- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02213770
Long Term Effect of High-intensity Training After Heart Transplantation
High-intensity training (HIT) has repeatedly been documented to have superior positive effects compared to moderate exercise in patients with coronary heart disease and heart failure. Since heart transplant recipients (HTx), have a denervated heart with different respond to exercise, HIT has previously not been introduced among these patients. Rikshospitalet carried out a RCT to investigate this (the TEX study 2009-2012), and found that this form of exercise also was highly effective and safe in long term HTx with clinically significant improvement in VO2peak, muscular exercise capasity, general HRQoL, and even slower progression of CAV (coronary allograft vasculopathy). Based on these findings we ask the following questions in this follow-up study:
- Would the effect on VO2peak, HRQoL,muscle capacity and CAV obtained during the study period continue during long term follow up (5 years)?
- Is the intervention group more physical active after HIT compared to the control group?
Study Overview
Status
Conditions
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Oslo, Norway, 0424
- OUS- Rikshospitalet
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- stable situation
- optimal medical treatment
- written concent
Exclusion Criteria:
- unstable situation,
- infections (open wounds or skin diseases),
- physical conditions that prevents participation,
- or other injuries/ diseases who are contraindicated with training.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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Intervention group
Group that followed high- intensity interval training program in TEX study.
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Control group
Followed up on a regular basis for HTx recipients in Norway.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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mean VO2peak in the intervention group and control group
Time Frame: 5 years after start of inclusion in RCT (TEX). One measurment.
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We will use the same test protocol as the TEX- study.
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5 years after start of inclusion in RCT (TEX). One measurment.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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How many has progression of cardiac allograft vasculopathy in the intervention group and control group.
Time Frame: 5 years after inclusion in RCT (TEX study).
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Progression of vasculopathy will be studied with IVUS technique, and compared with IVUS pictures from TEX.
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5 years after inclusion in RCT (TEX study).
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Mean muscle capacity in the intervention group and control group.
Time Frame: 5 years after inclusion in RCT, TEX study.
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5 years after inclusion in RCT, TEX study.
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Quality of life
Time Frame: 5 years after inclusion in TEX- study.
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We will use validated questionnaires to estimate quality of life and to evaluate depression.
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5 years after inclusion in TEX- study.
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Difference in activity level between groups
Time Frame: 5 years after inclusion i RCT, TEX study.
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To estimate activity the study population will fill out a validated questionnaire about physical activity, and they will wear a physical activity monitor at home for one week.
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5 years after inclusion i RCT, TEX study.
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Lars Gullestad, professor, OUS- kardiologisk avdeling
Publications and helpful links
General Publications
- Nytroen K, Rustad LA, Aukrust P, Ueland T, Hallen J, Holm I, Rolid K, Lekva T, Fiane AE, Amlie JP, Aakhus S, Gullestad L. High-intensity interval training improves peak oxygen uptake and muscular exercise capacity in heart transplant recipients. Am J Transplant. 2012 Nov;12(11):3134-42. doi: 10.1111/j.1600-6143.2012.04221.x. Epub 2012 Aug 17.
- Nytroen K, Rustad LA, Gude E, Hallen J, Fiane AE, Rolid K, Holm I, Aakhus S, Gullestad L. Muscular exercise capacity and body fat predict VO(2peak) in heart transplant recipients. Eur J Prev Cardiol. 2014 Jan;21(1):21-9. doi: 10.1177/2047487312450540. Epub 2012 Jun 1.
- Nytroen K, Myers J, Chan KN, Geiran OR, Gullestad L. Chronotropic responses to exercise in heart transplant recipients: 1-yr follow-up. Am J Phys Med Rehabil. 2011 Jul;90(7):579-88. doi: 10.1097/PHM.0b013e31821f711d.
- Nytroen K, Rustad LA, Erikstad I, Aukrust P, Ueland T, Lekva T, Gude E, Wilhelmsen N, Hervold A, Aakhus S, Gullestad L, Arora S. Effect of high-intensity interval training on progression of cardiac allograft vasculopathy. J Heart Lung Transplant. 2013 Nov;32(11):1073-80. doi: 10.1016/j.healun.2013.06.023. Epub 2013 Jul 29.
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
Other Study ID Numbers
- 2014/872/REK sør-øst C
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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