<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT04457895</url>
  </required_header>
  <id_info>
    <org_study_id>PROICM 2020-05 SKY</org_study_id>
    <nct_id>NCT04457895</nct_id>
  </id_info>
  <brief_title>Evaluation of the Efficacy of a Physical Therapy-yoga-patient Educational Program for Breast Cancer Patients With Pain Due to Hormonal Therapy Treatment.</brief_title>
  <acronym>SKYPE2</acronym>
  <official_title>A Randomized, Open-labelled, Controlled Trial Evaluating the Efficacy of a Physical Therapy-yoga-patient Educational Program for Breast Cancer Patients With Pain Due to Hormonal Therapy Treatment.</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Institut du Cancer de Montpellier - Val d'Aurelle</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>Institut du Cancer de Montpellier - Val d'Aurelle</source>
  <oversight_info>
    <has_dmc>Yes</has_dmc>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      As much as 50% of patients treated with hormonotherapy (HT) for breast cancer (BC) suffer&#xD;
      from osteoarticular pain during treatment. Secondary effects have become a real issue because&#xD;
      of their consequences on the patients' quality of life, but also on treatment efficacy and&#xD;
      survival when they induce dose reduction or premature withdrawal of treatment.&#xD;
&#xD;
      Additional medicines (acupuncture, hypnosis, yoga) have become more and more popular these&#xD;
      last years. 48 to 80% of patients with BC eventually choose them. A review comparing efficacy&#xD;
      of various therapies to decrease osteoarticular pain concludes to a highest efficacy of&#xD;
      anti-inflammatory treatments, paracetamol and yoga.&#xD;
&#xD;
      It thus appears innovative to complete this care with a patient educational project (PEP) in&#xD;
      postural yoga instructed by a trained physical therapist, which will enable patients to&#xD;
      practice yoga postures at home by themselves.&#xD;
&#xD;
      The investigators conducted a pilot study &quot;SKYPE&quot; with 24 algic patients treated with HT&#xD;
      after BC, whose results are very promising.&#xD;
&#xD;
      The investigators now propose in the continuity of the pilot study a multicenter randomized&#xD;
      controlled study comparing the efficacy of SKYPE care on pain reduction, an educative care&#xD;
      combining physical therapy and yoga, to a control group in patients treated with HT for a BC&#xD;
      with osteoarticular and/or musculoskeletal pain.&#xD;
&#xD;
      Furthermore, in order to examine whether yoga interventions may influence inflammation&#xD;
      through their effects on the level of a wide range of pro- and anti-inflammatory cytokines&#xD;
      (30), the investigators will Change in circulating cytokines' level between baseline level&#xD;
      (T0) and post-treatment level (T2) in both groups will be analyzed and if so correlation will&#xD;
      be established.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Numerous initiatives have started in France, often associative. It is essential to evaluate&#xD;
      in a rigorous manner, these therapies before making them part of the patient's care pathway.&#xD;
&#xD;
      Yoga has shown a real benefit in terms of pain reduction in patients with BC treated with HT.&#xD;
      These osteoarticular pains are the secondary effect on which a physical therapeutic care can&#xD;
      have a real benefit.&#xD;
&#xD;
      It thus appears innovative to complete this care with a therapeutic education program (TEP)&#xD;
      in postural yoga which will enable patients to practice yoga postures at home by themselves.&#xD;
      Yoga allows a large adaptation to pains expressed by each patient. It will favor the&#xD;
      development of the feeling of control that they have in particular on their pain.&#xD;
      participants will so improve the self-efficacy, the quality of life, and will reduce their&#xD;
      fatigue and their pain. The patients involved have already lived major body transformations&#xD;
      because of the disease and treatments. Yoga will help them put their lives together again,&#xD;
      both physically and psychologically, and reclaim their body.&#xD;
&#xD;
      Studies have shown the short-term effects of yoga practice on anxiety, stress, pain and&#xD;
      quality of life. Few rare studies have suggested that patients could add yoga practice at&#xD;
      home to the supervised sessions, but these studies lacked therapeutic patient education. To&#xD;
      date, to our knowledge, no data on the effect of the realization of yoga postures at home on&#xD;
      increase of the patients' self-competency feeling are available in France. Also, the&#xD;
      long-term effects of such programs need to be assessed.&#xD;
&#xD;
      The Montpellier Cancer Institute (ICM) has set-up 8 years ago yoga sessions for women with&#xD;
      breast cancer, together with an association located in Montpellier.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Recruiting</overall_status>
  <start_date type="Actual">February 11, 2021</start_date>
  <completion_date type="Anticipated">August 2025</completion_date>
  <primary_completion_date type="Anticipated">August 2025</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <primary_purpose>Supportive Care</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>the efficacy of a combined intervention of physical therapy and yoga, including patient education with a control group for confirmed osteoarticular and/or musculoskeletal pain (≥4) due to hormone therapy in patients treated for breast cancer.</measure>
    <time_frame>12 weeks</time_frame>
    <description>Rate of patients with a 2-point reduction on the Numeric Pain Rating Scale (NPRS) of osteoarticular and/or musculoskeletal pain due to hormonal therapy treatment between T0 (inclusion) and T2 (end of treatment).</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>the evolution of osteoarticular and/or musculoskeletal pain characteristics related to hormone therapy</measure>
    <time_frame>12 weeks</time_frame>
    <description>The evolution of osteoarticular and/or musculoskeletal pain characteristics will be described according to the questionnaire &quot;BPI- Brief Pain Inventory&quot;</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>the patient compliance at yoga-therapeutic education session and yoga self-practice</measure>
    <time_frame>12 weeks</time_frame>
    <description>The patient attendance at yoga-therapeutic education session and yoga self-practice will be noted on the logbooks filled out by the patients.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>the reasons for adhesion or non-adhesion to yoga self-practice</measure>
    <time_frame>12 weeks</time_frame>
    <description>The reasons why patients practice or do not practice yoga at home will be noted on the logbooks filled out by the patient</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>To assess forward-flexion flexibility</measure>
    <time_frame>12 weeks</time_frame>
    <description>Forward-flexion flexibility is defined by the distance between the fingertips and the floor. It will be measured with a ruler.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>To assess respiratory capacity</measure>
    <time_frame>12 weeks</time_frame>
    <description>Respiratory capacity will be measured with a spirometer (Forced Expiratory Volume in 1 second (FEV1)</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>the hormone therapy treatment and its compliance</measure>
    <time_frame>12 weeks</time_frame>
    <description>Taking hormonotherapy treatments will be reported in a log-book by the patients</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>to assess quality of life by short form questionnaire</measure>
    <time_frame>12 weeks</time_frame>
    <description>Quality of life will be measured by EORTC SF-36 questionnaire (European Organisation for Research and Treatment of Cancer, Short Form)</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>to assess quality of life by Quality of Life Questionnaire</measure>
    <time_frame>12 weeks</time_frame>
    <description>Quality of life will be measured by EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer, Quality of Life Questionnaire)</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>to assess quality of life by Quality of Life Questionnaire specify for Breast Cance</measure>
    <time_frame>12 weeks</time_frame>
    <description>Quality of life will be measured by EORTC QLQ-BR23 questionnaires (European Organisation for Research and Treatment of Cancer, Quality of Life Questionnaire specify for Breast Cancer)</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>to assess fatigue</measure>
    <time_frame>12 weeks</time_frame>
    <description>Fatigue will be measured by the Fatigue dimension of the EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer, Quality of Life Questionnaire) questionnaire</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>anxiety and depression</measure>
    <time_frame>12 weeks</time_frame>
    <description>Anxiety and depression will be measured by HADS scale (Hospital Anxiety and Depression Scale) (if score or = 9, result is no significant, if sore is between 10 and 12, result is limit, if result is &gt; or = 13, result is significant)</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>the induced self-competence feeling</measure>
    <time_frame>12 weeks</time_frame>
    <description>The self-competence feeling induced will be assessed using the GSES (General Self Efficacy-Schwarzer) questionnaire (10 questions - scale 1- not at all true to 4-totally true)</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>the patients' satisfaction towards the program</measure>
    <time_frame>12 weeks</time_frame>
    <description>Satisfaction will be measured using the Likert scale (0 no satisfy to 10: strongly satisfy</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>the patient's inflammatory biological profile</measure>
    <time_frame>12 weeks</time_frame>
    <description>The inflammatory biological profile of the patient will be determined by correlation of cytokine levels at the beginning (T0) and end (T2) of the protocol</description>
  </secondary_outcome>
  <number_of_arms>2</number_of_arms>
  <enrollment type="Anticipated">108</enrollment>
  <condition>Breast Cancer</condition>
  <arm_group>
    <arm_group_label>Experimental arm</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>For experimental arm patients, there will be a 90-min yoga-therapeutic education session/week (during 6 weeks) given by a physical therapist trained to postural yoga (the first on site and by videoconference for the others).&#xD;
Starting the first day of the yoga practice there will be one daily 15 min session at home with &quot;My Yoga Guide&quot; and the audio guide during 12 weeks.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>control arm</arm_group_label>
    <arm_group_type>Placebo Comparator</arm_group_type>
    <description>The control arm patients will have standard care. They will be proposed to participate in the physical therapy - yoga - educational program after the end of the study.</description>
  </arm_group>
  <intervention>
    <intervention_type>Behavioral</intervention_type>
    <intervention_name>educational yoga program</intervention_name>
    <description>Daily 15-min yoga sessions at home with the &quot;Le guide du yoga&quot; and the audio-guide, during 12 weeks.&#xD;
One 90-min yoga-therapeutic education session/week (during 6 weeks) given by a physical therapist trained to postural yog (the first on site and by videoconference for the others)</description>
    <arm_group_label>Experimental arm</arm_group_label>
  </intervention>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>no intervention</intervention_name>
    <description>no yoga session at home and no yoga -therapeutic educatuion session</description>
    <arm_group_label>control arm</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Age ≥ 18 years&#xD;
&#xD;
          -  Non metastatic breast cancer&#xD;
&#xD;
          -  Ongoing hormone therapy, with no treatment modification in the 30 days before&#xD;
             inclusion&#xD;
&#xD;
          -  Osteoarticular and/or musculoskeletal pain due to HT ≥ 4 on the Numeric Pain Rating&#xD;
             Scale (NPRS)&#xD;
&#xD;
          -  Previous treatment (surgery, chemotherapy or radiotherapy) ended at least 2 months&#xD;
             before inclusion&#xD;
&#xD;
          -  Informed patient and signed informed consent received&#xD;
&#xD;
          -  Affiliation to a social security system&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Chronic rhumatologic pain with specific care needed&#xD;
&#xD;
          -  Regular Yoga practice in the 3 months before inclusion&#xD;
&#xD;
          -  Contraindication or clinical state not allowing physical practice&#xD;
&#xD;
          -  Patient whose regular follow-up is initially impossible for psychological, family,&#xD;
             social or geographical reasons,&#xD;
&#xD;
          -  Pregnant and breastfeeding woman&#xD;
      </textblock>
    </criteria>
    <gender>Female</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>99 Years</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Kerstin Faravel</last_name>
    <role>Study Chair</role>
    <affiliation>ICM Val d'Aurelle</affiliation>
  </overall_official>
  <overall_contact>
    <last_name>Moussion Aurore</last_name>
    <phone>+33467612446</phone>
    <phone_ext>+33</phone_ext>
    <email>aurore.moussion@icm.unicancer.fr</email>
  </overall_contact>
  <overall_contact_backup>
    <last_name>Emmanuelle Texier</last_name>
    <phone>04 67 61 31 02</phone>
    <phone_ext>+33</phone_ext>
    <email>DRCI-icm105@icm.unicancer.fr</email>
  </overall_contact_backup>
  <location>
    <facility>
      <name>CH Libourne</name>
      <address>
        <city>Libourne</city>
        <state>Aquitaine</state>
        <zip>33500</zip>
        <country>France</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>maylis CARRICABURU, MD</last_name>
      <email>maylis.carricaburu@ch-libourne.fr</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>Icm Val D'Aurelle</name>
      <address>
        <city>Montpellier</city>
        <state>Herault</state>
        <zip>34298</zip>
        <country>France</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>kerstin Faravel</last_name>
      <email>kerstin.faravel@icm.unicancer.fr</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>CHU Nîmes</name>
      <address>
        <city>Nîmes</city>
        <state>Herault</state>
        <zip>30029</zip>
        <country>France</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Alice CUENANT, MD</last_name>
      <email>alice.cuenant@chu-nimes.fr</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>Insitut de Cancérologie de Lorraine</name>
      <address>
        <city>Vandœuvre-lès-Nancy</city>
        <state>Meurthe-et-Moselle,</state>
        <zip>54519</zip>
        <country>France</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Cécile Delattre, MD</last_name>
      <email>c.delattre@nancy.unicancer.fr</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>Institut du sein Basque</name>
      <address>
        <city>Tosse</city>
        <state>Nouvelle Aquitaine</state>
        <zip>40230</zip>
        <country>France</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>Angélique Ducteil, MD</last_name>
      <email>angelique.ducteil@copb.eu</email>
    </contact>
  </location>
  <location>
    <facility>
      <name>Institut de Cancérologie de l'Ouest</name>
      <address>
        <city>Angers</city>
        <state>Pays De La Loire</state>
        <zip>49055</zip>
        <country>France</country>
      </address>
    </facility>
    <status>Recruiting</status>
    <contact>
      <last_name>anne Patsouris, MD</last_name>
      <email>anne.patsouris@ico.unicancer.fr</email>
    </contact>
  </location>
  <location_countries>
    <country>France</country>
  </location_countries>
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  <verification_date>June 2023</verification_date>
  <study_first_submitted>June 23, 2020</study_first_submitted>
  <study_first_submitted_qc>June 30, 2020</study_first_submitted_qc>
  <study_first_posted type="Actual">July 7, 2020</study_first_posted>
  <last_update_submitted>June 6, 2023</last_update_submitted>
  <last_update_submitted_qc>June 6, 2023</last_update_submitted_qc>
  <last_update_posted type="Actual">June 7, 2023</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <keyword>breast cancer</keyword>
  <keyword>hormonotherapy</keyword>
  <keyword>osteo articular pain</keyword>
  <keyword>yoga</keyword>
  <keyword>patient educational project</keyword>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Breast Neoplasms</mesh_term>
  </condition_browse>
  <patient_data>
    <sharing_ipd>No</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT04457895
org study id: PROICM 2020-05 SKY
nct id: NCT04457895
lead sponsor: 
has dmc: Yes
is fda regulated drug: No
is fda regulated device: No
As much as 50% of patients treated with hormonotherapy (HT) for breast cancer (BC) suffer
      from osteoarticular pain during treatment. Secondary effects have become a real issue because
      of their consequences on the patients' quality of life, but also on treatment efficacy and
      survival when they induce dose reduction or premature withdrawal of treatment.

      Additional medicines (acupuncture, hypnosis, yoga) have become more and more popular these
      last years. 48 to 80% of patients with BC eventually choose them. A review comparing efficacy
      of various therapies to decrease osteoarticular pain concludes to a highest efficacy of
      anti-inflammatory treatments, paracetamol and yoga.

      It thus appears innovative to complete this care with a patient educational project (PEP) in
      postural yoga instructed by a trained physical therapist, which will enable patients to
      practice yoga postures at home by themselves.

      The investigators conducted a pilot study "SKYPE" with 24 algic patients treated with HT
      after BC, whose results are very promising.

      The investigators now propose in the continuity of the pilot study a multicenter randomized
      controlled study comparing the efficacy of SKYPE care on pain reduction, an educative care
      combining physical therapy and yoga, to a control group in patients treated with HT for a BC
      with osteoarticular and/or musculoskeletal pain.

      Furthermore, in order to examine whether yoga interventions may influence inflammation
      through their effects on the level of a wide range of pro- and anti-inflammatory cytokines
      (30), the investigators will Change in circulating cytokines' level between baseline level
      (T0) and post-treatment level (T2) in both groups will be analyzed and if so correlation will
      be established.
Numerous initiatives have started in France, often associative. It is essential to evaluate
      in a rigorous manner, these therapies before making them part of the patient's care pathway.

      Yoga has shown a real benefit in terms of pain reduction in patients with BC treated with HT.
      These osteoarticular pains are the secondary effect on which a physical therapeutic care can
      have a real benefit.

      It thus appears innovative to complete this care with a therapeutic education program (TEP)
      in postural yoga which will enable patients to practice yoga postures at home by themselves.
      Yoga allows a large adaptation to pains expressed by each patient. It will favor the
      development of the feeling of control that they have in particular on their pain.
      participants will so improve the self-efficacy, the quality of life, and will reduce their
      fatigue and their pain. The patients involved have already lived major body transformations
      because of the disease and treatments. Yoga will help them put their lives together again,
      both physically and psychologically, and reclaim their body.

      Studies have shown the short-term effects of yoga practice on anxiety, stress, pain and
      quality of life. Few rare studies have suggested that patients could add yoga practice at
      home to the supervised sessions, but these studies lacked therapeutic patient education. To
      date, to our knowledge, no data on the effect of the realization of yoga postures at home on
      increase of the patients' self-competency feeling are available in France. Also, the
      long-term effects of such programs need to be assessed.

      The Montpellier Cancer Institute (ICM) has set-up 8 years ago yoga sessions for women with
      breast cancer, together with an association located in Montpellier.
allocation: Randomized
intervention model: Parallel Assignment
primary purpose: Supportive Care
masking: None (Open Label)
measure: the efficacy of a combined intervention of physical therapy and yoga, including patient education with a control group for confirmed osteoarticular and/or musculoskeletal pain (≥4) due to hormone therapy in patients treated for breast cancer.
time frame: 12 weeks
description: Rate of patients with a 2-point reduction on the Numeric Pain Rating Scale (NPRS) of osteoarticular and/or musculoskeletal pain due to hormonal therapy treatment between T0 (inclusion) and T2 (end of treatment).
measure: the evolution of osteoarticular and/or musculoskeletal pain characteristics related to hormone therapy
time frame: 12 weeks
description: The evolution of osteoarticular and/or musculoskeletal pain characteristics will be described according to the questionnaire "BPI- Brief Pain Inventory"
measure: the patient compliance at yoga-therapeutic education session and yoga self-practice
time frame: 12 weeks
description: The patient attendance at yoga-therapeutic education session and yoga self-practice will be noted on the logbooks filled out by the patients.
measure: the reasons for adhesion or non-adhesion to yoga self-practice
time frame: 12 weeks
description: The reasons why patients practice or do not practice yoga at home will be noted on the logbooks filled out by the patient
measure: To assess forward-flexion flexibility
time frame: 12 weeks
description: Forward-flexion flexibility is defined by the distance between the fingertips and the floor. It will be measured with a ruler.
measure: To assess respiratory capacity
time frame: 12 weeks
description: Respiratory capacity will be measured with a spirometer (Forced Expiratory Volume in 1 second (FEV1)
measure: the hormone therapy treatment and its compliance
time frame: 12 weeks
description: Taking hormonotherapy treatments will be reported in a log-book by the patients
measure: to assess quality of life by short form questionnaire
time frame: 12 weeks
description: Quality of life will be measured by EORTC SF-36 questionnaire (European Organisation for Research and Treatment of Cancer, Short Form)
measure: to assess quality of life by Quality of Life Questionnaire
time frame: 12 weeks
description: Quality of life will be measured by EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer, Quality of Life Questionnaire)
measure: to assess quality of life by Quality of Life Questionnaire specify for Breast Cance
time frame: 12 weeks
description: Quality of life will be measured by EORTC QLQ-BR23 questionnaires (European Organisation for Research and Treatment of Cancer, Quality of Life Questionnaire specify for Breast Cancer)
measure: to assess fatigue
time frame: 12 weeks
description: Fatigue will be measured by the Fatigue dimension of the EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer, Quality of Life Questionnaire) questionnaire
measure: anxiety and depression
time frame: 12 weeks
description: Anxiety and depression will be measured by HADS scale (Hospital Anxiety and Depression Scale) (if score or = 9, result is no significant, if sore is between 10 and 12, result is limit, if result is > or = 13, result is significant)
measure: the induced self-competence feeling
time frame: 12 weeks
description: The self-competence feeling induced will be assessed using the GSES (General Self Efficacy-Schwarzer) questionnaire (10 questions - scale 1- not at all true to 4-totally true)
measure: the patients' satisfaction towards the program
time frame: 12 weeks
description: Satisfaction will be measured using the Likert scale (0 no satisfy to 10: strongly satisfy
measure: the patient's inflammatory biological profile
time frame: 12 weeks
description: The inflammatory biological profile of the patient will be determined by correlation of cytokine levels at the beginning (T0) and end (T2) of the protocol
arm group label: Experimental arm
arm group type: Experimental
description: For experimental arm patients, there will be a 90-min yoga-therapeutic education session/week (during 6 weeks) given by a physical therapist trained to postural yoga (the first on site and by videoconference for the others).
Starting the first day of the yoga practice there will be one daily 15 min session at home with "My Yoga Guide" and the audio guide during 12 weeks.
arm group label: control arm
arm group type: Placebo Comparator
description: The control arm patients will have standard care. They will be proposed to participate in the physical therapy - yoga - educational program after the end of the study.
intervention type: Behavioral
intervention name: educational yoga program
description: Daily 15-min yoga sessions at home with the "Le guide du yoga" and the audio-guide, during 12 weeks.
One 90-min yoga-therapeutic education session/week (during 6 weeks) given by a physical therapist trained to postural yog (the first on site and by videoconference for the others)
arm group label: Experimental arm
intervention type: Other
intervention name: no intervention
description: no yoga session at home and no yoga -therapeutic educatuion session
arm group label: control arm
criteria: 
gender: Female
minimum age: 18 Years
maximum age: 99 Years
healthy volunteers: No
last name: Kerstin Faravel
role: Study Chair
affiliation: ICM Val d'Aurelle
last name: Moussion Aurore
phone: +33467612446
phone ext: +33
email: aurore.moussion@icm.unicancer.fr
last name: Emmanuelle Texier
phone: 04 67 61 31 02
phone ext: +33
email: DRCI-icm105@icm.unicancer.fr
facility: 
status: Recruiting
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country: France
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responsible party type: Sponsor
mesh term: Breast Neoplasms
sharing ipd: No