Breast Cancer Clinical Trial
Official title:
Randomized Phase II Study of Exercise and Metformin in Colorectal and Breast Cancer Survivors
Metformin is a medication that is commonly used in the treatment of diabetes. Recently small
studies in cancer patients without diabetes suggest that metformin may benefit in lowering
insulin levels. In those studies of patients with cancer but not diabetes, glucose (or sugar)
levels in the blood are generally no lowered. Insulin and insulin-like growth factors affect
the growth of cancer cells.
This randomized study will compare different interventions; exercise, exercise and metformin,
metformin alone, or a control arm. The investigators are not directly testing how either
exercise or metformin affects your disease. The investigators are testing how they affect
insulin levels in your body as well as other blood markers. The investigators believe that
these blood tests may either be related to cancer recurrences or be an early sign of cancer
recurrences and they are testing how both exercise and metformin may change those markers.
Subjects will be randomized into one of four groups: exercise training, exercise training and
metformin, metformin alone, or control arm. All subjects will have lifestyle measurements,
interviews regarding activity level, diet questionnaires, and blood tests.
Subjects randomized to exercise training will participate in two supervised exercise sessions
per week with an exercise physiologist for 3 months. They will also be asked to exercise on
their own for up to an additional 120 minutes each week.
Subjects randomized to exercise training and metformin will participate in two supervised
exercise sessions per week and will take metformin. Metformin will be taken once daily for
the first two weeks and then twice daily for 3 months.
Subjects randomized to metformin will take metformin once daily for the first two weeks and
then twice daily.
Subjects on the control arm will receive a packet of educational information on nutrition and
physical activity developed by the National Cancer Institute and American Cancer Society. In
addition to education information, they will be offered two supervised sessions with an
exercise physiologist as well as a pedometer 3 months after enrollment in the study.
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