Personalized Home Respiratory Rehabilitation Program for Subjects With Systemic Sclerosis With Early Lung Disease (SCLERESPIR)
Personalized Home Respiratory Rehabilitation Program for Subjects With Systemic Sclerosis With Early Lung Disease: Pilot Feasibility Study
Systematic sclerosis (SSc) is a potentially severe disease characterized by various visceral involvements including lung. The investigators hypothesize that a respiratory rehabilitation program specifically designed for people with systematic sclerosis with early lung disease could help to decrease respiratory deficiencies, improve aerobic capacity and prevent activity limitations and participation restrictions.
Before testing the effectiveness of such a program, a pilot study is needed to assess its feasibility and optimize its content.
Participants will have 1 supervised session in the outpatient rehabilitation department. Each patient will then perform the home personalized exercises program for 3 months.
The feasibility of the program will be assessed at 3 months using patients' adherence to the program (assessed by the number of lost to follow-up, the number of questionnaires not completed, the amount of aerobic activity and the amount of home personalized exercises, treatment burden, adverse effects and quality of life.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
SSc is responsible for a reduced life expectancy. The prognosis depends on the presence of severe visceral damage and more particularly on the presence of interstitial lung damage, pulmonary arterial hypertension or specific cardiac damage which represent the 3 main causes of mortality in SSc.
The importance of rehabilitation in SSc has been confirmed by the latest INSERM Collective Expertise 2019). The objectives of functional rehabilitation in SSc are to prevent and/or reduce the specific (cutaneous, oral, cardiorespiratory, musculoskeletal) and non-specific (exercise deconditioning, fatigue, anxiety and depression) impairments frequently characterizing the evolution of the disease. Based on the latest practice recommendations for the diagnosis and treatment of idiopathic pulmonary fibrosis, people with a confirmed diagnosis of idiopathic pulmonary fibrosis and significant exercise and activity limitations should follow a respiratory rehabilitation program.
The value of a specific respiratory rehabilitation program for people with SSc is then a matter of interest. A pilot study is needed to assess the feasibility and optimize the content of a rehabilitation program. The investigators aimed to study the feasibility of a personalized home-based respiratory rehabilitation program in people with SSc with early lung disease.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Alexandra ROREN, PhD
- Phone Number: 00 33 1 58 41 13 71
- Email: alexandra.roren@aphp.fr
Study Contact Backup
- Name: Marie BENHAMMANI-GODARD
- Phone Number: 0033 1 58411190
- Email: marie.godard@aphp.fr
Study Locations
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Île-de-France Region
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Paris, Île-de-France Region, France, 75014
- Service de rééducation fonctionnelle, réadaptation de l'appareil locomoteur et Pathologies du Rachis - Cochin Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Systemic sclerosis according to ACR/EULAR 2013 criteria
- Lung involvement, with FCV > 70% on PFT
Exclusion Criteria:
- Inability to understand French
- Pregnancy or breastfeeding
- Arterial pulmonary hypertension > 35 mmHg and unexplained dyspnoea or arterial pulmonary hypertension > 40 mmHg
- Major musculoskeletal impairment incompatible with physical activity
- other pulmonary disease decreasing FCV
- Pathological EKG
- Oxygen saturation at rest or during physical activity < 90%
- FCV < 70%
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Home based exercises
1 supervised session in the outpatient rehabilitation department with respiratory, aerobic and muscles strengthening exercises, followed by 3 months of self-manage personalized home exercises program.
Cardiac frequency and adherence to exercise will be monitored using an activity tracker (Garmin© watch).
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of lost to follow up patients
Time Frame: 3 months
|
Adherence to treatment
|
3 months
|
|
Number of uncompleted questionnaires
Time Frame: 3 months
|
Adherence to treatment
|
3 months
|
|
Amount of aerobic work recorded using a connected watch
Time Frame: 3 months
|
Adherence to treatment / Amount of aerobic work recorded using a connected watch with heart rate monitor
|
3 months
|
|
Amount of exercises self-reported in a logbook
Time Frame: 3 months
|
Adherence to treatment
|
3 months
|
|
Exercise Adherence Rating Scale (EARS) questionnaire
Time Frame: 3 months
|
Adherence to treatment / Amount of exercises
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3 months
|
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Self-reported adherence
Time Frame: 3 months
|
Adherence to treatment
|
3 months
|
|
Exercise Adherence Rating Scale (EARS) questionnaire
Time Frame: 3 months
|
Adherence to treatment
|
3 months
|
|
Treatment burden assess by the Exercise Therapy Burden Questionnaire (ETBQ)
Time Frame: 3 months
|
Adherence to treatment / Burden of program
|
3 months
|
|
Check-list to report side effects
Time Frame: 3 months
|
Adherence to treatment
|
3 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lung volume
Time Frame: Day of inclusion
|
Pulmonary Function Testing (PFT) - Respiratory function / Variation between base line and 3 months
|
Day of inclusion
|
|
Lung volume
Time Frame: 3 months
|
Pulmonary Function Testing (PFT) - Respiratory function / Variation between base line and 3 months
|
3 months
|
|
Diffusing capacity
Time Frame: Day of inclusion
|
Pulmonary Function Testing (PFT) - Respiratory function / Variation between base line and 3 months
|
Day of inclusion
|
|
Diffusing capacity
Time Frame: 3 months
|
Pulmonary Function Testing (PFT) - Respiratory function / Variation between base line and 3 months
|
3 months
|
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Maximal oxygen consumption during a 6 minute walking test
Time Frame: Day of inclusion
|
Aerobic capacity / Variation between base line and 3 months
|
Day of inclusion
|
|
Maximal oxygen consumption during a 6 minute walking test
Time Frame: 3 months
|
Aerobic capacity / Variation between base line and 3 months
|
3 months
|
|
Saint Georges hospital questionnaire
Time Frame: Day of inclusion
|
Activity limitations specific to respiratory function / Variation between base line and 3 months
|
Day of inclusion
|
|
Saint Georges hospital questionnaire
Time Frame: 3 months
|
Activity limitations specific to respiratory function / Variation between base line and 3 months
|
3 months
|
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Health Assessment Questionnaire (HAQ)
Time Frame: Day of inclusion
|
Overall activity limitations / Variation between base line and 3 months
|
Day of inclusion
|
|
Health Assessment Questionnaire (HAQ)
Time Frame: 3 months
|
Overall activity limitations / Variation between base line and 3 months
|
3 months
|
|
12-Items short form survey questionnaire (SF-12)
Time Frame: Day of inclusion
|
Quality of life / Variation between base line and 3 months
|
Day of inclusion
|
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12-Items short form survey questionnaire (SF-12)
Time Frame: 3 months
|
Quality of life / Variation between base line and 3 months
|
3 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Camille DASTE, MD, Cochin Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP)
- Study Director: Christelle NGUYEN, MD, PhD, Cochin Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP)
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- APHP210260
- 2020-A03551-38 (Other Identifier: France : ANSM)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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