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Breast CancerNCT03761706

Impact of Home-based Aerobic and Strength Exercises During Chemotherapy for Early Breast Cancer on Biomarkers of Aging

A study testing Engagement in Physical Activity and Questionnaires in people with Breast Cancer, run by UNC Lineberger Comprehensive 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

Purpose: To determine if engagement in physical activity during chemotherapy will have a moderating effect on increases in p16 levels during chemotherapy. Participants: 200 patients age 21 or older with a Stage I-III breast cancer diagnosis who are about to start adjuvant or neoadjuvant chemotherapy. Read more about this study

Who is it for?
Ages 21 to 99 years, women only
Conditions the study is for
Breast Cancer
What is being tested?
Engagement in Physical Activity and Questionnaires
Could I receive a placebo?
No, everyone receives an active treatment
How many people
132 participants
Where
1 siteUnited States
Study dates
28 Feb 2018to 1 Feb 2025
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 21 to 99 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Study subjects must meet all of the inclusion criteria listed below to participate in this study:
  • 21 years of age or older, female
  • Histologically confirmed Stage I, II or III breast cancer (if the patient has had more than one breast cancer, then the most recent diagnosis)
  • Scheduled to begin an appropriate adjuvant or neo-adjuvant chemotherapy regimen as defined by NCCN guidelines (www.nccn.org). Patients receiving anti-HER-2 therapy are eligible but the intervention will only be tested during the chemotherapy portion of the regimen.
  • English speaking
  • IRB approved, signed written informed consent
Show all 9Show fewer
  • Approval from their treating physician to engage in moderate-intensity physical activity
  • Patient-assessed ability to walk and engage in moderate physical activity
  • Willing and able to meet all study requirements.

Who cannot join

  • All subjects meeting any of the exclusion criteria at baseline will be excluded from study participation. Exclusion criteria are:
  • One or more significant medical conditions that in the physician's judgment preclude participation in the walking or strength training intervention.
  • Unable to walk or engage in moderate-intensity physical activity.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27599

Other trials in United States

About this study

Official title: Impact of Home-based Aerobic and Strength Exercises During Chemotherapy for Early Breast Cancer on Biomarkers of Aging and Patient-reported Symptoms and Outcomes

Purpose: To determine if engagement in physical activity during chemotherapy will have a moderating effect on increases in p16 levels during chemotherapy.

Participants: 200 patients age 21 or older with a Stage I-III breast cancer diagnosis who are about to start adjuvant or neoadjuvant chemotherapy.

Procedures: The study entails screening, recruiting and consenting 200 eligible breast cancer patients who are about to begin adjuvant or neoadjuvant chemotherapy and agree to participate in a physical activity intervention, maintain a printed daily exercise log, wear a FitBit, complete questionnaires and assessments, and provide blood samples at various time points.

Read the detailed description

The overall focus of this study remains the investigation of associations between p16 and assessments (independent and patient-reported) of chemotherapy-related toxicity (adverse events and symptoms) and patient-reported measures of function and quality of life. The research team has determined that p16 increases dramatically during chemotherapy and that p16 levels among persons of similar age are lower among those who exercise as compared to those who are sedentary. The research team hypothesizes that engagement in physical activity during chemotherapy will have a moderating effect on increases in p16 levels during chemotherapy. To test this hypothesis, the study proposes to build on a completed trial, LCCC1334, and enroll 200 evaluable patients age 21-64 with a Stage I-III breast cancer diagnosis who are about to start adjuvant or neoadjuvant chemotherapy in an intervention that entails both aerobic and resistance exercises.

Results from both LCCC1334 and LCCC1410 and the proposed study, LCCC1749, will be used to provide evidence for a future grant application to conduct a randomized controlled trial in a larger study population to (1) establish the effect of physical activity on p16 levels during chemotherapy and (2) further evaluate how baseline and post-chemotherapy p16 levels correlate with measures of treatment-related toxicity and patient-reported outcomes over time. Findings from this study will also provide preliminary evidence for further investigations of the potential benefits of exercise during early breast cancer chemotherapy for (1) reducing the incidence and severity of peripheral neuropathy and (2) managing the interface of fatigue and perceived cognition deficits.

Conditions
Breast Cancer
Being tested
Engagement in Physical Activity, Questionnaires
Keywords
breast cancer, exercise, chemotherapy and aging
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.

  • Engagement in Physical ActivityBehavioural

    Study participants will be asked to wear a FitBit provided by the research team and agree to FitBit data downloads during regularly scheduled chemotherapy clinic visits. Participants will also complete a daily exercise log to record the total number of minutes walked and the total number of steps from the FitBit.

  • QuestionnairesOther

    Study participants will complete the following questionnaires: Health Behavior Questionnaire (HBQ), Short Physical Performance Battery (SPPB), Functional Assessment of Cancer Therapy-General (FACT-G), 4.4.5 Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), PROMIS Cognitive Function (Short Form 8a), Functional Assessment of Cancer-Gynecology Oncology Group-Neurotoxicity (FACT/GOG-NTX-12) Version 4, Nutrition Survey, Perceived Self-Efficacy for Fatigue Self-Management (PSEFSM),

Study groups in NCT03761706
Study groupRoleWhat they receive
Intervention CohortExperimentalThis is a one-arm intervention study that includes assessments and questionnaires at several time points as early stage breast cancer patients undergo chemotherapy and at 6 months post-chemotherapy. Study participants will be asked to wear a FitBit provided by the research team and agree to FitBit data downloads during regularly scheduled chemotherapy clinic visits to evaluate engagement in physical activity. Study participants will complete questionnaires, an exercise log, and submit blood samples as multiple time points.
Receives: Behavioral: Engagement in Physical Activity; Other: Questionnaires

What is being measured

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

  1. Compare the change in p16 from baseline to end of chemotherapy

    Compare the change in p16 from baseline to end of chemotherapy for patients receiving a physical activity intervention to the historical value seen in previous studies (LCCC810 and 1027) of similar patients who did not participate in a physical activity intervention.

    Measured: Baseline, 6-months post Baseline, 12-months post-Baseline

Secondary outcomes (21)
  1. Measure association of physical activity levels (Fitbit steps and strength training) with change in p16 levels

    Will upload Fitbit and collect strength training data to evaluate the association of physical activity levels (Fitbit steps) with change in p16 levels.

    Measured: Baseline, during Chemotherapy (from 1st infusion through last infusion, which varies widely by chemotherapy regimen -- from 12 weeks to 30 weeks) , and 12-months post-Baseline

  2. Measure associations between weight, physical activity and diet during chemotherapy.

    Will administer the NHANES Nutrition Survey at several time points during the study. The NHANES survey is not a scale. It is not scored. It is descriptive, asking about the frequency of consumption of specific items.

    Measured: Baseline, 3-months post-Baseline, 6-months post-Baseline, and 12-months post-Baseline

  3. Chemotherapy-induced peripheral neuropathy (CIPN) as assessed by the FACT/GOG-NTX

    Will administer the FACT/GOG-NTX instrument.

    Measured: Baseline, During Chemotherapy (from 1st infusion through last infusion, which varies widely by chemotherapy regimen -- from 12 weeks to 30 weeks), 6-months post Baseline, 12-months post-Baseline

  4. Chemotherapy-induced peripheral neuropathy (CIPN) as assessed by the CTCAE.

    Will administer the CTCAE.

    Measured: Baseline, During Chemotherapy (from 1st infusion through last infusion, which varies widely by chemotherapy regimen -- from 12 weeks to 30 weeks), 6-months post Baseline, 12-months post-Baseline

  5. Chemotherapy-induced peripheral neuropathy (CIPN) as assessed by the PRO-CTCAE.

    Will administer the PRO-CTCAE.

    Measured: Baseline, During Chemotherapy (from 1st infusion through last infusion, which varies widely by chemotherapy regimen -- from 12 weeks to 30 weeks), 6-months post Baseline, 12-months post-Baseline

  6. Chemotherapy-induced peripheral neuropathy (CIPN) as assessed by the SPPB.

    Will administer the Short Physical Performance Battery (SPPB).

    Measured: Baseline, During Chemotherapy (from 1st infusion through last infusion, which varies widely by chemotherapy regimen -- from 12 weeks to 30 weeks), 6-months post Baseline, 12-months post-Baseline

  7. Measure association of p16 with changes in QOL measures as assessed by the FACT-G

    Will administer the FACT-G Questionnaire. The FACT-G is scored in a Likert-type scale from 0+not at all to 4=very much. Higher scores signify higher quality of life. Subscales are physical, social/family, emotional and functional -- which are analyzed separately and can be combined into a total FACT-G score.

    Measured: Baseline, 6-months post-Baseline, 12-months post-Baseline

  8. Measure association of p16 with changes in QOL measures as assessed by the FACIT-F

    Will administer the FACIT-F Questionnaire. This Likert-type scale ranges from 0=not at all to 4=very much, with higher scores signifying higher fatigue. No subscales.

    Measured: Baseline, 6-months post-Baseline, 12-months post-Baseline

  9. Measure association of p16 with changes in QOL measures as assessed by the MHI-17

    Will administer the MHI-17 Health Questionnaire. This 17 item measure consists of two subscales -- Anxiety and Depression. The Likert-type scale ranges from 0=all of the time to 5=none of the time. Higher scores indicate higher anxiety or depression. The two subscales are not combined into one MHI score.

    Measured: Baseline, 6-months post-Baseline, 12-months post-Baseline

  10. Measure association of p16 with changes in QOL measures as assessed by the MOS Social Activity Limitation Questionnaire

    Administer the MOS Social Activity Limitation Questionnaire. We are using only one item from this scale. Likert-type scoring is 0=all of the time to4=none of the time. Higher score signifies less interference with social activities.

    Measured: Baseline, 6-months post-Baseline, 12-months post Baseline

  11. Measure association of p16 with changes in QOL measures as assessed by the PROMIS Instrumental Support

    Administer the PROMIS Instrumental Support Questionnaire. This Likert-type scale is from 1=never to 5=always. Higher score signifies higher instrumental support. No subscales.

    Measured: Baseline, 6-months post Baseline, 12-months post-Baseline

  12. Measure association of p16 with changes in QOL measures as assessed by the PROMIS Social Isolation Questionnaire.

    Administer PROMIS Social Isolation Questionnaire. Likert-type scoring is 0=never to 5=alwayse. Higher score signifies more social isolation. No subscales.

    Measured: Baseline, 6-months post-Baseline, 12-months post-Baseline

  13. Measure association of p16 with changes in QOL measures as assessed by the PROMIS Global Health

    Administer PROMIS Global Health Questionnaire. Likert-type scale from 0=excellent to 4=poor. Higher score signifies lower global health. No subscales.

    Measured: Baseline, 6-months post-Baseline, 12-months post-Baseline

  14. Measure association of p16 with changes in cognition by the PROMIS Cognitive Function-Short Form

    Will administer the PROMIS Cognitive Function-Short Form (8a). This Likert-type scale is from 1=very often to 5=never. Higher scores signify higher cognitive function. No subscales.

    Measured: Baseline, 6-months post-Baseline

  15. Measure association of p16 with changes in cognition by the Blessed Memory Concentration test (BOMC)

    Will administer the Blessed Memory Concentration test (BOMC).

    Measured: Baseline, 6-months post-Baseline

  16. Measure association of p16 with changes in functional status by the Timed Up and Go Test

    Administer theTimed Up and Go Test

    Measured: Baseline, 6-months post-Baseline

  17. Measure association of p16 with changes in functional status by the Medical Outcomes Survey.

    Administer the Medical Outcomes Survey. Likert-type scale from 0=without help to 2=completely unable. Higher score signifies more limitations. No subscale.

    Measured: Baseline, 6-months post-Baseline

  18. Measure association of p16 with changes in functional status with the Instrumental Activities of Daily Living Survey

    Administer the Instrumental Activities of Daily Living Survey. This Likelrt-type scale is from 0=without help to 2=completely unable. Higher scores signify greater limitations. No subscale.

    Measured: Baseline, 6-months post-Baseline

  19. Measure association of p16 with changes in functional status with the Karnofsky Performance Status

    Administer the Karnofsky Performance Status

    Measured: Baseline, 6-months post-Baseline

  20. Measure association of p16 with number of Fall Questionnaire

    One question will inquire about falls within the past 6 months.

    Measured: Baseline, 6-months post-Baseline

  21. Measure association of p16 with limitations in walking one block

    One question will inquire whether the participant's health limits their ability to walk one block = range 0=limited a lot to 2=not limited at all

    Measured: Baseline, 6-months post-Baseline

Timeline

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

  1. First posted3 Dec 2018
  2. Study start28 Feb 2018
  3. Primary completion1 Aug 2024
  4. Study completion1 Feb 2025

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
132 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03761706
Sponsor's protocol ID
LCCC 1749
Status last verified
Mar 2025
First submitted
5 Jun 2018
Last updated
1 Apr 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Nyrop KA, Page A, Deal AM, Wagoner C, Kelly EA, Kimmick GG, Copeland A, Speca J, Wood WA, Muss HB. Association of self-directed walking with toxicity moderation during chemotherapy for the treatment of early breast cancer. Support Care Cancer. 2023 Dec 28;32(1):68. doi: 10.1007/s00520-023-08275-4.

    PubMed 38153568

Questions about this trial

What is this clinical trial studying?

A study testing Engagement in Physical Activity and Questionnaires in people with Breast Cancer, run by UNC Lineberger Comprehensive 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 9 inclusion and 3 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 1 Apr 2025. 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?

Compare the change in p16 from baseline to end of chemotherapy (time frame: Baseline, 6-months post Baseline, 12-months post-Baseline). 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 NCT03761706, 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 1 Apr 2025.

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