Exercise, Fitness and Tumor Profiling in Breast Cancer Patients

February 2, 2026 updated by: Memorial Sloan Kettering Cancer Center

Integrative Profiling of Primary Breast Cancer on the Basis of Divergent Exercise Exposure

This study is designed to find out how engaging in regular exercise (or not) alters the biology of breast tumors as well as the normal tissue (if available) surrounding the tumor. The investigators hope that findings from this initial study will guide the design of future studies to examine how changes in exercise alter breast tumor biology.

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

42

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • New Jersey
      • Basking Ridge, New Jersey, United States, 07920
        • Memorial Sloan Kettering Basking Ridge (Consent and Follow-up)
      • Middletown, New Jersey, United States, 07748
        • Memorial Sloan Kettering Monmouth (Consent and Follow-up)
      • Montvale, New Jersey, United States, 07645
        • Memorial Sloan Kettering Bergen (Consent and Follow-up)
    • New York
      • Commack, New York, United States, 11725
        • Memorial Sloan Kettering Commack (Consent and Follow-up)
      • Harrison, New York, United States, 10604
        • Memorial Sloan Kettering Westchester (Consent and Follow-up)
      • New York, New York, United States, 10065
        • Memorial Sloan Kettering Cancer Center (Consent and Follow-up)
      • Uniondale, New York, United States, 11553
        • Memorial Sloan Kettering Nassau (Consent and Follow-up)

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

17 years to 76 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

MSK clinic

Description

Inclusion Criteria:

Cohort 1: Breast Cancer Patients

  • Ages 21-80 years
  • Female
  • Histologically confirmed ER receptor positive (>1% staining), HER2 negative (FISH ratio <1.8), untreated operable breast cancer
  • Stage I to II disease
  • Scheduled for surgical resection by any type of mastectomy or lumpectomy at MSK
  • Tumor size ≥1cm by preoperative imaging or physical examination
  • Categorization into self-reported exercise history exposure classifications as follows: (1) exercising: ≥120 minutes of vigorous-intensity exercise/wk for the past 12 months, and (2) sedentary (non-exercising): ≤ 30 minutes of moderate-intensity exercise/week for the past months using the Harvard Health Professionals survey.(34)
  • Ability to read and understand English
  • Willing and able to comply with requirements of the protocol

Cohort 2: High-Risk Patients

  • Women at high-risk of breast cancer, as defined by one of the following:

    • Cytologically confirmed atypical hyperplasia
    • confirmed LCIS
    • Being a carrier for BRCA1 and/or BRCA2
    • Predicted lifetime risk of breast cancer >20% based on family history
    • Predicted 10-year risk of breast cancer of ≥2.31%
    • Predicted 5-year risk of breast cancer ≥1.67%
  • Aged 21-80 years old
  • If a female of child-bearing potential, must not be pregnant or planning to become pregnant during the study.

    • Women <50 years old of child-bearing potential must have a negative pregnancy test (urine HCG or serum) within 14 days of enrollment.

Exclusion Criteria:

Cohort 1:

  • Received any form of neoadjuvant treatment
  • Presence of any other concurrent, actively treated malignancy
  • Presence of metastatic disease
  • If performing a CPET, any of the following contraindications:

    • 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).
  • Mental impairment leading to inability to cooperate
  • If performing a CPET, room air desaturation at rest ≤ 85%
  • Any other condition or intercurrent illness that, in the opinion of the investigator, makes the participant a poor candidate for the study.

Cohort 2:

  • Use of any selective estrogen receptor modulator or aromatase inhibitor within 6 months of consent, including, but not limited to: tamoxifen, raloxifene, arzoxifene, acolbifene, anastrozole, exemestane, and letrozole.
  • Enrollment on an interventional investigational study
  • Bilateral breast implants
  • History of any of the following:

    • Invasive breast cancer
    • DCIS
  • Any current invasive cancer diagnosis
  • Metastatic malignancy of any kind
  • If performing a CPET, any of the following contraindications:

    • 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).
  • Mental impairment leading to inability to cooperate
  • If performing a CPET, room air desaturation at rest ≤ 85%
  • Any other condition or intercurrent illness that, in the opinion of the investigator, makes the participant a poor candidate for the core biopsy or the study.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Prospective

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Regular exercisers and non-exercising groups who have been diagnosed with breast cancer
There is no treatment on this study, it is a onetime assessment. exercisers: ≥120 minutes of vigorous-intensity aerobic exercise;There is no treatment on this study, it is a onetime assessment. non-exercisers: ≤ 30 minutes of moderate-intensity exercise per week.
Participants will be asked a series of questions (using a validated questionnaire) to assess self-reported exercise exposure over the past 12 months.
Participant will provide a blood sample
CPET with 12-lead ECG
Research stool sample (within ±1 week of surgery), if possible
Sample of the tumor and normal breast tissue may be taken from the tissue removed during breast cancer surgery if there is enough tissue left over for research testing.
Regular exercisers who are at high risk of developing breast cancer
≥120 minutes of vigorous-intensity aerobic exercise;
Participants will be asked a series of questions (using a validated questionnaire) to assess self-reported exercise exposure over the past 12 months.
Sample of the tumor and normal breast tissue may be taken from the tissue removed during breast cancer surgery if there is enough tissue left over for research testing.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
differences in DNA somatic mutational profile
Time Frame: 2 years
Eight-μm-thick representative sections of the fresh-frozen sample will be microdissected with a needle under a stereomicroscope (Olympus SZ61), to ensure >70% of tumor cell content as previously described.(36) Matched germline DNA will be microdissected from adjacent normal breast tissue (if available) for each case; to avoid the possibility of morphologically appearing non-neoplastic cells harboring somatic mutations; we will prioritize the microdissection of stromal cells and avoid normal breast ducts and lobules.
2 years
differences in RNA sequencing
Time Frame: 2 years
The initial analysis will focus on immune signatures (i.e., immune activation, as well as preexisting immune and related signatures) characterization using RNA-seq
2 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Jessica Scott, PhD, Memorial Sloan Kettering Cancer Center

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 31, 2018

Primary Completion (Estimated)

January 1, 2027

Study Completion (Estimated)

January 1, 2027

Study Registration Dates

First Submitted

February 1, 2018

First Submitted That Met QC Criteria

February 1, 2018

First Posted (Actual)

February 7, 2018

Study Record Updates

Last Update Posted (Actual)

February 4, 2026

Last Update Submitted That Met QC Criteria

February 2, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • 18-058

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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