Clinical trial Recruiting at 1 site Interventional Ages 18 and up Women only

Lifestyle, exercise, and nutrition program to improve response in triple-negative breast cancer

Official title: Lifestyle, Exercise, And Nutrition (LEAN) Trial on Pathologic Complete Response in Triple Negative Breast Cancer (TNBC)

Run by Yale University · NCT07066189 · Data updated 2026-11-12

This will test whether weekly remote nutrition counseling and a home-based exercise program can help women with stage II–III triple-negative breast cancer have no remaining tumor in the breast after chemo-immunotherapy before surgery.

Quick facts

Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment160 (estimated)
SponsorYale University
Academic / other
Drugs / interventionschemotherapy, immunotherapy
Locations1 site (New Haven, Connecticut)
StatusRecruiting
StartedOctober 17, 2025
Main results expectedOctober 2029
Study endsOctober 2029
Registry record updatedSeptember 25, 2026
Trial IDNCT07066189 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Women aged 18 or older with stage II–III triple-negative breast cancer who are scheduled for neoadjuvant chemo-immunotherapy, can walk, read English, obtain oncologist clearance, agree to randomization, and currently do less than 150 minutes of exercise per week and low fruit/vegetable intake are the intended participants.

Probably not a fit

Patients who have already started a second cycle of chemotherapy, are pregnant or planning pregnancy, have dementia or major psychiatric disease, or recent major cardiac or cerebrovascular events, or who already meet high activity and nutrition levels may not be eligible or likely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized interventional study enrolls women with stage II–III triple-negative breast cancer who are scheduled for neoadjuvant chemo-immunotherapy and currently do less than 150 minutes of exercise per week. After baseline assessment and consent, participants are randomly assigned to weekly 30-minute remote nutrition and exercise counseling plus a home-based exercise regimen or to usual care for the duration of chemotherapy. Study visits include two in-person assessments with blood draws, a 6-minute walk test, and DXA scans to measure body composition. The primary outcome is pathologic complete response (no residual cancer in the breast) with secondary outcomes including residual cancer burden, treatment-related symptoms, body composition, and blood biomarkers.

Why it matters

Potential benefit: If successful, the program could increase the chance of a pathologic complete response and improve fitness, body composition, and treatment-related symptoms.

How similar studies have gone: Previous exercise and nutrition programs in cancer patients have improved fitness, body composition, and some treatment-related symptoms, but applying a combined program specifically to increase pathologic complete response in neoadjuvant TNBC is largely novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Female aged 18 years or older.
2. Have a diagnosis of stage II or III Triple Negative Breast Cancer (TNBC).
3. Be scheduled to receive neoadjuvant chemo-immunotherapy.
4. Be physically able to walk.
5. Be able to complete forms, understand instructions and read in English.
6. Agree to be randomly assigned to either group.
7. Have clearance from oncologist to participate.
8. Not exercising (less than 150 min/week).
9. Not consuming more than 7 fruits and vegetable/day.

Exclusion Criteria:

1. Having already started a 2nd chemotherapy cycle.
2. Pregnancy or intention to become pregnant.
3. Presence of dementia or major psychiatric disease.
4. Recent (past year) stroke, myocardial infarction, or congestive heart failure.

Where it's running

  • Yale University
    New Haven, Connecticut, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.