Evidence map›Paper›PMID 42003280›Full record

Trial reportCancer2026

Phase 2 trial of exercise and low-dose ibuprofen for cancer-related cognitive impairment in patients receiving chemotherapy.

Michelle C Janelsins, Riham A Alieldin, Tyler Holler, Hongying Sun, Po-Ju Lin, Michelle Shayne, Alissa Huston, Kassandra Doyle, Michelle Porto, Mohamedtaki Tejani and 17 more

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Methodology of analysis of cognitive impairment in longitudinal randomized clinical trials in oncology: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    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

27 authors.

Michelle C JanelsinsDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.ORCID https://orcid.org/0000-0003-2258-7247
Riham A AlieldinDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.ORCID https://orcid.org/0000-0001-7731-6298
Tyler HollerDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.ORCID https://orcid.org/0000-0003-3672-1005
Hongying SunDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.ORCID https://orcid.org/0000-0003-3144-3544
Po-Ju LinDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.
Michelle ShayneWilmot Cancer Institute, Rochester, New York, USA.
Alissa HustonWilmot Cancer Institute, Rochester, New York, USA.
Kassandra DoyleDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.
Michelle PortoDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.
Mohamedtaki TejaniAdvent Health Cancer Institute, Gainesville, Florida, USA.
Bryan ThompsonDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.
Allison MagnusonWilmot Cancer Institute, Rochester, New York, USA.ORCID https://orcid.org/0000-0002-0968-8265
Marcia KrebsDepartment of Medicine, University of Rochester, Rochester, New York, USA.
Richard F DunneWilmot Cancer Institute, Rochester, New York, USA.
Supriya G MohileWilmot Cancer Institute, Rochester, New York, USA.
Chin-Shang LiDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.
Umang GadaDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.
Ajay DhakalWilmot Cancer Institute, Rochester, New York, USA.ORCID https://orcid.org/0000-0002-5140-158X
Aram F HezelWilmot Cancer Institute, Rochester, New York, USA.
Marcus S NoelGeorgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
Alok A KhoranaCleveland Clinic, Cleveland, Ohio, USA.
Brian D YirinecWilmot Cancer Institute, Rochester, New York, USA.
Nayana KamathDepartment of Medicine, University of Rochester, Rochester, New York, USA.
David W DoughertyUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
Tim A AhlesMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Gary R MorrowDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.
Karen M MustianDepartment of Surgery, Division of Supportive Care in Cancer, University of Rochester, Rochester, New York, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
Clinical and Translational Cancer Control Research Training ProgramT32CA102618 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, Gary R Morrow · 2019 to 2026
$2.7M
Interventions Targeting Inflammation for Chemotherapy-Related Cognitive ProblemsK07CA168886 · NCI · UNIVERSITY OF ROCHESTER · PI JANELSINS, MICHELLE C · 2013 to 2017
$724k
NCI NIH HHS K07CA168886NCI NIH HHS P30 CA008748NCI NIH HHS T32 CA102618NCI NIH HHS UG1CA189961
6 · The paper itself

Abstract

backgroundInterventions for cancer-related cognitive impairment are understudied, particularly during therapy.

methodsPatients with cancer receiving chemotherapy reporting cognitive problems were randomized to one of four study arms for 6 weeks in this phase 2 randomized controlled trial with a 2 × 2 factorial design. Study arms included: Exercise for Cancer Patients©® (EXCAP)-ibuprofen, EXCAP-placebo, ibuprofen only, and placebo only. EXCAP is a home-based, low to moderate-intensity, progressive walking and resistance exercise prescription. Cognitive and biologic assessments were conducted at baseline and post-intervention.

resultsEighty-six participants were randomized (mean age, 53.60; 88.37% female). Between-group analyses showed that participants in the EXCAP-placebo group demonstrated significantly better attention performance on the Trail Making Test compared to the placebo group (-21.57 seconds, p < .001; Cohen's d = -1.31; 95% CI, -2.18 to -0.44; lower times indicate better performance). The ibuprofen only group showed greater improvements than the placebo group (-11.27-second difference, p = 0.05; Cohen's d = -0.73; 95% CI, -1.57 to 0.11). Both EXCAP-ibuprofen and EXCAP-placebo participants exhibited improvements on the FACT-Cog "comments from others" compared to placebo (Cohen's d = 1.00; 95% CI, 0.35 to 1.65 and Cohen's d = 0.65; 95% CI, -0.01 to 1.31). On Rapid Visual Processing mean latency, participants in the EXCAP-placebo group had a significant improvement compared to placebo (Cohen's d = -1.10; 95% CI, -1.97 to -0.23); those receiving ibuprofen had an improvement compared to placebo, which revealed a trend after adjusting for reading score (Cohen's d = -1.04; 95% CI, -2.06 to -0.01). The ibuprofen group performed less well on the Hopkins Verbal Learning Test-Revised delayed compared to those not receiving ibuprofen (Cohen's d = -0.64; 95% CI, -1.21 to -0.07).

conclusionsExercise and low-dose ibuprofen improved some domains of cognitive function, although effects were not observed across all measures. Phase 3 trials are needed.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalAntineoplastic AgentsChemotherapy-Related Cognitive ImpairmentExercise TherapyIbuprofenNeoplasmsAdultAgedCognitive EnhancementFemaleHumansMaleMiddle AgedAnti-Inflammatory Agents, Non-SteroidalAntineoplastic AgentsIbuprofencancerchemotherapycognitive functionexerciseibuprofen

Identifiers

PMID42003280
PMCPMC13092999

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.