ClinicalTrials.gg
CompletedNCT03280836WISER-NETUpdated Dec 5, 2023Results posted

Exercise Program in Breast Cancer Patients Receiving Neoadjuvant Chemotherapy

An interventional study of Exercise in Breast Neoplasm and Physical Activity, sponsored by Milton S. Hershey Medical Center. Completed at 2 sites in United States. Open to female participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-12-05.

Sponsored by Milton S. Hershey Medical Center · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
21 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 21 studies in Breast Neoplasms by Milton S. Hershey Medical Center — none open to participants now, none under way, none of them phase 3. Breast Neoplasms · Milton S. Hershey Medical Center.

Enrollment
9th of 19
19 · median 18
Started
2017
with 3 others
No phase
13 of 21
none open now
Registered
11th of 21
by date

Among the 21 studies in Breast Neoplasms by Milton S. Hershey Medical Center, this one is the 9th largest by enrollment of the 19 interventional ones that give a count, is one of 4 that started in 2017, is one of 13 with no phase, and was the 11th registered.

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

None of the 21 studies in Breast Neoplasms by Milton S. Hershey Medical Center is open now. The open studies under Breast Neoplasms, anywhere →

Where they have run

Who these studies take

Of the 2,400 Breast Neoplasms studies recruiting now, 1,572 (66%) set no upper age limit and 591 (25%) stop at 75 or younger; 103 take children under 18; 214 take healthy volunteers.

This study: 21 Years and older · female · healthy volunteers too.

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Download CSVNarrow it in search →With an account: the 21 studies in Breast Neoplasms by Milton S. Hershey Medical Center as a file.
02

Study summary

The investigators seek to conduct a home based exercise intervention in breast cancer patients whom elect to undergo neoadjuvant chemotherapy. The primary aim of the study is to determine whether breast cancer patients can be enrolled, randomized, retained, and comply with exercise program; and, the feasibility of acquiring, managing and analyzing clinical data.

Read the detailed description

Several national and international agencies recommend exercise participation for all persons following a cancer diagnosis. The current evidence suggests that aerobic exercise training is safe during primary adjuvant therapy and improves cardiopulmonary function and patient related outcomes. Cardiopulmonary fitness is highly predictive of overall and cardiovascular specific mortality in women. Specifically, an increase in cardiopulmonary fitness of approximately 10% has been associated with a 19% reduction in risk for CV mortality. This is important as breast cancer patients already present at diagnosis with 31% lower cardiopulmonary fitness levels compared to healthy age-matched women. This enhanced risk for cardiovascular mortality in breast cancer patients is further compounded by cardiotoxic chemotherapy, which causes permanent cardiac damage. Few studies have tested the efficacy of exercise prescriptions that incorporate high intensity aerobic exercise training in cancer patients, especially those receiving chemotherapy. Therefore, the investigators seek to conduct an at home aerobic exercise training intervention in breast cancer patients whom elect to undergo neoadjuvant chemotherapy

03

Conditions studied

  • Breast Neoplasm
  • Physical Activity
04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women with a breast cancer diagnosis (Stage I-IIIC)
  • Sedentary (\< 75 min/wk of moderate intensity exercise over the past month)
  • No previous history of anthracycline based chemotherapy
  • Absence of heart disease (clinical diagnosis of coronary artery disease, arrhythmias, congenital heart defects, dilated cardiomyopathy, or valvular heart disease)
  • Absence of for chemotherapy
  • Scheduled to receive neoadjuvant chemotherapy
  • Primary attending oncologist approval

Exclusion criteria

3.2 Exclusion Criteria

  • Absolute for exercise stress testing

    • acute myocardial infarction (3-5 days)
    • unstable angina
    • uncontrolled arrhythmias causing symptoms or hemodynamic compromise
    • syncope
    • acute endocarditis
    • acute myocarditis or pericarditis
    • uncontrolled heart failure
    • acute pulmonary embolus or pulmonary infarction
    • thrombosis of lower extremities
    • suspected dissecting aneurysm
    • uncontrolled asthma
    • pulmonary edema
    • room air desaturation at rest ≤85%
    • respiratory failure
    • acute noncardiopulmonary disorder that may affect exercise performance or be aggravated by exercise
    • mental impairment leading to inability to cooperate
    • decisional impairment
  • Non-English speaking
  • Women only diagnosed with ductal carcinoma in situ
  • Women diagnosed with stage 4 breast cancer
  • Pregnant women
  • Men
  • Children
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Outcomes assessor)
Enrollment
19 participants (actual)

Study arms

  • No intervention
    Control

    We ask that participants in the control arm do not start an exercise program.

  • Experimental
    Exercise

    Participants in the experimental arm will be asked to complete the exercise intervention with 80% or greater adherence. Participants will work towards the goal of 75 or more minutes a week of moderate to vigorous exercise. Participants are provided an exercise toolkit and directed on exercise progression based on personal fitness level.

    Behavioral: Exercise

Interventions

  • BehavioralExercise

    All participants randomized to the intervention group will be asked to keep an exercise log with the date, time, average heart rate obtained from a heart rate monitor, duration of workout and stretching, and any comments regarding the workout. Participants will be instructed to bring workout logs to infusion sessions for review. Participants will also wear a Polar Heart Rate monitor (US model RS400, Polar Electro Inc., Lake Success, NY) during exercise to monitor exercise intensity. The aerobic exercise intervention will work toward the target of 75 minutes physical activity per week at 60%-85% of baseline VO2max.

06

What researchers measure

Primary outcomes

  1. Acceptability: Percent of Eligible Patients That Provide Consent and Are Enrolled in the Study.

    Acceptability of the study will be assessed by documenting the percent of eligible patients that provide consent and are enrolled in the study.

    Time frame: 4 weeks

  2. Participant Adherence to the Exercise Intervention

    Tolerability was defined for each intervention exercise training phase by the percent of weekly exercise minutes completed at the prescribed exercise intensity according to the patient's heart rate monitor.

    Time frame: Introduction phase of prescribed exercise training (weeks 1-4), intermediate phase of prescribed exercise training (weeks 5-11), maintenance phase of prescribed exercise training (weeks 12-chemotherapy completion)

  3. Change in Cardiopulmonary Fitness Level From Baseline to the Window Following Chemotherapy Completion and Before Surgical Resection

    Expired gas analysis (oxygen used by the body) during a submaximal treadmill exercise test determined cardiopulmonary fitness. Change between baseline and the window following chemotherapy completion and before surgical resection, was calculated as the value at the test conducted in the window following chemotherapy completion and before surgical resection minus the value at the test conducted at baseline.

    Time frame: Baseline and the window following chemotherapy completion and before surgical resection (no longer than 26 weeks from baseline)

07

Results

Posted May 31, 2023
Limitations and caveats
The study was closed to recruitment at n=19, 1 patient short of anticipated enrollment (n=20) due to the COVID-19 pandemic.

Participant flow

Participant flow — Overall Study
MilestoneControlExercise
Started109
Completed98
Not completed11

Outcome measures

PrimaryAcceptability: Percent of Eligible Patients That Provide Consent and Are Enrolled in the Study.

Acceptability of the study will be assessed by documenting the percent of eligible patients that provide consent and are enrolled in the study.

Time frame:
4 weeks
Reported as:
Count of participants · Participants
Acceptability: Percent of Eligible Patients That Provide Consent and Are Enrolled in the Study.
ParticipantsAll Eligible Individuals
Acceptability: Percent of Eligible Patients That Provide Consent and Are Enrolled in the Study.19
PrimaryParticipant Adherence to the Exercise Intervention

Tolerability was defined for each intervention exercise training phase by the percent of weekly exercise minutes completed at the prescribed exercise intensity according to the patient's heart rate monitor.

Time frame:
Introduction phase of prescribed exercise training (weeks 1-4), intermediate phase of prescribed exercise training (weeks 5-11), maintenance phase of prescribed exercise training (weeks 12-chemotherapy completion)
Reported as:
Mean · % exercise time at prescribed heart rate
Participant Adherence to the Exercise Intervention
% exercise time at prescribed heart rateControlExercise
Introduction phase—72.7 ± 11.5
Intermediate phase—61.0 ± 5.0
Maintenance phase—23.7 ± 7.1
PrimaryChange in Cardiopulmonary Fitness Level From Baseline to the Window Following Chemotherapy Completion and Before Surgical Resection

Expired gas analysis (oxygen used by the body) during a submaximal treadmill exercise test determined cardiopulmonary fitness. Change between baseline and the window following chemotherapy completion and before surgical resection, was calculated as the value at the test conducted in the window following chemotherapy completion and before surgical resection minus the value at the test conducted at baseline.

Time frame:
Baseline and the window following chemotherapy completion and before surgical resection (no longer than 26 weeks from baseline)
Reported as:
Mean · ml/kg/min
Change in Cardiopulmonary Fitness Level From Baseline to the Window Following Chemotherapy Completion and Before Surgical Resection
ml/kg/minControlExercise
Change in Cardiopulmonary Fitness Level From Baseline to the Window Following Chemotherapy Completion and Before Surgical Resection-27.5 ± 7.4-1.0 ± 13.2

Adverse events

Collected over Approximately 9 months, from consent to final testing.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Control0/10 (0%)5/10 (50%)4/7 (57.1%)
Exercise0/9 (0%)5/9 (55.6%)4/7 (57.1%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
EventControlExercise
Allergic reactionImmune system disorders0/101/9
Renal failureRenal and urinary disorders0/101/9
respiratory distressRespiratory, thoracic and mediastinal disorders0/101/9
Febrile neutropeniaInfections and infestations0/101/9
Chest painCardiac disorders1/101/9
AnemiaBlood and lymphatic system disorders0/101/9
Thrombosis/embolismVascular disorders1/100/9
Cardiac palpitationsCardiac disorders1/100/9
NeuropathyNervous system disorders1/100/9
cholecystitisHepatobiliary disorders1/100/9
Most frequent other events
Most frequent other events
EventControlExercise
Muscle painMusculoskeletal and connective tissue disorders1/72/7
DizzinessNervous system disorders2/71/7
Joint PainMusculoskeletal and connective tissue disorders1/71/7
Chest painCardiac disorders1/71/7
NauseaGastrointestinal disorders1/70/7

Baseline characteristics

Age, Continuous
Age, Continuous(years)ControlExerciseTotal
Mean51.5 ± 9.547.0 ± 11.749.4 ± 10.5
Sex: Female, Male
Sex: Female, Male(Participants)ControlExerciseTotal
Female10919
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)ControlExerciseTotal
Hispanic or Latino000
Not Hispanic or Latino10919
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ControlExerciseTotal
American Indian or Alaska Native011
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American235
White8513
More than one race000
Unknown or Not Reported000
08

Study locations

2 sites
  • Penn State Hershey Medical Center
    Hershey, Pennsylvania 17033, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
09

References and documents

Publications

  • Sturgeon KM, Smith AM, Federici EH, Kodali N, Kessler R, Wyluda E, Cream LV, Ky B, Schmitz KH. Feasibility of a tailored home-based exercise intervention during neoadjuvant chemotherapy in breast cancer patients. BMC Sports Sci Med Rehabil. 2022 Feb 25;14(1):31. doi: 10.1186/s13102-022-00420-6. PubMed 35216638 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2017 to primary completion in Dec 2020, 40 months.

Results were first posted in May 2023, 2 years 5 months after primary completion.

Of 2,661 non-industry interventional studies with no phase under Breast Neoplasms, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 66. This study's 40 months is above that.

Counting every sponsor, half of 2,771 studies reached it within 33 months; a quarter within 15 and three quarters within 66.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 31, 2017
First posted
Sep 13, 2017
StartActual
Aug 3, 2017
Primary completionActual
Dec 21, 2020
CompletionActual
Dec 21, 2020
Results first posted
May 31, 2023
Last update
Dec 5, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03280836
Collaborators
NRG Oncology
Responsible party
Sponsor
First posted
Sep 13, 2017
Start date
Aug 3, 2017
Primary completion
Dec 21, 2020
Completion
Dec 21, 2020
Results posted
May 31, 2023
Last update
Dec 5, 2023

Study contacts

Kathleen M Sturgeon, PhD
principal investigator · Assistant Professor, Penn State

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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