Spots Global Cancer Trial Database for Preoperative Physical Activity Intervention in Patients Before Planned Liver Resection for Cancer (APACHE)

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Trial Identification

Brief Title: Preoperative Physical Activity Intervention in Patients Before Planned Liver Resection for Cancer (APACHE)

Official Title: Preoperative Physical Activity Intervention in Patients Before Planned Liver Resection for Cancer

Study ID: NCT03518632

Conditions

Primary Liver Cancer

Secondary Liver Cancer

Liver Metastases

Interventions

Interval training

Standard Oncologic care

Study Description

Brief Summary: The aim of this study is to assess the impact of preoperative physical activity on physical capacities of patients undergoing liver resection for primary or secondary liver cancer.

Detailed Description: The purpose of this study is to investigate the effects of a preoperative exercise program in patients with primary or secondary liver cancer undergoing hepatectomy. Preoperative exercise programs have been shown to be effective in other cancer populations, but have been poorly studied in patients with liver cancer. For these patients, it remains unclear what the optimal composition of such programs should be and how they should be delivered. Outcome measures in this study will include preoperative outcomes (oxygen consumption, quality of life, fatigue and physical activity level, anthropometric measures, plasma concentrations of hepatokines) and postoperative outcomes (length of hospital stay and postoperative complications). After the study is explained and consent obtained, subjects will be tested on a submaximal exercise on cycloergometer with gas exchanges analysis and with pre and post blood test. Then, they will answer various questionnaires assessing physical activity, quality of life and fatigue. Patients scheduled for liver resection will be randomized to one of two groups. The first group (experimental group) will be subdivided into two groups: interval training 1 and interval training 2, which differentiate themselves by two different intensities.The second group (control group) will receive standard care. The prehabilitation program will last 6 weeks with 3 sessions per week and will consist in two interval training programs on a cycloergometer with two different intensities. One month after surgery, peri and postoperative complications will be noted.