Table 1 Completed lifestyle randomised control trials (RCT) for cancer survivors.

From: Targeting obesity-related dysfunction in hormonally driven cancers

Study

Population

Intervention

BMI

Primary endpoint

Outcomes

Breast cancer trials

WINS

Early stage BC

Fat reduction diet

All

RFS

9.8% vs 12.4% (HR 0.78; CI 0.60–0.98) P = 0.03156

WHEL

Early stage BC

Diet

All

Recurrence rate death

16.7% vs 16.9% (HR 0.96; CI 0.8–1.17) P = 0.63 10.1% vs 10.3% (HR 0.91; CI 0.72–1.15) P = 0.43157

DAMES

Mother-Daughter Dyads with early Stage BC

Diet + PA

25–39.9

Feasibility & weight loss

>5% weight loss in 21.7-39.1% of participants167

LISA

Node negative BC

Diet + PA

24–50

DFS events*

12.9% vs 18.0% (HR 0.71; CI 0.41–1.24) P = 0.23181

ENERGY

Early stage BC

Diet + supervised exercise

25–45

Weight loss

3.7% vs 1.3% at 24 months (P < 0.001)168

LEAN

Survivors of stage 0-III BC

Diet + PA

≥25

Weight loss

6.4% vs 5.4% vs 2.0%** (P = 0.004, P = 0.009, P = 0.46)169

SUCCESS C

Her2-negative early stage BC

Diet + PA

24–40

DFS

No difference in DFS. HR 0.99; CI 0.76–1.28, P = 0.922182

Prostate cancer trials

MEAL

Localized PC

Diet

All

Time to progression

No difference detected. Adjusted HR 0.97 (CI 0.76–1.25), P = 0.84)183

CAPS2

Localized PC

Diet

≥24

PSADT***

28 vs 13 months, P = 0.021184

Endometrial cancer trials

SUCCEED

Stage I-II EC

Diet + PA

≥25

Weight loss

1.4 kg vs −4.6 kg (CI −1.09 to 0.14), P = 0.011185

Multiple cancer trials

RENEW

Survivors of BC, CRC, PC

Diet + PA

25–40

PF scale decline

−2.15 vs −4.84, P = 0.03186

  1. PA physical activity, EC endometrial cancer, BC breast cancer, PF physical function, CRC colorectal cancer, PC prostate cancer, I individual arm, T team arm, PSADT prostate serum antigen doubling time, CC colon cancer, HR hazard ratio, CI confidence interval.
  2. *Loss of funding, underpowered, reporting weight loss, **in-person vs telephone vs standard care, ***study terminated after interim analysis showed futility.