The Effect of Aerobic Exercise on Selective Biomarkers of Patients With Cancer
The Effect of Supervised Aerobic Exercise on Adipokine and Myokine Biomarkers in Patients With Cancer During Systemic Chemotherapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
To determine the effect of aerobic exercise on adipokine and myokine biomarkers such as Interleukin-6 (IL-6), Irisin, Leptin and Adiponectin in the blood of breast or colon cancer patients receiving chemotherapy compared to ones who did not exercise during their systemic chemotherapy.
Patients who were diagnosed with solid type of cancer specifically focusing on breast or colon cancer will be recruited either to the exercise group (EG) or control group (CG) during their systemic chemotherapy. An individualized supervised resistive aerobic exercise which will be performed via stationary resistive biycle ergometer will be implemented along with the chemotherapy process for EG.
Each exercise session will be performed 2 times per week for at least 12 weeks (can be extended up to 24 weeks) during chemotherapy.
Exercise intensity will be set as submaximal, 50-70% of heart rate reserve, and each session will be lasted 35 minutes.
All exercise sessions will be supervised by the researchers to avoid potential side effects.
5 cc venous blood samples will be collected before the first and last chemotherapy infusions (for both EG and CG). The samples will be blinded to the analyzers did not know which group the samples belonged to.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Çiğli
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İzmir, Çiğli, Turkey, 35620
- Bakircay University Çiğli State and Training Hospital, Department of Medical Oncology
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Having been diagnosed with solid type of cancer
- Being candidate for systemic chemotherapy
- Being volunteer to participate in an exercise program
- Aged between 18-70 years old
Exclusion Criteria:
- Having 2 or above grades according to the Eastern Cooperative Oncology Group (ECOG) performance status
- Having mental and/or cognitive deficits
- Ongoing medical and/or surgical (if any) complications
- Having neurological/orthopedical and/or severe respiratory dysfunctions
- Having any condition which corresponds to the contraindication of exercise (i.e. advanced stages, distant metastasis, infection)
- Having unstable vital parameters or having regularly used pharmacological interventions
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Exercise Group
Patients who will be willing to participate in supervised exercise will be grouped in Exercise Group (EG).
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The exercise program will be started with 25 Watt (W) for 5 minutes of warm-up.
Then it is steadily increased automatically by 5W in 5 minutes apart for 25 minutes for the loading period.
The last 5 minutes which will be started by lowering the load to 25 W for cooling will be implemented for cooling down.
To prevent acommodation, the warm-up period will be modified by increasing nearly 10% of its previous rate three weeks apart.A submaximal exercise prescription will be followed according to the American College of Sports Medicine guideline by taking into attention 50-70% of Heart Rate Reserve.A submaximal exercise prescription will be followed according to the American College of Sports Medicine guideline by taking into attention 50-70% of Heart Rate Reserve.
Other Names:
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Control Group
Patients who are not willing to participate in exercise due to various reasons (time restrictions, other obligations, transport, etc.) will be grouped in the Control Group (CG).
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Irisin
Time Frame: Baseline
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Measuring Serum levels of Irisin via ELISA
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Baseline
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Irisin
Time Frame: From completion of systemic chemotherapy up to one week
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Measuring Serum levels of Irisin via ELISA
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From completion of systemic chemotherapy up to one week
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Leptin
Time Frame: Baseline
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Measuring Serum levels of Leptin via ELISA
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Baseline
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Leptin
Time Frame: From completion of systemic chemotherapy up to one week
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Measuring Serum levels of Leptin via ELISA
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From completion of systemic chemotherapy up to one week
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Adiponectin
Time Frame: Baseline
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Measuring Serum levels of Adiponectin via ELISA
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Baseline
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Adiponectin
Time Frame: From completion of systemic chemotherapy up to one week
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Measuring Serum levels of Adiponectin via ELISA
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From completion of systemic chemotherapy up to one week
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Interleukin-6 (IL-6)
Time Frame: Baseline
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Measuring Serum levels of IL-6 via ELISA
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Baseline
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Interleukin-6 (IL-6)
Time Frame: From completion of systemic chemotherapy up to one week
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Measuring Serum levels of IL-6 via ELISA
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From completion of systemic chemotherapy up to one week
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Alper Tuğral, PhD, Izmir Bakircay University
Publications and helpful links
General Publications
- Meneses-Echavez JF, Correa-Bautista JE, Gonzalez-Jimenez E, Schmidt Rio-Valle J, Elkins MR, Lobelo F, Ramirez-Velez R. The Effect of Exercise Training on Mediators of Inflammation in Breast Cancer Survivors: A Systematic Review with Meta-analysis. Cancer Epidemiol Biomarkers Prev. 2016 Jul;25(7):1009-17. doi: 10.1158/1055-9965.EPI-15-1061. Epub 2016 Apr 12.
- Brownson-Smith R, Orange ST, Cresti N, Hunt K, Saxton J, Temesi J. Effect of exercise before and/or during taxane-containing chemotherapy treatment on chemotherapy-induced peripheral neuropathy symptoms in women with breast cancer: systematic review and meta-analysis. J Cancer Surviv. 2025 Feb;19(1):78-96. doi: 10.1007/s11764-023-01450-w. Epub 2023 Aug 24.
- Kim JS, Galvao DA, Newton RU, Gray E, Taaffe DR. Exercise-induced myokines and their effect on prostate cancer. Nat Rev Urol. 2021 Sep;18(9):519-542. doi: 10.1038/s41585-021-00476-y. Epub 2021 Jun 22.
- Tsiani E, Tsakiridis N, Kouvelioti R, Jaglanian A, Klentrou P. Current Evidence of the Role of the Myokine Irisin in Cancer. Cancers (Basel). 2021 May 27;13(11):2628. doi: 10.3390/cancers13112628.
- Dieli-Conwright CM, Courneya KS, Demark-Wahnefried W, Sami N, Lee K, Buchanan TA, Spicer DV, Tripathy D, Bernstein L, Mortimer JE. Effects of Aerobic and Resistance Exercise on Metabolic Syndrome, Sarcopenic Obesity, and Circulating Biomarkers in Overweight or Obese Survivors of Breast Cancer: A Randomized Controlled Trial. J Clin Oncol. 2018 Mar 20;36(9):875-883. doi: 10.1200/JCO.2017.75.7526. Epub 2018 Jan 22.
- Tjoe JA, Piacentine LB, Papanek PE, Raff H, Richards J, Harkins AL, Yin J, Ng AV. Team triathlon effects on physiological, psychological, and immunological measures in women breast cancer survivors. Support Care Cancer. 2020 Dec;28(12):6095-6104. doi: 10.1007/s00520-020-05457-2. Epub 2020 Apr 20.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
- BakircayU-579/559
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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