Evidence map›Paper›PMID 41774738›Full record

ArticlePloS one2026

The role of prehabilitation in improving brain health and cognition after chemotherapy in patients with colorectal cancer: Study protocol of the Chemo Brain Prehab Project.

Katie Lauren Hoad, Chan Ton, Deborah Williamson, Daren Anselm Subar, Helen Elizabeth Nuttall, Christopher James Gaffney

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07341217 (Chemo Brain Prehab Project), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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.

NCT07341217 nanot yet recruitingnot on this map

Chemo Brain Prehab Project: Improving Brain Health After Chemotherapy Through Prehabilitation

TypeinterventionalSponsorDr. Chris GaffneyRan2026 to 2027Enrolled86ConditionsColorectal Cancer, Older Adults (60 - 85 Years Old), Physically Inactive, ChemotherapyArmsExercise Prehabilitation, Multivitamins, Standard Care (in control arm)
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Katie Lauren HoadLancaster Medical School, Health Innovation One, Sir John Fisher Drive, Lancaster University, Lancaster, United Kingdom.ORCID https://orcid.org/0000-0003-1266-3269
Chan TonDepartment of Oncology, University Hospitals Morecambe Bay Trust, Royal Lancaster Infirmary, Lancaster, United Kingdom.
Deborah WilliamsonDepartment of Oncology, Lancashire Teaching Hospitals NHS Trust, Preston, United Kingdom.
Daren Anselm SubarLancaster Medical School, Health Innovation One, Sir John Fisher Drive, Lancaster University, Lancaster, United Kingdom.ORCID https://orcid.org/0000-0003-4512-9388
Helen Elizabeth NuttallDepartment of Psychology, Lancaster University, Bailrigg, United Kingdom.
Christopher James GaffneyLancaster Medical School, Health Innovation One, Sir John Fisher Drive, Lancaster University, Lancaster, United Kingdom.ORCID https://orcid.org/0000-0001-7990-2792

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRegional disparities in the incidence of colorectal cancer remain a concern within the United Kingdom, particularly in the North West of England, with 37% higher incidences than the national average. Given the growing burden of treatment-related side effects such as cognitive impairment, this study aims to investigate whether prehabilitation can improve brain health and cognitive function in patients with colorectal cancer receiving adjuvant and neoadjuvant chemotherapy.

methodsThis randomised control trial will recruit eighty-six patients with stage II and III colorectal cancer, who will receive adjuvant and neoadjuvant chemotherapy (fluorouracil, capecitabine, or oxaliplatin) and will be randomised between prehabilitation and standard care groups. The prehabilitation group will be provided an individualised, home-based exercise programme before and during chemotherapy, multivitamin supplementation, telephone check-ins, and activity devices. The standard care group will be provided with information about physical activity and nutrition at the start of the intervention. Habitual physical activity will be tracked in all patients. Assessments will be conducted at baseline, 72 hours before the first chemotherapy administration, and 72-96 hours after the final treatment. Outcome measures will include cardiopulmonary fitness, neurotrophic biomarkers, electroencephalographic activity, cognitive function tests, and a cognitive-related quality of life assessment. DISCUSSION: This study protocol is designed to test whether home-based prehabilitation can improve brain health and reduce chemotherapy-related cognitive impairments in patients with colorectal cancer. Insights from this work may support the development of more accessible and effective prehabilitation programmes to address treatment specific cognitive impairment.

trial registrationClinicalTrials.gov NCT07341217.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBrainCognitionColorectal NeoplasmsPreoperative ExerciseCapecitabineChemotherapy, AdjuvantFemaleHumansMaleMiddle AgedNeoadjuvant TherapyQuality of LifeRandomized Controlled Trials as TopicCapecitabine

Identifiers

PMID41774738
PMCPMC12956118

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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.