Exercise for Neuropathic Pain from Chemotherapy

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Baltimore VA Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how different types of exercise can reduce nerve pain caused by chemotherapy, which is often long-lasting and difficult to treat. Participants will engage in either aerobic exercises, such as running or cycling, or resistive training, like weightlifting, to determine which is most effective. Individuals who have had cancer, completed specific chemotherapy treatments 6 months to a year ago, and can walk on a treadmill may be suitable candidates. As an unphased trial, this study provides a unique opportunity to contribute to understanding how exercise can alleviate chemotherapy-induced nerve pain.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that these exercise interventions are safe for managing neuropathic pain?

Research has shown that exercise can help manage nerve pain caused by chemotherapy, known as chemotherapy-induced peripheral neuropathy (CIPN). Studies have found that aerobic exercises, such as regular walking or cycling, can improve symptoms for people with this condition. Participants who engaged in aerobic exercise reported less nerve pain.

For strength training, including exercises like lifting weights, studies also found it helps with CIPN symptoms. Importantly, these studies noted no negative side effects, making strength training a safe option. Participants followed the program well, suggesting it is manageable for most people.

Both types of exercise are well-tolerated, with no serious side effects reported, indicating they are generally safe for people considering joining a trial.12345

Why are researchers excited about this trial?

Researchers are excited about using aerobic exercise and resistive training to tackle neuropathic pain from chemotherapy because these approaches offer a non-pharmaceutical option, which means fewer side effects compared to typical pain medications like opioids or anticonvulsants. Unlike standard treatments that mainly focus on managing pain symptoms, these exercise interventions aim to improve overall physical function and potentially address the root causes of pain by enhancing nerve health and circulation. Additionally, incorporating regular exercise could lead to broader health benefits, such as improved mood and increased energy levels, making it a holistic approach to managing chemotherapy-induced neuropathic pain.

What evidence suggests that this trial's treatments could be effective for neuropathic pain from chemotherapy?

Research has shown that exercise can help reduce symptoms of nerve pain caused by chemotherapy, known as chemotherapy-induced peripheral neuropathy (CIPN). This trial will evaluate different exercise interventions. Participants in the aerobic exercise arm will engage in activities like walking or cycling, which have been found to lessen these symptoms and improve patients' quality of life. Another arm will focus on resistive training, as some studies suggest that combining aerobic exercises with strength training can help ease nerve pain. However, a review of multiple studies found that exercise alone did not significantly improve CIPN symptoms. Despite these mixed results, exercise remains a promising option for managing CIPN.34678

Who Is on the Research Team?

AR

Alice Ryan, PhD

Principal Investigator

University of Maryland at Baltimore School of Medicine

Are You a Good Fit for This Trial?

This trial is for cancer survivors aged 21-70 who finished chemotherapy between 6 months and a year ago, can walk on a treadmill, and have neuropathic pain from the treatment. They must not be regular exercisers or have other types of neuropathy.

Inclusion Criteria

Medical clearance from oncologist or primary care provider
Score on Neuropathic Pain Scale >1
My cancer is between stage I and IV.
See 5 more

Exclusion Criteria

Denial of CIPN
I have been diagnosed with coronary artery disease.
I have undergone more than one chemotherapy treatment.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo aerobic or resistive training exercise interventions for 12 weeks, 3 times weekly with training on site

12 weeks
36 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

1 week

What Are the Treatments Tested in This Trial?

Interventions

  • aerobic exercise intervention
  • control group
  • resistive training
Trial Overview The study looks at how aerobic exercise and resistive training might reduce nerve pain caused by chemotherapy. Participants will either join an exercise program or be in a control group to compare outcomes.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: resistive trainingExperimental Treatment1 Intervention
Group II: controlExperimental Treatment1 Intervention
Group III: aerobic exerciseExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Baltimore VA Medical Center

Lead Sponsor

Trials
33
Recruited
3,000+

Published Research Related to This Trial

A systematic review of 8 randomized controlled trials involving 618 cancer patients found that physical exercise programs during chemotherapy can significantly improve quality of life and help prevent chemotherapy-induced peripheral neuropathy (CIPN).
The analysis showed a large effect size (g=0.83) favoring exercise over usual care, indicating that incorporating physical activity early in chemotherapy may be beneficial for patients.
Can Physical Exercise Prevent Chemotherapy-Induced Peripheral Neuropathy in Patients With Cancer? A Systematic Review and Meta-analysis.Lopez-Garzon, M., Cantarero-Villanueva, I., Postigo-Martin, P., et al.[2022]
In a study of 355 cancer patients undergoing chemotherapy, a six-week exercise program significantly reduced symptoms of chemotherapy-induced peripheral neuropathy (CIPN), including hot/cold sensitivity and numbness/tingling in hands and feet.
The exercise intervention was particularly effective for older patients, males, and those with breast cancer, suggesting that exercise could be a beneficial non-drug treatment option for managing CIPN symptoms.
Effects of exercise during chemotherapy on chemotherapy-induced peripheral neuropathy: a multicenter, randomized controlled trial.Kleckner, IR., Kamen, C., Gewandter, JS., et al.[2019]
Exercise has emerged as a promising intervention for chemotherapy-induced peripheral neuropathy (CIPN), which causes debilitating symptoms like tingling and pain in cancer patients, and has been investigated in around two dozen clinical trials.
Understanding the mechanisms and factors influencing the effectiveness of exercise for CIPN can help tailor exercise programs to individual patients, potentially improving their symptoms and overall quality of life.
Mechanisms, Mediators, and Moderators of the Effects of Exercise on Chemotherapy-Induced Peripheral Neuropathy.Chung, KH., Park, SB., Streckmann, F., et al.[2022]

Citations

Exercise for reducing chemotherapy-induced peripheral ...Most recent studies have shown that exercise therapy has a positive impact on reducing CIPN symptoms and can also improve quality of life, balance, and ...
Effect of Exercise on Chemotherapy-Induced Peripheral ...However, a meta-analysis of the 4 trials with CIPN as a composite outcome26,29,31,34 found no significant improvement associated with exercise.
Effects of Physical Exercise on Chemotherapy-Induced ...The analysis indicates that exercise interventions, particularly those involving aerobic, strength, and balance exercises, had an impact on neuropathic symptoms ...
Exercise intervention for the management of chemotherapy ...We conducted a meta-analysis on outcome data regarding QOL. (primary outcome), patient-reported CIPN symptoms, pain, and collected ...
Exercise Effect on Chemotherapy-Induced Neuropathic ...The role of exercise to decrease CIPN-related neuropathic pain (CIPN-NP) will be investigated, with the goal of identifying the mechanisms associated with this ...
Effect of Exercise on Chemotherapy-Induced Peripheral ...A 6-month aerobic exercise intervention significantly improved self-reported CIPN among patients who had been treated with chemotherapy for ovarian cancer.
A systematic review of behavioural and exercise interventions ...Our findings show exercise interventions have beneficial effects on CIPN symptoms although higher quality research is warranted.
Beneficial effects of exercise on chemotherapy-induced ...Following the intervention, patients in the exercise group were found to have significantly less severe peripheral neuropathy symptoms compared to the control ...
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