Evidence map›Paper›PMID 30937600›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Effects of exercise on inflammation in patients receiving chemotherapy: a nationwide NCORP randomized clinical trial.

Ian R Kleckner, Charles Kamen, Calvin Cole, Chunkit Fung, Charles E Heckler, Joseph J Guido, Eva Culakova, Adedayo A Onitilo, Alison Conlin, J Philip Kuebler and 3 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00924651 (A Study of the Effects of Exercise on Cancer-Related Fatigue), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00924651 nacompletednot on this map

A Study of the Effects of Exercise on Cancer-Related Fatigue

TypeinterventionalSponsorGary MorrowRan2009 to 2016Enrolled693ConditionsFatigue, Unspecified Adult Solid Tumor, Protocol SpecificArmsexercise
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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  8. Efficacy of combined hand exercise intervention in patients with chemotherapy-induced peripheral neuropathy: a pilot randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Trial
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  10. Exercise therapy in cancer prevention and treatment.Nature reviews. Clinical oncology · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Ian R KlecknerJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA. Ian_Kleckner@URMC.Rochester.edu.ORCID http://orcid.org/0000-0002-9828-9986
Charles KamenJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Calvin ColeJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Chunkit FungJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Charles E HecklerJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Joseph J GuidoJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Eva CulakovaJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Adedayo A OnitiloWisconsin NCORP, Weston, WI, USA.
Alison ConlinPacific Cancer Research Consortium NCORP, Bethesda, MD, USA.
J Philip KueblerColumbus NCORP, Columbus, OH, USA.
Supriya MohileJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Michelle JanelsinsJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Karen M MustianJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
University of Rochester Medical Center · USColumbus Center · USMarshfield Clinic Weston Center · US

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
The Pacific Cancer Research Consortium (PCRC), an NCORP Community SiteUG1CA189953 · NCI · SWEDISH MEDICAL CENTER, FIRST HILL · PI Alison Katherine Conlin, Charles Drescher · 2014 to 2026
$27.4M
UNIVERSITY OF ROCHESTER--CCOP RESEARCH BASEU10CA037420 · NCI · UNIVERSITY OF ROCHESTER · PI MORROW, GARY R · 1985 to 2014
$21.1M
Cancer Control Research Training Curriculum (R25T)R25CA102618 · NCI · UNIVERSITY OF ROCHESTER · PI JANELSINS, MICHELLE C, MORROW, GARY R · 2004 to 2018
$6.7M
Clinical and Translational Cancer Control Research Training ProgramT32CA102618 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, Gary R Morrow · 2019 to 2026
$2.7M
A Patient-Oriented Research Program in Geriatric OncologyK24AG056589 · NIA · UNIVERSITY OF ROCHESTER · PI Supriya G. Mohile · 2018 to 2026
$1.5M
The Effects of Exercise on Chemotherapy-Induced Peripheral Neuropathy, Inflammation, and Interoceptive Brain CircuitryK07CA221931 · NCI · UNIVERSITY OF ROCHESTER · PI KLECKNER, IAN ROBERT · 2018 to 2022
$795k
NCI NIH HHS K07 CA221931NCI NIH HHS K07CA221931NCI NIH HHS R25 CA102618NCI NIH HHS T32 CA102618NCI NIH HHS U10 CA037420NCI NIH HHS UG1 CA189953NCI NIH HHS UG1 CA189961NIA NIH HHS K24 AG056589
6 · The paper itself

Abstract

purposeA growing body of research suggests that inflammation plays a role in many chemotherapy-related toxicities such as fatigue, anxiety, and neuropathy. Regular exercise can change levels of individual cytokines (e.g., reducing IL-6, increasing IL-10); however, it is not known whether exercise during chemotherapy affects relationships between cytokines (i.e., whether cytokine concentrations change collectively vs. independently). This study assessed how 6 weeks of exercise during chemotherapy affected relationships between changes in concentrations of several cytokines.

methodsThis is a secondary analysis of a randomized trial studying 6 weeks of moderate-intensity walking and resistance exercise during chemotherapy compared with chemotherapy alone. At pre- and post-intervention, patients provided blood to assess serum concentrations of cytokines IL-1β, IL-6, IL-8, IL-10, and IFN-γ, and receptor sTNFR1. We investigated relationships between cytokines using the correlations between changes in cytokine concentrations from pre- to post-intervention.

resultsWe obtained complete data from 293 patients (149 randomized to exercise). Exercise strengthened the correlation between concentration changes of IL-10 and IL-6 (r = 0.44 in exercisers vs. 0.11 in controls; p = 0.001). We observed the same pattern for IL-10:IL-1β and IL-10:sTNFR1. Exercise also induced an anti-inflammatory cytokine profile, per reductions in pro-inflammatory IFN-γ (p = 0.044) and perhaps IL-1β (p = 0.099, trend-level significance).

conclusionsOur hypothesis-generating work suggests that regular exercise during 6 weeks of chemotherapy may cause certain cytokine concentrations to change collectively (not independently). This work enhances our understanding of relationships between cytokines and complements traditional analyses of cytokines in isolation. Future work should test for replication and relationships to patient outcomes.

trial registrationClinical Trials.gov, # NCT00924651, http://www.clinicaltrials.gov .

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCytokinesExerciseFemaleHumansInflammationMaleMiddle AgedNeoplasmsPeripheral Nervous System DiseasesWalkingCytokinesChemotherapyCytokineCytokine correlationCytokine matrixCytokine networkExercise

Identifiers

PMID30937600
PMCPMC6774911
OpenAlexW2935636670

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.