Multicomponent Prehabilitation in Older Adults With Breast Cancer

Summary

Older adults with breast cancer frequently present with frailty, decreased functional reserve, and increased risk of postoperative complications. Prehabilitation programs have emerged as a promising strategy to improve physical function and clinical outcomes; however, evidence in geriatric oncology remains limited, particularly regarding the role of biological markers in predicting response to such interventions.

This study aims to evaluate the effectiveness of a multicomponent prehabilitation program in older adults with breast cancer, focusing on functional status, clinical outcomes, and quality of life. In addition, the study seeks to characterize biological markers associated with frailty and treatment response, with the goal of identifying potential predictors of benefit from prehabilitation.

Participants will undergo a structured prehabilitation intervention including physical exercise, nutritional optimization, and comprehensive geriatric assessment. Clinical, functional, and biomarker data will be collected longitudinally.

The results of this study may contribute to improving personalized care strategies in geriatric oncology and to identifying patients who are most likely to benefit from prehabilitation programs.

Conditions

• Breast Cancer
• Frailty
• Sarcopenia
• Aging
• Functional Decline

Interventions

BEHAVIORAL

Home-based Multicomponent Prehabilitation (Vivifrail)

Participants perform a structured home-based multicomponent exercise program based on the Vivifrail methodology, including strength, endurance, balance, and flexibility training. The program is individualized according to baseline functional status.

BEHAVIORAL

Supervised Multicomponent Prehabilitation

Participants receive a structured, supervised multicomponent exercise program delivered in a hospital setting, including aerobic, strength, balance, and flexibility training over eight weeks.

OTHER

Comprehensive Geriatric Assessment and Optimization

Participants undergo comprehensive geriatric assessment with targeted interventions including nutritional optimization, medication review, and management of geriatric syndromes.

Sponsors & Collaborators

• Fundacion Miguel Servet

  lead OTHER

Principal Investigators

• Marta Lorente Escudero, MD · Navarre Health Service (SNS-O), Navarre University Hospital (HUN), Pamplona, Spain

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-12-04

Primary Completion

2026-09-30

Completion

2027-08-31

Countries

• Spain

Study Locations