Evidence map›Paper›PMID 35247994›Full record

ArticleBMC cancer2022

High Intensity Aerobic exercise training and Immune cell Mobilization in patients with lung cancer (HI AIM)-a randomized controlled trial.

Gitte Holmen Olofsson, Marta Kramer Mikkelsen, Anne-Mette Ragle, Anne Birgitte Christiansen, Anne Pries Olsen, Lise Heide-Ottosen, Cecilia Bech Horsted, Cia Moon Scharbau Pedersen, Lotte Engell-Noerregaard, Torben Lorentzen and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04263467 (High Intensity Aerobic Exercise Training and Immune Cell Mobilization in Patients With Lung Cancer), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.2field-weighted citation impact, top 6% 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.

NCT04263467 naactive not recruitingnot on this map

High Intensity Aerobic Exercise Training and Immune Cell Mobilization in Patients With Lung Cancer (HI AIM)

TypeinterventionalSponsorHerlev HospitalRan2020 to 2025Enrolled54ConditionsCancer, Cancer of LungArmsExercise intervention, Standard oncological treatments
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Physical Exercise in Immunotherapy.Sports medicine - open · 2026
    Review
  3. Article
  4. Co-Designing Lung Cancer Rehabilitation Services for People Treated With Immunotherapy.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
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

14 authors at 3 institutions in 1 country.

Gitte Holmen OlofssonNational Center for Cancer Immune Therapy, CCIT-DK, Department of Oncology, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark. gitte.holmen.olofsson@regionh.dk.ORCID http://orcid.org/0000-0002-7060-8754
Marta Kramer MikkelsenDepartment of Oncology, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark.
Anne-Mette RagleDepartment of Physiotherapy and Occupational Therapy, Herlev and Gentofte Hospital, Herlev, Denmark.
Anne Birgitte ChristiansenDepartment of Oncology, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark.
Anne Pries OlsenDepartment of Physiotherapy and Occupational Therapy, Herlev and Gentofte Hospital, Herlev, Denmark.
Lise Heide-OttosenDepartment of Oncology, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark.
Cecilia Bech HorstedDepartment of Oncology, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark.
Cia Moon Scharbau PedersenDepartment of Physiotherapy and Occupational Therapy, Herlev and Gentofte Hospital, Herlev, Denmark.
Lotte Engell-NoerregaardDepartment of Oncology, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark.
Torben LorentzenDepartment of Gastric Surgery, Ultrasound Section, Herlev and Gentofte Hospital, Herlev, Denmark.
Gitte Fredberg PerssonDepartment of Oncology, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark.
Anders VintherDepartment of Physiotherapy and Occupational Therapy, Herlev and Gentofte Hospital, Herlev, Denmark.
Dorte Lisbet NielsenDepartment of Oncology, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark.
Per Thor StratenNational Center for Cancer Immune Therapy, CCIT-DK, Department of Oncology, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark.
Gentofte Hospital · DKUniversity of Copenhagen · DKHerlev Hospital · DK

Funding

Aase og Ejnar Danielsens Fond 19-10-0273Axel Muusfeldts Fond 2017-677Axel Muusfeldts Fond 2020-0412Else og Mogens Wedell Wedellsborgs Fond 9-21-2Familien Erichsens Mindefond 15265Karen A. Tolstrups Fond 300.106-014Sundhedsstyrelsen 05-0400-18Sundhedsstyrelsen 05-0400-50
6 · The paper itself

Abstract

backgroundThe increasing role of exercise training in cancer care is built on evidence that exercise can reduce side effects of treatment, improve physical functioning and quality of life. We and others have shown in mouse tumor models, that exercise leads to an adrenalin-mediated increased influx of T and NK cells into the tumor, altering the tumor microenvironment (TME) and leading to reduced tumor growth. These data suggest that exercise could improve immune responses against cancer cells by increase immune cell infiltration to the tumor and potentially having an impact on disease progression. Additionally, there are data to suggest that infiltration of T and NK cells into the TME is correlates with response to immune checkpoint inhibitors in patients. We have therefore initiated the clinical trial HI AIM, to investigate if high intensity exercise can mobilize and increase infiltration of immune cells in the TME in patients with lung cancer.

methodsHI AIM (NCT04263467) is a randomized controlled trial (70 patients, 1:1) for patients with non-small cell lung cancer. Patients in the treatment arm, receive an exercise-intervention consisting of supervised and group-based exercise training, comprising primarily intermediate to high intensity interval training three times per week over 6 weeks. All patients will also receive standard oncological treatments; checkpoint inhibitors, checkpoint inhibitors combined with chemotherapy or oncological surveillance. Blood samples and biopsies (ultrasound guided), harvested before, during and after the 6-week training program, will form basis for immunological measurements of an array of immune cells and markers. Primary outcome is circulating NK cells. Secondary outcome is other circulating immune cells, infiltration of immune cells in tumor, inflammatory markers, aerobic capacity measured by VO DISCUSSION: To our knowledge, HI AIM is the first project to combine supervised and monitored exercise in patients with lung cancer, with rigorous analyses of immune and cancer cell markers over the course of the trial. Data from the trial can potentially support exercise as a tool to mobilize cells of the immune system, which in turn could potentiate the effect of immunotherapy.

trial registrationThe study was prospectively registered at ClinicalTrials.gov on February 10

Indexed as

AdultBiomarkers, TumorCarcinoma, Non-Small-Cell LungExerciseFemaleHigh-Intensity Interval TrainingHumansKiller Cells, NaturalLung NeoplasmsLymphocytesMaleProspective StudiesRandomized Controlled Trials as TopicT-LymphocytesTreatment OutcomeTumor MicroenvironmentBiomarkers, TumorAerobic exerciseCancerExerciseImmunotherapyLung cancerNK cellsPhysical activityT cells

Identifiers

PMID35247994
PMCPMC8897734
OpenAlexW4221060583

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.