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EXercise Training for the Prevention of Cancer Thrombosis (EXPECT) Pilot Trial (EXPECT)

This study has been completed.
Information provided by (Responsible Party):
Susan Lakoski, University of Vermont Identifier:
First received: May 9, 2013
Last updated: December 3, 2014
Last verified: December 2014
Patients with lymphoma or cancer who are receiving chemotherapy in the outpatient setting are at risk for blood clots which form in the veins. The occurrence of blood clots has major implications on personal health including the need for blood thinners and monitoring, potential bleeding, and complications related to blood clots on cardiovascular health. The goal of this study is to determine whether aerobic exercise training is a therapeutic strategy to offset risk of blood clots and improve quality of life among cancer patients during chemotherapy.

Condition Intervention
Cancer Thrombosis Behavioral: Supervised aerobic exercise training

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: EXercise Training for the Prevention of Cancer Thrombosis (EXPECT) Pilot Trial

Resource links provided by NLM:

Further study details as provided by Susan Lakoski, University of Vermont:

Primary Outcome Measures:
  • Thrombin Generation [ Time Frame: 12 weeks ]
    The primary endpoint will be thrombin generation, a marker of VTE risk in cancer.

Enrollment: 40
Study Start Date: March 2013
Primary Completion Date: March 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Group 1 - Supervised aerobic exercise training
This group will participate in 3 supervised exercise sessions/week at an intensity of 50%-70% of the individually determined VO2max between 30-45 min/session for 12 weeks. The aerobic training intervention will closely mimic the standard exercise-based guidelines adopted in cardiac rehabilitation. All intervention sessions will be performed in a supervised setting with one-on-one supervision by an American College of Sports Medicine-certified exercise physiologist. Aerobic exercise training will be prescribed based on the guiding ACSM principles with the aim of improving VO2max. Walking was chosen because it is the preferred mode of exercise training in cancer patients.
Behavioral: Supervised aerobic exercise training
No Intervention: Group 2
The 12-week program will consist of monthly phone contacts to check in with patient and review their exercise log entries for that month in order to capture physical activity done outside of the intervention setting.

  Show Detailed Description


Ages Eligible for Study:   18 Years to 79 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Diagnosis of lymphoma or cancer
  • Beginning chemotherapy regimen
  • Patient self-report of ability to walk 10 minutes without interruption or pain
  • Age >18 and <80
  • Willingness to participate in the oncology rehabilitation program at Tilley Drive South Burlington

Exclusion Criteria:

  • Presence or history of DVT or PE prior to entry
  • Antithrombotic therapy including warfarin, dabigatran, low molecular weight heparin or unfractionated heparin which will alter levels of hemostatic factors (Off Lovenox 48 hours before first study blood draw)
  • Medical condition that alters ability to walk for exercise
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01853202

United States, Vermont
Fletcher Allen Healthcare
Burlington, Vermont, United States, 05401
Sponsors and Collaborators
University of Vermont
Principal Investigator: Susan G Lakoski, MD University of Vermont
  More Information


Responsible Party: Susan Lakoski, Assistant Professor, University of Vermont College of Medicine, University of Vermont Identifier: NCT01853202     History of Changes
Other Study ID Numbers: VCC 1220
Study First Received: May 9, 2013
Last Updated: December 3, 2014

Keywords provided by Susan Lakoski, University of Vermont:

Additional relevant MeSH terms:
Embolism and Thrombosis
Vascular Diseases
Cardiovascular Diseases processed this record on September 21, 2017