Exercise Treatment With Standard Therapy for Metastatic Breast Cancer
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ClinicalTrials.gov Identifier: NCT03988595 |
Recruitment Status :
Recruiting
First Posted : June 17, 2019
Last Update Posted : March 13, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Hormone Receptor Positive Metastatic Breast Cancer | Other: Exercise Treatment | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 53 participants |
Allocation: | Non-Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | Exercise therapy will consist of individualized walking delivered 3 to 5 times weekly for 24 weeks. This trial will evaluate four escalated doses of exercise (90 mins/wk, 150 mins/wk, 225 mins/wk, 300 mins/week, or 375 mins/week). |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Phase 1 Trial of Exercise Treatment With Concurrent First-Line Therapy for Hormone Receptor Positive Metastatic Breast Cancer |
Actual Study Start Date : | June 12, 2019 |
Estimated Primary Completion Date : | August 1, 2023 |
Estimated Study Completion Date : | August 1, 2023 |

Arm | Intervention/treatment |
---|---|
Experimental: aerobic training 90 mins/wk
Exercise sessions will consist of individualized, walking delivered following a non-linear(i.e., exercise intensity is continually altered and progressed in conjunction with appropriate rest/recovery sessions across the entire intervention period) dosing schedule up to 7 individual treatment sessions/wk for 6 months. Remote supervised exercise sessions will be implemented and monitored using TeleEx. General physical activity as well as exercise performed outside of the structured treatment sessions will be evaluated via continuous monitoring using MSK approved telemedicine / wireless technology.
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Other: Exercise Treatment
Exercise sessions will consist of individualized, walking delivered following a non-linear (i.e.,exercise intensity is continually altered and progressed in conjunction with appropriate rest/recovery sessions across the entire intervention period) dosing schedule up to 7 individual treatment sessions/wk for 6 months. Remote supervised exercise sessions will be implemented and monitored using TeleEx. General physical activity as well as exercise performed outside of the structured treatment sessions will be evaluated via continuous monitoring using MSK approved telemedicine / wireless technology. |
Experimental: aerobic training 150 mins/wk
Exercise sessions will consist of individualized, walking delivered following a non-linear(i.e., exercise intensity is continually altered and progressed in conjunction with appropriate rest/recovery sessions across the entire intervention period) dosing schedule up to 7 individual treatment sessions/wk for 6 months. Remote supervised exercise sessions will be implemented and monitored using TeleEx. General physical activity as well as exercise performed outside of the structured treatment sessions will be evaluated via continuous monitoring using MSK approved telemedicine / wireless technology.
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Other: Exercise Treatment
Exercise sessions will consist of individualized, walking delivered following a non-linear (i.e.,exercise intensity is continually altered and progressed in conjunction with appropriate rest/recovery sessions across the entire intervention period) dosing schedule up to 7 individual treatment sessions/wk for 6 months. Remote supervised exercise sessions will be implemented and monitored using TeleEx. General physical activity as well as exercise performed outside of the structured treatment sessions will be evaluated via continuous monitoring using MSK approved telemedicine / wireless technology. |
Experimental: aerobic training 225 mins/wk
Exercise sessions will consist of individualized, walking delivered following a non-linear(i.e., exercise intensity is continually altered and progressed in conjunction with appropriate rest/recovery sessions across the entire intervention period) dosing schedule up to 7 individual treatment sessions/wk for 6 months. Remote supervised exercise sessions will be implemented and monitored using TeleEx. General physical activity as well as exercise performed outside of the structured treatment sessions will be evaluated via continuous monitoring using MSK approved telemedicine / wireless technology.
|
Other: Exercise Treatment
Exercise sessions will consist of individualized, walking delivered following a non-linear (i.e.,exercise intensity is continually altered and progressed in conjunction with appropriate rest/recovery sessions across the entire intervention period) dosing schedule up to 7 individual treatment sessions/wk for 6 months. Remote supervised exercise sessions will be implemented and monitored using TeleEx. General physical activity as well as exercise performed outside of the structured treatment sessions will be evaluated via continuous monitoring using MSK approved telemedicine / wireless technology. |
Experimental: aerobic training 300 mins/week
Exercise sessions will consist of individualized, walking delivered following a non-linear(i.e., exercise intensity is continually altered and progressed in conjunction with appropriate rest/recovery sessions across the entire intervention period) dosing schedule up to 7 individual treatment sessions/wk for 6 months. Remote supervised exercise sessions will be implemented and monitored using TeleEx. General physical activity as well as exercise performed outside of the structured treatment sessions will be evaluated via continuous monitoring using MSK approved telemedicine / wireless technology.
|
Other: Exercise Treatment
Exercise sessions will consist of individualized, walking delivered following a non-linear (i.e.,exercise intensity is continually altered and progressed in conjunction with appropriate rest/recovery sessions across the entire intervention period) dosing schedule up to 7 individual treatment sessions/wk for 6 months. Remote supervised exercise sessions will be implemented and monitored using TeleEx. General physical activity as well as exercise performed outside of the structured treatment sessions will be evaluated via continuous monitoring using MSK approved telemedicine / wireless technology. |
Experimental: aerobic training 375 mins/week
Exercise sessions will consist of individualized, walking delivered following a non-linear(i.e., exercise intensity is continually altered and progressed in conjunction with appropriate rest/recovery sessions across the entire intervention period) dosing schedule up to 7 individual treatment sessions/wk for 6 months. Remote supervised exercise sessions will be implemented and monitored using TeleEx. General physical activity as well as exercise performed outside of the structured treatment sessions will be evaluated via continuous monitoring using MSK approved telemedicine / wireless technology.
|
Other: Exercise Treatment
Exercise sessions will consist of individualized, walking delivered following a non-linear (i.e.,exercise intensity is continually altered and progressed in conjunction with appropriate rest/recovery sessions across the entire intervention period) dosing schedule up to 7 individual treatment sessions/wk for 6 months. Remote supervised exercise sessions will be implemented and monitored using TeleEx. General physical activity as well as exercise performed outside of the structured treatment sessions will be evaluated via continuous monitoring using MSK approved telemedicine / wireless technology. |
- maximum feasible dose (MFD) [ Time Frame: 24 weeks ]Feasibility is defined in terms of the relative dose intensive (RDI), the proportion of the planned exercise prescription that was completed without requiring a dose modification or interruption. The MFD is defined as the dose estimated to result in approximately 70% of patients achieving an RDI ≥ 75%.

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 19 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | Female |
Gender Based Eligibility: | Yes |
Gender Eligibility Description: | Breast Cancer |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with histologically-confirmed, HR-positive (ER and/or PR), HER2-negative metastatic breast cancer (MBC)
- Postmenopausal status defined by lack of menses for 2 years, oophorectomy, or medical ovarian suppression
- Receiving first line endocrine-based therapy (tamoxifen, aromatase inhibitor, or fulvestrant; concurrent molecular therapy also allowed)
- Sedentary (i.e., <60 minutes / week of exercise)
- Age >18 years
- BMI ≥ 18.5
- Cleared for exercise participation as per screening clearance via PAR-Q+
- Cleared for study participation as per screening consultation with an MSK Exercise Physiologist
- Willingness to comply with all study-related procedures
- Patients with "treated and stable" brain lesions of a duration of ≥ 2 months may be enrolled
Exclusion Criteria:
- Life expectancy <6 months
- Enrollment onto any other therapeutic investigational study
- Mental impairment leading to inability to cooperate
- Concurrent participation in weight loss or other exercise programs

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03988595
Contact: Neil Iyengar, MD | 646-888-4714 | iyengarn@mskcc.org | |
Contact: Lee Jones, PhD | 646-888-8103 |
United States, Indiana | |
Indiana University (Data Collection Only) | Not yet recruiting |
Indianapolis, Indiana, United States, 46202 | |
Contact: Tarah Ballinger, MD 317-944-0920 | |
United States, New Jersey | |
Memoral Sloan Kettering Basking Ridge (Limited Protocol Activities) | Recruiting |
Basking Ridge, New Jersey, United States, 07920 | |
Contact: Neil Iyengar, MD 646-888-4714 | |
Memoral Sloan Kettering Monmouth (Limited Protocol Activities) | Recruiting |
Middletown, New Jersey, United States, 07748 | |
Contact: Neil Iyengar, MD 646-888-4714 | |
Memorial Sloan Kettering Bergen (Limited Protocol Activities) | Recruiting |
Montvale, New Jersey, United States, 07645 | |
Contact: Neil Iyengar, MD 646-888-4714 | |
United States, New York | |
Montefiore Health Systems (Montefiore Medical Center) (Data Collection Only) | Recruiting |
Bronx, New York, United States, 10467 | |
Contact: Jesus Anampa Mesias, MD 866-633-8255 | |
Memorial Sloan Kettering Cancer Center @ Suffolk (Limited protocol activity) | Recruiting |
Commack, New York, United States, 11725 | |
Contact: Neil Iyengar, MD 646-888-4714 | |
Memoral Sloan Kettering Westchester (Limited Protocol Activities) | Recruiting |
Harrison, New York, United States, 10604 | |
Contact: Neil Iyengar, MD 646-888-4714 | |
Memorial Sloan Kettering Cancer Center | Recruiting |
New York, New York, United States, 10065 | |
Contact: Neil Iyengar, MD 646-888-4714 | |
Contact: Lee Jones, PhD 646-888-8103 | |
Principal Investigator: Neil Iyengar, MD | |
Memorial Sloan Kettering Nassau (Limited Protocol Activities) | Recruiting |
Uniondale, New York, United States, 11553 | |
Contact: Neil Iyengar, MD 646-888-4714 |
Principal Investigator: | Neil Iyengar, MD | Memorial Sloan Kettering Cancer Center |
Responsible Party: | Memorial Sloan Kettering Cancer Center |
ClinicalTrials.gov Identifier: | NCT03988595 |
Other Study ID Numbers: |
19-113 |
First Posted: | June 17, 2019 Key Record Dates |
Last Update Posted: | March 13, 2023 |
Last Verified: | March 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | Memorial Sloan Kettering Cancer Center supports the international committee of medical journal editors (ICMJE) and the ethical obligation of responsible sharing of data from clinical trials. The protocol summary, a statistical summary, and informed consent form will be made available on clinicaltrials.gov when required as a condition of Federal awards, other agreements supporting the research and/or as otherwise required. Requests for deidentified individual participant data can be made beginning 12 months after publication and for up to 36 months post publication. Deidentified individual participant data reported in the manuscript will be shared under the terms of a Data Use Agreement and may only be used for approved proposals. Requests may be made to: crdatashare@mskcc.org. |
Supporting Materials: |
Statistical Analysis Plan (SAP) Informed Consent Form (ICF) |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Exercise 19-113 |
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases |