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CompletedNCT03858153Updated Dec 22, 2025

Exercise and Nutrition Interventions During Chemotherapy K07

A Phase 2 interventional study of EXCAP Exercise and Nutrition Education in Neuropathy;Peripheral, sponsored by University of Rochester. Completed at 2 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-22.

Sponsored by University of Rochester · Phase 2, Interventional, and Supportive care

Phase
Phase 2
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

Chemotherapy-induced peripheral neuropathy (CIPN) is a highly prevalent and severe side-effect of taxane chemotherapy, often used to treat breast cancer. Unfortunately there are very limited treatments for CIPN. This is a phase II randomized controlled trial to test the preliminary efficacy of exercise vs. nutrition education on CIPN, to systematically investigate the potential roles of inflammation and interoception, and to obtain data with a more accurate effect size to inform a future study.

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Conditions studied

  • Neuropathy;Peripheral

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Keywords

  • chemotherapy
03

In context

Neuritis

73 studies on the registry are indexed under Neuritis; 20 are open to participants now.

This study's enrollment of 80 is above the median of 48 across 51 interventional studies indexed under Neuritis.

Browse Neuritis studies →

Lead sponsor

University of Rochester is the lead sponsor of 729 studies on the registry; 116 are open to participants now.

Of its 56 completed or terminated interventional studies of FDA-regulated products, 44 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

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

  1. Be female
  2. Have breast cancer
  3. Be scheduled to receive taxane chemotherapy without other neurotoxic chemotherapy (platinums, vinca alkaloids, bortezomib, thalidomide)
  4. Have at least six months according to the patient's oncologist or designee
  5. Be able to read English
  6. Be at least 18 years old (no upper limit on age)
  7. Provide written

Exclusion criteria

Exclusion criteria (subjects must not…)

  1. Be in the active or maintenance stage of exercise behavior (i.e., subjects must be sedentary)
  2. Have physical limitations (e.g., cardiorespiratory, orthopedic, central nervous system) that contraindicate participation in maximal physiological fitness testing and a low/moderate intensity home-based walking and progressive resistance exercise program.

Additional exclusion criteria only for patients performing the MRI scanning (40 of 80 enrolled subjects)

1. Subjects must not have for MRI scanning (pacemaker, metal implants, pregnancy, chest expander from breast reconstruction, etc.-note that most port-a-caths are safe for MRI scanning)

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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Study design

Phase
Phase 2
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    Exercise

    Exercise for Cancer Patients (EXCAP©®) involves face-to-face instruction and a prescription for an at-home progressive walking and resistance exercise program.

    Behavioral: EXCAP Exercise

  • Active comparator
    Nutrition Education

    Nutrition education involves equal time and attention as the exercise arm, but the content covers nutrition for cancer patients and lacks an exercise prescription.

    Behavioral: Nutrition Education

Interventions

  • BehavioralEXCAP Exercise

    12 weeks of at-home walking and resistance exercise.

  • BehavioralNutrition Education

    12 weeks of implementing eating tips and tracking food.

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What researchers measure

Primary outcomes

  1. Patient-reported sensory symptoms of chemotherapy-induced peripheral neuropathy (CIPN)

    CIPN-20 sensory subscale (Postma et al 2005). The subscale includes 9 questions, each rated 1-4, and the score ranges from 9-36 with larger values reflecting more severe (worse) symptoms of chemotherapy-induced peripheral neuropathy (CIPN).

    Time frame: Time point 2 (approximately 6 weeks), controlling for baseline value

Secondary outcomes

  1. Sensory loss

    Finger tactile sensitivity

    Time frame: Time point 2 (approx. 6 weeks) or time point 3 (approx. 12 weeks), controlling for baseline

  2. Numbness and tingling

    Patient-reported severity of numbness/tingling (0-10). A larger value reflects more severe (worse) symptoms of chemotherapy-induced peripheral neuropathy (CIPN).

    Time frame: Time point 2 (approx. 6 weeks) or time point 3 (approx. 12 weeks), controlling for baseline

  3. Sensory, motor, and autonomic symptoms of CIPN

    CIPN-20 total score (Postma et al 2005). The score includes 20 questions, each rated 1-4, and the score ranges from 20-80 with larger values reflecting more severe (worse) symptoms of chemotherapy-induced peripheral neuropathy (CIPN).

    Time frame: Time point 2 (approx. 6 weeks) or time point 3 (approx. 12 weeks) or time point 4 (approx. 24 weeks), controlling for baseline

  4. Patient-reported sensory symptoms of CIPN

    CIPN-20 sensory subscale (Postma et al 2005). The subscale includes 9 questions, each rated 1-4, and the score ranges from 9-36 with larger values reflecting more severe (worse) symptoms of chemotherapy-induced peripheral neuropathy (CIPN).

    Time frame: Time point 3 (approx. 12 weeks) or time point 4 (approx. 25 weeks), controlling for baseline

Other outcomes

  1. Musculoskeletal function

    Leg strength via isokinetic dynamometer test

    Time frame: Time point 2 (approx. 6 weeks) or time point 3 (approx. 12 weeks), controlling for baseline

  2. Cardiovascular function

    Distance walked in six-minute walk test

    Time frame: Time point 2 (approx. 6 weeks) or time point 3 (approx. 12 weeks), controlling for baseline

  3. Neuropsychological function

    Brain connectivity via functional magnetic resonance imaging

    Time frame: Time point 2 (approx. 6 weeks), controlling for baseline

  4. Immunological function

    Inflammatory cytokine concentration via ELISA (IL-6, IL-10, etc.)

    Time frame: Time point 2 (approx. 6 weeks) or time point 3 (approx. 12 weeks), controlling for baseline

07

Study locations

2 sites
  • University of Maryland
    Baltimore, Maryland 21201, United States
  • University of Rochester Medical Center
    Rochester, New York 14642, United States
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References and documents

Publications

  • Postma TJ, Aaronson NK, Heimans JJ, Muller MJ, Hildebrand JG, Delattre JY, Hoang-Xuan K, Lanteri-Minet M, Grant R, Huddart R, Moynihan C, Maher J, Lucey R; EORTC Quality of Life Group. The development of an EORTC quality of life questionnaire to assess chemotherapy-induced peripheral neuropathy: the QLQ-CIPN20. Eur J Cancer. 2005 May;41(8):1135-9. doi: 10.1016/j.ejca.2005.02.012. Epub 2005 Apr 14. PubMed 15911236 ↗

Individual participant data

Plan to share: Yes — Interested researchers may contact the study PI with requests for collaboration.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03858153
Responsible party
Po-Ju Lin (Assistant Professor, University of Rochester) — Principal investigator
First posted
Feb 28, 2019
Start date
Apr 15, 2019
Primary completion
Aug 27, 2025
Completion
Aug 27, 2025
Last update
Dec 22, 2025

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 2025. You cannot join it, but the record below documents what was studied.

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