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Programma di Esercizio Personalizzato per Sopravvissute al Cancro al Seno, Studio STEPS-BC (STEPS-BC)

2 ottobre 2026 aggiornato da: Wake Forest University Health Sciences

Supportive Tailored Exercise Program for Survivors of Breast Cancer (STEPS-BC)

This clinical trial studies whether a healthy living intervention (HLI), with or without a physical activity intervention (PAI), helps maintain the ability to exercise, heart health, and quality of life in breast cancer patients who are scheduled to receive chemotherapy treatment. Early detection and enhanced therapies for breast cancer have improved 5-year cancer-related survival rates. Unfortunately, many breast cancer survivors are at high risk for long-term exercise intolerance, decreased heart health, and lower quality of life following chemotherapy. Currently, there are no effective therapies to help patients maintain these areas throughout chemotherapy. The HLI in this study includes virtual health education classes, which provide useful information on topics like proper nutrition, managing stress, and sleep practices. This may help patients understand the importance of living a healthy lifestyle during chemotherapy. The PAI in this study consists of virtual exercise sessions personalized to the needs of the patient, which may make it easier for patients to stay active during chemotherapy. HLI with PAI may be a more effective way to help maintain ability to exercise, heart health, and quality of life in breast cancer patients who are scheduled to receive chemotherapy treatment.

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Descrizione dettagliata

PRIMARY OBJECTIVES:

I. To determine if a > 10% difference exists in change (i.e., 2.06 ml/kg/min difference) in peak oxygen consumption (VO2) from baseline to 24 weeks after initiating cancer treatment between participants receiving the PAI+HLI versus HLI alone.

II. To determine if a > 10% difference in change in left ventricular ejection fraction (LVEF) from baseline (up to ≤ 4 weeks of chemotherapy initiation) to 24 weeks after initiating cancer treatment exists between participants receiving the PAI+HLI versus HLI alone.

SECONDARY OBJECTIVES:

I. To determine if a > 10% difference in change in LVEF from baseline to 12 weeks after initiating cancer treatment exists between participants receiving the PAI+HLI versus HLI alone.

II. To assess changes in 6-minute walk, health-related quality of life (HRQOL), fatigue, strength, physical activity, sedentary and sitting behaviors and physical function between PAI+HLI and HLI alone groups at baseline to 12 & 24 weeks after initiating cancer treatment.

EXPLORATORY OBJECTIVES:

I. We will examine time-dependent changes in traditional and emerging cardiovascular (CV) disease risk factors, including HRQOL, fatigue, chronic psychosocial stress, objectively-assessed physical activity levels, sedentary and sitting behaviors, 6-minute walk distance, self-efficacy for exercise, plasma lipidomics, pro-inflammatory cytokine and fibrosis biomarkers, left ventricular (LV) injury, heart failure (HF), and social determinants of health on exercise capacity and LVEF.

II. In a subset (n=50), we will use innovative measures of magnetic resonance imaging (MRI) exercise-associated cardiac output (ExCO) and LV myocardial fibrosis with and without gadolinium contrast to examine mechanisms underlying exercise intolerance and LV dysfunction.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM 1: Within three weeks or less of chemotherapy start date, patients access the Trainerize application (app) and attend two virtual pre-chemotherapy exercise sessions over 10-20 minutes each promoting the importance of staying active across the day and throughout treatment and the identification of limitations and familiarization with different types of exercise. Following chemotherapy initiation, patients attend virtual personalized exercise sessions over 20-60 minutes each and organized health workshops over 40 minutes each once a week (QW) during weeks 1-4, once every 2 weeks (Q2W) during weeks 5-16, and once every 4 weeks (Q4W) during weeks 17-24 in the absence of unacceptable toxicity. Patients also receive a Fitbit device, resistance bands, and a loaner tablet, if applicable, on study. Additionally, patients undergo blood sample collection, cardiovascular magnetic resonance imaging (CMR), and cardiopulmonary exercise testing (CPET) on study. Patients may also optionally undergo exercise cardiovascular magnetic resonance imaging (ExeCMR) on study.

ARM 2: Within three weeks or less of chemotherapy start date, patients attend a virtual pre-chemotherapy organized health workshop over 60 minutes. Following chemotherapy initiation, patients attend virtual organized health workshops over 60 minutes each QW during weeks 1-4, Q2W during weeks 5-16, and Q4W during weeks 17-24. Patients also receive a loaner tablet, if applicable, on study. Additionally, patients undergo blood sample collection, CMR, and CPET on study. Patients may also optionally undergo ExeCMR on study.

Tipo di studio

Interventistico

Iscrizione (Stimato)

120

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

  • Nome: Karen Craver, MT, MHA
  • Numero di telefono: 336-716-0891
  • Email: NCORP@wfusm.edu

Luoghi di studio

    • North Carolina
      • Winston-Salem, North Carolina, Stati Uniti, 27157
        • Reclutamento
        • Wake Forest NCORP RB
        • Contatto:
        • Contatto:
          • Karen Craver, MHA
          • Numero di telefono: 336-716-0891
          • Email: ncorp@wfusm.edu
      • Winston-Salem, North Carolina, Stati Uniti, 27157
        • Attivo, non reclutante
        • Wake Forest NCORP Research Base
    • Virginia
      • Richmond, Virginia, Stati Uniti, 23235
        • Reclutamento
        • VCU Massey Cancer Center at Stony Point
        • Contatto:
        • Investigatore principale:
          • W. Gregory Hundley, MD
      • Richmond, Virginia, Stati Uniti, 23298
        • Reclutamento
        • VCU Massey Comprehensive Cancer Center
        • Contatto:
        • Investigatore principale:
          • W. Gregory Hundley, MD
        • Contatto:
          • Numero di telefono: (804) 628-6430.

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 18 anni a 85 anni (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • Stage I-III breast cancer (including inflammatory and newly diagnosed, or locally recurrent [if prior treatment received ≥ 2 years prior] but not metastatic breast cancer being treated with curative intent). All molecular subtypes (estrogen receptor [ER], progesterone receptor [PR], human epidermal growth factor receptor 2 [HER2], etc.) are acceptable
  • Scheduled to receive neoadjuvant or adjuvant cytotoxic chemotherapy. Patient must be enrolled ≤ 3 weeks from start of cytotoxic chemotherapy
  • Age 18 to 85 years at enrollment. The upper age cut-off is due to the increased risk of injury in the older population during the CPET, which uses stationary bicycle exercise testing, outweighing the benefit of including this age group
  • Must be able to complete a stationary bicycle exercise test where you pedal against some resistance on a stationary bike with supervisors at your side per patient self-report
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
  • Able to walk at least 2 blocks without chest pain, dyspnea, shortness of breath or fainting per patient self-report
  • Able to hold breath for 8 seconds
  • Must be able to read and understand English language
  • Must have access to a device that allows teleconferencing (e.g., Zoom calls) or be willing to participate in the Tablet Lending Program
  • Must be willing to download and use the Trainerize application to their personal device or be willing to participate in the Tablet Lending Program
  • Must have a working email address to participate in teleconferencing (e.g., Zoom calls). Local National Cancer Institute Community Oncology Research Program (NCORP) site staff may assist in setting up a new email address, if needed

Exclusion Criteria:

  • At enrollment, the following diagnosis and/or conditions may not be present (i.e., documented in the medical record or by patient self-report):

    • Symptomatic claustrophobia
    • Pregnancy or breast-feeding
    • Ferromagnetic cerebral aneurysm clips or other intraorbital/intracranial metal; pacemakers, defibrillators, functioning neurostimulator devices or other implanted non-compatible MRI devices, such as tissue expanders
    • Uncontrolled hypertension (systolic blood pressure > 190 mm Hg or diastolic blood pressure > 100 mm Hg)
    • Inflammatory conditions such as lupus or inflammatory bowel disease, or another medical condition that might compromise safety or successful completion, as determined by the treating physician
    • Significant ventricular arrhythmias (> 20 premature ventricular contractions [PVCs]/min)
    • Atrial fibrillation with uncontrolled ventricular response (> 130 beats per minute [bpm])
    • Unstable or stable angina (cardiac chest pain)
    • Severe pulmonary hypertension
    • Left main coronary artery disease
    • Symptomatic heart failure
    • Severe valvular heart disease
    • Aortic aneurysm (> 45 mm diameter) or aortic dissection
    • Uncontrolled slow or fast heart rhythm causing symptoms or hemodynamic compromise
    • Hypertrophic obstructive cardiomyopathy
  • Acute myocardial infarction within 28 days of enrollment

  • Acute pulmonary embolus and/or deep vein thrombosis within 24 weeks prior to enrollment

  • Plans to relocate within 6 months of enrollment and unable to participate in study procedures

  • May not be on a simultaneous interventional supportive care (non-therapeutic) clinical trial

  • May not be undergoing simultaneous treatment for a concurrent second primary cancer (patients with historical cancer will not be excluded if chemotherapy was received ≥ 2 years prior)

  • May not be currently engaged in ≥ 300 minutes of moderate to vigorous intensity physical activity per week as determined by self-report on the International Physical Activity Questionnaire -Short Form (IPAQ-SF). Site should use the IPAQ-SF screener in the REDCap WF-2401 STEPS-BC screening project to assist in this determination

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Terapia di supporto
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Separare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Arm 1 (PAI+HLI)

Within three weeks or less of chemotherapy start date, patients access the Trainerize app and attend two virtual pre-chemotherapy exercise sessions over 10-20 minutes each promoting the importance of staying active across the day and throughout treatment and the identification of limitations and familiarization with different types of exercise. Following chemotherapy initiation, patients attend virtual personalized exercise sessions over 20-60 minutes each and organized health workshops over 40 minutes each QW during weeks 1-4, Q2W during weeks 5-16, and Q4W during weeks 17-24 in the absence of unacceptable toxicity. Patients also receive a Fitbit device, resistance bands, and a loaner tablet, if applicable, on study. Additionally, patients undergo blood sample collection, CMR, and CPET on study. Patients may also optionally undergo ExeCMR on study.

Undergo blood sample collection

Altri nomi:
  • Raccolta di campioni biologici, Raccolta di campioni biologici, Raccolta di campioni biologici, Raccolta di campioni biologici, Raccolta di campioni

Ancillary studies

Attend virtual personalized exercise sessions

Attend organized health workshops

Altri nomi:
  • Educazione per l'intervento, Intervento attraverso l'educazione, Intervento attraverso l'educazione, Intervento, Educativo

Receive Fitbit device, resistance bands, and/or loaner tablet

Altri nomi:
  • Cure di Supporto, CURE DI SUPPORTO, cure di supporto, Terapia di Supporto, Gestione dei Sintomi, Terapia, Supporto

Undergo CMR

Altri nomi:
  • Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, risonanza magnetica, Risonanza Magnetica, Risonanza Magnetica (MRI)
  • Imaging a Risonanza Magnetica (procedura), Scansione di Imaging a Risonanza Magnetica, Imaging Medico, Risonanza Magnetica / Risonanza Magnetica Nucleare, RM, RM, Imaging RM, RMI, RMI, RMI, RMI, RMI, RMI
  • Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, Risonanze Magnetiche, Imaging NMR, NMRI, NMRI, imaging a risonanza magnetica nucleare, Imaging a Risonanza Magnetica Nucleare, sMRI, Risonanza Magnetica Strutturale

Undergo ExeCMR

Altri nomi:
  • Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, risonanza magnetica, Risonanza Magnetica, Risonanza Magnetica (MRI)
  • Risonanza magnetica (procedura), Scansione di risonanza magnetica, Imaging medico, Risonanza magnetica / Risonanza magnetica nucleare, RM, RM, Imaging RM, RM, RM, RM, RM, RM, RM, Scansione RM
  • Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, Risonanze Magnetiche, Imaging a Risonanza Magnetica, RMN, RMN, imaging a risonanza magnetica nucleare, Imaging a Risonanza Magnetica Nucleare, RMN Strutturale, Risonanza Magnetica Strutturale

Ancillary Studies

Ancillary Studies

Undergo CPET

Altri nomi:
  • CPET, CPX
Comparatore attivo: Arm 2 (HLI)

Within three weeks or less of chemotherapy start date, patients attend a virtual pre-chemotherapy organized health workshop over 60 minutes. Following chemotherapy initiation, patients attend virtual organized health workshops over 60 minutes each QW during weeks 1-4, Q2W during weeks 5-16, and Q4W during weeks 17-24. Patients also receive a loaner tablet, if applicable, on study. Additionally, patients undergo blood sample collection, CMR, and CPET on study. Patients may also optionally undergo ExeCMR on study.

Undergo blood sample collection

Altri nomi:
  • Raccolta di campioni biologici, Raccolta di campioni biologici, Raccolta di campioni biologici, Raccolta di campioni biologici, Raccolta di campioni

Ancillary studies

Attend organized health workshops

Altri nomi:
  • Educazione per l'intervento, Intervento attraverso l'educazione, Intervento attraverso l'educazione, Intervento, Educativo

Receive Fitbit device, resistance bands, and/or loaner tablet

Altri nomi:
  • Cure di Supporto, CURE DI SUPPORTO, cure di supporto, Terapia di Supporto, Gestione dei Sintomi, Terapia, Supporto

Undergo CMR

Altri nomi:
  • Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, risonanza magnetica, Risonanza Magnetica, Risonanza Magnetica (MRI)
  • Imaging a Risonanza Magnetica (procedura), Scansione di Imaging a Risonanza Magnetica, Imaging Medico, Risonanza Magnetica / Risonanza Magnetica Nucleare, RM, RM, Imaging RM, RMI, RMI, RMI, RMI, RMI, RMI
  • Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, Risonanze Magnetiche, Imaging NMR, NMRI, NMRI, imaging a risonanza magnetica nucleare, Imaging a Risonanza Magnetica Nucleare, sMRI, Risonanza Magnetica Strutturale

Undergo ExeCMR

Altri nomi:
  • Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, risonanza magnetica, Risonanza Magnetica, Risonanza Magnetica (MRI)
  • Risonanza magnetica (procedura), Scansione di risonanza magnetica, Imaging medico, Risonanza magnetica / Risonanza magnetica nucleare, RM, RM, Imaging RM, RM, RM, RM, RM, RM, RM, Scansione RM
  • Risonanza Magnetica, Risonanza Magnetica, Risonanza Magnetica, Risonanze Magnetiche, Imaging a Risonanza Magnetica, RMN, RMN, imaging a risonanza magnetica nucleare, Imaging a Risonanza Magnetica Nucleare, RMN Strutturale, Risonanza Magnetica Strutturale

Ancillary Studies

Ancillary Studies

Undergo CPET

Altri nomi:
  • CPET, CPX

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Peak oxygen consumption (VO2)
Lasso di tempo: At baseline and 24 weeks

Will be assessed using cardiopulmonary exercise testing. VO2max, the maximum rate of oxygen consumption measured during incremental exercise, is the gold standard measure of aerobic fitness. It is expressed in milliliters of oxygen consumed per minute per kilogram of body weight (ml/kg/min). Higher VO2max measurements show better function, as it allows one to produce more energy, thereby performing more work.

At baseline and 24 weeks
Left ventricular ejection fraction (LVEF)
Lasso di tempo: At baseline and 24 weeks

Will be assessed using cardiac magnetic resonance imaging (CMR). Left ventricular ejection fraction (LVEF) typically refers to the left side of the heart. It shows how much oxygen-rich blood is pumped out of the left ventricle to most of the body's organs with each contraction. It a percentage, ranging from 0-100%. LVEF helps determine the severity of dysfunction on the left side of the heart. Higher values of LVEF represent better heart function.

At baseline and 24 weeks

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Ejection Fraction (EF)
Lasso di tempo: At baseline and 12 weeks

Will be assessed using cardiac magnetic resonance imaging (CMR). Ejection fraction measures your heart's ability to pump oxygen-rich blood out to your body. In a healthy heart, this is a higher number. A low number means that your heart has difficulty keeping up with your body's needs. It a percentage, ranging from 0-100%. Higher values of EF represent better heart function.

At baseline and 12 weeks
6-minute walk test (6MWT) distance
Lasso di tempo: At baseline, 12 weeks, and 24 weeks.

Will be assessed using the Six Minute Walk Test (6MWT). The 6MWT assesses functional exercise capacity, particularly in individuals with cardiopulmonary conditions. The distance walked in 6 minutes on a flat, straight course, typically 30 meters long, is recorded. The distance reflects submaximal (not peak) exercise capacity. The 6MWT is useful for tracking disease progression, assessing rehabilitation outcomes, and evaluating treatment response. Longer distances in meters represents better exercise capacity.

At baseline, 12 weeks, and 24 weeks.
Physical functioning
Lasso di tempo: At baseline, 12 weeks, and 24 weeks

Will be assessed using grip strength (GS) and Short Physical Performance Battery (SPPB). The SPPB measures lower-extremity function on a 0-12 point scale (higher is better; ≤9 indicates risk, ≤8 indicates impairment). Grip strength, measured by dynamometer, is measured in kgf with higher values representing more strength.

At baseline, 12 weeks, and 24 weeks
Health-related quality of life
Lasso di tempo: At baseline, 12 weeks, and 24 weeks

Will be assessed using the The Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) and FACT-Breast. The Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) scale is a 13-item, self-reported questionnaire designed to measure fatigue severity and its impact on daily activities over the past 7 days. Scores range from 0 to 52, with higher scores indicating less fatigue (better quality of life). A score of less than 30 typically indicates severe fatigue. The Functional Assessment of Cancer Therapy-Breast (FACT-B) is a 44-item self-report questionnaire designed to measure quality of life in breast cancer patients, with total scores ranging from 0 to 148. It comprises the 27-item FACT-General (FACT-G) and a 10-item Breast Cancer Subscale (BCS), focusing on physical, social, emotional, and functional well-being.

At baseline, 12 weeks, and 24 weeks
Physical activity and sedentary behavior levels
Lasso di tempo: At baseline, 12 weeks, and 24 weeks

Will be assessed using ActiGraph and ActivPAL accelerometers including mean daily step count. More steps represent more physical activity and less sedentary behavior.

At baseline, 12 weeks, and 24 weeks
Physical activity levels
Lasso di tempo: At baseline, 12 weeks, and 24 weeks

Physical activity levels will be assessed using the Godin Leisure-Time Exercise Questionnaire (GLTEQ), is a 4-item, self-report tool measuring weekly physical activity frequency across three intensities (strenuous, moderate, light) over a 7-day period. It calculates a total leisure score using 9 (strenuous), 5 (moderate), and 3 (light)-with scores typically classifying individuals as active (≥24 units) or insufficiently active (<24 units). Scores range from 0 with no maximum, higher values represent more physical activity during a week.

At baseline, 12 weeks, and 24 weeks

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Investigatori

  • Cattedra di studio: Glenn Lesser, MD, Wake Forest University Health Sciences

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

2 ottobre 2026

Completamento primario (Stimato)

30 aprile 2030

Completamento dello studio (Stimato)

30 aprile 2030

Date di iscrizione allo studio

Primo inviato

11 marzo 2026

Primo inviato che soddisfa i criteri di controllo qualità

11 marzo 2026

Primo Inserito (Effettivo)

16 marzo 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

6 ottobre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

2 ottobre 2026

Ultimo verificato

1 ottobre 2026

Maggiori informazioni

Termini relativi a questo studio

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .