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Nina Niu Sanford: 2 Additional Thoughts on the CHALLENGE Trial from ASCO 2025
Jun 5, 2025, 14:31

Nina Niu Sanford: 2 Additional Thoughts on the CHALLENGE Trial from ASCO 2025

Nina Niu Sanford, Assistant Professor and Chief of Gastrointestinal Radiation Oncology at Harvard/Brigham and Women’s Hospital/Massachusetts General Hospital, shared a post on X:

“2 additional thoughts regarding CHALLENGE trial as I return to clinic:
  1. What level of evidence should be required before implementing an exercise program into cancer survivorship? Do we *need* a large RCT demonstrating a whopping OS improvement? Particularly in context of prior studies suggesting many mental, physical benefits to exercise (and with low/no toxicity)? There are plenty of other ancillary support services we pay for in oncology – nutritional counseling, social work, etc – do they have corresponding RCTs showing survival benefit?
  2. I would also like to see a formal cost breakdown of the trial exercise program. Many are surmising it would be massive, but actual #s would help. May inform Q1 above, plus place into context with other therapies and services we currently sponsor.”

Read OncoDaily’s Special Articles about ASCO 2025:

Highlights from ASCO 2025 Day 1

Highlights from ASCO 2025 Day 2

Highlights from ASCO 2025 Day 3

Highlights from ASCO 2025 Day 4

Nina Niu Sanford