- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04057274
Acute Effect of modeRate-intensity aerOBIc Exercise on Colon Cancer Cell Growth (AEROBIC)
Effect of a Single Bout of Moderate-intensity Aerobic Exercise on Colon Cancer Cell Growth in Vitro
This study involves drawing blood samples from men before and after they perform 30-minutes of moderate-intensity aerobic exercise. The investigators will evaluate whether adding the exercise serum to colon cancer cells in a dish can reduce the growth of the cells compared to the resting serum.
Note: serum is the liquid part of the blood that carries hormones and metabolites around the body.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Regular exercise is associated with a reduced risk of developing colon cancer. However, the mechanisms underpinning the anti-cancer effect of exercise are not yet fully understood. A recent theory suggests that each time you exercise, the short-lasting spikes in circulating hormones can suppress the growth of cancer cells. Hence, every exercise bout could have a direct anti-cancer effect.
This study will recruit men with an increased of colon cancer and explore whether incubating colon cancer cells with serum collected after a bout of moderate-intensity aerobic exercise influences cell viability in vitro.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Newcastle Upon Tyne, United Kingdom, NE1 8SG
- Northumbria University City Campus
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North Yorkshire
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York, North Yorkshire, United Kingdom, YO31 8FY
- York St John University Sports Park
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age ≥ 50 years
- BMI ≥ 25 kg/m2 and/or waist circumference of ≥ 94 cm
- Male
- Participating in less than 30 min of planned, structured, moderate to vigorous-intensity physical activity on three or more d·wk-1 for the last three months
Exclusion Criteria:
- Any absolute or relative contraindication to exercise testing, as determined by the American College of Sports Medicine
- Any sign/symptom of cardiovascular, metabolic or renal disease
- Known cardiovascular, metabolic or renal disease without written medical clearance from physician
- Resting hypertension (≥160 mmHg systolic and/or ≥90 mmHg diastolic)
- Chronic obstructive pulmonary disease and/or asthma with peak respiratory flow < 300 l/min
- Previous stroke or transient ischemic attack
- Epilepsy or aneurysm (large vessel or cerebral)
- Previous or current treatment for malignancy
- Clotting disorder
- Taking beta-adrenergic blocking agents
- Resting heart rate ≥ 100 bpm
- Musculoskeletal, neurological, anthropometric, or rheumatoid conditions that makes it not possible to pedal a bicycle and/or would be worsened due to exercise
- Body mass > 150 kg
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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EXPERIMENTAL: Exercise assessment
The exercise condition will involve venous blood samples being drawn immediately before and after a single bout of moderate-intensity aerobic interval exercise.
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The moderate-intensity aerobic interval exercise will be performed on a cycle ergometer under the supervision of trained staff in an exercise science laboratory.
Participants will perform a 5 to 10-minute warm-up that begins by pedalling against a light resistance (60 W) and progressively increases in resistance until a target heart rate of 50-60% heart rate reserve is achieved.
Participants will then complete 6 x 5-minute bouts at 60% heart rate reserve whilst maintaining a cadence of 60 rev·min-1, separated by 2.5-minutes of pedalling against light resistance (60 W).
The session will finish with a cool-down at light resistance (60 W) lasting 10-minutes.
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NO_INTERVENTION: Resting assessment
The resting condition will involve venous blood samples being drawn before and after 60 minutes of seated rest.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Cell viability (%)
Time Frame: 48 hours
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Viability of a human colon cancer cell line (LoVo) will be assessed via quantification of the fluorescent signal by the resazurin assay (Sigma-Aldrich, Dorset, UK).
Cells will be seeded in culture medium containing 10% serum from individual participants and incubated for 48 hours.
Fluorescence will then be measured using a microplate reader at an excitation of 540 nm and emission of 590 nm.
Background fluorescence will be subtracted from each well and then values will be normalised to fluorescence of control cells grown in 10% fetal bovine serum instead of participant serum to give a percent viability.
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48 hours
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Concentration of epinephrine (pg/ml)
Time Frame: Immediately before and immediately after the exercise and resting assessments
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Systemic concentration of epinephrine will be measured from serum
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Immediately before and immediately after the exercise and resting assessments
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Concentration of norepinephrine (pg/ml)
Time Frame: Immediately before and immediately after the exercise and resting assessments
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Systemic concentration of norepinephrine will be measured from serum
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Immediately before and immediately after the exercise and resting assessments
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Concentration of Interleukin 6 (pg/ml)
Time Frame: Immediately before and immediately after the exercise and resting assessments
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Systemic concentration of Interleukin 6 will be measured from serum
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Immediately before and immediately after the exercise and resting assessments
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Concentration of Tumour Necrosis Factor alpha (pg/ml)
Time Frame: Immediately before and immediately after the exercise and resting assessments
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Systemic concentration of Tumour Necrosis Factor alpha will be measured from serum
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Immediately before and immediately after the exercise and resting assessments
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Concentration of Insulin (pmol/l)
Time Frame: Immediately before and immediately after the exercise and resting assessments
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Systemic concentration of Insulin will be measured from serum
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Immediately before and immediately after the exercise and resting assessments
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Concentration of Insulin-like growth factor 1 (ng/ml)
Time Frame: Immediately before and immediately after the exercise and resting assessments
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Systemic concentration of Insulin-like growth factor 1 will be measured from serum
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Immediately before and immediately after the exercise and resting assessments
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Samuel T Orange, PhD, Northumbria University
Publications and helpful links
General Publications
- Boyle T, Keegel T, Bull F, Heyworth J, Fritschi L. Physical activity and risks of proximal and distal colon cancers: a systematic review and meta-analysis. J Natl Cancer Inst. 2012 Oct 17;104(20):1548-61. doi: 10.1093/jnci/djs354. Epub 2012 Aug 22.
- Dethlefsen C, Hansen LS, Lillelund C, Andersen C, Gehl J, Christensen JF, Pedersen BK, Hojman P. Exercise-Induced Catecholamines Activate the Hippo Tumor Suppressor Pathway to Reduce Risks of Breast Cancer Development. Cancer Res. 2017 Sep 15;77(18):4894-4904. doi: 10.1158/0008-5472.CAN-16-3125.
- Dethlefsen C, Pedersen KS, Hojman P. Every exercise bout matters: linking systemic exercise responses to breast cancer control. Breast Cancer Res Treat. 2017 Apr;162(3):399-408. doi: 10.1007/s10549-017-4129-4. Epub 2017 Jan 30.
- Devin JL, Hill MM, Mourtzakis M, Quadrilatero J, Jenkins DG, Skinner TL. Acute high intensity interval exercise reduces colon cancer cell growth. J Physiol. 2019 Apr;597(8):2177-2184. doi: 10.1113/JP277648. Epub 2019 Mar 20.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- AEROBIC2019
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ANALYTIC_CODE
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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