Actively Recruiting

Phase 2
Age: 18Years +
FEMALE
ID06727773

Memantine and Exercise to Improve Cognitive Function and Modulate Biological Pathways of Cognitive Decline During Chemotherapy in Breast Cancer

Led by UNC Lineberger Comprehensive Cancer Center · Updated on 2026-05-06

90

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

U

UNC Lineberger Comprehensive Cancer Center

Lead Sponsor

N

National Institute on Aging (NIA)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating memantine combined with the University of Carolina's Get Real & Heel cancer exercise program (MEM+EX) to address cognitive impairment related to breast cancer and its treatment. This randomized, placebo-controlled phase 2 trial focuses on women with stage I to III breast cancer undergoing chemotherapy, aiming to assess the feasibility, acceptability, and early effects of these interventions on cognitive function and biological markers like brain-derived neurotrophic factor (BDNF) and inflammation. Participants will be randomly assigned to one of three groups: MEM+EX (memantine plus guided exercise sessions), memantine alone with access to pre-recorded exercise sessions, or placebo with access to pre-recorded exercise sessions. Exercise sessions include aerobic and strength training delivered remotely three times per week under supervision. The trial evaluates recruitment, retention, adherence, and acceptability during chemotherapy and up to one year of follow-up. During the study, participants undergo assessments of cognitive function, patient-reported cognition, biomarker levels related to cognitive decline, and frailty at baseline and throughout the year. Researchers closely monitor adherence to medications and exercise, retention rates, and the overall acceptability of the interventions. This study aims to provide important data for future trials targeting cognitive decline in breast cancer patients receiving chemotherapy.

CONDITIONS

Brief Title

Memantine and Exercise to Improve Cognitive Function and Modulate Biological Pathways of Cognitive Decline During Chemotherapy in Breast Cancer

Who Can Participate

Age: 18Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Female
  • Age 18 years or older at the time of consent
  • Diagnosed with stage I to III breast cancer
  • Recommended to undergo chemotherapy
  • Enrollment before the third cycle of chemotherapy
  • English-speaking
Not Eligible

You will not qualify if you...

  • Allergy to memantine
  • Previous chemotherapy before the current regimen
  • Severe cognitive impairment (Blessed Orientation Memory Concentration Test Score ≥11)
  • Heart attack within the last 6 months
  • Cardiovascular or orthopedic problems limiting exercise
  • Severe mental illness such as schizophrenia or bipolar disorder
  • Current alcohol or drug abuse
  • Inability to swallow capsules
  • Creatinine clearance ≤5 mL/min

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 6 months

Participants receive study medication (memantine or placebo) and engage in exercise interventions or access exercise resources during chemotherapy.

Weekly visits during chemotherapy

Follow-up

Duration - Up to 1 year

Participants are followed to assess cognitive function, biomarkers, and acceptability of the interventions after treatment.

Periodic visits up to 1 year

Trial Site Locations

Total: 1 location

1

Lineberger Comprehensive Cancer Center at University of North Carolina, Chapel Hill

Chapel Hill, North Carolina, United States, 27599

Actively Recruiting

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Research Team

A

Ashley M Hanson

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

3

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