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Disorders of BreastNCT02923401

High-Intensity Interval Training for Women at Heightened Risk for Breast Cancer

A study testing Exercise, Questionnaires and Motivational Session in people with Disorders of Breast, run by M.D. Anderson Cancer Center at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this research study is to learn if there is a level of exercise training that is more effective in lowering biomarker levels that are linked to breast cancer risk. Biomarkers are found in the blood/tissue and may be related to your reaction to exercise. This is an investigational study. Read more about this study

Who is it for?
Ages 18 to 55 years, women onlyHealthy volunteers can take part
Conditions the study is for
Disorders of Breast
What is being tested?
Exercise, Questionnaires and Motivational Session
Could I receive a placebo?
No, everyone receives an active treatment
How many people
39 participants
Where
1 siteUnited States
Study dates
30 Sep 2016to 5 Jan 2022
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 55 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Postmenopausal women [defined per provider discretion and notated in the medical record]
  • At high risk of developing breast cancer (history of Ductal Carcinoma In Situ (DCIS), Lobular Carcinoma In Situ (LCIS), Atypical Ductal Hyperplasia (ADH), Gail 5 year risk > 1.66% or lifetime risk > 20%)
  • Enrolled on the Longitudinal High Risk Cohort study or being seen in the Cancer Prevention Center.
  • Oriented to person, place, and time
  • BMI > or equal to 25 kg/m2
  • Speaks and reads English

Who cannot join

  • Underlying medical problems that contraindicate unsupervised exercise.
  • Women with a prior history of cardiovascular disease, defined as a 1 or more positive responses on the Heart Questionnaire (Appendix D).
  • Uses a walker or wheelchair/scooter
  • Is being treated for diagnosed diabetes or autoimmune disease
  • Lives outside the greater Houston area (Harris and contiguous counties)
  • Is pregnant (self-reported)
  • Is taking risk reduction therapy such as tamoxifen
  • Participants with a blood pressure >=140/90 at the time of baseline testing.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

Other trials in United States

About this study

The goal of this research study is to learn if there is a level of exercise training that is more effective in lowering biomarker levels that are linked to breast cancer risk. Biomarkers are found in the blood/tissue and may be related to your reaction to exercise.

This is an investigational study. Up to 72 participants will be enrolled in this study. All will take part at MD Anderson.

Read the detailed description

Study Groups:

If you agree to take part in this research study, you will be randomly assigned (as in a roll of dice) to 1 of 3 study groups. This is done because no one knows if one study group is better, the same, or worse than the other group. You will have an equal chance of being assigned to each group:

  • If you are in Group 1, you will take part in high-intensity interval (HIIT) exercise.
  • If you are in Group 2, you will take part in moderate-intensity exercise.
  • If you are in Group 3, you will not take part in any assigned exercise, but you will receive written materials and counseling by an exercise physiologist.

If you are in Group 1 or Group 2, you will also receive written materials and instructions on how to perform your exercises.

Physical Activity:

If you are in Group 1 or 2, you will come to the Energy Balance Center to exercise 3 times a week for 12 weeks.

If you are in Group 1, you will walk uphill on a treadmill for a total of 33 minutes. There will be a 5-minute warm up, followed by four 4-minute intervals. Between each interval, you will walk for 3 minutes. There will be a 3 minute cool down.

If you are in Group 2, you will exercise at the Energy Balance Center 3 times a week. You will walk uphill on a treadmill or use a stationary bicycle continuously for 41 minutes.

If you are in Group 3, 1 time each month while you are on study, you will be called by a member of the study staff and asked about any exercise you have done and your weight loss goals. Each phone call should take about 15 minutes.

The exercise training intensity may be reduced or stopped temporarily if you experience side effects.

Length of Study:

No matter which group you are in, your participation in this study will be over after 12 weeks. You will be taken off study if you have intolerable side effects.

Study Visits:

All participants will visit the MD Anderson Behavioral Research and Treatment Center for each study visit.

At baseline:

  • You will have a cardiopulmonary exercise test (CPET) to check your lung function. The CPET checks how well your lungs are working by measuring how much oxygen and carbon dioxide your lungs take in and release when you breathe. To perform this test, you will be asked to walk on a treadmill until you reach a point that you can no longer exercise. You will be breathing into the machine while you walk. This test will take about 30 minutes to complete. The study doctor will be present for each CPET and available to respond to any complication.
  • You will have an EKG to check your heart function. The study doctor will be present for each EKG you have.
  • Blood (about 1½ tablespoons) will be drawn for biomarker testing. You will be asked to fast (eat nothing and drink only water) for at least 12 hours before each blood draw as part of this study.
  • You will have a dual-energy x-ray absorptiometry (DEXA) scan to measure your body mass.
  • You will complete a questionnaire that will ask you about your demographics (age, race, and so on), past medical history, and lifestyle habits. This questionnaire should take about 5 minutes to complete.
  • You will complete 5 questionnaires about your quality of life, exercise experience, and level of fatigue. These should take a total of about 15 minutes to complete.

At 6 weeks:

  • You will have a CPET.
  • You will have an EKG.

At 12 weeks:

  • You will have a CPET.
  • Blood (about 1½ tablespoons) will be drawn for biomarker testing.
  • You will have an EKG.
  • You will have a DEXA scan.
  • You will complete the same questionnaires that you completed at baseline.
  • If you are in Group 1 or 2, you will be interviewed by a member of the study staff. You will be asked 5 questions about your experience with your assigned exercise program. It should take about 5 minutes to complete.

One (1) time each month, you will attend a motivational session. During this session, you will discuss strategies for overcoming barriers that may be keeping you from attending or completing your exercises. You will also talk about continuing physical activity after you complete the program. This session should last about 15-30 minutes.

Additional Information:

  • Trained health professionals will be present at all study visits to address any symptoms during exercise. If you feel that you are having difficulty breathing, experiencing dizziness, or are having any heart related symptoms while exercising at home, please stop exercising and call 911 immediately.
  • Clinical information such as your name, patient medical record number, age, gender, body mass index (BMI), zip code, and your complete medical history will be collected from your medical record.
  • If you are in Group 1 or Group 2, you will receive text messages before each exercise session to remind you to attend. You will be responsible for any text messaging charges. Standard text message rates will apply.
Being tested
Exercise, Questionnaires, Motivational Session, Phone Call, Printed Materials
Keywords
Exercise, Biomarkers, Breast cancer high risk, Treadmill, Stationary bicycle, Questionnaires, Surveys, Motivational sessions, Phone calls, Printed materials
Medical subject headings
Breast Diseases, Motor Activity

What participants receive

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

  • ExerciseOther

    High-Intensity Interval Training (HIIT) Group: Participants walk uphill on a treadmill for a total of 33 minutes 3 times a week for 12 weeks.There is a 5-minute warm up, followed by four 4-minute intervals. Between each interval, participant walks for 3 minutes. There is a 3 minute cool down.

    Moderate-Intensity Continuous Training (MICT) Group: Participants walk uphill on a treadmill or use a stationary bicycle continuously for 41 minutes 3 times a week for 12 weeks.

  • QuestionnairesBehavioural

    Also called Surveys

    Participants complete questionnaires about their quality of life, exercise experience, and level of fatigue at baseline and at 12 weeks. These should take a total of about 15 minutes to complete.

  • Motivational SessionBehavioural

    One (1) time each month, participant attends a motivational session for 12 weeks.

  • Phone CallBehavioural

    Participants called by a member of the study staff 1 time each week for 12 weeks and asked about any exercise they have done and their weight loss goals. Each phone call should take about 15 minutes.

  • Printed MaterialsOther

    High-Intensity Interval Training (HIIT) Group and Moderate-Intensity Continuous Training (MICT) Group: Participants receive written materials and instructions on how to perform their exercises.

    Control Group: Participants receive written materials and counseling by an exercise physiologist.

Study groups in NCT02923401
Study groupRoleWhat they receive
High-Intensity Interval Training (HIIT) GroupExperimentalParticipants come to the Energy Balance Center to exercise 3 times a week for 12 weeks. Participants receive written materials and instructions on how to perform their exercises. Participants walk uphill on a treadmill for a total of 33 minutes 3 times a week for 12 weeks. Participants complete questionnaires about their quality of life, exercise experience, and level of fatigue at baseline and at 12 weeks. One (1) time each month, participant attends a motivational session.
Receives: Other: Exercise; Behavioral: Questionnaires; Behavioral: Motivational Session; Other: Printed Materials
Moderate-Intensity Continuous Training (MICT) GroupExperimentalParticipants come to the Energy Balance Center to exercise 3 times a week for 12 weeks. Participants receive written materials and instructions on how to perform their exercises. Participants walk uphill on a treadmill or use a stationary bicycle continuously for 41 minutes 3 times a week for 12 weeks. Participants complete questionnaires about their quality of life, exercise experience, and level of fatigue at baseline and at 12 weeks. One (1) time each month, participant attends a motivational session.
Receives: Other: Exercise; Behavioral: Questionnaires; Behavioral: Motivational Session; Other: Printed Materials
Control GroupActive comparatorParticipants receive written materials and counseling by an exercise physiologist. Participants called by a member of the study staff 1 time each week for 12 weeks and asked about any exercise they have done and their weight loss goals. Participants complete questionnaires about their quality of life, exercise experience, and level of fatigue at baseline and at 12 weeks. One (1) time each month, participant attends a motivational session.
Receives: Behavioral: Questionnaires; Behavioral: Motivational Session; Behavioral: Phone Call

What is being measured

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

  1. Feasibility of High-Intensity Interval Exercise to Offset the Tumor Promoting Effects of Obesity in High-Risk Breast Cancer Participants

    Trials judged feasible if:

    At least 45% of screened patients meet inclusion criteria, 2. At least 50% of patients who meet the inclusion criteria consent, 3. Adherence in HIIT and MICT is larger than 80%, and 4. Retention rate is larger than 80%.

    Measured: 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 posted4 Oct 2016 (estimated)
  2. Study start30 Sep 2016
  3. Primary completion5 Jan 2022
  4. Study completion5 Jan 2022

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
39 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02923401
Sponsor's protocol ID
2016-0442
Other IDs
NCI-2016-01938
Status last verified
Feb 2022
First submitted
3 Oct 2016
Last updated
28 Feb 2022
Results posted
No
Data monitoring committee
No

Publications

  • Coletta AM, Agha NH, Baker FL, Niemiro GM, Mylabathula PL, Brewster AM, Bevers TB, Fuentes-Mattei E, Basen-Engquist K, Gilchrist SC, Simpson RJ. The impact of high-intensity interval exercise training on NK-cell function and circulating myokines for breast cancer prevention among women at high risk for breast cancer. Breast Cancer Res Treat. 2021 Jun;187(2):407-416. doi: 10.1007/s10549-021-06111-z. Epub 2021 Feb 8.

    PubMed 33555464

Questions about this trial

What is this clinical trial studying?

A study testing Exercise, Questionnaires and Motivational Session in people with Disorders of Breast, run by M.D. Anderson Cancer Center at 1 site in United States.

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 6 inclusion and 8 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: finished, as of the sponsor's last update on 28 Feb 2022. 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 United States. 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. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Feasibility of High-Intensity Interval Exercise to Offset the Tumor Promoting Effects of Obesity in High-Risk Breast Cancer Participants (time frame: 12 weeks). 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 NCT02923401, 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 28 Feb 2022.

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