Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 and up Women only

Memantine plus structured exercise to protect thinking and memory during breast cancer chemotherapy

Official title: Memantine and Exercise to Improve Cognitive Function and Modulate Biological Pathways of Cognitive Decline During Chemotherapy in Breast Cancer

Run by UNC Lineberger Comprehensive Cancer Center · NCT06727773 · Data updated 2026-11-12

This will test whether memantine combined with a supervised exercise program, memantine alone, or a placebo can prevent or reduce thinking and memory problems in people receiving chemotherapy for stage I–III breast cancer.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment90 (estimated)
SponsorUNC Lineberger Comprehensive Cancer Center
Academic / other
Drugs / interventionschemotherapy
Locations1 site (Chapel Hill, North Carolina)
StatusRecruiting
StartedAugust 19, 2025
Main results expectedJune 15, 2029
Study endsJune 15, 2029
Registry record updatedMay 6, 2026
Trial IDNCT06727773 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Women aged 18 or older with stage I–III breast cancer who are English-speaking, recommended for chemotherapy, and can enroll before their third chemotherapy cycle are the intended participants.

Probably not a fit

Patients with severe cognitive impairment, significant cardiac or orthopedic limitations to exercise, allergy to memantine, recent prior chemotherapy, or severe psychiatric or substance-use disorders are unlikely to benefit or be eligible.

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

What this trial studies

This randomized, placebo-controlled Phase 2 trial will enroll 90 women with stage I–III breast cancer who begin chemotherapy and randomize them to memantine plus the UNC Get Real & Heel exercise program, memantine alone, or placebo. The study focuses on feasibility and acceptability of the combined intervention and collects preliminary efficacy data on cognitive performance. Blood biomarkers including brain-derived neurotrophic factor (BDNF) and inflammatory markers, along with frailty measures, will be measured at multiple time points. Outcomes will inform whether the combined approach affects biomarkers and cognitive trajectories during chemotherapy.

Why it matters

Potential benefit: If successful, the approach could help prevent or lessen chemotherapy-related thinking and memory problems and identify biological markers to guide future treatments.

How similar studies have gone: Exercise and memantine have each shown promise for cognitive outcomes in related settings, but combining memantine with a supervised cancer-specific exercise program for chemotherapy-related cognitive decline is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

In order to participate in the study a subject must meet all of the eligibility criteria outlined below.

* Female
* Age ≥ 18 years at the time of consent.
* Stage I-III Breast Cancer
* Recommended chemotherapy
* Enroll prior to 3rd cycle of chemotherapy
* English-speaking

Exclusion Criteria:

* Allergy to memantine
* Previous chemotherapy (prior to the current regimen),
* Severe cognitive impairment, defined by Blessed Orientation Memory Concentration Test Score ≥11
* Myocardial infarction in the last 6 months
* Cardiovascular or orthopedic limitations to exercise
* Severe mental illness (i.e., schizophrenia or bipolar affective disorder)
* Current alcohol or drug abuse
* Inability to swallow capsules \</= 5mL/min
* CrCl \</= 5mL/min

Where it's running

  • Lineberger Comprehensive Cancer Center at University of North Carolina, Chapel Hill
    Chapel Hill, North Carolina, United States
    Recruiting

Study contacts

Similar studies

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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.