Breaking up long sitting periods to improve heart health and reduce chemo side effects in adults with lymphoma on R-CHOP or POLA-R-CHP
Official title: Interrupting Sedentary Time to Improve Cardiometabolic Health and Toxicity in Patients With Lymphoma Receiving Chemotherapy: The iSTAND Trial
Run by Dana-Farber Cancer Institute · NCT06923397 · Data updated 2026-11-12
This trial will test whether a 12-week program that interrupts long periods of sitting helps newly diagnosed adults with lymphoma receiving R-CHOP or POLA-R-CHP chemotherapy improve heart health and reduce chemotherapy side effects.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 24 (estimated) |
| Sponsor | Dana-Farber Cancer Institute Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Boston, Massachusetts) |
| Status | Recruiting |
| Started | June 5, 2025 |
| Main results expected | November 28, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | April 13, 2026 |
| Trial ID | NCT06923397 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are English-speaking adults (≥18) newly diagnosed with lymphoma who are starting first-line R-CHOP or POLA-R-CHP, engage in ≤60 minutes per week of structured moderate-to-vigorous exercise, have physician clearance, can receive text messages, and can travel to Dana-Farber for visits.
✕Probably not a fit
Patients with unstable comorbidities that prevent moderate-to-vigorous activity, those already exercising more than 60 minutes per week, individuals under 18, or anyone unable to travel to Dana-Farber are unlikely to receive benefit from this program.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized pilot trial will assign about 24 newly diagnosed adult lymphoma patients receiving first-line R-CHOP or POLA-R-CHP to either a 12-week interrupted sedentary time intervention or usual care. The intervention encourages regular short activity breaks to reduce prolonged sitting and includes supervised and unsupervised components plus text-message support. Study measures include feasibility outcomes, cardiometabolic blood markers, fitness assessments, and patient-reported chemotherapy toxicity collected at baseline and after 12 weeks. All study visits and exercise sessions occur at Dana-Farber Cancer Institute in Boston.
Why it matters
Potential benefit: If successful, the program could lower cardiometabolic risk and reduce the severity of chemotherapy-related side effects during treatment.
How similar studies have gone: Exercise and breaking up sedentary time have improved cardiometabolic markers in other populations and exercise interventions have reduced treatment-related symptoms in cancer patients, but applying an interrupted-sitting program specifically to newly diagnosed lymphoma patients on R-CHOP/POLA-R-CHP is relatively untested.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Ability to understand and the willingness to sign informed consent prior to any study- related procedures. * Patients diagnosed with lymphoma. * Will receive first line R-CHOP or POLA-R-CHP chemotherapy regimens, patients do not need to be within a certain timeframe from diagnosis. * Aged ≥18 years; due to the rarity of the disease in those \<18 years, this age bracket will not be included. * Engaging in ≤60-minutes of structured moderate or vigorous intensity exercise. * Have physician clearance to participate in exercise. * Speak English. * Willing to travel to Dana-Farber Cancer Institute for necessary data collection and exercise sessions. * Access to a phone that can receive text messages. Exclusion Criteria: * Unstable comorbidities that prevent participation in moderate-to-vigorous intensity exercise. Patients with unstable comorbidities likely require supervised exercise for safety, and part of this study involves unsupervised exercise; therefore, for safety reasons, these persons are excluded. * Participate in more than 60 minutes of structured moderate-to-vigorous exercise per week over the last month. Excess additional exercise is a confounding factor in assessing the effect of the current interrupted sedentary time intervention. * Patients receiving treatment for other active malignancies (except basal cell carcinoma). This study is exclusively targeting lymphoma chemotherapy-related effects. * Patients currently taking weight loss drugs. * Subjects who in the opinion of the investigators may not be able to comply with the safety monitoring requirements of the study. * Unable to travel to DFCI Longwood campus for necessary data collection and chemotherapy infusions.
Where it's running
-
Dana Farber Cancer Institute
Boston, Massachusetts, United States Recruiting
Study contacts
- Principal investigator: Christina Dieli-Conwright, MD, PhD — Dana-Farber Cancer Institute
- Study coordinator: Christina Dieli-Conwright, MD, PhD
- Email: ChristinaM_Dieli-Conwright@dfci.harvard.edu
- Phone: 617-582-8321
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.