Evidence map›Paper›PMID 38225551›Full record

ArticleBMC cancer2024

Impact of a one-year supervised physical activity program on long-term cancer-related fatigue and mediating effects of the gut microbiota in metastatic testicular cancer patients: protocol of the prospective multicentre, randomized controlled phase-III STARTER trial.

Hwayoung Noh, Amélie Anota, Rodolf Mongondry, Renaud Meyrand, Carmen Dupuis, Camille Schiffler, Philippe Marijnen, Sabina Rinaldi, Joel Lachuer, Pekka Keski-Rahkonen and 4 more

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

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05588700 (A National, Multicenter, Phase III Randomized Controlled Trial to Assess the Impact of a One-year Supervised Physical Activity Program to Reduce Long-term Cancer-related Fatigue in Metastatic Testicular Germ Cell Tumor Patients), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 32% 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.

NCT05588700 narecruitingnot on this mapstarted 2025, after this paper: background citation

A National, Multicenter, Phase III Randomized Controlled Trial to Assess the Impact of a One-year Supervised Physical Activity Program to Reduce Long-term Cancer-related Fatigue in Metastatic Testicular Germ Cell Tumor Patients

TypeinterventionalSponsorCentre Leon BerardRan2025 to 2038Enrolled236ConditionsMetastatic Testicular CancerArmsPhysical activity recommendations, Connected activity tracker, Physical Activity (PA) Intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Exploring the microbiome-gut-testis axis in testicular germ cell tumors.Frontiers in cellular and infection microbiology · 2024
    Review
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 2 countries.

Hwayoung NohDepartement of Prevention Cancer Environment, Léon Bérard Cancer Centre, Lyon, France. hwayoung.noh@inserm.fr.
Amélie AnotaDirection of Clinical Research and Innovation, Léon Bérard Cancer Centre, Lyon, France.
Rodolf MongondryDepartement of Prevention Cancer Environment, Léon Bérard Cancer Centre, Lyon, France.
Renaud MeyrandDepartement of Prevention Cancer Environment, Léon Bérard Cancer Centre, Lyon, France.
Carmen DupuisDepartement of Prevention Cancer Environment, Léon Bérard Cancer Centre, Lyon, France.
Camille SchifflerDirection of Clinical Research and Innovation, Léon Bérard Cancer Centre, Lyon, France.
Philippe MarijnenDepartement of Prevention Cancer Environment, Léon Bérard Cancer Centre, Lyon, France.
Sabina RinaldiNutrition and Metabolism Branch, International Agency for Research on Cancer (IARC-WHO), Lyon, France.
Joel LachuerINSERM U1052, Cancer Research Center of Lyon (CRCL), University Lyon 1, Lyon, France.
Pekka Keski-RahkonenNutrition and Metabolism Branch, International Agency for Research on Cancer (IARC-WHO), Lyon, France.
Marc J GunterNutrition and Metabolism Branch, International Agency for Research on Cancer (IARC-WHO), Lyon, France.
Aude FléchonDepartment of Medical Oncology, Léon Bérard Cancer Centre, Lyon, France.
Béatrice FerversDepartement of Prevention Cancer Environment, Léon Bérard Cancer Centre, Lyon, France.
Olivia PérolDepartement of Prevention Cancer Environment, Léon Bérard Cancer Centre, Lyon, France.
Centre de Recherche en Cancérologie de Lyon · FRCentre international de recherche sur le cancer · FRInserm · FR

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundTesticular germ cell tumours (TGCTs) are the most common malignancy in men aged 15-40 years, with increasing incidence worldwide. About 33 ~ 50% of the patients present with metastatic disease at diagnosis. TGCT survivors experience short- and long-term sequelae, including cancer-related fatigue (CRF). Physical activity (PA) has established effects on reducing CRF and other sequelae and improving health-related quality of life (HRQoL). However, its impact on TGCT survivors has so far received little attention. The gut microbiota plays a crucial role in various physiological functions, including cognition and metabolism, and may mediate the effects of PA on CRF and other sequelae, but this has not been investigated in randomized controlled trials.

methodsThis national, multicentre, phase-III trial will evaluate the impact of a one-year supervised PA program on CRF and other short- and long-term sequelae in metastatic TGCT patients receiving cisplatin-based chemotherapy combined with etoposide+/-bleomycin. It will also investigate potential mediating effects of the gut microbiota and its metabolites involved in the gut-brain axis on the relationship between PA and CRF and other sequelae. A total of 236 men ≥ 18 years of age with metastatic TGCT (seminoma and non-seminoma) will be enrolled before starting first-line chemotherapy in several French hospitals. The primary (CRF) and secondary (cognitive/psychological/metabolic sequelae, HRQoL, etc.) outcomes and gut microbiota and relevant metabolites will be assessed at inclusion, during and at the end of the one-year intervention, and annually until 10 years since inclusion to assess long-term sequelae, more specifically CRF, cardiovascular toxicities, and second primary cancer occurrence in this population. DISCUSSION: This trial will provide comprehensive and novel insights into the effects of a long-term supervised PA program on CRF and other sequelae in metastatic TGCT patients receiving first-line chemotherapy. It will also contribute to understanding the potential role of the gut microbiota and its metabolites in mediating the effects of PA on these outcomes. The findings of this study will help the development of effective PA interventions to improve the health of TGCT survivors and may have implications for other cancer populations as well.

trial registrationThe study was registered on ClinicalTrials.gov (NCT05588700) on 20 Oct. 2022.

Indexed as

Cancer SurvivorsGastrointestinal MicrobiomeNeoplasms, Germ Cell and EmbryonalNeoplasms, Second PrimaryTesticular NeoplasmsAdolescentClinical Trials, Phase III as TopicExerciseFatigueHumansMaleMulticenter Studies as TopicProspective StudiesQuality of LifeRandomized Controlled Trials as TopicCancer-related fatigueCancer-related sequelaeGut-brain axisGut microbiotaGut microbiota-derived metabolitesHealth-related quality of lifePhysical activityTesticular cancer

Identifiers

PMID38225551
PMCPMC10790440
OpenAlexW4390875473

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.