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CancerREHABIMNCT06441773

Impact of Respiratory Rehabilitation on Quality of Life in Patients With Metastatic Non-small Cell Lung Cancer Treated With Immunotherapy and Chemotherapy in the Maintenance Phase

A study testing Respiratory Rehabilitation in people with Cancer, run by University Hospital, Brest at 3 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Lung cancer is highly prevalent, with approximately 46,363 new cases in 2018, accounting for 20.6% of cancer deaths in France. At diagnosis, 70% of patients have advanced or metastatic cancer, treatable only by palliative care. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cancer
What is being tested?
Respiratory Rehabilitation
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
96 participants
Where
3 sitesFrance
Study dates
21 Nov 2025to 21 Nov 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically proven stage IV non-small cell lung cancer patient
  • First-line treatment with chemotherapy combined with immunotherapy in the maintenance phase
  • Adenocarcinoma patient: maintenance with Alimta combined with pembrolizumab
  • Squamous cell carcinoma patient: maintenance with pembrolizumab alone
  • Age of at least 18 years
  • Performance status of 0 or 1
Show all 14Show fewer
  • Estimated life expectancy > 12 weeks
  • No contraindications to respiratory rehabilitation
  • Adequate organ function, demonstrated by laboratory results within the last 3 weeks, allowing maintenance treatment:
  • Normal liver function: bilirubin < 1.5 x ULN, ALT and AST < 2.5 x ULN or < 5 x ULN in the case of liver metastases.
  • Renal function (creatinine clearance calculation of at least > 45 mL/min).
  • Hematological function: absolute neutrophil count > 1.5 x 10^9/L and/or platelets > 100 x 10^9/L, hemoglobin > 8 g/dL.
  • Informed consent to participate in the study must be signed
  • Patient must be affiliated with or beneficiary of social security

Who cannot join

  • Small cell lung cancer, mesothelioma, neuroendocrine lung cancer
  • Patients with orthopedic disorders preventing respiratory rehabilitation that, in the investigator's opinion, could interfere with respiratory rehabilitation
  • Unresolved toxicity from previous treatment of grade > 1 (except alopecia) that, in the investigator's opinion, could interfere with respiratory rehabilitation
  • Symptomatic brain metastases (corticosteroid treatment is allowed if the doses administered are stable for at least one month before inclusion)
  • Bone metastases preventing respiratory rehabilitation
  • Contraindication to respiratory rehabilitation
Show all 10Show fewer
  • Uncontrolled infection
  • Pregnancy and breastfeeding
  • Surgery within two months prior to inclusion that could interfere with respiratory rehabilitation
  • Persons under legal protection (guardianship or curatorship) or deprived of liberty

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Florence Jacquemine Péguet-Ménard contact

06.23.25.64.50

jacquemine.menard@chu-brest.fr

France3 sites, 3 recruiting
  • CHU Brest

    Brest, 29609

    Renaud DESCOURT, Dr, 02 98 22 33 96, renaud.descourt@chu-brest.fr

    Renaud DESCOURT, Dr

    Not yet recruiting
  • CH Morlaix

    Morlaix, 29600

    Marc BEAUMONT, 02 98 62 61 60, mbeaumont@ch-morlaix.fr

    Marc BEAUMONT

    Recruiting
  • CH Cornouaille

    Quimper, 29107

    Florence VERGNE-MENEZ, Dr, 02 98 52 60 60, florence.vergne@ch-cornouaille.fr

    Florence VERGNE-MENEZ, Dr

    Recruiting

Other trials in France

About this study

Lung cancer is highly prevalent, with approximately 46,363 new cases in 2018, accounting for 20.6% of cancer deaths in France. At diagnosis, 70% of patients have advanced or metastatic cancer, treatable only by palliative care. Respiratory rehabilitation aims to reduce symptoms, enhance performance, increase autonomy, and improve patients\&amp;#39; quality of life. While effective for COPD patients and other conditions causing dyspnea, its benefits in advanced, non-operable lung cancer are less studied. Some studies have shown the feasibility and safety of respiratory rehabilitation, but few have compared its impact on non-operable lung cancer patients or assessed its effect on quality of life. The main objective of the proposed study is to evaluate the impact of a respiratory rehabilitation program on the quality of life of patients with non-small cell lung cancer (NSCLC) undergoing maintenance chemotherapy and immunotherapy, compared to a control group receiving standard care.

Read the detailed description

Lung cancer accounts for an estimated 46,363 new cases in 2018. At the time of diagnosis, 70% of patients have locally advanced or metastatic cancer that can no longer be treated by surgery, but only by palliative therapy. It is the 4th most common cancer in France, and the most common worldwide. Lung cancer accounts for 20.6% of all cancer deaths in France.

Respiratory rehabilitation aims to minimize symptoms linked to the underlying pathology, and to enhance performance, increase autonomy and promote activities of daily living. It also aims to improve health-related quality of life and long-term maintenance of behavioral changes. It has been shown to be effective for COPD patients. Respiratory rehabilitation has also demonstrated its benefits in other pathologies whose common denominator is dyspnea, such as interstitial lung disease and pulmonary hypertension. In the case of operable lung cancers, numerous studies have focused on the preoperative and postoperative benefits.

Very few studies have focused on its benefits in advanced, non-operable lung cancer.

The team of Olivier et al. studied the benefits of home respiratory rehabilitation for 8 weeks in patients with advanced or metastatic lung cancer or mesothelioma treated with concomitant chemotherapy. Their study shows feasibility and safety for patients who complete the program, but the authors point out that the absence of a control arm and the small number of patients mean that the benefits of respiratory rehabilitation cannot be confirmed.

The team of Edbrooke et al., in 2019, is studying the value of a home-based rehabilitation program. The aim of the study is to demonstrate the efficacy of respiratory rehabilitation compared with standard care, a randomized controlled superiority trial. The study showed no statistically significant difference at 9 weeks on the primary endpoint (the 6-min walk test), due to a lack of power in the trial. A final study (Park et al.) showed the feasibility of outpatient rehabilitation in twelve patients, but did not conclude on the value of respiratory rehabilitation.

Thus, while a few studies have demonstrated the feasibility of respiratory rehabilitation in patients with bronchial cancer, few comparative studies have evaluated the impact of rehabilitation in patients with non-operable bronchial cancer, and no study has assessed the impact of respiratory rehabilitation on quality of life (as a primary endpoint), although this would appear to be an essential element in the care of these patients.

The main objective of our study is to evaluate the impact of a respiratory rehabilitation program (rehabilitation group) in patients with non-small cell lung cancer (NSCLC) treated with chemotherapy and immunotherapy in the maintenance phase compared with patients with NSCLC treated with chemotherapy and immunotherapy in the maintenance phase (control group), on quality of life at 2 months (8 weeks).

Conditions
Cancer
Being tested
Respiratory Rehabilitation
Keywords
Respiratory rehabilitation
Medical subject headings
Neoplasms

What participants receive

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

  • Respiratory RehabilitationProcedure or surgery

    An initial assessment is conducted upon admission to personalize the program. This includes:

    Clinical examination Spirometry Maximum Inspiratory Pressure (PImax) measurement Multidimensional Dyspnea Profile questionnaire at end of TM6 Exercise Functional Testing Measurement of quadriceps strength and endurance Blood gases Educational interview and shared educational assessment London Chest Activity of Daily Living (LCADL) Tobacco and/or dietary consultation

    The respiratory rehabilitation program, performed twice a week, includes:

    Exercise training on an ergocycle and treadmill (30 minutes at ventilatory threshold for the ergocycle; 30 minutes at 60-80% walking speed for the treadmill; or dyspnea rated 4-6 on the Borg scale after endurance exercise) Quadriceps muscle strengthening Therapeutic education program Group gymnastics Smoking cessation assistance Socio-psychological and nutritional support

Study groups in NCT06441773
Study groupRoleWhat they receive
ControlNo interventionMaintenance of chemotherapy and immunotherapy alone: without respiratory rehabilitation (control group)
Respiratory rehabilitionExperimentalMaintenance of chemotherapy and immunotherapy combined with a respiratory rehabilitation program of 2 sessions per week for 8 weeks (respiratory rehabilitation group) = 16 sessions
Receives: Procedure: Respiratory Rehabilitation

What is being measured

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

  1. Quality of Life Measurement Using EORTC QLQ-C30

    The primary endpoint is the measurement of quality of life, assessed by the composite score from the sum of EORTC QLQ-C30. The evaluation will be conducted by filling out the quality of life questionnaires at inclusion (=Week 0) and at 8 weeks

    Measured: Week 0

  2. Quality of Life Measurement Using EORTC QLQ-LC13

    The primary endpoint is the measurement of quality of life, assessed by the composite score from the sum of EORTC QLQ-LC13. The evaluation will be conducted by filling out the quality of life questionnaires at inclusion (=Week 0) and at 8 weeks

    Measured: Week 0

  3. Quality of Life Measurement Using EORTC QLQ-C30

    The primary endpoint is the measurement of quality of life, assessed by the composite score from the sum of EORTC QLQ-C30. The evaluation will be conducted by filling out the quality of life questionnaires at inclusion (=Week 0) and at 8 weeks

    Measured: Week 8

  4. Quality of Life Measurement Using EORTC QLQ-LC13

    The primary endpoint is the measurement of quality of life, assessed by the composite score from the sum of EORTC QLQ-LC13. The evaluation will be conducted by filling out the quality of life questionnaires at inclusion (=Week 0) and at 8 weeks

    Measured: Week 8

Secondary outcomes (33)
  1. Evaluation of quality of life using multiple modalities of the QLQ-C30.

    Quality of life measurement using the functional scales and symptom scales of the QLQ-C30 questionnaire.

    Measured: Week 0

  2. Evaluation of quality of life using multiple modalities of the QLQ-C30.

    Quality of life measurement using the functional scales and symptom scales of the QLQ-C30 questionnaire.

    Measured: Week 8

  3. Evaluation of quality of life using multiple modalities of the QLQ-C30.

    Quality of life measurement using the functional scales and symptom scales of the QLQ-C30 questionnaire.

    Measured: Month 6

  4. Evaluation of quality of life using multiple modalities of the QLQ-C30.

    Quality of life measurement using the functional scales and symptom scales of the QLQ-C30 questionnaire.

    Measured: Month 12

  5. Evaluation of quality of life using multiple modalities of the QLQ-C13.

    Quality of life measurement using the functional scales and symptom scales of the QLQ-C13 questionnaire.

    Measured: Week 0

  6. Evaluation of quality of life using multiple modalities of the QLQ-C13

    Quality of life measurement using the functional scales and symptom scales of the QLQ-C13 questionnaire.

    Measured: Week 8

  7. Evaluation of quality of life using multiple modalities of the QLQ-C13

    Quality of life measurement using the functional scales and symptom scales of the QLQ-C13 questionnaire.

    Measured: Month 6

  8. Evaluation of quality of life using multiple modalities of the QLQ-C13

    Quality of life measurement using the functional scales and symptom scales of the QLQ-C13 questionnaire.

    Measured: Month 12

  9. Evaluation of quality of life using the global health score of the QLQ-C30

    Quality of life measurement using the global health score of the QLQ-C30 at 6 months and 1 year.

    Measured: Month 6

  10. Evaluation of quality of life using the global health score of the QLQ-C30

    Quality of life measurement using the global health score of the QLQ-C30 at 6 months and 1 year.

    Measured: Month 12

  11. Evaluation of the number of deceased and surviving patients throughout the study follow-up.

    Evaluation of the number of deceased and surviving patients throughout the study follow-up.

    Measured: Week 8

  12. Evaluation of the number of deceased and surviving patients throughout the study follow-up.

    Evaluation of the number of deceased and surviving patients throughout the study follow-up.

    Measured: Month 6

  13. Evaluation of the number of deceased and surviving patients throughout the study follow-up.

    Evaluation of the number of deceased and surviving patients throughout the study follow-up.

    Measured: Month 12

  14. Study of tumor response evaluation

    Measurement of median Progression-Free Survival (based on RECIST criteria = tumor response evaluation) throughout the study follow-up.

    Measured: Week 8

  15. Study of tumor response evaluation

    Measurement of median Progression-Free Survival (based on RECIST criteria = tumor response evaluation) throughout the study follow-up.

    Measured: Month 6

  16. Study of tumor response evaluation

    Measurement of median Progression-Free Survival (based on RECIST criteria = tumor response evaluation) throughout the study follow-up.

    Measured: Month 12

  17. Evaluation of exercise capacity using 6-Minute Walk Test

    Measurement of exercise capacity using the 6-Minute Walk Test (6MWT) at Week 0 and at 8 weeks (after 16 sessions for the respiratory rehabilitation group)

    Measured: Week 0

  18. Evaluation of exercise capacity using 6-Minute Walk Test

    Measurement of exercise capacity using the 6-Minute Walk Test (6MWT) at Week 0 and at 8 weeks (after 16 sessions for the respiratory rehabilitation group)

    Measured: Week 8

  19. Evaluation of the number of events of interest

    Evaluation of the number of events of interest

    Measured: Week 8

  20. Evaluation of the number of events of interest

    Evaluation of the number of events of interest

    Measured: Month 6

  21. Evaluation of the number of events of interest

    Evaluation of the number of events of interest

    Measured: Month 12

  22. Evaluation of the number of hospitalizations

    Number of hospitalizations other than for maintenance treatment

    Measured: Week 8

  23. Evaluation of the number of hospitalizations

    Number of hospitalizations other than for maintenance treatment

    Measured: Month 6

  24. Evaluation of the number of hospitalizations

    Number of hospitalizations other than for maintenance treatment

    Measured: Month 12

  25. Evaluation of anxiety and depressive disorders

    Measurement of anxiety and depressive disorders (HAD questionnaire) between Week 0 and Week 8

    Measured: Week 0

  26. Evaluation of anxiety and depressive disorders

    Measurement of anxiety and depressive disorders (HAD questionnaire) between Week 0 and Week 8

    Measured: Week 8

  27. Evaluation of dyspnea with mMRC scale

    Evaluation of dyspnea (MMRC scale) at Week 0 and at 8 weeks

    Measured: Week 0

  28. Evaluation of dyspnea with mMRC scale

    Evaluation of dyspnea (MMRC scale) at Week 0 and at 8 weeks

    Measured: Week 8

  29. Evaluation of dyspnea with Dyspnea-12 questionnaire

    Evaluation of dyspnea (Dyspnea-12 questionnaire) at Week 0 and at 8 weeks

    Measured: Week 0

  30. Evaluation of dyspnea with Dyspnea-12 questionnaire

    Evaluation of dyspnea (Dyspnea-12 questionnaire) at Week 0 and at 8 weeks

    Measured: Week 8

  31. Evaluation of self-esteem with ISP-6 questionnaire

    Evaluation of self-esteem (ISP-6 questionnaire) at Week 0 and at 8 weeks

    Measured: Week 0

  32. Evaluation of self-esteem with ISP-6 questionnaire

    Evaluation of self-esteem (ISP-6 questionnaire) at Week 0 and at 8 weeks

    Measured: Week 8

  33. Evaluation of tiredness with EORTC QLQ FA-12 questionnaire

    Evaluation of tiredness (EORTC QLQ FA-12 questionnaire) at Week 0 and at 8 weeks

    Measured: Week 8

Timeline

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

  1. First posted4 Jun 2024
  2. Study start21 Nov 2025
  3. Primary completion21 May 2028 (estimated)
  4. Study completion21 Nov 2028 (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
Model description
A two-center, randomized, open-label, parallel-group, ratio-distributed (1:1) trial comparing the impact of respiratory rehabilitation (RR) on quality of life at 2 months in patients with advanced NSCLC associated with RR versus patients with advanced NSCLC without RR.
Masking
None (open label)
Enrolment
96 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06441773
Sponsor's protocol ID
29BRC22.0255
Other IDs
2024-A02083-44
Acronym
REHABIM
Status last verified
Jun 2026
First submitted
29 May 2024
Last updated
17 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Respiratory Rehabilitation in people with Cancer, run by University Hospital, Brest at 3 sites in France.

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 14 inclusion and 10 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: looking for participants now, as of the sponsor's last update on 17 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in France. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Florence Jacquemine Péguet-Ménard (06.23.25.64.50, jacquemine.menard@chu-brest.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Quality of Life Measurement Using EORTC QLQ-C30 (time frame: Week 0). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Jun 2026.

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