The Exercise And Colorectal Cancer Treatment Trial

NCT ID: NCT03975491

Last Updated: 2025-09-22

Study Results

Results available

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-01

Study Completion Date

2026-01-01

Brief Summary

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This study will examine the biologic processes through which exercise may prevent disease recurrence in patients who have completed treatment for colorectal cancer.

Detailed Description

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This randomized trial will examine the biological effects of 12-weeks of moderate-intensity aerobic exercise versus wait-list control in 60 subjects who have completed standard medical therapy for colorectal cancer. The primary objective is to determine if aerobic exercise can reduce systemic inflammation, quantified using plasma concentrations of high-sensitivity C-reactive protein and interleukin-6. The secondary objectives are to determine if exercise can reduce: 1) insulin resistance quantified using an oral glucose tolerance test, and; 2) circulating tumor cells quantified using a microfluidic antibody-mediated capture platform. The exploratory objective is to determine if exercise can improve mitochondrial respiration rates and fatty acid oxidation in peripheral blood mononuclear cells and tumor fraction.

Conditions

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Colon Cancer Rectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Aerobic Exercise

Moderate-intensity aerobic exercise

Group Type EXPERIMENTAL

Moderate-Intensity Aerobic Exercise

Intervention Type BEHAVIORAL

The exercise intervention will consist of moderate-intensity (50-70% age-predicted maximum heart rate) treadmill walking. All exercise sessions will begin with a five-minute warm up of slow walking, 30-60 minutes of moderate-intensity walking, and a five-minute cool down of slow walking.

Control

Wait-list control

Group Type SHAM_COMPARATOR

Wait-List Control

Intervention Type BEHAVIORAL

Participants randomized into the wait-list control group are asked to maintain their pre-study levels of physical activity and follow the recommendations provided by their physician.

Interventions

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Moderate-Intensity Aerobic Exercise

The exercise intervention will consist of moderate-intensity (50-70% age-predicted maximum heart rate) treadmill walking. All exercise sessions will begin with a five-minute warm up of slow walking, 30-60 minutes of moderate-intensity walking, and a five-minute cool down of slow walking.

Intervention Type BEHAVIORAL

Wait-List Control

Participants randomized into the wait-list control group are asked to maintain their pre-study levels of physical activity and follow the recommendations provided by their physician.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years
* Histologically-confirmed stage I-III colorectal cancer
* Completed surgical resection
* Completed chemotherapy (if applicable)
* Completed radiotherapy (if applicable)
* Provide written approval by physician or other qualified healthcare provider
* No planned major surgery during the study period (including colostomy reversal; chemotherapy infusion port removal is permitted)
* Readiness to exercise \[as determined by a modified version the Physical Activity Readiness Questionnaire (PAR-Q)
* Allow the collection and storage of specimens and data for future use
* Willing to be randomized

Exclusion Criteria

* Evidence of metastatic colon cancer
* Concurrently actively treated other cancer (except non-melanoma skin cancer or in situ cancers)
* Currently enrolled in another clinical trial of weight loss, physical activity, or dietary intervention
* Current body mass greater than or equal to 181 kg
* Unable to provide a baseline fasting blood sample
* Unable or unwilling to give informed consent
* Unable or unwilling to be randomized
* Or any other condition that may impede testing of the study hypothesis or make it unsafe to engage in the exercise program (as determined by the investigative team)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Pennington Biomedical Research Center

OTHER

Sponsor Role lead

Responsible Party

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Justin Brown

Adjunct Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Justin C Brown, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Pennington Biomedical Research Center

Locations

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Pennington Biomedical Research Center

Baton Rouge, Louisiana, United States

Site Status

Countries

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United States

References

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Compton SLE, Yang S, Maniscalco LS, Muhsen RA, Shrestha P, Wu X, Woodard KT, Zunica ERM, Cho E, Wall RL, Brown J, Jayaraman A, Kirby BJ, Gilmore LA, Greenway FL, Spielmann G, Brown JC. A randomized trial of aerobic exercise in colorectal cancer: Rationale, design, recruitment, and exercise adherence results. Contemp Clin Trials. 2024 Nov;146:107702. doi: 10.1016/j.cct.2024.107702. Epub 2024 Oct 1.

Reference Type BACKGROUND
PMID: 39362405 (View on PubMed)

Cho E, Chodzko M, Compton SLE, Yang S, Heymsfield S, Spielmann G, Brown JC. Effects of aerobic exercise on body composition and exerkines in colorectal cancer survivors. Front Sports Act Living. 2025 Jun 26;7:1579221. doi: 10.3389/fspor.2025.1579221. eCollection 2025.

Reference Type BACKGROUND
PMID: 40642656 (View on PubMed)

Brown JC, Compton SLE, Kang A, Jayaraman A, Gilmore LA, Kirby BJ, Greenway FL, Yang S, Spielmann G. Effects of exercise on inflammation, circulating tumor cells, and circulating tumor DNA in colorectal cancer. J Sport Health Sci. 2025 Mar 17;14:101036. doi: 10.1016/j.jshs.2025.101036. Online ahead of print.

Reference Type RESULT
PMID: 40107449 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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R00CA218603

Identifier Type: NIH

Identifier Source: secondary_id

View Link

PBRC 2019-009

Identifier Type: -

Identifier Source: org_study_id

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