Improving resilience in gynaecological cancer patients before surgery
Official title: Prehabilitation in Patients With Gynaecological Cancer Planned for Postponed Surgical Management: A Prospective Randomised Trial.
Run by Charles University, Czech Republic · NCT04789694 · Data updated 2026-11-12
This study is testing whether a special program that includes exercise, mental support, and nutrition can help women with advanced ovarian and frail endometrial cancer feel better and recover faster before their surgery.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 85 Years |
| Sex | Women only |
| Enrollment | 64 (estimated) |
| Sponsor | Charles University, Czech Republic Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Prague) |
| Status | Recruiting |
| Started | March 25, 2021 |
| Main results expected | June 30, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | September 28, 2026 |
| Trial ID | NCT04789694 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include patients with advanced ovarian cancer not suitable for primary surgery and frail patients with early-stage endometrial cancer.
✕Probably not a fit
Patients who are not physically able to participate in the prehabilitation program or those with second malignant tumors will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial evaluates the effectiveness of multimodal prehabilitation, which includes physical activity, psychological support, and nutritional guidance, in enhancing the functional capacity and quality of life of patients with gynaecological cancers before surgery. Sixty-four patients will be randomly assigned to either a control group receiving standard care or an active group undergoing the prehabilitation program. The study aims to assess the impact of these interventions on postoperative recovery and overall well-being. It focuses on patients with advanced ovarian cancer and frail endometrial cancer patients scheduled for surgery.
Why it matters
Potential benefit: If successful, this approach could significantly improve recovery outcomes and quality of life for patients undergoing surgery for gynaecological cancers.
How similar studies have gone: While multimodal prehabilitation has shown positive effects in non-gynaecological cancer patients, this specific approach in gynaecological cancer is novel and has not been extensively tested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria Two groups of patients will be eligible for the trial: i) Epithelial ovarian cancer patients referred for NACT: a) FIGO stage III or IV disease; b) Patient is not a candidate for primary debulking surgery; c) Patient is a suitable candidate for standard of care combined chemotherapy; d) Patient is a candidate for interval.debulking surgery ii) Stage I or II endometrial cancer patients classifying as frail according to the validated modified Frailty Index: a) FIGO stage I or II; b) Patient is classified as frail; c) Patient is suitable candidate for hormonal therapy. Exclusion criteria 1. Second malignant tumour (under the treatment) 2. Patient is not suitable for any surgery delay 3. Patient is not physically able to meet the prehabilitation intervention plan or is unable to walk
Where it's running
-
Gynecologic Oncology Center in Prague
Prague, Czechia Recruiting
Study contacts
- Principal investigator: David Cibula, prof. — Charles University, Czech Republic
- Study coordinator: Jana Stribrna
- Email: jana.stribrna@vfn.cz
- Phone: +420 224 967 432
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.