 24

    Time frame: 24 weeks

  2. Effect of lifestyle intervention on PSA levels

    PSA doubling time calculated with the formula PSA doubling time = ln (2) / PSA Slope \[PSA Slope = (ln (PSA level 2) - ln (PSA level 1)) / Time (no. of months)\]

    Time frame: 24 weeks

  3. Effect of lifestyle intervention on radiographic progression

    Percentage of patients being free of radiographic progression according to PCWG3 at weeks 12 and 24

    Time frame: 24 weeks

  4. Effect of lifestyle intervention on patient-reported quality of life

    Change in patient-reported quality of life from baseline using Functional Assessment of Cancer Therapy - Prostate (FACT-P) scoring from baseline to weeks 8, 12 and 24

    Time frame: 24 weeks

  5. Effect of lifestyle intervention on patient-reported fatigue

    Change in patient-reported fatigue from baseline using FACIT Fatigue scoring from baseline to weeks 8, 12 and 24

    Time frame: 24 weeks

  6. Effect of lifestyle intervention on time to subsequent treatment

    Time to a subsequent line of treatment (in weeks)

    Time frame: 24 months

  7. Effect of lifestyle intervention on plasma lipid signature

    Concentration of individual lipid types in the plasma of participating patients, change compared to baseline

    Time frame: 8 weeks

  8. Effect of lifestyle intervention on plasma immune signature

    Concentration of inflammatory cytokines in the plasma of participating patients, change compared to baseline

    Time frame: 8 weeks

  9. Effect of lifestyle intervention on microbiome composition

    Differences in community diversity and/or abundance of specific bacterial taxa within the intestinal microbiome prior to or during the lifestyle intervention.

    Time frame: 8 weeks

  10. Effect of lifestyle intervention on anthropometric variables

    Measurement of patient height and body weight and calculation of body-mass index (BMI) at baseline, during and after the lifesyle intervention.

    Time frame: 24 weeks

  11. Effect of lifestyle intervention on lean body mass

    Measurement of the percentage of lean body mass by bioelectrical impedance vector analysis and by magnetic resonance imaging.

    Time frame: 12 weeks

  12. Effect of lifestyle intervention on fat body mass

    Measurement of the percentage of fat body mass by bioelectrical impedance vector analysis and by magnetic resonance imaging.

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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

Started Nov 2023 (actual). Primary completion is estimated for Dec 2026, 37 months after the start.

Of 1,098 non-industry interventional studies with no phase under Prostatic Neoplasms, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 87. This study's planned 37 months is below that.

Counting every sponsor, half of 1,155 studies reached it within 43 months; a quarter within 22 and three quarters within 86.

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

Registered
Apr 24, 2023
First posted
May 9, 2023
StartActual
Nov 27, 2023
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Nov 18, 2025
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 Nov 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05850182
Lead sponsor
Oncology Institute of Southern Switzerland
Responsible party
Sponsor
First posted
May 9, 2023
Start date
Nov 27, 2023
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Nov 18, 2025

Study contacts

Ursula Vogl, MD
Contact
ursula.vogl@eoc.ch
+41 91 811 84 63
Luigi Tortola, PhD
Contact
luigi.tortola@eoc.ch
+41 91 811 96 68

Oversight

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

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