Exercise, Fitness and Tumor Profiling in Breast Cancer Patients
Integrative Profiling of Primary Breast Cancer on the Basis of Divergent Exercise Exposure
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
New Jersey
-
Basking Ridge, New Jersey, United States, 07920
- Memorial Sloan Kettering Basking Ridge (Consent and Follow-up)
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Middletown, New Jersey, United States, 07748
- Memorial Sloan Kettering Monmouth (Consent and Follow-up)
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Montvale, New Jersey, United States, 07645
- Memorial Sloan Kettering Bergen (Consent and Follow-up)
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New York
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Commack, New York, United States, 11725
- Memorial Sloan Kettering Commack (Consent and Follow-up)
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Harrison, New York, United States, 10604
- Memorial Sloan Kettering Westchester (Consent and Follow-up)
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New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center (Consent and Follow-up)
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Uniondale, New York, United States, 11553
- Memorial Sloan Kettering Nassau (Consent and Follow-up)
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
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
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / 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
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
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jessica Scott, PhD, Memorial Sloan Kettering Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 18-058
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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