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CTRI Number  CTRI/2025/12/098731 [Registered on: 10/12/2025] Trial Registered Prospectively
Last Modified On: 09/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [exercise ]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of aerobic and resistance exercise training on the inflammatory markers in patients with breast cancer undergoing chemotherapy 
Scientific Title of Study   Effect of exercise training on the inflammatory profile in patients with breast cancer undergoing chemotherapy: an open label randomised controlled 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  Dr Rose Babu 
Designation  Associate Professor and PhD student 
Affiliation  Jubilee Mission Medical College and Research Institute 
Address  Department of Physiology, Jubilee Mission Medical College and Research Institute, East fort, Thrissur

Thrissur
KERALA
680005
India 
Phone  9972820843  
Fax    
Email  rosebabu515@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Biju Bahuleyan 
Designation  Professor, HOD and guide 
Affiliation  Jubilee Mission Medical College and Research Institute 
Address  Department of Physiology, Jubilee Mission Medical College and Research Institute, East fort, Thrissur

Thrissur
KERALA
680005
India 
Phone  9846915151  
Fax    
Email  drbijubahuleyan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Biju Bahuleyan 
Designation  Professor, HOD and guide 
Affiliation  Jubilee Mission Medical College and Research Institute 
Address  Department of Physiology, Jubilee Mission Medical College and Research Institute, East fort, Thrissur

Thrissur
KERALA
680005
India 
Phone  9846915151  
Fax    
Email  drbijubahuleyan@gmail.com  
 
Source of Monetary or Material Support  
Jubilee Mission Medical College and Research Institute, East fort, Thrissur, Kerala, India - 680005 
 
Primary Sponsor  
Name  Dr Rose Babu 
Address  Department of Physiology, Jubilee Mission Medical College and Research Institute, East fort, Thrissur, Kerala, India - 680005 
Type of Sponsor  Other [SELF] 
 
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 
Dr Rose Babu  Jubilee Mission Medical College and Research Institute  Department of Medical Oncology,Diamond block,East fort, Thrissur - 680005
Thrissur
KERALA 
9972820843

rosebabu515@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C50||Malignant neoplasm of breast,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control arm   Patients with breast cancer on chemotherapy and who will not be undergoing any intervention. In this arm, no exercise intervention is given to the patients . The routine treatment care such as chemotherapy and other hospital care will be provided.  
Intervention  Exercise   Aerobic exercise - home based walking exercise for 3 days per week Resistance training exercise - 2 days per week Stretching and breathing exercise for the rest of the days Aerobic and resistance exercises will be given after 2 days of each chemotherapy cycle.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Female 
Details  Female patients who are diagnosed with breast cancer (Stage 1 to stage 3) and about
to undergo neoadjuvant or adjuvant chemotherapy (cyclophosphamide-anthracycline
regimen).
Normal cardiovascular, hepatic and renal function.
Patients who are willing to participate. 
 
ExclusionCriteria 
Details  Patients with Eastern Cooperative Oncology Group (ECOG) performance status more than 1.
Currently with any musculoskeletal disturbances, severe respiratory illness, autoimmune diseases.
Patients who are pregnant.
Who had undergone major surgeries within past 3 months
Known case of any psychiatric disorders, intellectual disabilities.
Under regular moderate to high intensity exercise (after calculation of physical
activity level (PAL).
Receiving chronic anti-inflammatory medications for other diseases. 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment    
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Inflammatory marker  3 time points. Baseline - before chemotherapy, 6 weeks- after mid and 12 weeks - at the end of chemotherapy cycles 
 
Secondary Outcome  
Outcome  TimePoints 
Body composition, Muscle strength, Quality of life   Baseline, 6 weeks after mid & 12 weeks at the end of chemotherapy cycles 
Chemotherapy toxicity, Relative dose intensity  3 weeks, 6 weeks, 9 weeks & 12 weeks after every cycle of chemotherapy  
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   02/02/2026 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   This study is an open label single centered randomized controlled trial to determine the effect of exercise training on the inflammatory profile of patients with breast cancer undergoing chemotherapy -anthracycline and cyclophosphamide regimen, when compared to patients who are on treatment without any exercise intervention. A total of 60 patients will be recruited for the study and randomized into intervention and control groups.The primary outcome will be inflammatory markers like TNF-a, CRP which will be investigated at the baseline -before chemotherapy, at the middle of chemotherapy treatment cycles and at the end of chemotherapy cycles. The secondary outcome will be body composition, muscle strength, quality of life, investigated at the baseline, at the middle of chemotherapy treatment cycles and at the end of chemotherapy cycles and other outcomes like treatment toxicity and relative dose intensity will be investigated after each cycle of chemotherapy. 
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