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Breast CancerNCT02895178

Lifestyles Of Health And Sustainability for Breast Cancer Survivors

A study testing Combined aerobic and strength exercise training in people with Breast Cancer, run by Wonju Severance Christian Hospital at 1 site in South Korea.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to examine the effects of exercise program on health-related physical fitness and biomarkers among breast cancer survivors. Read more about this study

Who is it for?
Ages 18 to 64 years, women only
Conditions the study is for
Breast Cancer
What is being tested?
Combined aerobic and strength exercise training
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteSouth Korea
Study dates
May 2014to Dec 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 64 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Have diagnosed as a stage of I-III breast cancer
  • Have undergone a lumpectomy or mastectomy
  • Have completed neoadjuvant/adjuvant chemotherapy and able to initiate Exercise program
  • Nonsmokers (i.e., not smoking during previous 12 months)
  • Able to provide physician clearance to participate in exercise program for 12 weeks

Who cannot join

  • History of chronic disease including diabetes, uncontrolled hypertension or thyroid disease
  • Weight reduction >= 10% within past 6 months
  • Metastatic disease
  • Participate in more than 60 minutes of exercise per week in the past 6 months
  • Cardiovascular, respiratory or musculoskeletal disease or joint problems that preclude moderate physical activity

Trial locations and contacts

1 site in 1 country.

Jae Seung Chang, Ph.D contact

+82-33-741-0296

godbless@yonsei.ac.kr

South Korea1 site, 1 recruiting
  • Center for Exercise medicine; Yonsei University

    Wŏnju, Gangwon-do

    Jae Seung Chang, Ph.D, +82-70-8826-0292, godbless@yonsei.ac.kr

    Jae Seung Chang, Ph.D

    Recruiting

Other trials in South Korea

About this study

Official title: Lifestyle Intervention for Breast Cancer Survivors

The purpose of this study is to examine the effects of exercise program on health-related physical fitness and biomarkers among breast cancer survivors.

Read the detailed description

Patients and survivors of breast cancer present impaired physical fitness and various complications including acute and chronic pain, severe fatigue, limited range of motion, and bone loss attributable to anticancer treatments. Therefore, regular exercise during and following cancer treatments has been recommended to enhance physical capabilities and relieve side-effect severities, leading to an improved quality of life. Despite the known general benefits to patients with cancer, the effects of exercise on cancer-related biomarkers and their modulators remain unclear.

PRIMARY OBJECTIVES:

  1. To determine whether a 12-week exercise intervention will improve components of health-related physical fitness by measuring cardiorespiratory fitness, muscular exercise capacity and flexibility in breast cancer survivors.

II. To determine whether a 12-week exercise intervention will improve risk parameters of metabolic disease by measuring changes in body composition, waist circumference, blood pressure, and circulating levels of glucose, insulin, lipids components and C-reactive protein in breast cancer survivors.

III. To determine whether a 12-week exercise intervention will conduce to changes of cancer-related biomarker by measuring in serum levels of dickkopf-related protein 1 (DKK1), secreted frizzled-related protein 1 (SFRP1), sclerostin, osteoprotegerin, osteopontin, growth differentiation factor 15 (GDF-15), insulin like growth factor 1 (IGF-1), and IGFBP-3 in breast cancer survivors.

IV. To determine whether a 12-week exercise intervention will result in a improvement in inflammatory cytokines and adipokines by measuring in serum levels of interleukin 1 beta (IL-1β), IL-10, IL-11, tumor necrosis factor alpha (TNFα), leptin and adiponectin in breast cancer survivors.

  1. To determine whether a 12-week exercise intervention will conduce to changes of myokines by measuring in serum levels of brain-derived neurotrophic factor (BDNF), IL-8, IL-15, fatty acid-binding protein 3 (FABP3), leukemia inhibitory factor (LIF), follistatin, fractalkine, fibroblast growth factor 21 (FGF-21), osteonectin and irisin in breast cancer survivors.
Conditions
Breast Cancer
Being tested
Combined aerobic and strength exercise training
Keywords
Breast cancer, Survivors, Exercise
Medical subject headings
Breast Neoplasms, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Combined aerobic and strength exercise trainingBehavioural

    Subjects participate in supervised exercise sessions for 60 minutes thrice weekly and are encouraged to participate in a home-based exercise session over 30 minutes once weekly for 12 weeks.

Study groups in NCT02895178
Study groupRoleWhat they receive
Exercise in breast cancer survivorsExperimentalCombined aerobic and strength exercise training for 12 weeks under supervision
Receives: Behavioral: Combined aerobic and strength exercise training
No exercise in breast cancer survivorsNo interventionLifestyle counseling and standard of care follow up for 12 weeks
Exercise in healthy subjectsSham comparatorAge-matched healthy subjects. Combined aerobic and strength exercise training for 12 weeks under supervision
Receives: Behavioral: Combined aerobic and strength exercise training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes of health-related physical fitness components (1).

    Aerobic capacity is assessed using multi-stage 20 meters shuttle run test (the maximum number of repetitions).

    Measured: Changes from baseline aerobic capacity at 12 weeks

  2. Changes of health-related physical fitness components (2).

    Muscular endurance is assessed using sit-up test for 30 seconds (the maximum number of repetitions).

    Measured: Changes from baseline muscular endurance at 12 weeks

  3. Changes of health-related physical fitness components (3).

    Muscular strength is assessed by the maximum voluntary strength of handgrip (kg).

    Measured: Changes from baseline muscular strength at 12 weeks

  4. Changes of health-related physical fitness components (4).

    Muscular power is assessed using standing long jump test (the maximum horizontal distance of two trials, cm).

    Measured: Changes from baseline muscular power at 12 weeks

  5. Changes of health-related physical fitness components (5).

    Agility is assessed using 10 meters agility shuttle run test (the time taken to complete a 10 meters course is recorded, seconds).

    Measured: Changes from baseline agility at 12 weeks

  6. Changes of health-related physical fitness components (6).

    Flexibility is assessed using sit and reach test (the greater distance of two trials, cm)

    Measured: Changes from baseline flexibility at 12 weeks

  7. Changes of anthropometric parameters (1).

    Waist circumference is measured at the midpoint between the lower rib margin and the iliac crest (expressed in cm).

    Measured: Changes from baseline waist circumference at 12 weeks

  8. Changes of anthropometric parameters (2).

    BMI calculated as body weight / height (kg per square meters).

    Measured: Changes from baseline BMI at 12 weeks

  9. Changes of body composition parameters (1).

    Body fat mass is measured by a bio-impedance analyzer (expressed as kg).

    Measured: Changes from baseline body fat mass at 12 weeks

  10. Changes of body composition parameters (2).

    Lean body mass is measured by a bio-impedance analyzer (expressed as kg).

    Measured: Changes from baseline lean body mass at 12 weeks

  11. Changes of body composition parameters (3).

    Percentage body fat is calculated as body fat mass (kg) divided by weight (kg).

    Measured: Changes from baseline percentage body fat at 12 weeks

  12. Changes of serum levels of Wnt signaling-related molecules (1).

    The serum concentration of DKK1 is measured by commercial enzyme-linked immunosorbent assay kits (Minimal detectable density, 15.6 pg/ml; Standard curve range, 31.2 - 2,000 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of DKK1 at 12 weeks

  13. Changes of serum levels of Wnt signaling-related molecules (2).

    The serum concentration of sclerostin is measured by commercial enzyme-linked immunosorbent assay kits (Minimal detectable density, 6.96 pg/ml; Standard curve range, 7.49 - 1,820 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of Sclerostin at 12 weeks

  14. Changes of serum levels of Wnt signaling-related molecules (3).

    The serum concentration of SFRP1 is measured by commercial enzyme-linked immunosorbent assay kits (Minimal detectable density, 53 pg/ml; Standard curve range, 156 - 10,000 pg/ml, USCN Life Science Inc.).

    Measured: Changes from baseline serum levels of SFRP1 at 12 weeks

  15. Changes of serum levels of Wnt signaling-related molecules (4).

    The serum concentration of β-catenin is measured by commercial enzyme-linked immunosorbent assay kits (Minimal detectable density, 3.9 pg/ml; Standard curve range, 15.6 - 1000 pg/ml, Cusabio Biotech).

    Measured: Changes from baseline serum levels of β-catenin at 12 weeks

  16. Changes of serum levels of Wnt signaling-related molecules (5).

    The serum concentration of WISP-1 is measured by commercial chemiluminescent immunoassay kits (Minimal detectable density, 0.97 pg/ml; Standard curve range, 2.74 - 2,000 pg/ml, USCN Life Science Inc.).

    Measured: Changes from baseline serum levels of WISP-1 at 12 weeks

Secondary outcomes (20)
  1. Changes of serum levels of cancer-related molecules (1).

    The serum concentration of osteoprotegerin is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 3.62 pg/ml; Standard curve range, 81.4 - 19,770 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of osteoprotegerin at 12 weeks

  2. Changes of serum levels of cancer-related molecules (2).

    The serum concentration of osteopontin is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 413 pg/ml; Standard curve range, 3.4 - 826.9 ng/ml, R\&D systems).

    Measured: Changes from baseline serum levels of osteopontin at 12 weeks

  3. Changes of serum levels of cancer-related molecules (3).

    The serum concentration of GDF-15 is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 1.2 pg/ml; Standard curve range, 34 - 8,270 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of GDF-15 at 12 weeks

  4. Changes of serum levels of adipokines (1).

    The serum concentration of adiponectin is measured by commercial enzyme-linked immunosorbent assay kits (Minimal detectable density, 0.891 ng/ml; Standard curve range, 3.9 - 250 ng/ml, R\&D systems).

    Measured: Changes from baseline serum levels of adiponectin at 12 weeks

  5. Changes of serum levels of adipokines (2).

    The serum concentration of leptin is measured by commercial enzyme-linked immunosorbent assay kits (Minimal detectable density, 7.8 pg/ml; Standard curve range, 15.6 - 1,000 ng/ml, R\&D systems).

    Measured: Changes from baseline serum levels of leptin at 12 weeks

  6. Changes of serum levels of myokines (1).

    The serum concentration of BDNF is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 0.32 pg/ml; Standard curve range, 10.9 - 2,650 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of BDNF at 12 weeks

  7. Changes of serum levels of myokines (2).

    The serum concentration of IL-8 is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 1.8 pg/ml; Standard curve range, 8.19 - 1,990 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of IL-8 at 12 weeks

  8. Changes of serum levels of myokines (3).

    The serum concentration of IL-15 is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 1.01 pg/ml; Standard curve range, 7.7 - 18,700 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of IL-15 at 12 weeks

  9. Changes of serum levels of myokines (4).

    The serum concentration of FABP3 is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 472 pg/ml; Standard curve range, 1.3 - 312.2 ng/ml, R\&D systems).

    Measured: Changes from baseline serum levels of FABP3 at 12 weeks

  10. Changes of serum levels of myokines (5).

    The serum concentration of LIF is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 9.31 pg/ml; Standard curve range, 68.1 - 16,550 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of LIF at 12 weeks

  11. Changes of serum levels of myokines (6).

    The serum concentration of follistatin is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 133 pg/ml; Standard curve range, 2.6 - 650 ng/ml, R\&D systems).

    Measured: Changes from baseline serum levels of follistatin at 12 weeks

  12. Changes of serum levels of myokines (7).

    The serum concentration of fractalkine is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 64.8 pg/ml; Standard curve range, 1.3 - 325.8 ng/ml, R\&D systems).

    Measured: Changes from baseline serum levels of fractalkine at 12 weeks

  13. Changes of serum levels of myokines (8).

    The serum concentration of FGF-21 is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 27 pg/ml; Standard curve range, 623 - 151,330 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of FGF-21 at 12 weeks

  14. Changes of serum levels of myokines (9).

    The serum concentration of SPARC (osteonectin) is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 97.9 pg/ml; Standard curve range, 3.4 - 829.9 ng/ml, R\&D systems).

    Measured: Changes from baseline serum levels of SPARC (osteonectin) at 12 weeks

  15. Changes of serum levels of myokines (10).

    The serum concentration of irisin is measured by commercial enzyme-linked immunosorbent assay kits (Minimal detectable density, 1.29 ng/ml; Standard curve range, 0.1 - 1,000 ng/ml, Phoenix Pharmaceuticals).

    Measured: Changes from baseline serum levels of irisin at 12 weeks

  16. Changes of serum levels of inflammatory-related cytokines (1)

    The serum concentration of IL-1 beta is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 0.8 pg/ml; Standard curve range, 17.8 - 4,320 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of IL-1 beta at 12 weeks

  17. Changes of serum levels of inflammatory-related cytokines (2)

    The serum concentration of IL-10 is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 1.6 pg/ml; Standard curve range, 13.7 - 3,340 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of IL-10 at 12 weeks

  18. Changes of serum levels of inflammatory-related cytokines (3)

    The serum concentration of IL-11 is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 24.7 pg/ml; Standard curve range, 0.5 - 125.4 ng/ml, R\&D systems).

    Measured: Changes from baseline serum levels of IL-11 at 12 weeks

  19. Changes of serum levels of inflammatory-related cytokines (4)

    The serum concentration of TNF-alpha is measured using commercial luminex multiplexed cytokine assay panels (Minimal detectable density, 1.2 pg/ml; Standard curve range, 14 - 3,410 pg/ml, R\&D systems).

    Measured: Changes from baseline serum levels of TNF-alpha at 12 weeks

  20. Changes of bone mineral density

    Bone mineral density is expressed as T-score, which is measured by a compact ultrasonometer at calcaneus (Achilles Express, GE LUNAR Corp., Madison, WI)

    Measured: Changes from baseline bone mineral density at 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Sep 2016 (estimated)
  2. Study startMay 2014
  3. Primary completionMar 2023 (estimated)
  4. Study completionDec 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02895178
Sponsor's protocol ID
LOHAS-BCS
Status last verified
Apr 2021
First submitted
21 Aug 2016
Last updated
8 Apr 2021
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Kim TH, Chang JS, Park KS, Park J, Kim N, Lee JI, Kong ID. Effects of exercise training on circulating levels of Dickkpof-1 and secreted frizzled-related protein-1 in breast cancer survivors: A pilot single-blind randomized controlled trial. PLoS One. 2017 Feb 8;12(2):e0171771. doi: 10.1371/journal.pone.0171771. eCollection 2017.

    PubMed 28178355

Questions about this trial

What is this clinical trial studying?

A study testing Combined aerobic and strength exercise training in people with Breast Cancer, run by Wonju Severance Christian Hospital at 1 site in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 8 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jae Seung Chang, Ph.D (+82-33-741-0296, godbless@yonsei.ac.kr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes of health-related physical fitness components (1). (time frame: Changes from baseline aerobic capacity at 12 weeks). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02895178, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Apr 2021.

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