IMMUNO-FIT Observational Study
NCT07354971 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 67
Last updated 2026-04-28
Summary
This observational study will investigate how immunotherapy affects physical fitness, quality of life, and treatment tolerance in adults with solid cancers. Immunotherapy can cause a range of side effects that impact daily functioning and may lead to treatment delays or early discontinuation. Physical fitness may influence how well patients cope with treatment, yet little is known about how fitness changes during immunotherapy or whether baseline fitness is linked to outcomes.
Participants will complete fitness testing using cardiopulmonary exercise testing (CPET) and quality-of-life questionnaires before starting immunotherapy and again 12 weeks later. Blood samples will also be taken, and long-term outcomes including survival, disease progression, and quality of life will be followed for up to 24 months. All cancer treatment will remain standard of care.
A small number of participants will be invited to take part in an optional research biopsy at week 12 to explore how physical fitness relates to changes in the tumour's immune environment.
The study will help researchers understand natural changes in fitness during immunotherapy, identify whether baseline fitness is associated with treatment tolerance or outcomes, and generate information needed to design future trials testing exercise-based interventions during immunotherapy.
Conditions
- Neoplasms
- Immunotherapy
- Physical Fitness
- Quality of Life
- Drug-Related Side Effects and Adverse Reactions
Interventions
- OTHER
-
Observational Study - No Study Intervention
This is an observational study with no study-assigned interventions. All participants receive standard-of-care immunotherapy as prescribed by their treating oncologist. Immunotherapy may include anti-PD-1, anti-PD-L1, anti-CTLA-4 agents, or approved combination regimens. All doses, schedules, treatment modifications, delays, and discontinuations follow routine clinical practice and manufacturer guidance. Treatment decisions are made independently of the study. The study observes and records treatment administration, effects on fitness and quality of life, adverse events, and clinical outcomes without influencing clinical care.
Sponsors & Collaborators
-
University of Southampton
collaborator OTHER -
National Institute for Health Research, United Kingdom
collaborator OTHER_GOV -
University Hospital Southampton NHS Foundation Trust
lead OTHER
Principal Investigators
-
Kashuf Khan, MBBS, MRCS · University of Southampton
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-26
- Primary Completion
- 2026-12-31
- Completion
- 2028-12-31
Countries
- United Kingdom
Study Locations
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