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Bone SarcomaNCT07729059

"Exercise Intervention to Increase Physical Activity in Young Sarcoma Survivors (Sport Ist Herzenssache)"

A study testing Individualized Exercise Program in people with Bone Sarcoma and Soft Tissue Sarcoma (STS), run by Universität Duisburg-Essen.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Survivors of bone and soft tissue sarcoma often face long-term health problems after their cancer treatment, such as muscle weakness, joint stiffness, and reduced heart and lung fitness. Read more about this study

Who is it for?
Ages 15 years and older
Conditions the study is for
Bone Sarcoma, Soft Tissue Sarcoma (STS)
What is being tested?
Individualized Exercise Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
No sites listed yet
Study dates
1 Aug 2026to 31 Jul 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 15 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Diagnosis of bone or soft tissue sarcoma
  • Currently receiving follow-up care at the tumor orthopedics clinic of University Hospital Essen
  • Age ≥15 and ≤39 years at time of enrollment
  • Completion of local tumor therapy (surgery and/or definitive radiotherapy) more than 12 months prior to enrollment
  • Access to a smartphone for data synchronization with the wearable device

Who cannot join

  • Contraindications to physical activity
  • Language barriers preventing communication in German
  • Known or current psychiatric condition impairing the ability to understand study requirements, participate in the study, or provide informed consent
  • Pregnancy
  • Planned absence of more than 2 weeks during the study period (e.g., due to rehabilitation stays)
  • Pre-existing average MVPA >60 minutes/day at baseline

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Ina Elisa Kirchberg, Dr. med. contact

+49 201 723 8084

InaElisa.Kirchberg@uk-essen.de

Miriam Götte, Dr. rer. medic. contact

+49 201 723 8083

miriam.goette@uk-essen.de

About this study

Official title: Effects of an Individualized, Smartwatch-Supported Exercise Intervention on Physical Activity, Cardiorespiratory Fitness, Limb Function and Quality of Life in Adolescent and Young Adult Survivors of Bone and Soft Tissue Sarcoma: A Randomized Controlled Trial (Sport Ist Herzenssache)

Survivors of bone and soft tissue sarcoma often face long-term health problems after their cancer treatment, such as muscle weakness, joint stiffness, and reduced heart and lung fitness. Because of this, many survivors are less physically active than their healthy peers, which can further increase their risk of heart disease and other late effects later in life.

This study, called "Sport ist Herzenssache" ("Sports is a Matter of the Heart"), tests whether a personalized exercise program can help young survivors (aged 15-39) become more physically active. All participants receive a fitness tracker (smartwatch) to monitor their daily activity. Half of the participants are randomly assigned to also receive an individualized home exercise plan, including strength and endurance training, with some sessions guided online by an exercise specialist.

Read more

Before and after an 8-week exercise period (with continuous activity tracking for about 13 weeks total), participants complete simple physical tests (such as walking and balance tests), a heart and fitness check-up, and questionnaires about their quality of life and energy levels.

The main goal is to find out whether the personalized exercise plan helps participants become more active in daily life, measured in minutes of moderate-to-intense activity per day. The study also looks at effects on heart health, physical function, and overall well-being.

The results will help determine whether structured exercise support should become a standard part of long-term follow-up care for young sarcoma survivors.

Read the detailed description

Survivors of pediatric and adolescent bone and soft tissue sarcomas frequently experience long-term sequelae including reduced muscle strength, impaired joint mobility, and diminished cardiorespiratory fitness, often resulting from multimodal oncological therapy (surgery, chemotherapy, radiotherapy). These sequelae contribute to persistently low levels of physical activity compared to healthy peers, which in turn is associated with an elevated risk of cardiovascular disease-a risk already increased 2- to 10-fold in this population due to cardiotoxic treatment exposure (e.g., anthracyclines, thoracic irradiation). Despite established benefits of physical activity in reducing fatigue, improving quality of life, and lowering cardiovascular morbidity, structured exercise programs are not yet routinely integrated into long-term follow-up care for sarcoma survivors.

This monocentric, randomized controlled trial ("Sport ist Herzenssache") aims to evaluate the effectiveness of an individualized, partially supervised, digitally supported exercise intervention in increasing moderate-to-vigorous physical activity (MVPA) among adolescent and young adult (AYA) survivors of bone and soft tissue sarcoma during routine oncological follow-up care.

Eligible participants are aged 15-39 years, have completed local tumor therapy (surgery and/or radiotherapy) more than 12 months prior to enrollment, and are receiving follow-up care at the Sarcoma Center of the University Hospital Essen. Following informed consent, participants will be randomized 1:1, stratified by tumor location (lower extremity/pelvis, thorax, other), into two groups: (1) a control group receiving a wearable activity tracker (Garmin Venu® Sq 2) for self-monitoring, and (2) an intervention group receiving the same wearable device plus an individualized, partially supervised home-based exercise program over 8 weeks, combining endurance/cardio training (60 min/week) and strength/aerobic sessions (3 × 30 min/week), in accordance with WHO physical activity recommendations and exercise guidelines for cancer survivors. Supervised sessions are delivered via video conferencing by trained exercise therapists.

Physical activity is monitored continuously via wearable device across a total observation period of approximately 13-15 weeks in both groups. At baseline and after the observation period, participants undergo a comprehensive assessment including functional mobility testing (Timed Up and Down Stairs, Timed Up and Go, 6-Minute Walk Test, modified Clinical Test of Sensory Interaction in Balance), goniometry, handheld dynamometry, and cardiopulmonary evaluation (spiroergometry, echocardiography, 12-lead ECG). Patient-reported outcomes include health-related quality of life, cancer-related fatigue, physical functioning, and self-rated health status.

The primary endpoint is average daily MVPA (minutes/day), measured objectively via wearable device. Secondary endpoints include cardiorespiratory fitness (VO2max), cardiovascular risk factors, orthopedic function, and patient-reported quality of life and fatigue. Exploratory analyses will examine correlations between MVPA and physical/psychosocial outcomes, as well as associations with physical activity levels during acute cancer therapy.

Based on a two-sided t-test with α = 0.05 and 80% power, a total sample size of n = 42 (21 per arm) is required to detect a clinically meaningful increase in MVPA from an expected baseline of 40 min/day (SD = 20) toward the WHO-recommended target of 60 min/day. Accounting for an estimated 10% dropout rate, recruitment aims to enroll 46 participants over a two-year period.

This study addresses a critical gap in survivorship care by generating evidence on the feasibility and efficacy of a structured, individualized exercise intervention to promote long-term physical activity, cardiovascular health, and quality of life in young sarcoma survivors, with the goal of informing the integration of exercise therapy as a standard component of long-term oncological follow-up care.

Being tested
Individualized Exercise Program
Keywords
Exercise, Physical Activity, Soft Tissue Sarcoma, Bone Sarcoma, Cancer Survivorship, Adolescents and Young Adults, Cardiorespiratory Fitness, Quality of Life, Limb Function
Medical subject headings
Bone Neoplasms, Sarcoma, Motor Activity

What participants receive

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

  • Individualized Exercise ProgramBehavioural

    Also called Structured Home-Based Exercise Intervention, Partially Supervised Training Program, Individualized Physical Activity Program

    An 8-week individualized, partially supervised home-based exercise program designed to increase physical activity in accordance with exercise guidelines for cancer survivors. The program is tailored to each participant's functional status, based on a comprehensive baseline assessment (functional testing, cardiopulmonary evaluation, and a structured counseling session addressing individual interests, concerns, and goals).

    The program consists of:

    Endurance training: 60 minutes/week (e.g., walking, cycling), Aerobic and strength training: 3 sessions/week, 30 minutes each, targeting endurance, strength, coordination, mobility, balance, and flexibility

    Training sessions are self-administered at home, supported by a digital training platform providing instructional videos, and monitored via a wearable activity tracker. Partial supervision is provided through live video-conferencing sessions conducted by a trained exercise therapist in weeks 1, 2, 3, 5, and 7.

Study groups in NCT07729059
Study groupRoleWhat they receive
Intervention Group (Exercise + Smartwatch)ExperimentalParticipants receive a wearable activity tracker (Garmin Venu® Sq 2) and an individualized, partially supervised home-based exercise program over 8 weeks, comprising weekly endurance training (60 min/week) and three weekly aerobic/strength sessions (30 min each), based on individual counseling regarding personal interests, needs, and functional status. Supervised sessions via video conferencing occur in weeks 1, 2, 3, 5, and 7.
Receives: Behavioral: Individualized Exercise Program
Control Group (Smartwatch Only)No interventionParticipants receive the same wearable activity tracker (Garmin Venu® Sq 2) for self-monitoring of physical activity, without a structured individualized exercise program. Individual exercise counseling is offered after study completion.

What is being measured

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

  1. Moderate-to-Vigorous Physical Activity (MVPA)

    Average daily MVPA, measured objectively in minutes/day via wearable activity tracker (Garmin Venu® Sq 2), compared between intervention and control group

    Measured: Baseline (1 week after inlcusion), after 9 weeks and after 13 weeks

  2. Functional Mobility - Stair Climbing

    Time (in seconds) to ascend and descend 14 stairs (Timed Up and Down Stairs, TUDS)

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  3. Functional Mobility - Gait Speed

    Time (in seconds) to stand up, walk 3 meters, and sit down (Timed Up and Go, TUG)

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  4. Functional Exercise Capacity

    Distance walked in 6 minutes (6-Minute Walk Test, 6MWT), measured in meters

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  5. Postural Balance

    Time (in seconds) maintaining single-leg stance on varying surfaces (modified Clinical Test of Sensory Interaction in Balance, CTSIB-M)

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  6. Joint Range of Motion

    Range of motion of affected joints, measured in degrees via goniometry

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  7. Muscle Strength

    Muscle strength measured in Newtons via handheld dynamometry

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  8. Cardiorespiratory Fitness (VO2peak)

    Peak oxygen uptake (VO2peak in ml/kg/min) assessed via cardiopulmonary exercise testing (spiroergometry)

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  9. Left Ventricular Ejection Fraction (LVEF)

    Assessed via transthoracic echocardiography, measured in percent (%)

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  10. Resting Heart Rate

    Assessed via 12-lead ECG, measured in beats per minute

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  11. QTc Interval

    Assessed via 12-lead ECG, measured in milliseconds

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

Secondary outcomes (8)
  1. Health-Related Quality of Life - Physical Component Summary (SF-36 PCS, Adults)

    Points on a scale (0-100, higher = better); participants ≥18 years

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  2. Health-Related Quality of Life - Mental Component Summary (SF-36 MCS, Adults)

    Points on a scale (0-100, higher = better); participants ≥18 years

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  3. Health-Related Quality of Life - Physical Health Summary Score (Minors, PedsQL)

    Physical Health Summary Score of the Pediatric Quality of Life Inventory (PedsQL), age-appropriate version (13-18 years), measured in points on a scale (0-100, higher scores indicate better health-related quality of life). Applied to participants <18 years.

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  4. Health-Related Quality of Life - Psychosocial Health Summary Score (Minors, PedsQL)

    Psychosocial Health Summary Score of the Pediatric Quality of Life Inventory (PedsQL), age-appropriate version (13-18 years), calculated as the mean of the Emotional, Social, and School Functioning subscales, measured in points on a scale (0-100, higher scores indicate better health-related quality of life). Applied to participants <18 years.

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  5. Cancer-Related Fatigue

    Assessed via the Multidimensional Fatigue Inventory (MFI-20), comprising 5 subscales (General Fatigue, Physical Fatigue, Reduced Activity, Reduced Motivation, Mental Fatigue)

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  6. Limb Function (Extremity-Specific)

    Lower/upper extremity function assessed via the Toronto Extremity Salvage Score (TESS)

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  7. Orthopedic Long-Term Complications

    Incidence of orthopedic complications (e.g., prosthesis-related issues, need for re-operation) recorded during follow-up

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

  8. Self-Reported Physical Activity (SQUASH)

    Subjectively assessed physical activity level, measured via the Short QUestionnaire to ASsess Health-enhancing physical activity (SQUASH), German version

    Measured: Baseline (1 week after inclusion), after 9 weeks and after 13 weeks

Timeline

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

  1. First posted27 Jul 2026
  2. Study start1 Aug 2026 (estimated)
  3. Primary completion31 Jul 2028 (estimated)
  4. Study completion31 Jul 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
Masking
None (open label)
Enrolment
46 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07729059
Sponsor's protocol ID
Sport ist Herzenssache
Status last verified
Jul 2026
First submitted
16 Jul 2026
Last updated
27 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Individualized Exercise Program in people with Bone Sarcoma and Soft Tissue Sarcoma (STS), run by Universität Duisburg-Essen.

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: opening soon, as of the sponsor's last update on 27 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

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 Ina Elisa Kirchberg, Dr. med. (+49 201 723 8084, InaElisa.Kirchberg@uk-essen.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Moderate-to-Vigorous Physical Activity (MVPA) (time frame: Baseline (1 week after inlcusion), after 9 weeks and after 13 weeks). The study lists 11 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 27 Jul 2026; AzTrials last refreshed its copy on 30 Oct 2026.

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