Actively Recruiting

Phase Not Applicable
Age: 18Years - 70Years
All Genders
ID02978521

Effect of a Pulmonary Rehabilitation Program on Muscle Mass, Lung Function, Inflammation, and Survival in Advanced Non-small-cell Lung Cancer

Led by Instituto Nacional de Cancerologia de Mexico · Updated on 2026-04-08

94

Participants Needed

1

Research Sites

53 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Lung cancer is often diagnosed at advanced stages and remains the leading cause of cancer-related deaths worldwide. Many patients with advanced lung cancer experience cancer cachexia, a condition that leads to loss of muscle and fat mass, increasing risks of complications, longer hospital stays, and poorer survival. This research aims to explore how a pulmonary rehabilitation program affects lung function, muscle mass, exercise tolerance, inflammation, quality of life, and overall survival in patients with advanced non-small-cell lung cancer who are receiving chemotherapy or targeted therapies. Participants will be randomly assigned to either an intervention group or a control group. Those in the intervention group will attend 12 pulmonary rehabilitation sessions lasting about 60 minutes each over 4 to 6 weeks, including breathing exercises, resistance training with ergometers and treadmills, progressing based on individual tolerance. The control group will receive information and advice on physical activity. Both groups will have nutritional assessments and interventions if needed. During the study, participants will undergo assessments of lung function, muscle mass, inflammatory response, exercise tolerance, quality of life, anxiety, and depression before and after the 12 rehabilitation sessions. Researchers will monitor these outcomes to evaluate the effects of the pulmonary rehabilitation program. The total participation period includes these 6 weeks of sessions with follow-up assessments to measure changes and overall survival.

CONDITIONS

Brief Title

Pulmonary Rehabilitation in Advanced Non-small Cell Lung Cancer Patients

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Confirmed diagnosis of advanced non-small-cell lung cancer
  • Good performance status (ECOG 0-1)
  • Life expectancy greater than 12 weeks
  • Eligible to receive chemotherapy or tyrosine kinase inhibitors
  • Recent electrocardiogram without arrhythmia
Not Eligible

You will not qualify if you...

  • Symptomatic brain metastasis
  • Uncontrolled pain with Visual Analog Scale greater than 5
  • Uncontrolled hypertension above 140/100 mmHg
  • Regular moderate to intense physical activity at least 3 days per week
  • Not living in Mexico City or unable to attend therapy sessions

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 - 4 to 6 weeks

Participants in the intervention group receive pulmonary rehabilitation consisting of 12 sessions over 4 to 6 weeks. Sessions include breathing techniques, resistance training on an ergometer, and treadmill training. Control group participants receive information and recommendations on physical activity. Both groups undergo nutritional assessment and intervention as needed.

12 sessions (in-person) over 4 to 6 weeks, 2-3 sessions per week

Trial Site Locations

Total: 1 location

1

Instituto Nacional de Cancerología

Mexico City, Mexico City, Mexico, 14080

Actively Recruiting

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Research Team

O

Oscar Arrieta

D

Diana Flores

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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Published Research Related To This Trial

Cancer cachexia: a systematic literature review of items and domains associated with involuntary weight loss in cancer.

David Blum, Aurelius Omlin, Vickie E Baracos...

https://pubmed.ncbi.nlm.nih.gov/21216616

A practical and precise approach to quantification of body composition in cancer patients using computed tomography images acquired during routine care.

Marina Mourtzakis, Carla M M Prado, Jessica R Lieffers...

https://pubmed.ncbi.nlm.nih.gov/18923576

Prevalence and clinical implications of sarcopenic obesity in patients with solid tumours of the respiratory and gastrointestinal tracts: a population-based study.

Carla M M Prado, Jessica R Lieffers, Linda J McCargar...

https://pubmed.ncbi.nlm.nih.gov/18539529

A randomized controlled trial of postthoracotomy pulmonary rehabilitation in patients with resectable lung cancer.

Jos A Stigt, Steven M Uil, Susanne J H van Riesen...

https://pubmed.ncbi.nlm.nih.gov/23238118