Exercise and Respiratory Training as Supportive Treatments for Patients With Chronic Pulmonary Hypertension
Primary Purpose
Chronic Pulmonary Hypertension
Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
Exercise and Respiratory Training
Sponsored by
About this trial
This is an interventional treatment trial for Chronic Pulmonary Hypertension
Eligibility Criteria
Inclusion Criteria:
- Patients with severe chronic PH who were stable and compensated under optimized medical therapy (such as endothelin antagonists, iloprost, sildenafil, calcium channel blockers, anticoagulants, diuretics, and supplemental oxygen) for at least 3 months before entering the study will be invited to participate.
Additional inclusion criteria will be age of between 18 and 75 years and World Health Organization (WHO) functional class II to IV.
Exclusion Criteria:
- Patients with recent syncope or skeletal or muscle abnormalities prohibiting participation in an exercise program won't be included.
Sites / Locations
- Thoraxklinik Heidelberg
Arms of the Study
Arm 1
Arm Type
Active Comparator
Arm Label
Exercise and Respiratory Training
Arm Description
Outcomes
Primary Outcome Measures
distance walked in 6 minutes
change in quality of life as measured by the Short Form Health Survey (SF-36) questionnaire
Secondary Outcome Measures
changes in WHO functional classification
Borg scale assessed immediately after completion of the stress Doppler echocardiography
parameters of echocardiography
parameters of gas exchange
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01398345
Brief Title
Exercise and Respiratory Training as Supportive Treatments for Patients With Chronic Pulmonary Hypertension
Official Title
Phase 3 Study of Physical Exercise and Respiratory Training as Supportive Treatments for Patients With Severe Chronic Pulmonary Hypertension
Study Type
Interventional
2. Study Status
Record Verification Date
July 2014
Overall Recruitment Status
Completed
Study Start Date
April 2003 (undefined)
Primary Completion Date
December 2006 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Heidelberg University
4. Oversight
5. Study Description
Brief Summary
Background
-Pulmonary hypertension (PH) is associated with restricted physical capacity, limited quality of life, and a poor prognosis because of right heart failure. The present study is the first prospective randomized study to evaluate the effects of exercise and respiratory training in patients with severe symptomatic PH.
Methods
-Patients with PH on stable disease-targeted medication will be randomly assigned to a control and a primary training group. Medication will remain unchanged during the study period. Primary end points will be the changes from baseline to week 15 in the distance walked in 6 minutes and in scores of the Short Form Health Survey quality-of-life questionnaire. Changes in WHO functional class, Borg scale, and parameters of echocardiography and gas exchange also will be assessed.
Prospects
-We hope this study will indicate that respiratory and physical training are a promising adjunct to medical treatment in severe PH.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Pulmonary Hypertension
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
30 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Exercise and Respiratory Training
Arm Type
Active Comparator
Intervention Type
Behavioral
Intervention Name(s)
Exercise and Respiratory Training
Intervention Description
Patients in the interventional group will participate in an exercise program 7 days a week at low workloads (10 to 60 W) that will be supervised by physical therapists and physicians.
Primary Outcome Measure Information:
Title
distance walked in 6 minutes
Time Frame
baseline - 15 weeks afterwards
Title
change in quality of life as measured by the Short Form Health Survey (SF-36) questionnaire
Time Frame
baseline - 15 weeks afterwards
Secondary Outcome Measure Information:
Title
changes in WHO functional classification
Time Frame
baseline - 15 weeks afterwards
Title
Borg scale assessed immediately after completion of the stress Doppler echocardiography
Time Frame
baseline - 15 weeks afterwards
Title
parameters of echocardiography
Time Frame
baseline - 15 weeks afterwards
Title
parameters of gas exchange
Time Frame
baseline - 15 weeks afterwards
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients with severe chronic PH who were stable and compensated under optimized medical therapy (such as endothelin antagonists, iloprost, sildenafil, calcium channel blockers, anticoagulants, diuretics, and supplemental oxygen) for at least 3 months before entering the study will be invited to participate.
Additional inclusion criteria will be age of between 18 and 75 years and World Health Organization (WHO) functional class II to IV.
Exclusion Criteria:
Patients with recent syncope or skeletal or muscle abnormalities prohibiting participation in an exercise program won't be included.
Facility Information:
Facility Name
Thoraxklinik Heidelberg
City
Heidelberg
ZIP/Postal Code
69126
Country
Germany
12. IPD Sharing Statement
Citations:
PubMed Identifier
22848542
Citation
Nagel C, Prange F, Guth S, Herb J, Ehlken N, Fischer C, Reichenberger F, Rosenkranz S, Seyfarth HJ, Mayer E, Halank M, Grunig E. Exercise training improves exercise capacity and quality of life in patients with inoperable or residual chronic thromboembolic pulmonary hypertension. PLoS One. 2012;7(7):e41603. doi: 10.1371/journal.pone.0041603. Epub 2012 Jul 25.
Results Reference
derived
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Exercise and Respiratory Training as Supportive Treatments for Patients With Chronic Pulmonary Hypertension
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