ClinicalTrials.gg
Active, not recruitingNCT05063760ExCellUpdated Dec 5, 2023

Exercise in Testicular Germ Cell Cancer Survivors

An interventional study of aerobic-strength exercise intervention (6-months) in Testicular Germ Cell Tumor, sponsored by Slovak Academy of Sciences. Active, not recruiting at 2 sites in Slovakia. Open to male participants aged 25 Years to 55 Years. Per ClinicalTrials.gov, last updated 2023-12-05.

Sponsored by Slovak Academy of Sciences · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 2 months after the study started (first participant enrolled Jan 2020, registered Mar 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
25 Years to 55 Years
Sex
Male
01

Study summary

Regular exercise is effective in prevention \& treatment of chronic diseases. Exercise can reduce late toxicity of chemotherapy, commonly found in cancer survivors, which is yet to be translated into clinical practice.

Mechanisms of exercise benefits in oncologic patients are far from being elucidated, and include increase in muscle mass, reduction of fat mass, systemic inflammation and cardiometabolic risk. Synchronization of exercise adaptive response is, to an extent, mediated by bioactive molecules released from muscle, with anti-inflammatory \& tumor-suppressing properties. Muscle satellite cells are a source of regeneration, muscle structural integrity \& functional capacity. Phenotypes of muscle cells, such as secretory profile, lipid \& glucose metabolism, mirror clinical phenotypes of the donor. Importantly, muscle cells' metabolism in vitro can be modulated by 8-12 week training in vivo. Epigenetic mechanisms regulating muscle \& systemic metabolism in cancer survivors are not yet understood.

Read the detailed description

Aims:

  • To assess the impact of 6-month supervised, individualized aerobic-strength exercise training intervention in cancer survivors with chemotherapy-induced late toxicity . (i) on the whole-body energy and glucose metabolism, anthropometric parameters, physical fitness \& activity profile, motor functions and quality of life in testicular germ cell cancer (TGCC) survivors, more than 3 years after cisplatin-based chemotherapy; with the 2-year follow up; . (ii) on skeletal muscle mass, morphology as well as functional and metabolic state detected in vivo (31P-MR spectroscopy).

(iii) on metabolic characteristics of primary skeletal muscle cells;

  • To determine the impact of exercise intervention on circulating bioactive molecules (exerkines), putative mediators of exercise health benefits as well as on levels of circulating inflammatory cytokines, which likely contribute to the pathogenesis of chemotherapy-induced late toxicity;
  • To evaluate the role of (a) selected exercise-regulated bioactive molecules, (b) exercise-mimicking treatment (by electric pulse stimulation) and (c) cisplatin treatment on metabolism and mitochondrial function of differentiated human muscle cells in culture;
  • To investigate the associations between intervention-induced shifts in circulating bioactive molecules and selected metabolic, anthropometric and motor parameters.

The generated results will enable us (i) to gain a better insight into pathomechanisms of muscle-associated chemotherapy-induced late toxicity and the role of skeletal muscle \& systemic mediators in the exercise-induced health benefits in TGCC survivors; and (ii) to validate the effectiveness of the individually-tailored exercise intervention in reducing chemotherapy-related toxicity in patients with TGCC, with the aim to transfer this knowledge into clinical practice.

02

Conditions studied

  • Testicular Germ Cell Tumor

Keywords

  • TGCT
  • exercise intervention
  • Magnetic resonance spectroscopy
  • skeletal muscle
  • chemotherapy-induced metabolic toxicity
03

In context

Testicular Germ Cell Tumor

85 studies on the registry are indexed under Testicular Germ Cell Tumor; 10 are open to participants now.

This study's planned enrollment of 60 is above the median of 46 across 54 interventional studies indexed under Testicular Germ Cell Tumor.

Browse Testicular Germ Cell Tumor studies →

Lead sponsor

Slovak Academy of Sciences is the lead sponsor of 13 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
25 Years to 55 Years
Sexes eligible
Male
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

  • TGCT survivors, with chemotherapy-induced metabolic toxicity, men, 25-55 years old, with the capacity to undergo training, signed written

Exclusion criteria

Exclusion Criteria:

  • serious / uncontrolled chronic diseases, non-compliance, other health issues as assessed by oncologists / investigators
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    TGCT patients - exercise

    TGCT survivors, men, 25-55 yrs old, 3 and more years after successful treatment of TGCT, with the capacity to undergo aerobic-strength intervention assessed by cardiologist

    Behavioral: aerobic-strength exercise intervention (6-months)

  • No intervention
    TGCT patients - nonexercising controls

    TGCT survivors, men, 25-55 yrs old, 3 and more years after successful treatment of TGCT, with the capacity to undergo aerobic-strength intervention assessed by cardiologist

Interventions

  • Behavioralaerobic-strength exercise intervention (6-months)

    6 month supervised exercise intervention in TGCT survivors (1 hour sessions 3 x per week),

06

What researchers measure

Primary outcomes

  1. change in the glucose tolerance

    change in glucose tolerance (as measured by oral glucose tolerance test)

    Time frame: parameter will be measured before and after 6 month intervention

  2. change in resting energy expenditiure and metabolic substrate preference

    change in resting energy expenditure calculated by Weir equation from VO2 and metabolic substrate preference RQ VCO2/VO2 (as measured by indirect calorimetry)

    Time frame: parameters will be measured twice before and after 6 month intervention

  3. change anthropometric parameters of obesity

    BMI (kg.m-2) , fat mass (% electric bioimpedance), lean body mass (% electric bioimpedance), visceral adiposity (%, elecgtric bioimpedance)

    Time frame: parameters will be measured twice before and after 6 month intervention

  4. change physical fitness

    VO2max (mlO2 per kg BW min) as measured by bicycle spiroergometry

    Time frame: parameter will be measured twice before and after 6 month intervention

Secondary outcomes

  1. change in quality of life for cancer patients

    validated questionnaire

    Time frame: measured twice before and after 6 month intervention

  2. change in muscle strength

    dynamometry

    Time frame: measured twice before and after 6 month intervention

  3. change in cognitive functions

    standardised cognitive test Cogstate

    Time frame: measured twice before and after 6 month intervention

07

Study locations

2 sites
  • National Cancer Institute
    Bratislava, Please Select 800 00, Slovakia
  • Biomedical Research Center Slovak Academy of Sciences
    Bratislava, Please Select 84505, Slovakia
08

References and documents

Individual participant data

Plan to share: No — we will share IPD upon reasonable request

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2020 to primary completion in Dec 2023, 46 months.

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

Registered
Mar 18, 2021
First posted
Oct 1, 2021
StartActual
Jan 15, 2020
Primary completionActual
Dec 1, 2023
CompletionEst.
Jun 30, 2024
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 ↗
10

Registry details

Key details

Study ID
NCT05063760
Lead sponsor
Slovak Academy of Sciences
Collaborators
Comenius University
Responsible party
Jozef Ukropec (PhD, DSc, Slovak Academy of Sciences) — Principal investigator
First posted
Oct 1, 2021
Start date
Jan 15, 2020
Primary completion
Dec 1, 2023
Completion
Jun 30, 2024 (estimated)
Last update
Dec 5, 2023

Study contacts

Barbara Ukropcova, MD, PhD, Prof
principal investigator · Biomedical Research Center, Slovak Acad Sci

Oversight

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

Not currently enrolling

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

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