Evidence mapPaperPMID 40745221Full record

Trial reportBritish journal of cancer2025

Randomised phase-2 screening trial of intermittent energy restriction plus resistance exercise versus resistance exercise alone during chemotherapy for advanced breast cancer.

Michelle Harvie, Mary Pegington, Anthony Howell, Yit Lim, Karen Livingstone, Danielle Rose, Debbie McMullan, Anthony Maxwell, Emma Barrett, Katharine Sellers and 2 more

Abstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Michelle HarvieNightingale/Prevent Breast Cancer Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, M23 9LT, UK. michelle.harvie@manchester.ac.uk.ORCID http://orcid.org/0000-0001-9761-3089
Mary PegingtonNightingale/Prevent Breast Cancer Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, M23 9LT, UK.
Anthony HowellNightingale/Prevent Breast Cancer Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, M23 9LT, UK.ORCID http://orcid.org/0000-0002-6233-719X
Yit LimNightingale/Prevent Breast Cancer Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, M23 9LT, UK.
Karen LivingstoneNightingale/Prevent Breast Cancer Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, M23 9LT, UK.
Danielle RoseNightingale/Prevent Breast Cancer Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, M23 9LT, UK.
Debbie McMullanNightingale/Prevent Breast Cancer Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, M23 9LT, UK.
Anthony MaxwellNightingale/Prevent Breast Cancer Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, M23 9LT, UK.
Emma BarrettResearch and Innovation, Manchester University Hospital Foundation NHS Trust, Manchester, UK.
Katharine SellersResearch and Innovation, Manchester University Hospital Foundation NHS Trust, Manchester, UK.
Suzanne KrizakResearch and Innovation, Manchester University Hospital Foundation NHS Trust, Manchester, UK.
Sacha J HowellNightingale/Prevent Breast Cancer Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, M23 9LT, UK.ORCID http://orcid.org/0000-0001-8141-6515

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeight control and energy restriction could improve survival in patients with advanced breast cancer (ABC) but randomised data are lacking. A randomised screening trial was conducted to assess an intermittent energy restricted diet and resistance exercise intervention (IER + RE) vs RE alone (RE) on progression free survival (PFS), toxicity and Quality of Life (QoL) during chemotherapy for ABC.

methodsSixty-eight women were randomised to IER + RE (n = 35) or RE (n = 33) with one-sided significance assessed at the 20% threshold. The primary end point was PFS secondary endpoints included chemotherapy toxicity, weight change and QoL.

resultsThe adjusted hazard rate for progression comparing IER + RE vs RE was 0.729 (0.391-1.361) and the median PFS 42.0 vs 26.1 weeks respectively (p = 0.160). Toxicity was low and comparable between groups. Comparing IER + RE vs RE alone at cycle 3 the median (interquartile range) changes were: weight -1.8 kg (-4.2 to -0.7) vs +0.2 kg (-0.74, 2.59) (p < 0.001), FACT-B + 4.0 (-0.8, 11) vs +1.0 (-4.0, 4.0) (p = 0.031) and Hospital Anxiety Depression Score -2.0 (-3.5, +0.5) vs +1.0 (-2, 3.5) (p = 0.022).

conclusionIER + RE improved PFS and QoL without evidence of harms warranting a further larger randomised study in ABC.

trial registrationhttps://www.isrctn.com/ISRCTN12841416 .

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCaloric RestrictionResistance TrainingAdultAgedFemaleHumansMiddle AgedProgression-Free SurvivalQuality of Life

Identifiers

PMID40745221
PMCPMC12479916

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.