Status:

COMPLETED

Trial Comparing the Effects of Linear Versus Nonlinear Aerobic Training in Women With Operable Breast Cancer

Lead Sponsor:

Memorial Sloan Kettering Cancer Center

Collaborating Sponsors:

Duke University

Conditions:

Breast Cancer

Eligibility:

FEMALE

45-80 years

Phase:

NA

Brief Summary

The purpose of this study is to compare the effects of 3 different approaches to exercise training in women with early stage breast cancer who have completed all primary treatments (except hormone the...

Eligibility Criteria

Inclusion

  • Aged 45-80 years
  • Female
  • Has been diagnosed with early-stage breast cancer
  • Post-menopausal, defined as :
  • Age ≥ 45 with no menses for at least 2 years
  • Chemically induced menopause through ovarian suppression, as determined by the primary oncologist
  • An interval of at least one year, but no more than five years, following the full completion of primary therapy for malignant disease. Primary therapy is defined as:
  • Surgery plus radiation
  • Surgery plus chemotherapy
  • Surgery plus trastuzumab
  • Surgery plus hormone therapy Note: For patients who receive hormone therapy following surgery, the definition of one-year post-completion of therapy is defined by the surgery date. Patients who are currently receiving hormone therapy are eligible for enrollment.
  • Weight of \< 205 kgs
  • ECOG status of 0 or 1
  • Life expectancy ≥ 6 months
  • Performing less than 150 minutes of structured moderate-intensity or strenuous intensity exercise per week.
  • Exercise intolerance defined by a VO2peak below that predicted for sedentary age and sex-matched individuals as defined in Appendix H.
  • Willing to be randomized to one of the study arms
  • Able to complete an acceptable baseline CPET, in the absence of high risk ECG findings or other inappropriate response to exercise as determined by the investigator.
  • Able to achieve an acceptable peak baseline CPET, as defined by any of the following criteria:
  • Achieving a plateau in oxygen consumption, concurrent with an increase in power output;
  • A respiratory exchange ratio ≥ 1.10;
  • Attainment of maximal predicted heart rate (HRmax) (i.e., within 10 bpm of age-predicted HRmax \[HRmax = 220-Age\[years\]);
  • Volitional exhaustion, as measured by a rating of perceived exertion (RPE) ≥ 18 on the BORG scale.

Exclusion

  • Any of the following absolute contraindications to cardiopulmonary exercise testing:
  • Acute myocardial infarction within 3-5 days of any planned study procedures;
  • Unstable angina;
  • Uncontrolled arrhythmia causing symptoms or hemodynamic compromise;
  • Recurrent syncope;
  • Active endocarditis;
  • Acute myocarditis or pericarditis;
  • Symptomatic severe aortic stenosis;
  • Uncontrolled heart failure;
  • Acute pulmonary embolus or pulmonary infarction within 3 months of any planned study procedures
  • Thrombosis of lower extremities;
  • Suspected dissecting aneurysm;
  • Uncontrolled asthma;
  • Pulmonary edema;
  • Respiratory failure;
  • Acute non-cardiopulmonary disorders that may affect exercise performance or be aggravated by exercise (i.e., infection, renal failure, thyrotoxicosis);
  • Presence of any other concurrent, actively treated malignancy
  • History of any other malignancy treated within the past 3 years (other than non-melanoma skin cancer)
  • Presence of metastatic disease
  • Room air desaturation at rest ≤ 85%
  • Mental impairment leading to inability to cooperate
  • Any other condition or intercurrent illness that, in the opinion of the investigator, makes the participant a poor candidate for the trial

Key Trial Info

Start Date :

November 11 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 17 2023

Estimated Enrollment :

174 Patients enrolled

Trial Details

Trial ID

NCT01186367

Start Date

November 11 2010

End Date

May 17 2023

Last Update

February 10 2025

Active Locations (1)

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Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065