- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03305926
Connected Rehabilitation: an Alternative to Conventional Cardiovascular Rehabilitation? (eRCV)
November 29, 2022 updated by: Centre Hospitalier Universitaire Dijon
Connected Rehabilitation: an Alternative to Conventional Cardiovascular Rehabilitation? Randomised Controlled Non-inferiority Trial in Patients With Coronary Artery Disease
Cardiovascular rehabilitation (CVR) has major beneficial effects by improving physical capacity, accelerating return to activities and reinsertion and reducing mortality.
It associates reconditioning to effort and therapeutic education for the optimal control of " risk factors ".
It corresponds to a global approach to patients, thus counterbalancing the tendency to hyperspecialise in medicine.
However, because of the lack of specialised centres, only a small proportion of patients (≈30%) are able to benefit.
Numerical tools used in e-health, the deployment of the Internet and certain " connected " devices may provide alternatives outside hospital, by enabling the follow-up of patients and their physiological parameters (heart rate, blood pressure, weigh, physical activity…), and the adaptation - using an interactive web platform - of the physical activity programme, nutrition, compliance with medication and weaning from smoking.
This project proposes to evaluate the effects of a so-called " connected " CVR programme, and to show its non-inferiority compared with a conventional CVR.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
25
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Dijon, France, 21000
- CHU Dijon Bourgogne
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
30 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- men or women,
- aged between 30 and 75 years,
- presenting coronary artery disease without heart failure (Left ventricular ejection fraction on echocardiography (Simpson method) > 45 %).
- Patients who have provided written consent.
Exclusion Criteria:
- Adults under guardianship
- Patients without national health insurance cover
- Pregnant or breastfeeding women
- Inability to use connected numeric devices even simple operations (tablette, cardiofrequency meter, BP monitor…)
- Heart failure, with a low or preserved left ventricular ejection fraction
Contra-indication for cardiovascular rehabilitation :
- Severe obstructive heart disease (severe and asymptomatic obstacle to left ventricular ejection)
- Acute unstable coronary syndrome
- Tight aortic valve stenosis
- Severe progressive cardiac rhythm or conduction disorders without pacing and discovered during the initial stress test
- Intracavitary thrombus
- Presence of moderate to severe pericardial effusion
- Severe pulmonary artery hypertension (systolic PAP >70mmHg)
- Recent history of venous thromboembolism (previous 3 months)
- Progressive inflammatory or infectious disease
- Inability to engage in physical exercise
- Impaired executive functions making it impossible to understand and comply with the CVR programme (Mini Mental Test < 24)
- Heart transplant
- Associated medical condition likely to impair functional capacities (examples: non-stabilised metabolic disorders such as progressive kidney failure, severe asthenia related to a severe non-stabilised disorder such as neoplasm, systemic diseases…)
- Physical disability in the lower limbs that could hamper reconditioning, whether neurological (central or peripheral), arterial (in particular, peripheral artery disease with a systolic index < 0.6) or orthopaedic (degenerative or inflammatory rheumatism)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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 |
---|---|
Active Comparator: Conventional CVR
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Programme in a CVR centre involving 20 sessions of reconditioning to effort, 3 times per week for roughly 7 weeks, as well as 14 sessions of therapeutic education in groups.
Effort test and evaluation at the end of the CVR programme
Evaluation at 8 months following the CVR programme
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Experimental: eCVR
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Effort test and evaluation at the end of the CVR programme
Evaluation at 8 months following the CVR programme
First week in the CVR centre with 3 sessions combining reconditioning to effort, individual interviews and targeted therapeutic education, so as to define the objectives and methods of the connected CVR at home for the 6 following weeks.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
peak VO2, measured during an effort test
Time Frame: Month 2
|
Month 2
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 14, 2018
Primary Completion (Actual)
April 20, 2022
Study Completion (Actual)
April 20, 2022
Study Registration Dates
First Submitted
October 4, 2017
First Submitted That Met QC Criteria
October 9, 2017
First Posted (Actual)
October 10, 2017
Study Record Updates
Last Update Posted (Actual)
December 1, 2022
Last Update Submitted That Met QC Criteria
November 29, 2022
Last Verified
May 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CASILLAS FRM 2016
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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