Is there a role for physical activity when treating cancer patients with immune checkpoint inhibitors? Protocol for a Scoping Review

Miaoqi Chen, Raj Ridesh, Louis Fox, Charlotte Moss, Gincy George, Sophia N Karagiannis, Deborah Enting, Magdalene Joseph, Nicola Peat, Beth Russell*, Mieke Van Hemelrijck

*Corresponding author for this work

Research output: Other contribution

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Abstract

Introduction
For cancer patients, immune checkpoint inhibitors (ICIs) produce superior long-term responses compared to alternative treatments, albeit at the cost of manifesting adverse immune-related events. There are many hypotheses of the impacts of physical activities in immunotherapy, but little is known about the oncological outcomes and the underlying mechanisms. This scoping review aims to identify possible physical activity interventions, their efficacy and feasibility, and the potential underlying biological mechanisms responsible for their effects.

Method and analysis
The Levac methodology framework was used along with guidance from the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis to inform development of this protocol. Abstracts and titles followed by full-text screening will be performed by two independent reviewers for inclusion. All studies describing the impact of physical activities and exercise interventions on cancer ICIs, with particular focus upon oncological outcomes, quality of life or underling biological mechanisms, will be included. After extracting qualitative and quantitative data, they will be evaluated and summarised respectively. Subsequently, a further consultation step with other scientists and healthcare professionals will be performed.

Ethics and dissemination
The research findings will be published through an open-access peer-reviewed journal. The results of this scoping review will be used to inform further studies on physical impacts on immunotherapy. All data included will be from open resources therefore no ethical clearances are required.
Original languageEnglish
TypeProtocol
PublisherBMJ and BMJ Publishing
Place of PublicationBMJ Open
DOIs
Publication statusPublished - 8 Oct 2021

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