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Breast Cancer SurvivorsMUSCLE-CLIMNCT05690295

Resistance-type Exercise Training in Postmenopausal Women Survivors of Breast Cancer

A study testing Prolonged resistance-type exercise training in people with Breast Cancer Survivors and Postmenopause, run by Universidad de La Frontera at 1 site in Chile.

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

Background: In postmenopausal women, an alteration in body composition occurs as a consequence of the secretion of low levels of serum estrogens by the ovaries. Observing an increase in abdominal and mammary fat mass and a decrease in skeletal muscle mass, which is also accompanied by loss of muscle strength and… Read more about this study

Who is it for?
Ages 45 to 59 years, women onlyHealthy volunteers can take part
What is being tested?
Prolonged resistance-type exercise training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
26 participants
Where
1 siteChile
Study dates
22 Mar 2023to 15 May 2024
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 45 to 59 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy postmenopausal women and postmenopausal women survivors of breast cancer with and without Hormonal Therapy (Aromatase Inhibitors and Tamoxifen) between 45 to 59 years.
  • Women survivors of breast cancer with active Hormone Therapy in the last 12 months.
  • Women breast cancer survivors with luminal molecular profile and positive estrogen receptors.
  • Body mass index 18.5 < BMI < 30 kg/m2.
  • Volunteers without cognitive impairment (abbreviated Minimental >13 points).

Who cannot join

  • Active antineoplastic treatment in the last 12 months.
  • >200 mL of volume difference between upper limbs and/or stage IV breast cancer.
  • Performing regular resistance training (2 or more times per week, carrying out progressive training) in the previous 6 months.
  • Cardiovascular diseases that are contradictory for physical activity (not included controlled Hypertension).
  • All co-morbidities interacting with mobility and muscle metabolism of the body and that do not allow to (safely) perform the resistance-type exercise training (e.g. debilitating arthritis, spasticity/rigidity, all neurological disorders and paralysis).

Trial locations and contacts

1 site in 1 country.

Chile1 site
  • Department of Rehabilitation Sciences, Faculty of Medicine, Universidad de La Frontera. Temuco, Chile

    Temuco

Other trials in Chile

About this study

Official title: Comparison of the Effects of Prolonged Resistance-type Exercise Training Between Healthy Postmenopausal Women Versus Postmenopausal Women Survivors of Breast Cancer

Background: In postmenopausal women, an alteration in body composition occurs as a consequence of the secretion of low levels of serum estrogens by the ovaries. Observing an increase in abdominal and mammary fat mass and a decrease in skeletal muscle mass, which is also accompanied by loss of muscle strength and physical function, which leads early to a sarcopenia.

On the other hand, the increase in estrogen production by adipose tissue has been associated with an increased risk of breast cancer during menopause because the mammary parenchyma is particularly sensitive to this type of estrogen. For this reason, Hormone Therapy (Aromatase Inhibitors and Tamoxifen) is prescribed in women with estrogen receptor-positive breast cancer. Antineoplastic treatments (Chemotherapy and Hormonal Therapy) have contributed to non-metastatic breast cancer currently presenting a high survival rate, not without adverse effects associated with the course of the disease, age and antineoplastic treatment, affecting various systems, but particularly skeletal muscle mass.

Therefore, resistance exercise training has been proposed as an effective intervention strategy to increase muscle mass and strength in different populations. However, the level of muscle response to this type of training in postmenopausal women survivors of breast cancer with and without hormone treatment (Aromatase Inhibitors and Tamoxifen) is unknown.

Read the detailed description

Hypothesis: The increase in skeletal muscle mass after 12 weeks of progressive resistance-type exercise training is less in postmenopausal breast cancer survivors compared to healthy women of the same age range.

Postmenopausal breast cancer survivors without hormonal therapy will have greater gains in skeletal muscle mass compared to breast cancer survivors with Hormone Therapy (Aromatase Inhibitors or Tamoxifen) of the same age range after 12 weeks of progressive resistance-type exercise training.

Goals: The primary aim of this study is to compare the effects of a 12-week progressive resistance-type exercise training on muscle mass (whole body muscle mass) in healthy postmenopausal women versus postmenopausal women survivors of breast cancer with and without Hormone Therapy (Aromatase Inhibitors and Tamoxifen).

Specific goals Determine whether resistance-type exercise training can increase muscle strength and quality of life in healthy postmenopausal women versus postmenopausal women survivors of breast cancer with and without Hormone Therapy (Aromatase Inhibitors and Tamoxifen).

Identify whether circulating biochemical markers are up- or down-regulated in in healthy postmenopausal women versus postmenopausal women survivors of breast cancer with and without Hormone Therapy (Aromatase Inhibitors and Tamoxifen) after resistance-type exercise training

Methodology:

Study design Twenty-six postmenopausal women between 45 to 59 years will be divided into two groups: participants without cancer (CLIMHEALTHY, n=13) and participants survivors of breast cancer without or with Hormone Therapy (CLIMCANCER, n=13). All volunteers will be subjected to 12 weeks of whole-body resistance-type exercise training (3x/wk). Before, and after 12 weeks of training, whole-body dual energy x-ray absorptiometry (DEXA) scan will be performed for measured skeletal muscle mass and fasting blood samples will be obtained. Maximal strength will be determined by 1-repetition maximum (1RM), physical functioning by the short physical performance battery (SPPB) and quality of life by QLQ-BR23 at the same time points.

Study parameters/endpoints:

The main study endpoint is the increase in the skeletal muscle mass of whole-body assessed vial dual energy x-ray absorptiometry (DEXA).

Secondary endpoints include: Maximal strength assessment (1RM); Hand grip strength; Short physical performance battery (SPPB); quality of life (QLQ-BR23), Inflammatory and molecular markers (blood samples analysis).

Other study parameters include: Age, body weight, body height, body mass index (BMI), lipid profile, glucose, and insulin.

Expected results:

The impact of resistance-type exercise training to increase muscle mass in postmenopausal women survivors of breast cancer with or without hormonal therapy remains unclear. With the proposed project, the investigators expect that resistance-type exercise training will increase skeletal muscle mass, although the impact will be relatively lower in the participants survivors of breast cancer when compared with a group of healthy postmenopausal woman. The potential findings will define the efficacy of resistance-type exercise training to increase muscle mass in individuals with postmenopausal woman survivors of breast cancer. Better maintenance, or even an increase in muscle mass and strength increases independence, prolonging good health, recovery from disease and illness, and ultimately decreases burden on healthcare systems. These results will allow the creation of local, regional, national and international strategies to combat the adverse effects of breast cancer and its antineoplastic treatment, especially in postmenopausal women.

Being tested
Prolonged resistance-type exercise training
Keywords
breast cancer, hormone therapy, exercise, muscle mass, strength
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.

  • Prolonged resistance-type exercise trainingOther

    All volunteers will be subjected to 12 weeks of whole-body resistance-type exercise training (3x/wk).

Study groups in NCT05690295
Study groupRoleWhat they receive
CLIMHEALTHYExperimentalAll postmenopausal women without breast cancer will be subjected to 12 weeks of full body resistance exercise training (3 times per week)
Receives: Other: Prolonged resistance-type exercise training
CLIMCANCERExperimentalAll postmenopausal women survivors of breast cancer without or with Hormone Therapy (pecifically Aromatase Inhibitor or Tamoxifen) will be subjected to 12 weeks of full body resistance exercise training (3 times per week)
Receives: Other: Prolonged resistance-type exercise training

What is being measured

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

  1. The changes in skeletal muscle thickness, including measurements for the biceps, triceps brachii, rectus femoris, vastus intermedius, and the total quadriceps, will be assessed using muscular ultrasound after prolonged resistance-type exercise training

    Measurements will be in centimeters.

    Measured: Before, and after 12 weeks of training

Secondary outcomes (8)
  1. Change in kilograms of the arms strength measured via 1-Repetition Maximum (1RM) testing) after prolonged resistance-type exercise training

    Maximal strength assessment via 1RM testing of horizontal row, lat pull down and chest press exercises

    Measured: Before, and after 12 weeks of training

  2. Change in kilograms of the legs strength measured via 1-Repetition Maximum (1RM) testing) after prolonged resistance-type exercise training

    Maximal strength assessment via 1RM testing of leg press, and leg extension exercises

    Measured: Before, and after 12 weeks of training

  3. Change in kilograms of the hand grip strength measured via JAMAR handheld dynamometer after prolonged resistance-type exercise training

    Maximal strength assessment via 1RM testing of JAMAR handheld dynamometer

    Measured: Before, and after 12 weeks of training

  4. Change in points of the physical performance measured via Short physical performance battery (SPPB) after prolonged resistance-type exercise training

    Measurement of physical performance via SPPB, the minimum value is 0 point and the maximum value is 12 points. Higher score in the Physical Performance mean a better outcome and lower score mean a worse outcome

    Measured: Before, and after 12 weeks of training

  5. Change in points quality of life measured via questionnaire European Organisation for Research and Treatment of Cancer (EORTC QLQ-C30) after prolonged resistance-type exercise training

    Measurement of quality of life via EORTC QLQ-30, this questionnaire has 30 question covering functional state and cancer related symptoms. Besides, there are two specific question covering the "overall health" and "overall quality of life". The scores obtained are standardized and a score between 0 and 100 is obtained. High values on the global health and functional status scales indicate a better quality of life. However, high values on the symptom scale indicate a lower quality of life

    Measured: Before, and after 12 weeks of training

  6. Change in microgram per milliliter (µg/ml) of Human Insulin via ELISA after prolonged resistance-type exercise training

    Measurement in blood samples, the insulin will evaluate by ELISA using the Human Insulin ELISA Kit, following the manufacturer's recommendations

    Measured: Before, and after 12 weeks of training

  7. Change in milligrams per deciliter (mg/dL) of glucose via methods enzymatic-colorimetric

    Measurement in blood samples, the glucose will determined by enzymatic-colorimetric methods using an automatic photometer.

    Measured: Before, and after 12 weeks of training

  8. Change in milligrams per deciliter (mg/dL) of lipid profile via methods enzymatic-colorimetric

    Measurement in blood samples, the lipid profile will determined by enzymatic-colorimetric methods using an automatic photometer

    Measured: Before, and after 12 weeks of training

Timeline

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

  1. First posted19 Jan 2023
  2. Study start22 Mar 2023
  3. Primary completion29 Mar 2024
  4. Study completion15 May 2024

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
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05690295
Sponsor's protocol ID
DFP22-0020
Acronym
MUSCLE-CLIM
Status last verified
May 2024
First submitted
22 Dec 2022
Last updated
17 May 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Artigas-Arias M, Munoz-Cofre R, Vidal-Seguel N, Alegria-Molina A, Sapunar J, Curi R, Marzuca-Nassr GN. Resistance exercise training similarly improves work efficiency and measured submaximal oxygen consumption during the 6-min walk test in healthy postmenopausal women and breast cancer survivors. Eur J Appl Physiol. 2026 Feb;126(2):965-977. doi: 10.1007/s00421-025-05966-0. Epub 2025 Sep 16.

    PubMed 40954340
  • Artigas-Arias M, Alegria-Molina A, Vidal-Seguel N, Munoz-Cofre R, Carranza-Leiva J, Sepulveda-Lara A, Vitzel KF, Huard N, Sapunar J, Salazar LA, Curi R, Marzuca-Nassr GN. Skeletal muscle mass, strength, and physical performance gains are similar between healthy postmenopausal women and postmenopausal breast cancer survivors after 12 weeks of resistance exercise training. Support Care Cancer. 2024 Nov 23;32(12):818. doi: 10.1007/s00520-024-08973-7.

    PubMed 39579274

Questions about this trial

What is this clinical trial studying?

A study testing Prolonged resistance-type exercise training in people with Breast Cancer Survivors and Postmenopause, run by Universidad de La Frontera at 1 site in Chile.

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: finished, as of the sponsor's last update on 17 May 2024. 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 Chile. 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?

The changes in skeletal muscle thickness, including measurements for the biceps, triceps brachii, rectus femoris, vastus intermedius, and the total quadriceps, will be assessed using muscular ultrasound after prolonged resistance-type exercise training (time frame: Before, and after 12 weeks of training). 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 NCT05690295, which also lists 2 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 May 2024.

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