- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07191106
- Original Trial
Pilot Study Assessing the Feasibility and Impact of a Remote Adapted Physical Activity Program on Quality of Life in Patients With Inflammatory Bowel Disease (IBD) (APIMICI)
Pilot Feasibility and Impact Study of a Remote Adapted Physical Activity Program on the Quality of Life of Patients With Inflammatory Bowel Disease (IBD)
Inflammatory Bowel Disease (IBD) is a chronic relapsing condition that affects the gastrointestinal tract and is increasingly diagnosed in adolescents and young adults. Although anti-TNFα therapies are effective in reducing disease activity and improving quality of life, they are frequently associated with side effects such as fatigue, weight gain, and joint pain, which may be mitigated by regular physical activity.
Emerging evidence suggests that light to moderate physical activity may help reduce systemic and intestinal inflammation and improve IBD-related outcomes. However, access to structured physical activity programs remains limited, and personal or professional constraints may hinder participation.
This pilot study aims to assess the feasibility and impact of a remotely delivered Adapted Physical Activity (APA) program on the quality of life of patients with Inflammatory Bowel Disease (IBD), including Crohn's disease and ulcerative colitis. This study evaluates the effects of a 12-weeks remote APA intervention on quality of life as the primary outcome.
Secondary objectives include assessing changes in anxiety and depression, fatigue levels, IBD activity, and smoking behavior. The findings from this study may inform the development of scalable, non-pharmacological strategies to support symptom management and well-being in individuals with IBD.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Stephane NAHON, Professor
- Phone Number: +33141708000
- Email: stephane.nahon@ght-gpne.fr
Study Locations
-
-
-
Montfermeil, France, 93370
- Recruiting
- GHI Le Raincy Montfermeil
-
Contact:
- Stephane NAHON, Professor
- Phone Number: 0033141708000
- Email: stephane.nahon@ght-gpne.fr
-
Nantes, France, 44093
- Not yet recruiting
- CHU Nantes
-
Contact:
- Catherine LE BERRE, Doctor
- Phone Number: 0033.2.40.08.33.33
- Email: catherine.leberre@chu-nantes.fr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults aged 18 years and older
- Diagnosis of Inflammatory Bowel Disease (IBD) established for at least 6 months
- Patient is motivated to participate in the Adapted Physical Activity (APA) program
- Medical certificate confirming fitness to engage in remote physical activity
- Access to a digital device with internet connectivity enabling use of the MOOV+ application at home
- Written informed consent freely given after appropriate information
- Affiliation with, or beneficiary of, a national health insurance system
Exclusion Criteria:
- Patients under 18 years of age
- Medical contraindication to physical activity
High levels of physical activity as defined by the International Physical Activity Questionnaire (IPAQ):
- Total >1500 MET-min/week of vigorous activity on at least 3 days, OR
- Total physical activity >3000 MET-min/week, regardless of distribution
- Presence of psychological disorders that may interfere with study participation
- Lack of access to a device or internet connection enabling remote participation
- Pregnant or breastfeeding women
- Patients under legal guardianship or curatorship
- Patients under legal protection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Pre- and post-intervention comparison following participation in the Adapted Physical Activity (APA)
There is no comparator group at this stage of the research.
Patient data will be compared before and after participation in the Adapted Physical Activity (APA) program.
|
Comparative before-and-after study over a 3-month period of remote Adapted Physical Activity (APA) delivered through the MOOV+ application
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Impact of a Remote Adapted Physical Activity Program Delivered via the MOOV+ Application on Quality of Life in Patients With Inflammatory Bowel Disease: A Pilot Before-and-After Study
Time Frame: From baseline (Month 0) to Month 3
|
Change in total Inflammatory Bowel Disease Questionnaire (IBDQ-32) score between baseline and the end of the program at Month 3 (M3)
|
From baseline (Month 0) to Month 3
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
evaluate the effect of the program on the different subdomains of health-related quality of life, including bowel symptoms, systemic symptoms, emotional function, and social function
Time Frame: From baseline (Month 0) to Month 3
|
Variation in the four IBDQ-32 subscale scores between baseline (Month 0) and the end of the program (Month 3)
|
From baseline (Month 0) to Month 3
|
|
Assess the feasibility of the Remote Adapted Physical Activity Program
Time Frame: From baseline (Month 0) to Month 3
|
Variation of participation rate (number of enrolled patients / number of eligible patients)
|
From baseline (Month 0) to Month 3
|
|
Assess the feasibility of the of the Remote Adapted Physical Activity Program
Time Frame: From baseline (Month 0) to Month 3
|
Adherence to the program measured by session attendance rate (sessions attended / sessions scheduled) and dropout rate (number and reasons for early withdrawal).
|
From baseline (Month 0) to Month 3
|
|
impact of APA on psychological status
Time Frame: From baseline (Month 0) to Month 3
|
HADS score
|
From baseline (Month 0) to Month 3
|
|
impact of APA on fatigue level
Time Frame: From baseline (Month 0) to Month 3
|
FACIT fatigue score
|
From baseline (Month 0) to Month 3
|
|
Impact of APA on IBD activity_ crohn's disease
Time Frame: From baseline (Month 0) to Month 3
|
variation of Harvey-Bradshaw Index (HBI)
|
From baseline (Month 0) to Month 3
|
|
Impact of APA on IBD activity_ ulcerative colitis
Time Frame: From baseline (Month 0) to Month 3
|
variation of partial mayo score
|
From baseline (Month 0) to Month 3
|
|
evaluation of Persistence of physical activity
Time Frame: From baseline (Month 0) to Month 3
|
International Physical Activity Questionnaire (IPAQ )
|
From baseline (Month 0) to Month 3
|
|
Change in Biological Markers of Disease Activity (CRP and Fecal Calprotectin)
Time Frame: From baseline (Month 0) to Month 3
|
The impact of Adapted Physical Activity (APA) on biological disease activity will be assessed through changes in C-reactive protein (CRP) levels and fecal calprotectin concentrations
|
From baseline (Month 0) to Month 3
|
|
Evaluation of satisfaction level assessed using a 5-point Likert scale.
Time Frame: month 3
|
Evaluation of Satisfaction with a Remote Adapted Physical Activity Program Delivered via MOOV+ (from "1:Very dissatisfied" to "5 : very satisfied")
|
month 3
|
Collaborators and Investigators
Collaborators
Publications and helpful links
General Publications
- Ungaro R, Mehandru S, Allen PB, Peyrin-Biroulet L, Colombel JF. Ulcerative colitis. Lancet. 2017 Apr 29;389(10080):1756-1770. doi: 10.1016/S0140-6736(16)32126-2. Epub 2016 Dec 1.
- Torres J, Mehandru S, Colombel JF, Peyrin-Biroulet L. Crohn's disease. Lancet. 2017 Apr 29;389(10080):1741-1755. doi: 10.1016/S0140-6736(16)31711-1. Epub 2016 Dec 1.
- Nahon S, Lahmek P, Saas C, Durance C, Olympie A, Lesgourgues B, Gendre JP. Socioeconomic and psychological factors associated with nonadherence to treatment in inflammatory bowel disease patients: results of the ISSEO survey. Inflamm Bowel Dis. 2011 Jun;17(6):1270-6. doi: 10.1002/ibd.21482. Epub 2010 Oct 25.
- Sarter H, Cretin T, Savoye G, Fumery M, Leroyer A, Dauchet L, Paupard T, Coevoet H, Wils P, Richard N, Turck D, Ley D, Gower-Rousseau C; EPIMAD study Group. Incidence, prevalence and clinical presentation of inflammatory bowel diseases in Northern France: a 30-year population-based study. Lancet Reg Health Eur. 2024 Oct 18;47:101097. doi: 10.1016/j.lanepe.2024.101097. eCollection 2024 Dec.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- GHIRM_RIRCM20241122
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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