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CTRI Number  CTRI/2025/08/093060 [Registered on: 14/08/2025] Trial Registered Prospectively
Last Modified On: 13/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   Impact of chair aerobics on immune system in cancer patients 
Scientific Title of Study   Effect of Chair Aerobics on Patients Diagnosed with Solid Tumors using Immune Checkpoint Markers, Functional Mobility and Quality of Life: A Single Arm Clinical Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anushka Pillai 
Designation  ASSISTANT PROFESSOR 
Affiliation  Dr. D. Y. Patil College of Physiotherapy 
Address  Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune

Pune
MAHARASHTRA
411018
India 
Phone  8390704765  
Fax    
Email  anushka.pillai@dpu.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Seema Saini 
Designation  Professor 
Affiliation  Dr. D. Y. Patil College of Physiotherapy 
Address  Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune

Pune
MAHARASHTRA
411018
India 
Phone  8087564345  
Fax    
Email  seema.saini@dpu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Anushka Pillai 
Designation  Assistant Professor 
Affiliation  Dr. D. Y. Patil College of Physiotherapy 
Address  Dr. D. Y. Patil College of Physiotherapy, Sant Tukaram Nagar, Pimpri, Pune

Pune
MAHARASHTRA
411018
India 
Phone  8390704765  
Fax    
Email  anushka.pillai@dpu.edu.in  
 
Source of Monetary or Material Support  
Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Sant Tukaram Nagar, Pimpri, Pune 411018 
 
Primary Sponsor  
Name  Dr D Y Patil College of Physiotherapy 
Address  Dr. D. Y. Patil Vidyapeeth, Sant Tukaram Nagar, Pimpri, Pune 411018 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Anushka Pillai  Dr. D. Y. Patil College of Physiotherapy  Dr. D. Y. Patil Vidyapeeth Sant Tukaram Nagar Pimpri
Pune
MAHARASHTRA 
8390704765

anushka.pillai@dpu.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE, Dr. D. Y. PATIL COLLEGE OF PHYSIOTHERAPY, PIMPRI, PUNE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-D49||Neoplasms,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Chair Aerobics  The study will be explained in detail and a written informed consent will be obtained from each one of them. The demographic data shall be documented prior to the initiation of the intervention. The patients will be given 20 sessions of chair aerobics once a day, 5 days/week for 4 weeks. The first week of exercise protocol will be delivered in the OPD under the supervision of the physiotherapist. The remaining sessions will be delivered via tele-rehabilitation. Total duration of intervention will be 40 minutes. Pre- and post-treatment assessments will include assessment of immune checkpoint markers like PD-1/PD-L1, TIM-3, functional mobility and QoL. The blood samples for testing activity of PD-1/PD-L1 and TIM-3 will be taken by a trained nursing staff in the presence of the physiotherapist at the start and end of the intervention at the same time of the day for both pre- and post- values. 
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Subjects, both males and females, in the age group of 40-64 years
2. Subjects who are known cases of solid tumors (carcinomas, sarcomas
and lymphomas) as diagnosed and referred by oncologists
3. Subjects who have no metastatic disease
4. European Cooperation Oncology Group (ECOG) performance status
score less than or equal to 1 (symptomatic, but able to carry out normal daily activities)  
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Immune checkpoint markers (PD-1/PD-L1 and TIM-3): Flow cytometry  Baseline and 5 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Timed Up & Go test  Baseline & 5 weeks 
Functional Assessment of Cancer Therapy-General (FACT-G)   Baseline & 5 weeks 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   25/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The proposed study investigates the effect of chair aerobics on immune checkpoint markers such as TIM-3 and PD-1/PD-L1 in patients with solid tumors in India. These immune checkpoints play a significant role in regulating immune responses and are often dysregulated in cancer patients. Following cancer treatment, these markers may suppress immune function, impeding recovery and increasing susceptibility to recurrence. The study seeks to determine whether a chair aerobics program can modulate these markers, potentially enhancing the body’s immune response and improving patient outcomes. This research is especially important in India, where cancer rates are high, and access to advanced immunotherapies may be limited. Understanding how exercise can influence immune regulation in cancer survivors could provide a cost-effective, non pharmacological intervention to support recovery and prevent relapse. The findings could lead to the integration of tailored exercise programs into post-cancer care protocols, not only in India but also globally, offering a complementary approach to traditional cancer treatments. 
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