- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01916525
Effectiveness of Exercise Cardiac Rehabilitation (EFEX-CARE)
Effectiveness of Exercise-based Rehabilitation Program for Patients After Acute Coronary Syndrome
Study Overview
Status
Intervention / Treatment
Detailed Description
The cost-effectiveness of exercise-based cardiac rehabilitation has not been systematically studied earlier in Finland, and it is not justifiable to directly apply the results of studies done in other countries to circumstances in Finland due to differences in the health care and social security systems between the countries. The research will utilize top Finnish expertise spanning clinical cardiology, health economics, and physical education. The hypothesis is that a quality-adjusted life year of a cardiac patient (cost/QALY) is 20 % less costly in a rehabilitation group than in a conventional post-acute care group.
The participants in the study will be recruited from Oulu University Hospital patients from the Oulu region (n = 300) who have suffered acute coronary syndrome (angiographically diagnosed coronary artery disease). Of these patients, 130 will be randomized to exercise-based cardiac rehabilitation (Verve) and 170 to a control group. Dropping out of the intervention will be mini-mized by means of careful definition of the inclusion criteria and close follow-up. The rehabilitation will seek to implement the most recent international recommendations for health-enhancing physical activity (% of those who achieved the exercise target). Instructions for a progressive training model will be compiled. The amount of exercise will be monitored objectively with a wrist-worn device based on wellness technology. Subjective loading of both the training and health-enhancing physical activity will be monitored using self-evaluation. The study will last one year for each patient, after which cost-effectiveness will be analyzed (University of Eastern Finland). The results of the research will facilitate decision making and choices in Finnish health care when arranging rehabilitation for cardiac patients and planning the optimal utilization of health care resources.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Timo H Mäkikallio, MD
- Phone Number: +358400574844
- Email: timo.makikallio@ppshp.fi
Study Locations
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-
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Oulu, Finland, 90101
- Recruiting
- Verve
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Contact:
- Mikko P Tulppo, PhD
- Phone Number: +358405081902
- Email: mikko.tulppo@verve.fi
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Principal Investigator:
- Arto J Hautala, PhD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- The patients undergo coronary angiography and are diagnosed with coronary artery disease.
Exclusion Criteria:
- New York Heart Association (NYHA) class IV
- heart failure
- unstable chest pain (angina pectoris) at the time of randomization
- severe peripheral atherosclerosis (intermittent claudication)
- severe retinopathy or neuropathy related to diabetes.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Exercise based cardiac rehabilitation
Patients will receive written instructions and a referral to the exercise-based rehabilitation unit.
The patient will be taught to use fitness room.
Each session of training will be controlled by heart rate.
Instruction will also be given for at-home training and filling in a training diary, and training will be scheduled at Verve once a week.
On the first visit the patient will receive a device that measures physical activity during the study.
Training will also be monitored from the training diary.
Structured questionnaires will be used to check compliance and implementation of care will be determined from medication and other health-related habits once a month (during the first 6 months) and finally after 12 months.
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The cost-effectiveness between the exercise training vs. control groups
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No Intervention: Control
A conventional post-acute care group treated according to finnish guidelines.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Cost / quality-adjusted life year of a cardiac patient (QALY)
Time Frame: One year / patient
|
One year / patient
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Major Adverse Cardiac Event (MACE)
Time Frame: One year / patient
|
significant clinical adverse events, overall mortality, and acute cardiac arrest or resuscitation from cardiac arrest.
|
One year / patient
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Mikko P Tulppo, PhD, University of Oulu
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Verve-139226
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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