Diet and exercise may boost quality of life for incurable cancer patients
NCT ID NCT06138223
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether a program of exercise and dietary changes can improve or maintain quality of life for people with incurable stomach or esophageal cancer. Researchers will compare two groups of about 196 patients: one group receives standard care, and the other adds a supervised exercise and nutrition plan. The main goal is to see if the extra support helps patients feel better physically and emotionally during their treatment.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 196 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2024
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Incurable adenocarcinoma of the esophagus or stomach * Recurrence after treatment with curative intent or irresectable/metastatic disease at primary diagnosis. Inclusion can take place regardless of the plan or the actual initiation of multi-line systemic treatment. (i.e. patients that have already started with anticancer therapy are eligible for inclusion too)\* * Able and willing to perform the exercise and nutritional program and wear the activity tracker. * Able and willing to fill out the POCOP/RADICES questionnaires. * Life expectancy \> 12 weeks. * Age ≥ 18 years. Exclusion Criteria: * Unstable bone metastases inducing skeletal fragility as determined by the treating clinician. * Untreated symptomatic known brain metastasis. * Serious active infection. * Too physically active (i.e. \>210 minutes/week of moderate-to-vigorous intentional exercise) or engaging in intense exercise training comparable to the RADICES exercise program. * Severe neurologic or cardiac impairment according to the American College of Sports Medicine criteria. * Uncontrolled severe respiratory insufficiency as determined by the treating clinician or if the patient is dependent on oxygen suppletion in rest or during exercise. * Uncontrolled severe pain. * Any other contraindications for exercise as determined by the treating physician. * Any circumstances that would impede adherence to study requirements or ability to give informed consent, as determined by the treating clinician. * Pregnancy. * Note: After one year of recruitment we broadened our inclusion criteria from GAC patients receiving beyond first-line palliative treatment or best supportive care to any patient with recurrence/progression of GAC after curative treatment or irresectable/metastatic disease at diagnosis, regardless of timing or type of palliative treatment and number of lines received. This was done to increase generalizability and offer the intervention earlier in the palliative phase to enhance its benefits. We acknowledge this results in a more heterogeneous group, but we believe also a more representative group. The inclusion criterium before broadening was: Progressive disease after first-line palliative systemic treatment OR within 6 months after completion of curative treatment (i.e. within six months after neoadjuvant chemoradiation, adjuvant nivolumab, or definitive chemoradiation for esophageal adenocarcinoma or within six months after adjuvant 5-fluorouracil, leucovorin, oxaliplatin and docetaxel (FLOT) for gastric/esophageal cancer or neoadjuvant FLOT if no adjuvant FLOT was given, or after progression during participation in the LyRICX study). Patients on capecitabine monotherapy who are eligible for oxaliplatin reintroduction can be included, too.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
21 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Amsterdam UMC
RECRUITINGAmsterdam, North Holland, 1081HV, Netherlands
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Beatrix Hospital
RECRUITINGGorinchem, Netherlands
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Bravis Ziekenhuis
RECRUITINGRoosendaal, Netherlands
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Canisius Wilhelmina Ziekenhuis
RECRUITINGNijmegen, Netherlands
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Catharina Ziekenhuis
RECRUITINGEindhoven, Netherlands
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Diakonessenhuis
NOT_YET_RECRUITINGUtrecht, Netherlands
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Elisabeth Tweesteden Hospital
RECRUITINGTilburg, Netherlands
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Erasmus Medical Center
RECRUITINGRotterdam, Netherlands
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Flevoziekenhuis
RECRUITINGAlmere Stad, Netherlands
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Frisius Medical Center
RECRUITINGLeeuwarden, Netherlands
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HagaZiekenhuis
RECRUITINGThe Hague, Netherlands
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Ikazia Ziekenhuis
RECRUITINGRotterdam, Netherlands
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Jeroen Bosch Hospital
ACTIVE_NOT_RECRUITING's-Hertogenbosch, Netherlands
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Laurentius Ziekenhuis
RECRUITINGRoermond, Netherlands
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Leiden Universitair Medisch Centrum
RECRUITINGLeiden, Netherlands
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Meander Medical Center
NOT_YET_RECRUITINGAmersfoort, Netherlands
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RadboudUMC
RECRUITINGNijmegen, Netherlands
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Reinier de Graaf
RECRUITINGDelft, Netherlands
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Sint Antonius Hospital
NOT_YET_RECRUITINGNieuwegein, Netherlands
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Spaarne Gasthuis
RECRUITINGHoofddorp, Netherlands
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UMC Utrecht
RECRUITINGUtrecht, Utrecht, 3508GA, Netherlands
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Zaans Medical Center
RECRUITINGZaandam, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a less extensive stomach surgery preserve appetite better?