Cardio-oncology & other

Timing of exercise therapy when initiating adjuvant chemotherapy for breast cancer: a randomized trial

Eur Heart JPublished Randomised controlled trial

Primary result · VO2peak change (concurrent vs usual care during chemotherapy vs sequential vs usual care after chemotherapy)Result — go to the resultOverall difference −0.88 mL O2·kg-1·min-1 95% CI −3.36 to 1.59

Authors' conclusion

There was no statistical difference in CRF improvement between concurrent vs. sequential exercise therapy relative to usual care in women with primary breast cancer.

Study context

Population
Inactive women with breast cancer initiating (neo)adjuvant chemotherapyn = 39/40 per group
Participants
158 women
Comparison
Timing of exercise therapy vs usual care during and after chemotherapy
Primary endpoint
VO2peak change: concurrent exercise vs usual care during chemotherapy compared with sequential exercise vs usual care after chemotherapy
Methodological detailsparallel-group
  • Parallel-group

Primary result

As reported in the abstract

VO2peak change (concurrent vs usual care during chemotherapy vs sequential vs usual care after chemotherapy)

Overall difference

−0.88 mL O2·kg-1·min-1

95% CI −3.36 to 1.59

P = 0.48

Concurrent vs Sequential
overall difference −0.88 mL O2·kg-1·min-1 (95% CI −3.36 to 1.59); P = 0.48

Further findings

VO2peak change from baseline to post-intervention, continuous exercise
1.74 · mL O2·kg-1·min-1
VO2peak change from baseline to post-intervention, continuous exercise — Continuous exercise the only strategy with significant VO2peak improvement
P < 0.001

Original publication

Timing of exercise therapy when initiating adjuvant chemotherapy for breast cancer: a randomized trial. Eur Heart J. Published 21 February 2023. doi:10.1093/eurheartj/ehad085

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