- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04511182
Early Individualized-Exercise Based Cardiac Rehabilitation Programs in Patients With Acute Myocardial Infarction
Early Individualized-exercise Based Cardiac Rehabilitation Program in Patients With a Recent Acute Myocardial Infarction (EARLYmyo-CRPⅡ): Study Protocol for a Randomised Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Qin Shao, M.D,Ph.D
- Phone Number: 86-21-68385225
- Email: shaoqindr@126.com
Study Contact Backup
- Name: Jun Ma, M.D,Ph.D
- Phone Number: 86-21-68383164
- Email: drjunma@126.com
Study Locations
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Shanghai
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Shanghai, Shanghai, China, 200127
- Renji Hospital, Shanghai Jiaotong University, School of Medicine
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Contact:
- Qin Shao, M.D,Ph.D
- Phone Number: 86-21-68385225
- Email: shaoqindr@126.com
-
Contact:
- Jun Ma, M.D,Ph.D
- Phone Number: 86-21-68383164
- Email: drjunma@126.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria
- Acute myocardial infarction (AMI) within 1 months prior to recruitment.
- Complete revascularization.
- Man or non- pregnant women aged from 18 to 80 years.
Exclusion criteria
- Uncontrolled hypertension (systolic blood pressure/diastolic blood pressure >160/100 mmHg),or symptomatic hypotension.
- Significant resting electrocardiogram abnormalities (left bundle branch block, non-specific intraventricular conduction delay, left ventricular hypertrophy, resting ST-segment depression), life-threatening cardiac arrhythmias.
- Acute myocarditis, pericarditis or acute systemic illness.
- Those who are assessed by the doctor as high-risk [12].
- Pacemaker or implantable cardioverter defibrillator.
- Any contraindication to exercise testing or exercise training or inability to complete a CPET.
- Life-threatening diseases with limited life expectancy <3 year.
- Uncontrolled unstable angina pectoris.
- Significant valvular disease (mitral stenosis, moderate to severe mitral insufficiency, aortic stenosis, or aortic insufficiency, severe mitral / aortic regurgitation).
- Severe mental or cognitive impairment.
- Inability to follow the procedures of the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: exercise intervention group
Patients will receive standard medications plus EBCR 。Education covering topics related to AMI and exercise for AMI will be implemented and any consultations on exercise prescription and disease management will be explained by a cardiac rehabilitation team consisting of cardiologists, cardiology nurses and physiotherapists.
|
Exercise program is based on aerobic exercise and supplemented by strength training following the principle of gradual improvement. The type of exercise, such as walking, jogging, cycling, and the intensity of exercise which is recommended to use a cardiotach or pedometer to detect, are both defined by the results of CPET, such as METs value. Participators must be prepared for about 5-10 minutes to warm up and recover before and after exercise. 30-50 minutes a day, 5 days a week, with a total exercise time of not less than 150 minutes per week. It can be carried out in different stages according to the physical condition. After 1-3 months, the exercise prescription will be re-adjusted according to the results of reexamination. All patients will undergo Cardiopulmonary Exercise Test, SF-36, echocardiography and laboratory examination prior to initiation of the trial, and which will be checked again after 3 months, and 6 months. |
No Intervention: Usual care group(control)
Patients will receive standard medications according to national guidelines, as well as education and consultations as intervention group.
However,no exercise prescription is given,
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Peak oxygen consumption (VO2)change
Time Frame: Baseline, 3, 6 months
|
Difference in the interval changes from baseline to 3 months and 6 months in peak VO2 comparing Experimental group with control.
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Baseline, 3, 6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Ventilatory efficiency (VE/VCO2 slope) change
Time Frame: Baseline, 3, 6 months
|
Difference in the interval changes from baseline to 3 months and 6 months in Ventilatory efficiency (VE/VCO2 slope) comparing experimental group with control.
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Baseline, 3, 6 months
|
oxygen consumption (VO2) at anaerobic threshold
Time Frame: Baseline, 3, 6 months
|
Difference in the interval changes from baseline to 3 months and 6 months in VO2 at anaerobic threshold comparing Experimental group with control.
|
Baseline, 3, 6 months
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Oxygen uptake related to work rate(ΔVO2/ΔWR)change
Time Frame: Baseline, 3, 6 months
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Difference in the interval changes from baseline to 3 months and 6 months in Oeygen uptake related to work rate(ΔVO2/ΔWR)comparing experimental group with control.
|
Baseline, 3, 6 months
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Peak /AT Oxygen Pulse (O2-Pulse)change
Time Frame: Baseline, 3, 6 months
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Difference in the interval changes from baseline to 3 months and 6 months in Peak /AT Oxygen Pulse (O2-Pulse) comparing experimental group with control.
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Baseline, 3, 6 months
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Peak metabolic equivalent (MET) change
Time Frame: Baseline, 3, 6 months
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Difference in the interval changes from baseline to 3 months and 6 months in peak metabolic equivalent (MET) change comparing experimental group with control.
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Baseline, 3, 6 months
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Heart rate variability
Time Frame: Baseline, 3, 6 months
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Difference in the interval changes from baseline to 3 months and 6 months in Heart rate variability comparing experimental group with control.
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Baseline, 3, 6 months
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Body mass index(BMI)change
Time Frame: Baseline, 3, 6 months
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Difference in the interval changes from baseline to 3 months and 6 months in Body mass index(BMI)comparing experimental group with control.
BMI is the value obtained by dividing body weight by height square (weight in kilograms, height in meters).
BMI is a standard commonly used in the world to measure the degree of obesity and health of the human body.
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Baseline, 3, 6 months
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LVEF change
Time Frame: Baseline, 3, 6 months
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Difference in the interval changes from baseline to 3 months and 6 months in LVEF comparing experimental group with control.
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Baseline, 3, 6 months
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NT-proBNP(pg/ml)
Time Frame: Baseline, 3, 6 months
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Difference in the interval changes from baseline to 3 months and 6 months in NT-proBNP comparing Experimental group with control.
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Baseline, 3, 6 months
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The MOS item short form health survey(SF-36)
Time Frame: Baseline, 3, 6 months
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Difference in the interval changes from baseline to 3 months and 6 months in The MOS item short form health survey(SF-36) comparing experimental group with control.
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Baseline, 3, 6 months
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The occurrence and composite of major adverse cardiac events (MACE)
Time Frame: 3, 6 months
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Major adverse cardiac events (MACE) included all-cause mortality, non-fatal myocardial infarction and coronary revascularisation.
we check the outcome in 3 months and 6 months.
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3, 6 months
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Qin Shao, M.D,Ph.D, RenJi Hospital
- Study Director: Jun Ma, M.D,Ph.D, RenJi Hospital
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CRP2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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