ClinicalTrials.gg
RecruitingNCT04652609PRESIONAUpdated Nov 18, 2025

Preventing Chemotherapy-induced Peripheral Neuropathy Using PRESIONA Exercise Program

An interventional study of PRESIONA in Breast Neoplasm, sponsored by Universidad de Granada. Recruiting at 1 site in Spain. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-11-18.

Sponsored by Universidad de Granada · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Jan 2021; still recruiting 5 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
Female
01

Study summary

The aim of this study is to determinate if therapeutic exercise with blood flow restriction (BFR) during neoadjuvant chemotherapy potentialy neurotoxic could prevent the onset of chemotherapy induced peripheral neuropathy (CIPN) comparing to usual care.

Read the detailed description

CIPN is a side effect of cancer therapies that nowadays has no solution, so our intention is to carry out a preventive therapy against the onset of CIPN. The nature of the studies that try to prevent is very diverse, but one of the wide tools is therapeutic exercise. In this case we intend to combine therapeutic exercise with BFR to obtain a pre-conditioning effect that protects intraepidermal fibers from exposure to the chemotherapy.

02

Conditions studied

  • Breast Neoplasm

Keywords

  • Breast neoplasm
  • Breast cancer
  • Therapeutic exercise
  • Small Fiber Neuropathy
03

In context

Breast Neoplasms

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

This study's planned enrollment of 25 is below the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Universidad de Granada is the lead sponsor of 246 studies on the registry; 43 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
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

  • 18 years or older
  • + breast cancer diagnosis
  • On the waiting list to anticancer medical treatment (taxanes-based chemotherapy)

Exclusion criteria

Exclusion Criteria:

  • Previous diagnosis of cancer
  • Pregnant
  • Cardiac pathology
  • No symptoms or pathology that could be confused with neuropathy or related to diabetes
  • No recommendation from oncologist for therapeutic exercise practice
Terms in these criteria, in plain language(2)

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.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

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.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
25 participants (estimated)

Study arms

  • Experimental
    PRESIONA

    An adapted therapeutic exercise program using blood flow restriction cuff perfomed during chemotherapy treatment. 24-36 sessions of 1 hour multimodal components: aerobic, strength and fascial release exercises. Frequency will be adapted to the recovery status of each patient.

    Other: PRESIONA

  • No intervention
    Control group

    Patients undergoing usual medical treatment

Interventions

  • OtherPRESIONA

    Aerobic and strength exercise combined with restricction blood flow cuffs during chemotherapy treatment

    Also known as: Experimental group, Therapeutic exercise combined with blood flow restriction

06

What researchers measure

Primary outcomes

  1. Patient-reported CIPN symptoms

    Symptoms across to sensory, motor and automic domains will be measured using the questionnarie the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-CIPN twenty-item scale. The total questionnaire has a score from 0 to 100, in which a higher score indicates increased symptom burden.

    Time frame: Change from Baseline to 12 weeks (after intervention)

Secondary outcomes

  1. Breast cancer quality of life

    assessed by European Organization for Research and Treatment of Breast Cancer-Specific Quality of Life Questionnaire. The total questionnaire has a score from 0 to 100, in which a higher score indicates increased quality of life.

    Time frame: Change from baseline to 12 weeks (after intervention)

  2. CIPN severity

    assessed by clinical version of The Total Neuropathy Score. Each item is scored from 0 to 4, with the total score ranging from 0 to 24 points; a higher score indicates greater neuropathy severity.

    Time frame: Change from Baseline to 12 weeks (after intervention)

  3. Quality of sleep

    assessed by Pittsburgh Sleep Quality Index that is a self-rated questionnaire which assesses sleep quality and disturbances. The global score, with a range of 0-21 points, "0" indicating no difficulty and "21" indicating severe difficulties.

    Time frame: Change from Baseline to 12 weeks (after intervention)

  4. Mood Assessment

    assessed by Scale for Mood Assessment. The scale tries to assess four moods; anxiety, angerhostility, sadness-depression, and happiness. Itd subscale is scory from 0 to 10, a higher score in the EVEA subscales would indicate that the respondent has a higher level of sad-depressed, anxious, angryhostile, and happy mood, respectively.

    Time frame: Change from Baseline to 12 weeks (after intervention)

  5. Pain in hands and feet

    assessed by visual analogue scale. From 0 to 10, a higher score is a worse subjective pain in hands and feet.

    Time frame: Change from Baseline to 12 weeks (after intervention)

  6. Touch Detection Thresholds

    assessed by Semmes-Weinstein filaments (SWMs)

    Time frame: Change from Baseline to 12 weeks (after intervention)

  7. Handgrip strength test

    assessed by TKK5101 Grp-D dynamometer (Takeya, Tokyo, Japan)

    Time frame: Change from Baseline to 12 weeks (after intervention)

  8. General physical functioning and mobility

    assessed by the 6 minutes walking test. A greater distance (meters) covered over 6 min indicates greater mobility and general functioning.

    Time frame: Change from Baseline to 12 weeks (after intervention)

  9. Body composition

    assesseb by bioimpedance (InBody)

    Time frame: Change from Baseline to 12 weeks (after intervention)

07

Study locations

1 of 1 sites recruiting
  • University of Granada
    Granada, 18016, Spain
    Recruiting
    • Irene Cantarero-Villanueva, PhD · Contactirenecantarero@ugr.es · 958248764
    • Noelia Galiano-Castillo, Phd · Sub investigator
    • Irene Cantarero-Villanueva, Phd · Principal investigator
    • María de la Cabeza López-Garzón, MSc · Sub investigator
08

References and documents

Publications

  • Lopez-Garzon M, Cantarero-Villanueva I, Legeren-Alvarez M, Gallart-Aragon T, Postigo-Martin P, Gonzalez-Santos A, Lozano-Lozano M, Martin-Martin L, Ortiz-Comino L, Castro-Martin E, Ariza-Garcia A, Fernandez-Lao C, Arroyo-Morales M, Galiano-Castillo N. Prevention of Chemotherapy-Induced Peripheral Neuropathy With PRESIONA, a Therapeutic Exercise and Blood Flow Restriction Program: A Randomized Controlled Study Protocol. Phys Ther. 2022 Mar 1;102(3):pzab282. doi: 10.1093/ptj/pzab282. PubMed 35079838 ↗
09

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 Jan 2021 to primary completion in Jan 2025, 48 months.

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 48 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
Oct 20, 2020
First posted
Dec 3, 2020
StartActual
Jan 1, 2021
Primary completionActual
Jan 1, 2025
CompletionEst.
Jan 1, 2027
Last update
Nov 18, 2025
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 Nov 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04652609
Responsible party
Irene Cantarero Villanueva (Principal Investigator, Universidad de Granada) — Principal investigator
First posted
Dec 3, 2020
Start date
Jan 1, 2021
Primary completion
Jan 1, 2025
Completion
Jan 1, 2027 (estimated)
Last update
Nov 18, 2025

Study contacts

Irene Cantarero-Villanueva, PhD
Contact
irenecantarero@ugr.es
958248764
Irene Cantarero-Villanueva, PhD
principal investigator · Physical Therapy Deparment, Faculty of Health Sciences, University of Granada

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion