- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05360563
Home-based Exercise Program in Patients With the Post-COVID-19 Condition
May 3, 2022 updated by: Bruno Gualano, University of Sao Paulo
Effects of a Home-based Exercise Program on the Functional Sequelae of Patients With the Post-COVID-19 Condition: A Randomized Controlled Trial
The management of the sequelae of COVID-19 is described as the next great challenge of global public health.
Multiple symptoms may compose the clinical picture of these patients (eg, fatigue, dyspnea, cognitive dysfunction, myalgia and others), persisting for more than a year and frequently causing clinically important functional impairment.
Thus, a clinical trial will be conducted to investigate the effects of a remotely supervised home-based exercise program on functional sequelae of patients diagnosed with the post-COVID-19 condition (also known as Long COVID).
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
94
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 Contact
- Name: Bruno Gualano, PhD
- Phone Number: 8021 55112661
- Email: gualano@usp.br
Study Locations
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Sao Paulo, Brazil, 05403-010
- University of Sao Paulo
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Sub-Investigator:
- Jhonnatan Santos, MS
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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
50 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- COVID-19 diagnostic history confirmed by real-time reverse transcription-polymerase chain reaction (RT-PCR) or rapid antigen test (with clinical presentations of moderate to critical severity).
- Diagnosis of post-COVID-19 condition according to World Health Organization criteria.
- Present ≥1 symptoms at study admission, including dyspnea, fatigue, muscle weakness and/or musculoskeletal pain.
- Have internet access at home.
Exclusion Criteria:
- Being under clinical or experimental treatment for the post-COVID-19 condition.
- Any physical disabilities that could hamper physical testing and exercise program.
- Patients with major neuropsychiatric disorders (eg, dementia or severe depression).
- Patients with chronic kidney disease who are in need of hemodialysis.
- Solid organ transplant patients.
- Complex ventricular arrhythmias, atrial fibrillation or complete heart block.
- Recent malignant neoplasm.
- Recent deep venous thromboembolism.
- Acute pulmonary embolism or pulmonary infarction.
- Uncontrolled hypertension.
- Uncontrolled type II diabetes.
- Uncontrolled vestibular disorders.
- Acute infections.
- Pregnancy.
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 |
---|---|
Experimental: Physical training group
In addition to receive regular medical care, the physical training group will participate in a tailored home-based exercise program (remotely supervised by healthcare professionals).
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Patients allocated to this group will participate in a 16-week home-based physical training program, structured in three weekly sessions of aerobic and muscle strengthening exercises (which also have components that stimulate flexibility and balance).
A third of the weekly physical training sessions will be supervised via telemedicine (with video call) by a clinical exercise specialist, but all patients will have illustrated exercise booklets and a full-time remote support service available for the remaining sessions (via text or voice messages).
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No Intervention: Control group
The control group will receive regular medical care.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline in functional fitness assessed by distance walked (m) in the six-minute walk test (6MWT) at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means better outcome.
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At baseline and after 16 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline in six-minute walk work (kg.km) assessed by 6MWT at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means better outcome.
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At baseline and after 16 weeks
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Change from baseline in maximal inspiratory muscle strength (cmH2O) assessed by POWERbreathe device at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means better outcome.
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At baseline and after 16 weeks
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Change from baseline in forced vital capacity (FVC; L) assessed on spirometry at 16 weeks.
Time Frame: At baseline and after 16 weeks
|
Higher score means better outcome.
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At baseline and after 16 weeks
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Change from baseline in forced expiratory volume in 1 second (FEV1; L) assessed on spirometry at 16 weeks.
Time Frame: At baseline and after 16 weeks
|
Higher score means better outcome.
|
At baseline and after 16 weeks
|
Change from baseline in FEV1/FVC ratio (%) assessed on spirometry at 16 weeks.
Time Frame: At baseline and after 16 weeks
|
Higher score means better outcome.
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At baseline and after 16 weeks
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Change from baseline in peak expiratory flow (L/s) assessed on spirometry at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means better outcome.
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At baseline and after 16 weeks
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Change from baseline in peak inspiratory flow (L/s) assessed on spirometry at 16 weeks.
Time Frame: At baseline and after 16 weeks
|
Higher score means better outcome.
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At baseline and after 16 weeks
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Change from baseline in muscle strength (kgf) assessed by handgrip test at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means better outcome.
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At baseline and after 16 weeks
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Change from baseline in muscle function (number of repetitions) assessed by the 1-minute sit-to-stand test (1'STST) at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means better outcome.
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At baseline and after 16 weeks
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Change from baseline in functional symptom burden (arb. unit) assessed by a weekly composite at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means worse outcome.
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At baseline and after 16 weeks
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Change from baseline in functional capacity (from 0 to 4 degrees of functional limitation) assessed by the post-COVID-19 functional status (PCFS) scale at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means worse outcome.
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At baseline and after 16 weeks
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Change from baseline in physical activity levels (min/week of MVPA) assessed by the international physical activity questionnaires (IPAQ) at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means better outcome.
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At baseline and after 16 weeks
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Change from baseline in fatigue levels (from 0 to 33 points) assessed by the Chalder fatigue scale (CFQ) at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means worse outcome.
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At baseline and after 16 weeks
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Change from baseline in executive functions (z-score) assessed in a battery of cognitive tests at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means better outcome.
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At baseline and after 16 weeks
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Change from baseline in learning and memory (z-score) assessed in a battery of cognitive tests at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means better outcome.
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At baseline and after 16 weeks
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Change from baseline in total body weight (kg) at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means worse outcome.
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At baseline and after 16 weeks
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Change from baseline in waist circumference (cm) at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means worse outcome.
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At baseline and after 16 weeks
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Change from baseline in hip circumference (cm) at 16 weeks.
Time Frame: At baseline and after 16 weeks
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Higher score means worse outcome.
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At baseline and after 16 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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 (Anticipated)
May 1, 2022
Primary Completion (Anticipated)
December 1, 2023
Study Completion (Anticipated)
February 1, 2024
Study Registration Dates
First Submitted
May 2, 2022
First Submitted That Met QC Criteria
May 3, 2022
First Posted (Actual)
May 4, 2022
Study Record Updates
Last Update Posted (Actual)
May 4, 2022
Last Update Submitted That Met QC Criteria
May 3, 2022
Last Verified
May 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 5.052.767
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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