Personalized 6-month program to reduce frailty around bladder or kidney cancer surgery
Official title: Effectiveness of a Personalized 6-month Programme on Frailty in Older Patients Treated for Bladder or Kidney Cancer - FRAGECO - Multicenter, Controlled, Randomized Study
Run by Centre Hospitalier Universitaire de Saint Etienne · NCT07073703 · Data updated 2026-11-12
This program will try personalized exercise, education workshops, and referral to a rehabilitation service before and after surgery to reduce frailty in older people having bladder or kidney cancer operations.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 106 (estimated) |
| Sponsor | Centre Hospitalier Universitaire de Saint Etienne Academic / other |
| Locations | 2 sites (Saint-Etienne and 1 other locations) |
| Status | Recruiting |
| Started | December 3, 2025 |
| Main results expected | September 2027 |
| Study ends | March 2028 |
| Registry record updated | December 9, 2025 |
| Trial ID | NCT07073703 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are older adults diagnosed with bladder or kidney cancer who are planned for surgery, can follow exercise and educational sessions, have no major cardiac/respiratory or joint contraindications, and can provide informed consent.
✕Probably not a fit
Patients who have already undergone surgery, those with medical contraindications to physical activity, people under guardianship or deprived of liberty, or those already receiving private prehabilitation are unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Older adults with bladder or kidney cancer who are scheduled for surgical treatment will be offered a tailored 6-month program delivered partly before and after surgery. The program combines adapted physical activity sessions, therapeutic education workshops, and systematic referral to the hospital's DAPAP rehabilitation service. Participation is limited to patients without severe cognitive impairment or contraindications to exercise, and who have not already had surgery or private prehabilitation. Outcomes will focus on changes in physical conditioning, frailty markers, postoperative complications, and nutritional status over the intervention period.
Why it matters
Potential benefit: If successful, the program could reduce frailty and postoperative complications, improve physical fitness and nutrition, and speed recovery after bladder or kidney cancer surgery.
How similar studies have gone: Prehabilitation and exercise-based programs have shown benefit in reducing complications and improving fitness in older surgical cancer patients, though the exact combination of APA, education, and DAPAP referral in this format is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosis of bladder or kidney cancer * Surgical treatment * No severe cognitive impairment preventing understanding of the protocol * Affiliated or entitled to a social security scheme * Having received informed information about the study and having co-signed, with the investigator, a consent to participate in the study Exclusion Criteria: * Surgery already done * Significant co-morbidities that contraindicate physical activity: associated cardiac pathologies, respiratory pathologies, disabling joint pathologies, etc. * Deprived of liberty or under guardianship * Benefiting from a prehabilitation prescription with a private physiotherapist.
Where it's running
-
Chu Saint-Etienne
Saint-Etienne, France Recruiting -
Hôpital privé de la Loire
Saint-Etienne, France Not yet recruiting
Study contacts
- Principal investigator: David HUPIN, MD — CHU de Saint Etienne
- Study coordinator: Evolène FAYOLLE, student
- Email: evolene.fayolle@chu-st-etienne.fr
- Phone: (0)4 77 12 78 35
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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.