The effects of neoadjuvant chemoradiotherapy on physical fitness and morbidity in rectal cancer surgery patients.
M A West, L Loughney, C P Barben...
https://pubmed.ncbi.nlm.nih.gov/24784775/Actively Recruiting
Led by University Hospital Southampton NHS Foundation Trust · Updated on 2026-04-28
67
Participants Needed
1
Research Sites
104 weeks
Total Duration
Researchers are studying how immunotherapy affects physical fitness, quality of life, and treatment tolerance in adults with solid cancers. Since immunotherapy can cause side effects that impact daily life and treatment continuation, this study aims to understand fitness changes during treatment and whether initial fitness levels relate to outcomes. It is a Phase II observational study enrolling adults starting standard immune checkpoint inhibitor therapy for various solid tumors. Participants will undergo fitness testing using cardiopulmonary exercise testing CPET and complete quality-of-life questionnaires before starting immunotherapy and again after 12 weeks. Blood samples will be collected at both times. Immunotherapy treatment is given as usual without study intervention. Some participants may be invited to have an optional tumor biopsy at 12 weeks to explore links between fitness and tumor immune environment. The study also follows participants for up to 24 months to track survival, disease progression, and quality of life. During the study, researchers will record treatment details, side effects, and any treatment delays or changes. Assessments include CPET, questionnaires on physical and psychological health, blood tests, and medical record reviews. Follow-up visits occur around 6, 12, and 24 months after treatment start to monitor long-term outcomes. Data will help understand fitness changes during immunotherapy, their relation to treatment tolerance and results, and guide future trials of exercise during immunotherapy.
CONDITIONS
IMMUNO-FIT Observational Study
K
Kashuf Khan, MBBS, MRCS
M
Malcolm West, MD, PhD, FEBS, FRCS,
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University Hospital Southampton NHS Foundation Trust
Lead Sponsor
University of Southampton
Collaborating Sponsor
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit
Duration - Approximately 2 weeks before immunotherapy
Participants undergo baseline assessments including cardiopulmonary exercise testing (CPET), quality-of-life questionnaires, blood sampling, and review of medical history before starting immunotherapy.
1 baseline visit (in-person)
Duration - First 12 weeks of immunotherapy
Participants receive standard-of-care immunotherapy and are monitored for treatment regimens, immune-related and treatment-related adverse events, treatment delays, dose modifications, discontinuations, and healthcare utilization.
Visits as per routine clinical practice
Duration - At approximately 12 weeks after starting immunotherapy
Participants repeat baseline assessments including CPET, quality-of-life and psychosocial questionnaires, blood sampling, and imaging to evaluate response and treatment status.
1 follow-up visit (in-person)
Duration - Up to 24 months after treatment initiation
Participants are followed up at 6, 12, and 24 months from treatment start to assess survival status, disease progression, ongoing treatment and toxicity, healthcare utilization, and repeated quality-of-life assessments.
3 follow-up contacts (may be electronic, telephone, or paper-based)
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
0
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https://pubmed.ncbi.nlm.nih.gov/30536366/University Hospital Southampton NHS Foundation Trust
Lead Sponsor
University of Southampton
Collaborating Sponsor