- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01209637
Impact of Intensive Exercise Training on Coronary Collateral Circulation in Patients With Stable CAD
Impact of Intensive Exercise Training Compared to Inactive Controls on Coronary Collateral Circulation and Plaque Composition in Patients With Significant Stable Coronary Artery Disease
Exercise training in patients with coronary artery disease is able to correct several risk factors. Furthermore endothelial function can be improved.
There are some hinds for improved collateral circulation after exercise training, nevertheless there is no study showing significant improvement/ increase in coronary collaterals. This might be due to technique of collateral measurement. Therefore we conduct a study were coronary blod flow before and after 4 weeks of exercise training were measured.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Leipzig, Germany, 04289
- Heart Center Leipzig- University Leipzig
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- stable CAD
- min.1 coronary artery stenosis >50%
- patient is symptomatic ( CCS 1-3)or has documented myocardial ischemia during stress test
- angina threshold >75 Watt
- informed consent
Exclusion Criteria:
- Age <18 oder >75
- akut coronary syndrome within 2 weeks
- LV-EF < 40 %
- significant valve diseases
- reduced patient compliance
- muscular disorder
- bronchial asthma or COLD stadium III and IV
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: control
standard care of coronary artery diseases incl.
recommended home based exercise 3x/week
|
|
Active Comparator: Exercise training
exercise training for 4 weeks at 70% of ischemia free individual threshold within a rehabilitation care center
|
exercise training min.
4 times a day for at least 30 min
|
Active Comparator: intensive exercise training
intensive exercise training incl.
interval training
|
Intensive exercise training for 4 times / day incl.
interval training at 95% individual threshold
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
coronary collateral blod flow
Time Frame: 4 weeks
|
4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
plaque composition within the coronary artery
Time Frame: 4 weeks
|
plaque composition measured by virtual histology intravascular ultrasound
|
4 weeks
|
MACCE
Time Frame: 4 week, 6 months, 12 months
|
major cardiovascular events (death, myocardial infarction, stroke, TIA, coronary revascularisation, hospitalisation)
|
4 week, 6 months, 12 months
|
atherosclerosis parameter within the laboratory
Time Frame: 4 weeks, 3, 6, 12 months
|
e.g.
wie hs-CRP, HDL, LDL, ges.
Cholesterin, Triglyceride, Zytokine, Adipokine, Endocannaboide
|
4 weeks, 3, 6, 12 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Sven Möbius-Winkler, MD, Heart Center Leipzig- University Leipzig
Publications and helpful links
General Publications
- Mobius-Winkler S, Uhlemann M, Adams V, Sandri M, Erbs S, Lenk K, Mangner N, Mueller U, Adam J, Grunze M, Brunner S, Hilberg T, Mende M, Linke AP, Schuler G. Coronary Collateral Growth Induced by Physical Exercise: Results of the Impact of Intensive Exercise Training on Coronary Collateral Circulation in Patients With Stable Coronary Artery Disease (EXCITE) Trial. Circulation. 2016 Apr 12;133(15):1438-48; discussion 1448. doi: 10.1161/CIRCULATIONAHA.115.016442. Epub 2016 Mar 15.
- Uhlemann M, Adams V, Lenk K, Linke A, Erbs S, Adam J, Thiele H, Hilberg T, Gutberlet M, Grunze M, Schuler GC, Mobius-Winkler S. Impact of different exercise training modalities on the coronary collateral circulation and plaque composition in patients with significant coronary artery disease (EXCITE trial): study protocol for a randomized controlled trial. Trials. 2012 Sep 14;13:167. doi: 10.1186/1745-6215-13-167.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SMW 04
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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