Anatomic Stage I Breast Cancer AJCC v8NCT07331077
A Physical Activity Program Compared to Health Education for Improving Memory and Attention in Hispanic Women With Newly-Diagnosed Stage I-IIIa Breast Cancer, MAMA Trial
A study testing Accelerometry, Aerobic Exercise and Electronic Health Record Review in people with Anatomic Stage I Breast Cancer AJCC v8 and Anatomic Stage II Breast Cancer AJCC v8, run by Mayo Clinic at 1 site in United States.
Trial summary
This clinical trial compares a physical activity program to a health education program for improving memory and attention in Hispanic women who are 50 years of age or older and are newly-diagnosed with stage I-IIIa breast cancer. Read more about this study
- Who is it for?
- Ages 50 years and older, women only
- Conditions the study is for
- Anatomic Stage I Breast Cancer AJCC v8, Anatomic Stage II Breast Cancer AJCC v8, Anatomic Stage IIIA Breast Cancer AJCC v8
- What is being tested?
- Accelerometry, Aerobic Exercise and Electronic Health Record Review
- Type of treatment
- Surgery or procedure, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Oct 2026to 30 Nov 2027
- 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 50 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- PRE-REGISTRATION: Age >= 50 years at time of pre-registration visit according to participant report and/or clinical determination
- PRE-REGISTRATION: Self-identifies as Hispanic (any race)
- PRE-REGISTRATION: First time, primary diagnosis of Stage I-IIIa breast cancer according to participant report and/or clinical determination
- PRE-REGISTRATION: Post-surgery and completed primary adjuvant treatment (i.e., surgery, chemotherapy, and/or radiation therapy) 3-36 months prior to preregistration according to participant report and/or clinical determination
- PRE-REGISTRATION: Sedentary except for casual lifestyle recreation, self-reporting no more than 90 minutes per week of moderate-intensity aerobic exercise within the last 6 months
- PRE-REGISTRATION: Self-reported ability to complete assessments by themselves or with assistance
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- REGISTRATION: Age >= 50 years or older as confirmed via clinical determination
- REGISTRATION: Self-identifies as Hispanic (any race)
- REGISTRATION: Able to provide medical record release to confirm eligibility
- REGISTRATION: First time, primary diagnosis of Stage I-IIIa breast cancer as confirmed via clinical determination
- REGISTRATION: Post-surgery and completed primary treatment (i.e., surgery, chemotherapy, and/or radiation therapy) 3-36 months prior to pre-registration as confirmed via clinical determination
- REGISTRATION: No evidence of possible cognitive impairment as assessed using the Telephone Interview of Cognitive status (13-item modified version) (TICS-M; score >= 21)
- REGISTRATION: Receive physician's clearance to participate in an exercise program
- NOTE: Individuals with conditions/diagnoses deemed important by the primary investigator will be required to provide clearance for exercise from their cardiologist. Example conditions include:
- History of major multiple myocardial infarctions (MI)
- Recent electrocardiogram (ECG) changes or recent MI
- Resting or unstable angina
- Significant multivessel coronary occlusion (>= 70%) on angiography
- Uncontrolled and/or serious arrhythmias
- 3rd degree heart block
- Acute congestive heart failure or ejection fraction < 30%
- REGISTRATION: Ability to complete assessments by themselves or with assistance
- REGISTRATION: Agree to be randomized
Who cannot join
- PRE-REGISTRATION: Stage 0 breast cancer diagnosis OR metastatic disease
- PRE-REGISTRATION: Currently receiving or < 3 months since receiving chemotherapy or radiation therapy for cancer, or greater than 36 months post primary treatment
- PRE-REGISTRATION: Planned surgery during the intervention period
- PRE-REGISTRATION: Secondary cancer diagnosis (excluding non-invasive skin cancers, carcinoma-in-situ for any cancer)
- PRE-REGISTRATION: Unable to regularly attend the study locations for intervention sessions and data collection
- PRE-REGISTRATION: Unwilling to return to enrolling institution for follow-up
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- PRE-REGISTRATION: Self-reported inability to walk without assistance or devices
- PRE-REGISTRATION: Self-reported pregnancy
- REGISTRATION: History of stroke, transient ischemic attack, other neurological disorders, or brain surgery involving tissue removal as confirmed via clinical determination
- REGISTRATION: Clinically significant TICS-M score (< 21) during baseline procedures
- REGISTRATION: Not able to provide physician re-clearance for exercise if required based upon clinically significant baseline exercise test (as determined by ECG and blood pressure monitoring)
- REGISTRATION: Contraindications to functional magnetic resonance imaging (fMRI) in accordance with the Mayo Clinic Department of Radiology safety protocols
- REGISTRATION: Clinically significant magnetic resonance imaging (MRI) scan as determined by physician review in which the following is advised via radiologist overread: remarkable/abnormal limited diagnostic brain image with recommended medical follow-up
- REGISTRATION: Enrolled in another physical activity program
- REGISTRATION: Unable to walk without assistance or devices
- REGISTRATION: Unwilling to complete study requirements
- REGISTRATION: Unwilling to be randomized to the exercise group or health education group
- REGISTRATION: Unable to regularly attend study locations for intervention sessions and data collection
- REGISTRATION: Unwilling to return to enrolling institution for follow-up
- REGISTRATION: Unable to complete the study in English or Spanish
- REGISTRATION: Self-reported pregnancy
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site
Mayo Clinic in Arizona
Scottsdale, Arizona, 85259
Clinical Trials Referral Office, 855-776-0015, mayocliniccancerstudies@mayo.edu
Diane K. Ehlers, PhD
About this study
Official title: Movement and Memory After Breast Cancer: The MAMA Trial
This clinical trial compares a physical activity program to a health education program for improving memory and attention in Hispanic women who are 50 years of age or older and are newly-diagnosed with stage I-IIIa breast cancer. Compared to non-Hispanic White breast cancer survivors (BCS), Hispanic BCS report greater depressive symptoms, emotional distress, anxiety, fear of recurrence, pain, fatigue, and financial toxicity, in addition to more cancer-related psychosocial needs and lower quality of life and social well-being. Cancer-associated cognitive decline (CACD) is a related symptom that has gained increasing attention in clinical research. Based on disparities in other outcomes, it is likely that Hispanic BCS also experience greater CACD than non-Hispanic White BCS, but interventions targeting CACD in Hispanic BCS are non-existent and critically needed. The benefits of aerobic exercise among BCS are well documented and include improvement in health outcomes that are associated with cognitive function including fatigue, anxiety, depression, and sleep. A physical activity program that includes aerobic exercise may be more effective than simple health education for improving cognitive functions like memory and attention in Hispanic women who are 50 years of age or older and are newly-diagnosed with stage I-IIIa breast cancer.
- Conditions
- Anatomic Stage I Breast Cancer AJCC v8, Anatomic Stage II Breast Cancer AJCC v8, Anatomic Stage IIIA Breast Cancer AJCC v8, Cancer-related Cognitive Dysfunction
- Being tested
- Accelerometry, Aerobic Exercise, Electronic Health Record Review, Functional Magnetic Resonance Imaging, Gait Assessment Test
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AccelerometryProcedure or surgery
Ancillary studies
Aerobic ExerciseOther
Also called Aerobic Activity
Participate in walking program
Electronic Health Record ReviewOther
Ancillary studies
Functional Magnetic Resonance ImagingProcedure or surgery
Also called fMRI, Functional MRI
Undergo fMRI
Gait Assessment TestOther
Ancillary studies
Health EducationBehavioural
Receive health education
InterviewOther
Ancillary studies
Neurocognitive AssessmentOther
Ancillary studies
Physical Performance TestingOther
Also called Physical Fitness Testing, Physical Function Testing
Ancillary studies
Questionnaire AdministrationOther
Ancillary studies
| Study group | Role | What they receive |
|---|---|---|
| Arm A (walking program) | Experimental | Patients participate in walking sessions over 60-75 minutes per week in weeks 1-2, 70-90 minutes per week in weeks 3-4, 90-120 minutes per week in weeks 5-8, 120-135 minutes per week in weeks 9-12, 135-150 minutes per week in weeks 13-16, and 150+ minutes per week in weeks 17-24. Patients also undergo fMRI throughout the trial. Receives: Procedure: Accelerometry; Other: Aerobic Exercise; Other: Electronic Health Record Review; Procedure: Functional Magnetic Resonance Imaging; Other: Gait Assessment Test; Other: Interview; Other: Neurocognitive Assessment; Other: Physical Performance Testing; Other: Questionnaire Administration |
| Arm B (health education) | Active comparator | Patients receive health education including monthly classes/webinars for up to 9 sessions and informational materials (PDFs, videos, podcasts, and/or subscription to Mayo Clinic Health Letter). Patients also undergo fMRI throughout the trial. Receives: Procedure: Accelerometry; Other: Electronic Health Record Review; Procedure: Functional Magnetic Resonance Imaging; Other: Gait Assessment Test; Behavioral: Health Education; Other: Neurocognitive Assessment; Other: Physical Performance Testing; Other: Questionnaire Administration |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in inhibitory control
Change in interference score on Stroop task, with positive values indicating greater inhibitory control
Measured: Baseline to post-intervention (month 6)
Change in cognitive flexibility
Change in accuracy on Shifting Attention task, with higher values indicating greater cognitive flexibility
Measured: Baseline to post-intervention (month 6)
Change in executive function processing
Change in reaction time on Shifting Attention task, with lower values indicating greater cognitive flexibility
Measured: Baseline to post-intervention (month 6)
Change in short-term memory
Change in accuracy on Visual Memory task, with higher accuracy indicating greater short-term memory
Measured: Baseline to post-intervention (month 6)
Change in verbal memory
Change in number recalled on Hopkins Verbal Learning task, with higher values indicating greater verbal memory
Measured: Baseline to post-intervention (month 6)
Change in working memory
Change in reaction time the 4-part Continuous Performance task, with lower values indicating greater working memory
Measured: Baseline to post-intervention (month 6)
Change in processing speed
Change in reaction time on Symbol Digit Coding task, with lower values indicating greater processing speed
Measured: Baseline to post-intervention (month 6)
Change in attention
Change in choice reaction time on Continuous Performance task, with lower values indicating greater sustained attention
Measured: Baseline to post-intervention (month 6)
Change in brain volume
Change in mean cortical thickness of brain regions of interest as measured by an anatomic MRI brain scan
Measured: Baseline to post-intervention (month 6)
Change in white matter integrity
Change in fractional anisotropy as measured by diffusion MRI.
Measured: Baseline to post-intervention (month 6)
Change in resting state functional connectivity
Change in within-network pairwise correlation estimates as measured using a multiband echo planar imaging (mb-EPI) functional MRI sequence
Measured: Baseline to post-intervention (month 6)
Change in self-reported cognitive function - FACT-Cog
The perceived cognitive impairments subscale of the Functional Assessment in Cancer Therapy - Cognition (FACT-Cog) will be used to measure self-reported cognition. Scores range from 0-72, with higher scores indicating better cognitive function.
Measured: Baseline to post-intervention (month 6)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jan 2026
- Study start1 Oct 2026 (estimated)
- Primary completion30 Nov 2027 (estimated)
- Study completion30 Nov 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Anatomic Stage I Breast Cancer AJCC v8Studies of the same condition, open and under way.
- More trials run by Mayo ClinicThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Masking
- None (open label)
- Enrolment
- 10 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Mayo Clinic
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Diane K. Ehlers, PhD, Principal investigator, Mayo Clinic
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07331077
- Sponsor's protocol ID
- 25-007121
- Status last verified
- Jun 2026
- First submitted
- 9 Dec 2025
- Last updated
- 16 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Movement and Memory After Breast Cancer: The MAMA Trial
- ClinicalTrials.gov ID
- NCT07331077
- Acronym / sponsor ID
- 25-007121
- Conditions
- Anatomic Stage I Breast Cancer AJCC v8, Anatomic Stage II Breast Cancer AJCC v8, Anatomic Stage IIIA Breast Cancer AJCC v8, Cancer-related Cognitive Dysfunction
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 10 participants (estimated)
- Lead sponsor
- Mayo ClinicUniversity, hospital or other
- Study start
- 1 Oct 2026 (estimated)
- Primary completion
- 30 Nov 2027 (estimated)
- Study completion
- 30 Nov 2027 (estimated)
- First posted
- 9 Jan 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This clinical trial compares a physical activity program to a health education program for improving memory and attention in Hispanic women who are 50 years of age or older and are newly-diagnosed with stage I-IIIa breast cancer. Compared to non-Hispanic White breast cancer survivors (BCS), Hispanic BCS report greater depressive symptoms, emotional distress, anxiety, fear of recurrence, pain, fatigue, and financial toxicity, in addition to more cancer-related psychosocial needs and lower quality of life and social well-being. Cancer-associated cognitive decline (CACD) is a related symptom that has gained increasing attention in clinical research. Based on disparities in other outcomes, it is likely that Hispanic BCS also experience greater CACD than non-Hispanic White BCS, but interventions targeting CACD in Hispanic BCS are non-existent and critically needed. The benefits of aerobic exercise among BCS are well documented and include improvement in health outcomes that are associated with cognitive function including fatigue, anxiety, depression, and sleep. A physical activity program that includes aerobic exercise may be more effective than simple health education for improving cognitive functions like memory and attention in Hispanic women who are 50 years of age or older and are newly-diagnosed with stage I-IIIa breast cancer.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A (walking program) | Experimental | Procedure: Accelerometry, Other: Aerobic Exercise, Other: Electronic Health Record Review, Procedure: Functional Magnetic Resonance Imaging, Other: Gait Assessment Test, Other: Interview, Other: Neurocognitive Assessment, Other: Physical Performance Testing, Other: Questionnaire AdministrationPatients participate in walking sessions over 60-75 minutes per week in weeks 1-2, 70-90 minutes per week in weeks 3-4, 90-120 minutes per week in weeks 5-8, 120-135 minutes per week in weeks 9-12, 135-150 minutes per week in weeks 13-16, and 150+ minutes per week in weeks 17-24. Patients also undergo fMRI throughout the trial. |
| Arm B (health education) | Active comparator | Procedure: Accelerometry, Other: Electronic Health Record Review, Procedure: Functional Magnetic Resonance Imaging, Other: Gait Assessment Test, Behavioral: Health Education, Other: Neurocognitive Assessment, Other: Physical Performance Testing, Other: Questionnaire AdministrationPatients receive health education including monthly classes/webinars for up to 9 sessions and informational materials (PDFs, videos, podcasts, and/or subscription to Mayo Clinic Health Letter). Patients also undergo fMRI throughout the trial. |
Who may qualify
- Ages
- 50 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (23 listed)
- PRE-REGISTRATION: Age >= 50 years at time of pre-registration visit according to participant report and/or clinical determination
- PRE-REGISTRATION: Self-identifies as Hispanic (any race)
- PRE-REGISTRATION: First time, primary diagnosis of Stage I-IIIa breast cancer according to participant report and/or clinical determination
- PRE-REGISTRATION: Post-surgery and completed primary adjuvant treatment (i.e., surgery, chemotherapy, and/or radiation therapy) 3-36 months prior to preregistration according to participant report and/or clinical determination
- PRE-REGISTRATION: Sedentary except for casual lifestyle recreation, self-reporting no more than 90 minutes per week of moderate-intensity aerobic exercise within the last 6 months
Key exclusion criteria (21 listed)
- PRE-REGISTRATION: Stage 0 breast cancer diagnosis OR metastatic disease
- PRE-REGISTRATION: Currently receiving or < 3 months since receiving chemotherapy or radiation therapy for cancer, or greater than 36 months post primary treatment
- PRE-REGISTRATION: Planned surgery during the intervention period
- PRE-REGISTRATION: Secondary cancer diagnosis (excluding non-invasive skin cancers, carcinoma-in-situ for any cancer)
- PRE-REGISTRATION: Unable to regularly attend the study locations for intervention sessions and data collection
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AccelerometryAncillary studies | Procedure or surgery | Arm A (walking program), Arm B (health education) |
| Aerobic ExerciseAlso: Aerobic ActivityParticipate in walking program | Other | Arm A (walking program) |
| Electronic Health Record ReviewAncillary studies | Other | Arm A (walking program), Arm B (health education) |
| Functional Magnetic Resonance ImagingAlso: fMRI, Functional MRIUndergo fMRI | Procedure or surgery | Arm A (walking program), Arm B (health education) |
| Gait Assessment TestAncillary studies | Other | Arm A (walking program), Arm B (health education) |
| Health EducationReceive health education | Behavioural | Arm B (health education) |
| InterviewAncillary studies | Other | Arm A (walking program) |
| Neurocognitive AssessmentAncillary studies | Other | Arm A (walking program), Arm B (health education) |
| Physical Performance TestingAlso: Physical Fitness Testing, Physical Function TestingAncillary studies | Other | Arm A (walking program), Arm B (health education) |
| Questionnaire AdministrationAncillary studies | Other | Arm A (walking program), Arm B (health education) |
Primary outcome
Change in inhibitory control
Time frame: Baseline to post-intervention (month 6)
Change in interference score on Stroop task, with positive values indicating greater inhibitory control
Change in cognitive flexibility
Time frame: Baseline to post-intervention (month 6)
Change in accuracy on Shifting Attention task, with higher values indicating greater cognitive flexibility
Change in executive function processing
Time frame: Baseline to post-intervention (month 6)
Change in reaction time on Shifting Attention task, with lower values indicating greater cognitive flexibility
Change in short-term memory
Time frame: Baseline to post-intervention (month 6)
Change in accuracy on Visual Memory task, with higher accuracy indicating greater short-term memory
Change in verbal memory
Time frame: Baseline to post-intervention (month 6)
Change in number recalled on Hopkins Verbal Learning task, with higher values indicating greater verbal memory
Change in working memory
Time frame: Baseline to post-intervention (month 6)
Change in reaction time the 4-part Continuous Performance task, with lower values indicating greater working memory
Change in processing speed
Time frame: Baseline to post-intervention (month 6)
Change in reaction time on Symbol Digit Coding task, with lower values indicating greater processing speed
Change in attention
Time frame: Baseline to post-intervention (month 6)
Change in choice reaction time on Continuous Performance task, with lower values indicating greater sustained attention
Change in brain volume
Time frame: Baseline to post-intervention (month 6)
Change in mean cortical thickness of brain regions of interest as measured by an anatomic MRI brain scan
Change in white matter integrity
Time frame: Baseline to post-intervention (month 6)
Change in fractional anisotropy as measured by diffusion MRI.
Change in resting state functional connectivity
Time frame: Baseline to post-intervention (month 6)
Change in within-network pairwise correlation estimates as measured using a multiband echo planar imaging (mb-EPI) functional MRI sequence
Change in self-reported cognitive function - FACT-Cog
Time frame: Baseline to post-intervention (month 6)
The perceived cognitive impairments subscale of the Functional Assessment in Cancer Therapy - Cognition (FACT-Cog) will be used to measure self-reported cognition. Scores range from 0-72, with higher scores indicating better cognitive function.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jun 2026.
- Mayo Clinic Clinical TrialsLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Diane K. Ehlers, PhD principal investigator
Mayo Clinic
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Accelerometry, Aerobic Exercise and Electronic Health Record Review in people with Anatomic Stage I Breast Cancer AJCC v8 and Anatomic Stage II Breast Cancer AJCC v8, run by Mayo Clinic 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 23 inclusion and 21 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: opening soon, as of the sponsor's last update on 16 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 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?
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 Clinical Trials Referral Office (855-776-0015, mayocliniccancerstudies@mayo.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in inhibitory control (time frame: Baseline to post-intervention (month 6)). The study lists 12 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 16 Jun 2026.