Evidence map›Paper›PMID 39468290›Full record

ArticleNPJ digital medicine2024

A digital, decentralized trial of exercise therapy in patients with cancer.

Whitney P Underwood, Meghan G Michalski, Catherine P Lee, Gina A Fickera, Su S Chun, Stefan E Eng, Lydia Y Liu, Brandon L Tsai, Chaya S Moskowitz, Jessica A Lavery and 10 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. A Co-clinical Trial of Exercise Therapy in Breast Cancer Prevention.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  2. 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

20 authors.

Whitney P UnderwoodMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.ORCID http://orcid.org/0000-0001-5883-2860
Meghan G MichalskiMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
Catherine P LeeMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
Gina A FickeraMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
Su S ChunMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
Stefan E EngDepartment of Human Genetics, University of California, Los Angeles, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0002-5245-6507
Lydia Y LiuDepartment of Human Genetics, University of California, Los Angeles, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0001-6026-3169
Brandon L TsaiDepartment of Human Genetics, University of California, Los Angeles, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0002-7372-3504
Chaya S MoskowitzMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
Jessica A LaveryMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
Kimberly J Van ZeeMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.ORCID http://orcid.org/0000-0001-9550-4647
Ginger J GardnerMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
Jennifer J MuellerMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
Chau T DangMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
Behfar EhdaieMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
Vincent P LaudoneMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
James A EasthamMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.
Jessica M ScottMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA.ORCID http://orcid.org/0000-0002-4845-5800
Paul C BoutrosDepartment of Human Genetics, University of California, Los Angeles, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0003-0553-7520
Lee W JonesMemorial Sloan Kettering Cancer Center (MSK), New York, NY, USA. jonesl3@mskcc.org.ORCID http://orcid.org/0000-0002-3716-8793

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Robert Damoiseaux · 1985 to 2026
$134.5M
UCLA-Caltech Medical Scientist Training ProgramT32GM008042 · NIGMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI AJIJOLA, OLUJIMI A, DAWSON, DAVID WAYNE · 1985 to 2023
$29.9M
Randomized Trial of Exercise Therapy on Markers of Progression in Localized Prostate Cancer:R01CA272678 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Paul Christopher Boutros, LEE W JONES · 2022 to 2026
$3.6M
Exercise as Interception Therapy in Primary High Risk CancerR01CA244866 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI DIAZ, LUIS A, JONES, LEE W · 2020 to 2025
$3.5M
Aerobic Training During or After Adjuvant Therapy: A Randomized TrialR01CA164751 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI JONES, LEE W · 2012 to 2019
$3.1M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016042NCI NIH HHS R01 CA164751NCI NIH HHS R01 CA244866NCI NIH HHS R01 CA272678NIGMS NIH HHS T32 GM008042
6 · The paper itself

Abstract

We developed and evaluated the Digital Platform for Exercise (DPEx): a decentralized, patient-centric approach designed to enhance all aspects of clinical investigation of exercise therapy. DPEx integrated provision of a treadmill with telemedicine and remote biospecimen collection permitting all study procedures to be conducted in patient's homes. Linked health biodevices enabled high-resolution monitoring of lifestyle and physiological response. Here we describe the rationale and development of DPEx as well as feasibility evaluation in three different cohorts of patients with cancer: a phase 0a development study among three women with post-treatment primary breast cancer; a phase 0b proof-of-concept trial of neoadjuvant exercise therapy in 13 patients with untreated solid tumors; and a phase 1a level-finding trial of neoadjuvant exercise therapy in 53 men with localized prostate cancer. Collectively, our study demonstrates the utility of a fully digital, decentralized approach to conduct clinical trials of exercise therapy in a clinical population.

Identifiers

PMID39468290
PMCPMC11519501

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Registered trials

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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.