Human lymphocytes mobilized with exercise have an anti-tumor transcriptomic profile and exert enhanced graft-versus-leukemia effects in xenogeneic mice.
Helena Batatinha, Douglass M Diak, Grace M Niemiro...
https://pubmed.ncbi.nlm.nih.gov/37077913/Actively Recruiting
Led by University of Arizona · Updated on 2026-06-05
200
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are exploring ways to improve blood cancer treatment by using exercise to collect healthier immune cells from donors. This trial focuses on allogeneic adoptive cell therapy, where immune cells from healthy donors are given to cancer patients to prevent or treat relapse after stem cell transplant. The study aims to enhance the therapys effectiveness and reduce side effects like graft-versus-host disease GvHD, where donor cells attack the patients healthy tissues. The trial includes three groups one where participants complete a 20-minute cycling exercise and provide blood samples before, during, and after another where participants take either a placebo or beta blocker drugs before exercise sessions to study hormone effects on immune cells and a third where participants receive a 20-minute infusion of isoproterenol, a drug that mimics adrenaline, with blood samples collected similarly. Participants can join one, two, or all groups. Participants will undergo various assessments including exercise tests, blood sampling, and monitoring by cardiologists. Blood samples will be analyzed to count and study immune cells, test their ability to kill cancer cells in the lab, and observe effects on tumor growth in mice. The study also measures clinical outcomes like tumor burden, survival, and GvHD scores over up to 120 days. The goal is to understand how exercise and related treatments can improve immune cell therapies for blood cancers.
CONDITIONS
Exercise as an Immune Adjuvant for Allogeneic Cell Therapies
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University of Arizona
Lead Sponsor
National Cancer Institute (NCI)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Exercise | Exercise + Beta-blocker/Placebo | Isoproterenol Infusion |
|---|---|---|---|
| What it is | Participants perform a 20-minute graded exercise test at incrementally increased intensities (50-80% of maximal oxygen uptake) to study immune cell mobilization. | Participants ingest a beta-blocker or placebo 2-3 hours before the graded exercise test to assess how beta-adrenergic blockade influences immune cell mobilization during exercise. | Participants receive an intravenous infusion of isoproterenol, a beta-adrenergic agonist, to pharmacologically mimic exercise-induced beta-adrenergic activation. |
| Role in the trial | Assesses the natural effect of graded exercise on immune cell mobilization in healthy adults. | Evaluates how blocking beta-adrenergic receptors impacts immune cell responses to exercise. | Measures immune response from pharmacological stimulation independent of physical activity. |
| Primary use | To understand how natural exercise mobilizes immune cells that may impact cell therapy efficacy. | Determines whether immune cell mobilization from exercise depends on beta-adrenergic signaling. | Tests if pharmacologic beta-adrenergic activation (without exercise) mimics the immune changes seen during exercise. |
| How it is given or performed | 20-minute graded exercise test at intensities of 50%-80% maximal oxygen uptake, in increments, under medical supervision. | Single oral dose of beta-blocker (carvedilol, bisoprolol, nadolol) or placebo is taken 2-3 hours before performing the graded exercise test. | Isoproterenol is administered intravenously at 50ng/kg/min during the study session, with participants monitored by medical staff. |
| Evidence status | Clinical evidence in healthy adults shows exercise transiently mobilizes lymphocytes with anti-tumor and immunomodulatory properties. | Human studies show that beta-blockade prior to exercise reduces the mobilization of specific cytotoxic immune cells, highlighting the role of beta-adrenergic signaling. | Preclinical and human evidence shows isoproterenol infusion can alter immune cell composition and function, suggesting pharmacologic mimicry of exercise effects. |
| Important limitations | Mechanistic results in healthy adults may not directly translate to patients with hematologic malignancies or immunodeficiencies. | Effect sizes for immune cell mobilization reduction may depend on the specific beta-blocker used and participant characteristics. | Isoproterenol infusion is a pharmacologic intervention not routinely performed outside research settings; immune effects may differ from physiological exercise-induced responses. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit (in-person)
Duration - Approximately 3 weeks
Participants complete an initial maximal graded exercise test to determine maximal oxygen uptake and peak cycling power, followed by two separate visits involving 20-minute graded exercise sessions at varying intensities with blood sample collection before, during, and after exercise.
1 visit for graded exercise test and 2 exercise visits with blood draws (all in-person)
Duration - 6 to 10 weeks
Participants complete a graded exercise test followed by five exercise trial visits where they ingest specific drugs or placebo prior to 20-minute graded exercise sessions with blood samples collected pre-drug, post-drug pre-exercise, during exercise, and post-exercise recovery.
6 visits total (all in-person)
Duration - 1 day
Participants undergo screening and then receive a 20-minute intravenous isoproterenol infusion with multiple blood samples collected before, during, and after infusion alongside continuous monitoring.
1 infusion visit (in-person)
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
CROSSOVER
Primary Purpose
BASIC_SCIENCE
Number of Arms
3
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https://pubmed.ncbi.nlm.nih.gov/38592213/University of Arizona
Lead Sponsor
National Cancer Institute (NCI)
Collaborating Sponsor