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Breast NeoplasmsNCT03314688

Lifestyle, Exercise, and Nutrition Study Early After Diagnosis

A study testing Dietary/Physical Activity intervention in people with Breast Neoplasms, run by Yale University at 2 sites 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 proposed study is a randomized trial evaluating the impact of a dietary and physical activity guidelines intervention vs. usual care on adherence to breast cancer treatments, body composition, and changes in biomarkers in 172 women newly diagnosed with breast cancer scheduled to receive neoadjuvant or adjuvant… Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Breast Neoplasms
What is being tested?
Dietary/Physical Activity intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
173 participants
Where
2 sitesUnited States
Study dates
2 Jan 2018to 20 Jun 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed with Stage I-III breast cancer
  • Scheduled to receive neoadjuvant or adjuvant chemotherapy
  • Physically able to walk
  • Able to complete forms, understand instructions and read intervention book in English
  • Agrees to be randomly assigned to either intervention or usual care group

Who cannot join

  • Women who have completed their 2nd chemotherapy
  • Women already practicing dietary or physical activity guidelines
  • Are pregnant or intending to become pregnant in the next year
  • Recent (past year) stroke/myocardial infarction or congestive heart failure/ejection fraction < 40%
  • Presence of dementia or major psychiatric disease
  • Non-English speaking

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Dana Farber Cancer Center

    Boston, Massachusetts, 02215

  • Yale University

    New Haven, Connecticut, 06510

Other trials in United States

About this study

Official title: Lifestyle, Exercise, and Nutrition Study Early After Diagnosis (LEANer)

The proposed study is a randomized trial evaluating the impact of a dietary and physical activity guidelines intervention vs. usual care on adherence to breast cancer treatments, body composition, and changes in biomarkers in 172 women newly diagnosed with breast cancer scheduled to receive neoadjuvant or adjuvant chemotherapy.

Read the detailed description

Currently the Department of Health and Human Services, the American Cancer Society and others provide diet and exercise guidelines for cancer survivors. Many women with breast cancer do not follow these guidelines, and also elect to delay concerted efforts toward following them until active treatment is complete. However, adoption of these recommended lifestyle behaviors soon after diagnosis may prevent adverse changes in body composition and breast cancer biomarkers and may even improve the efficacy of treatment resulting in improved breast cancer prognosis. Further, by increasing our understanding of the mechanisms mediating the association between lifestyle behaviors and breast cancer survival, this study will improve our knowledge of how changes in diet and physical activity influence breast cancer outcomes. Lastly, guidelines for breast cancer survivors also overlap with those for diabetes and cardiovascular disease (CVD) prevention, the latter being a common cause of breast cancer mortality.

The proposed study will examine, in 172 women newly diagnosed with Stage I-III breast cancer who are not practicing the dietary and lifestyle guidelines, and who are scheduled to receive neoadjuvant or adjuvant chemotherapy, the effect of a 1-year dietary and physical activity guidelines intervention vs. usual care on the following breast cancer outcomes measured before beginning chemotherapy (Time 0), post chemotherapy (Time 1), at one-year post-diagnosis (Time 2), at two years post-diagnosis (Time 3), and at five-years post-diagnosis (Time 4): adherence to treatment, and changes in biomarkers, body composition, diet, physical activity and quality of life.

Being tested
Dietary/Physical Activity intervention, Usual Care
Medical subject headings
Breast Neoplasms

What participants receive

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

  • Dietary/Physical Activity interventionBehavioural

    Motivational counseling to follow established dietary and exercise guidelines.

  • Usual CareBehavioural

    Standard follow-up care and educational materials. Lifestyle counseling offered at the conclusion of the trial.

Study groups in NCT03314688
Study groupRoleWhat they receive
Usual Care GroupActive comparatorStandardized breast cancer follow up care and materials regarding treatment (i.e., chemotherapy and endocrine therapy when relevant). Lifestyle intervention books for breast cancer survivors at the end of the study. Women will also be offered a counselling session with a registered study dietician at the end of the study.
Receives: Behavioral: Usual Care
Dietary/Physical Activity InterventionExperimentalEleven 30-min counseling sessions over six months (weekly, then biweekly, then monthly) with additional sessions in the latter 6 months (5 additional monthly sessions for a total of 16 sessions), timed with their oncology visit or via telephone if not coming in for oncology visit. Sessions focus on motivating health dietary choices and physical activity (home-based program).
Receives: Behavioral: Dietary/Physical Activity intervention

What is being measured

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

  1. Adherence to Treatment Measured by Chemotherapy Completion Rate

    Chemotherapy completion rate will be assessed (via medical records) as the average relative dose-intensity (RDI) for the originally planned regimen based on standard formulas. RDI is calculated by dividing the participant's actual dose by the planned dose to get a percentage of actual dose/planned dose.

    Measured: before initiating chemotherapy to post-chemotherapy, up to 7 months

  2. Adherence to Endocrine Therapy in Women Taking Tamoxifen or Aromatase Inhibitors (AIs)

    This outcome was updated when results were entered. COVID restrictions prevented the intended method of assessment using urine collection. In its place are the responses on 3 questions regarding adherence.

    1. In the past month, how often did you take your aromatase inhibitor (AI)/tamoxifen pills as the doctor prescribed? ('All the time' responses counted)
    2. In the past month, how often did you forget to take one or more of your aromatase inhibitor (AI)/tamoxifen pills? ('Never' responses counted)
    3. In the past month, how often did you decide to skip one or more of your aromatase inhibitor (AI)/tamoxifen pills? ('Never' responses counted)

    Measured: 12 months after enrollment

  3. Adherence to Endocrine Therapy in Women Taking Tamoxifen or Aromatase Inhibitors (AIs).

    This outcome was updated when results were entered. COVID restrictions prevented the intended method of assessment using urine collection. In its place are the responses on 3 questions regarding adherence.

    In the past month, how often did you take your aromatase inhibitor (AI)/tamoxifen pills as the doctor prescribed? ('All the time' responses counted- Q1) In the past month, how often did you forget to take one or more of your aromatase inhibitor (AI)/tamoxifen pills? ('Never' responses counted- Q2) In the past month, how often did you decide to skip one or more of your aromatase inhibitor (AI)/tamoxifen pills? ('Never' responses counted- Q3)

    Measured: 24 months after enrollment

Secondary outcomes (11)
  1. Pathological Complete Response

    In the subset of patients receiving neoadjuvant chemotherapy, no evidence of viable invasive tumor cells at the primary tumor site and axillary lymph nodes in the surgical specimen. Data presented here is the number of participants with a pathological Complete Response.

    Measured: At the time of surgical resection following initial course of chemotherapy

  2. Mean Insulin Level

    Assessed by fasting blood (fast of 12 hours or more).

    Measured: Baseline (pre-chemotherapy), Up to 7 months from treatment onset (post chemo), 1 year

  3. Mean C-reactive Protein Level

    Assessed by fasting blood (fast of 12 hours or more).

    Measured: Baseline (pre-chemotherapy), Up to 7 months from treatment onset (post chemo), 1 year

  4. Mean Body Composition-body Weight

    Assessed by measured weight

    Measured: Baseline (pre-chemotherapy), Up to 7 months from treatment onset (post chemo), 1 year, 2 years

  5. Mean Body Composition-body Mass Index (BMI)

    Assessed from measured weight and measured height

    Measured: Baseline (pre-chemotherapy), Up to 7 months from treatment onset (post chemo), 1 year, 2 years

  6. Mean Body Composition-body Fat

    Assessed by dual energy X-ray absorptiometry (DEXA)

    Measured: Baseline (pre-chemotherapy), Up to 7 months from treatment onset (post chemo), 1 year, 2 years

  7. Body Composition-lean Body Mass

    Assessed by dual energy X-ray absorptiometry (DEXA)

    Measured: Baseline (pre-chemotherapy), Up to 7 months from treatment onset (post chemo), 1 year, 2 years

  8. Body Composition-bone Mineral Density

    Assessed by dual energy X-ray absorptiometry (DEXA), -1.0 or higher are normal; -1.1 to -2.4 indicate low bone mass (osteopenia), and -2.5 or lower indicate osteoporosis.

    Measured: Baseline (pre-chemotherapy), Up to 7 months from treatment onset (post chemo), 1 year, 2 years

  9. Mean Score Quality of Life (QoL) Patient-Reported Outcomes Measurement Information System (PROMIS) Global Physical Health (GPH)

    PROMIS Global Physical Health (GPH) score is a measure of physical well-being. It uses a T-score metric standardized to a U.S. general population mean of 50 and a standard deviation of 10. Higher scores indicate better physical health, with scores typically ranging from 20 to 80.

    Measured: Baseline (pre-chemotherapy), Up to 7 months from treatment onset (post chemo), 1 year, 2 years

  10. Mean Score Quality of Life (QoL) Patient-Reported Outcomes Measurement Information System (PROMIS) Global Mental Health (GMH)

    PROMIS Global Mental Health (GMH) score is a measure of mental well-being. It uses a T-score metric standardized to a U.S. general population mean of 50 and a standard deviation of 10. Higher scores indicate better physical health, with scores typically ranging from 20 to 80.

    Measured: Baseline (pre-chemotherapy), Up to 7 months from treatment onset (post chemo), 1 year, 2 years

  11. Fecal Microbiome

    Number of participants that were able to provide a sample.

    Measured: Baseline (pre-chemotherapy), Up to 7 months from treatment onset (post chemo), 1 year

Timeline

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

  1. First posted19 Oct 2017
  2. Study start2 Jan 2018
  3. Primary completion24 Mar 2023
  4. Study completion20 Jun 2023

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Care provider, Outcomes assessor
Enrolment
173 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03314688
Sponsor's protocol ID
2000020335
Other IDs
1R01CA207753-01A1
Status last verified
Jun 2026
First submitted
13 Sep 2017
Last updated
17 Jul 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Puklin LS, Li FY, Ferrucci LM, Cartmel B, Harrigan M, McGowan C, Zupa M, Ligibel JA, Sanft T, Irwin ML. Effect of a lifestyle intervention during chemotherapy for breast cancer on quality of life. JNCI Cancer Spectr. 2026 Jan 9;10(1):pkaf125. doi: 10.1093/jncics/pkaf125.

    PubMed 41452765
  • Sanft T, Harrigan M, McGowan C, Cartmel B, Zupa M, Li FY, Ferrucci LM, Puklin L, Cao A, Nguyen TH, Neuhouser ML, Hershman DL, Basen-Engquist K, Jones BA, Knobf T, Chagpar AB, Silber A, Tanasijevic A, Ligibel JA, Irwin ML. Randomized Trial of Exercise and Nutrition on Chemotherapy Completion and Pathologic Complete Response in Women With Breast Cancer: The Lifestyle, Exercise, and Nutrition Early After Diagnosis Study. J Clin Oncol. 2023 Dec 1;41(34):5285-5295. doi: 10.1200/JCO.23.00871. Epub 2023 Sep 1.

    PubMed 37656930
  • Sanft T, Harrigan M, Cartmel B, Ferrucci LM, Li FY, McGowan C, Zupa M, Nguyen TH, Ligibel J, Neuhouser ML, Hershman DL, Basen-Engquist K, Jones B, Knobf T, Chagpar A, Silber A, Irwin ML. Effect of healthy diet and exercise on chemotherapy completion rate in women with breast cancer: The Lifestyle, Exercise and Nutrition Early after Diagnosis (LEANer) study: Study protocol for a randomized clinical trial. Contemp Clin Trials. 2021 Oct;109:106508. doi: 10.1016/j.cct.2021.106508. Epub 2021 Jul 16.

    PubMed 34274495

Questions about this trial

What is this clinical trial studying?

A study testing Dietary/Physical Activity intervention in people with Breast Neoplasms, run by Yale University at 2 sites 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 5 inclusion and 6 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 17 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites 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?

Yes. Results are posted in the registry (first posted 14 May 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Adherence to Treatment Measured by Chemotherapy Completion Rate (time frame: before initiating chemotherapy to post-chemotherapy, up to 7 months). The study lists 3 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 NCT03314688, which also lists 3 linked publications.

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 17 Jul 2026.

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