- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02567591
Adapted Physical Activity Effect on Aerobic Function and in Patients in Pre Liver Transplantation (FAPA)
Physical exercise has been identified as a major beneficial factor in the management of patients suffering from many chronic diseases especially cancer and in the context of cardiac or pulmonary transplantation. It contributes to an improvement of the quality of life and decreases treatment side effects and mortality. Aerobic fitness is constantly altered in cirrhotic patients and correlated to the severity of the hepatic disease. Moreover, in this setting, other etiological factors may be added like chronic obstructive bronchitis and alcoholic cardiomyopathy. In this population, muscle abnormalities with fatigue and cramps have been described. Muscle weakness in this condition may be comparable to that described in patients with chronic obstructive bronchitis and contributes to the decrease of aerobic fitness. Different causes such as muscle deconditioning, hypoxemia, denutrition, anti-rejection drugs increase this phenomenon after liver transplantation. Finally, the aerobic capacity or VO2max is a prognostic factor for survival and is linked to the number and the length of hospitalizations after liver transplantation (LT).
Therefore, physical activity is a valid and relevant way to improve quality of life, increase survival, and limit costs of hospitalizations. The aim of this study is to assess the effects of a personalized physical activity retraining program on aerobic capacity, strength and fatigue, in a population awaiting liver transplantation.
Purpose: The hypothesis is that an at home adapted retraining program conducted before LT, and including physical activity (aerobic and strength training), will improve aerobic fitness, peripheral strength, quality of life and decrease the hospitalization length in intensive care unit after LT.
Study Overview
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Marilyne DEBETTE-GRATIEN
- Phone Number: +33(0)5 55 05 66 84
- Email: gratien.marie@orange.fr
Study Locations
-
-
-
Limoges, France, 87 042
- Recruiting
- Limoges hospital
-
Contact:
- maryline DEBETTE GRATIEN, MD
- Phone Number: +33 5 55 05 66 54
- Email: gratien.marie@orange.fr
-
Tours, France
- Recruiting
- Tours hospital
-
Contact:
- Ephrem SALAME, MD
- Phone Number: +33 2 47 47 91 61
- Email: esalame@chu-tours.fr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Males and females between 18 and 70 years of age,
- Signed informed consent,
- Medical indication to LT whatever the cause of the liver disease
Exclusion Criteria:
- Inability to understand the instructions of the trial,
- Patients who are subject to a court protection, wardship or guardianship order,
- Uncontrolled cardiac disease and ventricular ejection fraction (vef) < 50 %,
- Any other serious conditions which are not stabilized and in which physical exercise is contra-indicated,
- Pregnancy or suckling,
- Patients transplanted in extreme emergency.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: A: physical activity program
at home physical activity program (during 12 weeks)
|
walk (three times per week) and muscle building twice per week with the use of elastic bands.
They will include 5 strengthening exercises mobilizing large muscle groups of the lower limbs (abs (if possible for the patient), hamstrings, quadriceps, triceps sural and gluteus maximus).
|
No Intervention: B: conventional management
conventional management
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
VO2 max at 12 weeks
Time Frame: at 12 weeks
|
To evaluate the impact of a personalized physical activity program after 12 weeks of exercise on the aerobic capacity measured by VO2 max, in patients awaiting liver transplantation.
|
at 12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
6 minutes walk test at week 12
Time Frame: at 12 weeks
|
To evaluate at Week 12: 6 minutes walk test
|
at 12 weeks
|
After liver transplantation: aerobic capacity (VO2 max)
Time Frame: 3 and 6 months after liver transplantation
|
To evaluate after liver transplantation: aerobic capacity (VO2 max) 3 and 6 months after LT
|
3 and 6 months after liver transplantation
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Marilyne DEBETTE-GRATIEN, University Hospital, Limoges
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 (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- I15017 FAPA
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.
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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