Evidence map›Paper›PMID 42233178›Full record

Trial reportCancer medicine2026

High-Intensity Interval Training Boosts Immune Cells in Advanced Cancer Patients and Healthy Controls: Implications for Cancer Care.

Fabian Kiehl, Nico De Lazzari, Ronja Beller, Isabella Deppe, Sabrina B Bennstein, Suzan Botzenhardt, Maria Rosa Salvador Comino, Mitra Tewes, Miriam Götte

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05656651 (ACTIVE- Acute Effects of a Single Physical Exercise Intervention on Immune Cells and Inflammation in Cancer Patients and a Healthy Comparison Group), which is not on this map. Not yet cited in PubMed.

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

NCT05656651 phase2active not recruitingnot on this map

ACTIVE- Acute Effects of a Single Physical Exercise Intervention on Immune Cells and Inflammation in Cancer Patients and a Healthy Comparison Group

TypeinterventionalSponsorUniversität Duisburg-EssenRan2022 to 2026Enrolled60ConditionsCancerArmsHigh intensity interval exercise training
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

9 authors.

Fabian KiehlDepartment of Palliative Medicine, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0009-0001-9264-6815
Nico De LazzariDepartment of Palliative Medicine, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-0216-8232
Ronja BellerInstitute for Movement and Exercise, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-2779-0562
Isabella DeppeInstitute for Movement and Exercise, West German Cancer Center, University Hospital Essen, Essen, Germany.
Sabrina B BennsteinInstitute of Immunology, Medical Faculty, RWTH Aachen University, Aachen, Germany.ORCID https://orcid.org/0000-0003-0477-2748
Suzan BotzenhardtInstitute for Movement and Exercise, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-7648-086X
Maria Rosa Salvador CominoDepartment of Palliative Medicine, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-8145-1801
Mitra TewesDepartment of Palliative Medicine, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0001-8868-8329
Miriam GötteInstitute for Movement and Exercise, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0003-0841-8738

Funding

Brigitte und Dr. Konstanze Wegener-Stiftung
6 · The paper itself

Abstract

backgroundRegular exercise improves quality of life (QoL) and reduces fatigue in advanced cancer patients (ACP), but acute immune responses are underexplored. This study investigated the effects of a single high-intensity interval training (HIIT) session on natural killer (NK) cells and circulating innate lymphoid cells (cILCs) in ACP.

methodsAn ACP group undergoing chemotherapy (PG, n = 20, 59.8 ± 10.3 years, 70% pancreatic cancer) was compared with age-matched healthy controls (HG, n = 19, 60.7 ± 10.6 years). Both groups completed a 20-min HIIT session. Blood samples were collected before (T0), immediately after (T1), and 1 h post-exercise (T2). NK cells, cILCs, and subsets were analyzed via flow cytometry. Patient-reported outcomes (QoL, fatigue, nutrition) were assessed with validated questionnaires.

resultsA single HIIT session induced a significant (PG: p = 0.001; HG: p = 0.045) increase in the number of circulating total NK cells immediately after exercise in both groups, with a median within-subject increase of 50% in the PG and 38% in the HG, followed by a significant (PG/HG: p < 0.001) decrease during the recovery period (PG: -43%, HG: -69%). cILCs increased significantly (PG: p = 0.005; HG: p = 0.001) only during the exercise period in both groups, with a median within-subject increase of 21% in the PG and 55% in the HG. Differences were observed between groups and across individual immune cell subpopulations. NK responses positively correlated with higher training heart rate in both groups, and additionally with BMI (HG, cILC2) and age (PG, CD56

conclusionA single HIIT session transiently mobilized NK cells and cILCs in ACP undergoing chemotherapy. These results indicate that acute HIIT is feasible in this population and provide hypothesis-generating evidence on exercise-induced changes in immune cell counts.

trial registrationThe study was registered at 13.11.2022, registration number NCT05656651.

Indexed as

High-Intensity Interval TrainingKiller Cells, NaturalLymphocytesNeoplasmsAgedCase-Control StudiesFatigueFemaleHumansImmunity, InnateMaleMiddle AgedQuality of Lifeadvanced cancer patientscirculating innate lymphoid cellsnatural killer cellspalliative carephysical activity

Identifiers

PMID42233178
PMCPMC13240137

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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.