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Acute Effect of modeRate-intensity aerOBIc Exercise on Colon Cancer Cell Growth (AEROBIC)

Primary Purpose

Colon Adenocarcinoma, Colon Cancer

Status
Unknown status
Phase
Not Applicable
Locations
United Kingdom
Study Type
Interventional
Intervention
Exercise assessment
Sponsored by
Northumbria University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Colon Adenocarcinoma focused on measuring Colon cancer, Aerobic exercise

Eligibility Criteria

50 Years - 90 Years (Adult, Older Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Age ≥ 50 years
  • BMI ≥ 25 kg/m2 and/or waist circumference of ≥ 94 cm
  • Male
  • Participating in less than 30 min of planned, structured, moderate to vigorous-intensity physical activity on three or more d·wk-1 for the last three months

Exclusion Criteria:

  • Any absolute or relative contraindication to exercise testing, as determined by the American College of Sports Medicine
  • Any sign/symptom of cardiovascular, metabolic or renal disease
  • Known cardiovascular, metabolic or renal disease without written medical clearance from physician
  • Resting hypertension (≥160 mmHg systolic and/or ≥90 mmHg diastolic)
  • Chronic obstructive pulmonary disease and/or asthma with peak respiratory flow < 300 l/min
  • Previous stroke or transient ischemic attack
  • Epilepsy or aneurysm (large vessel or cerebral)
  • Previous or current treatment for malignancy
  • Clotting disorder
  • Taking beta-adrenergic blocking agents
  • Resting heart rate ≥ 100 bpm
  • Musculoskeletal, neurological, anthropometric, or rheumatoid conditions that makes it not possible to pedal a bicycle and/or would be worsened due to exercise
  • Body mass > 150 kg

Sites / Locations

  • York St John University Sports Park
  • Northumbria University City Campus

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Exercise assessment

Resting assessment

Arm Description

The exercise condition will involve venous blood samples being drawn immediately before and after a single bout of moderate-intensity aerobic interval exercise.

The resting condition will involve venous blood samples being drawn before and after 60 minutes of seated rest.

Outcomes

Primary Outcome Measures

Cell viability (%)
Viability of a human colon cancer cell line (LoVo) will be assessed via quantification of the fluorescent signal by the resazurin assay (Sigma-Aldrich, Dorset, UK). Cells will be seeded in culture medium containing 10% serum from individual participants and incubated for 48 hours. Fluorescence will then be measured using a microplate reader at an excitation of 540 nm and emission of 590 nm. Background fluorescence will be subtracted from each well and then values will be normalised to fluorescence of control cells grown in 10% fetal bovine serum instead of participant serum to give a percent viability.

Secondary Outcome Measures

Concentration of epinephrine (pg/ml)
Systemic concentration of epinephrine will be measured from serum
Concentration of norepinephrine (pg/ml)
Systemic concentration of norepinephrine will be measured from serum
Concentration of Interleukin 6 (pg/ml)
Systemic concentration of Interleukin 6 will be measured from serum
Concentration of Tumour Necrosis Factor alpha (pg/ml)
Systemic concentration of Tumour Necrosis Factor alpha will be measured from serum
Concentration of Insulin (pmol/l)
Systemic concentration of Insulin will be measured from serum
Concentration of Insulin-like growth factor 1 (ng/ml)
Systemic concentration of Insulin-like growth factor 1 will be measured from serum

Full Information

First Posted
August 13, 2019
Last Updated
August 19, 2020
Sponsor
Northumbria University
Collaborators
York St John University, Newcastle University
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1. Study Identification

Unique Protocol Identification Number
NCT04057274
Brief Title
Acute Effect of modeRate-intensity aerOBIc Exercise on Colon Cancer Cell Growth
Acronym
AEROBIC
Official Title
Effect of a Single Bout of Moderate-intensity Aerobic Exercise on Colon Cancer Cell Growth in Vitro
Study Type
Interventional

2. Study Status

Record Verification Date
September 2019
Overall Recruitment Status
Unknown status
Study Start Date
September 23, 2019 (Actual)
Primary Completion Date
March 6, 2020 (Actual)
Study Completion Date
September 30, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Northumbria University
Collaborators
York St John University, Newcastle University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study involves drawing blood samples from men before and after they perform 30-minutes of moderate-intensity aerobic exercise. The investigators will evaluate whether adding the exercise serum to colon cancer cells in a dish can reduce the growth of the cells compared to the resting serum. Note: serum is the liquid part of the blood that carries hormones and metabolites around the body.
Detailed Description
Regular exercise is associated with a reduced risk of developing colon cancer. However, the mechanisms underpinning the anti-cancer effect of exercise are not yet fully understood. A recent theory suggests that each time you exercise, the short-lasting spikes in circulating hormones can suppress the growth of cancer cells. Hence, every exercise bout could have a direct anti-cancer effect. This study will recruit men with an increased of colon cancer and explore whether incubating colon cancer cells with serum collected after a bout of moderate-intensity aerobic exercise influences cell viability in vitro.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colon Adenocarcinoma, Colon Cancer
Keywords
Colon cancer, Aerobic exercise

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Model Description
This is a randomised, counterbalanced, crossover study whereby all participants will complete an exercise assessment and a resting assessment in a randomised order.
Masking
None (Open Label)
Masking Description
It is not possible to blind participants nor investigators. Investigators will be blind to allocation order until after the first blood sample is drawn.
Allocation
Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Exercise assessment
Arm Type
Experimental
Arm Description
The exercise condition will involve venous blood samples being drawn immediately before and after a single bout of moderate-intensity aerobic interval exercise.
Arm Title
Resting assessment
Arm Type
No Intervention
Arm Description
The resting condition will involve venous blood samples being drawn before and after 60 minutes of seated rest.
Intervention Type
Other
Intervention Name(s)
Exercise assessment
Intervention Description
The moderate-intensity aerobic interval exercise will be performed on a cycle ergometer under the supervision of trained staff in an exercise science laboratory. Participants will perform a 5 to 10-minute warm-up that begins by pedalling against a light resistance (60 W) and progressively increases in resistance until a target heart rate of 50-60% heart rate reserve is achieved. Participants will then complete 6 x 5-minute bouts at 60% heart rate reserve whilst maintaining a cadence of 60 rev·min-1, separated by 2.5-minutes of pedalling against light resistance (60 W). The session will finish with a cool-down at light resistance (60 W) lasting 10-minutes.
Primary Outcome Measure Information:
Title
Cell viability (%)
Description
Viability of a human colon cancer cell line (LoVo) will be assessed via quantification of the fluorescent signal by the resazurin assay (Sigma-Aldrich, Dorset, UK). Cells will be seeded in culture medium containing 10% serum from individual participants and incubated for 48 hours. Fluorescence will then be measured using a microplate reader at an excitation of 540 nm and emission of 590 nm. Background fluorescence will be subtracted from each well and then values will be normalised to fluorescence of control cells grown in 10% fetal bovine serum instead of participant serum to give a percent viability.
Time Frame
48 hours
Secondary Outcome Measure Information:
Title
Concentration of epinephrine (pg/ml)
Description
Systemic concentration of epinephrine will be measured from serum
Time Frame
Immediately before and immediately after the exercise and resting assessments
Title
Concentration of norepinephrine (pg/ml)
Description
Systemic concentration of norepinephrine will be measured from serum
Time Frame
Immediately before and immediately after the exercise and resting assessments
Title
Concentration of Interleukin 6 (pg/ml)
Description
Systemic concentration of Interleukin 6 will be measured from serum
Time Frame
Immediately before and immediately after the exercise and resting assessments
Title
Concentration of Tumour Necrosis Factor alpha (pg/ml)
Description
Systemic concentration of Tumour Necrosis Factor alpha will be measured from serum
Time Frame
Immediately before and immediately after the exercise and resting assessments
Title
Concentration of Insulin (pmol/l)
Description
Systemic concentration of Insulin will be measured from serum
Time Frame
Immediately before and immediately after the exercise and resting assessments
Title
Concentration of Insulin-like growth factor 1 (ng/ml)
Description
Systemic concentration of Insulin-like growth factor 1 will be measured from serum
Time Frame
Immediately before and immediately after the exercise and resting assessments

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age ≥ 50 years BMI ≥ 25 kg/m2 and/or waist circumference of ≥ 94 cm Male Participating in less than 30 min of planned, structured, moderate to vigorous-intensity physical activity on three or more d·wk-1 for the last three months Exclusion Criteria: Any absolute or relative contraindication to exercise testing, as determined by the American College of Sports Medicine Any sign/symptom of cardiovascular, metabolic or renal disease Known cardiovascular, metabolic or renal disease without written medical clearance from physician Resting hypertension (≥160 mmHg systolic and/or ≥90 mmHg diastolic) Chronic obstructive pulmonary disease and/or asthma with peak respiratory flow < 300 l/min Previous stroke or transient ischemic attack Epilepsy or aneurysm (large vessel or cerebral) Previous or current treatment for malignancy Clotting disorder Taking beta-adrenergic blocking agents Resting heart rate ≥ 100 bpm Musculoskeletal, neurological, anthropometric, or rheumatoid conditions that makes it not possible to pedal a bicycle and/or would be worsened due to exercise Body mass > 150 kg
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Samuel T Orange, PhD
Organizational Affiliation
Northumbria University
Official's Role
Principal Investigator
Facility Information:
Facility Name
York St John University Sports Park
City
York
State/Province
North Yorkshire
ZIP/Postal Code
YO31 8FY
Country
United Kingdom
Facility Name
Northumbria University City Campus
City
Newcastle Upon Tyne
ZIP/Postal Code
NE1 8SG
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Raw data and statistical code will be uploaded onto a publicly available repository
IPD Sharing Time Frame
Raw data will be made available immediately after publication of the aggregated data in a peer-reviewed Journal
IPD Sharing Access Criteria
Publicly available
Citations:
PubMed Identifier
22914790
Citation
Boyle T, Keegel T, Bull F, Heyworth J, Fritschi L. Physical activity and risks of proximal and distal colon cancers: a systematic review and meta-analysis. J Natl Cancer Inst. 2012 Oct 17;104(20):1548-61. doi: 10.1093/jnci/djs354. Epub 2012 Aug 22.
Results Reference
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PubMed Identifier
28887324
Citation
Dethlefsen C, Hansen LS, Lillelund C, Andersen C, Gehl J, Christensen JF, Pedersen BK, Hojman P. Exercise-Induced Catecholamines Activate the Hippo Tumor Suppressor Pathway to Reduce Risks of Breast Cancer Development. Cancer Res. 2017 Sep 15;77(18):4894-4904. doi: 10.1158/0008-5472.CAN-16-3125.
Results Reference
background
PubMed Identifier
28138894
Citation
Dethlefsen C, Pedersen KS, Hojman P. Every exercise bout matters: linking systemic exercise responses to breast cancer control. Breast Cancer Res Treat. 2017 Apr;162(3):399-408. doi: 10.1007/s10549-017-4129-4. Epub 2017 Jan 30.
Results Reference
background
PubMed Identifier
30812059
Citation
Devin JL, Hill MM, Mourtzakis M, Quadrilatero J, Jenkins DG, Skinner TL. Acute high intensity interval exercise reduces colon cancer cell growth. J Physiol. 2019 Apr;597(8):2177-2184. doi: 10.1113/JP277648. Epub 2019 Mar 20.
Results Reference
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Acute Effect of modeRate-intensity aerOBIc Exercise on Colon Cancer Cell Growth

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