- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT02213770
Long Term Effect of High-intensity Training After Heart Transplantation
High-intensity training (HIT) has repeatedly been documented to have superior positive effects compared to moderate exercise in patients with coronary heart disease and heart failure. Since heart transplant recipients (HTx), have a denervated heart with different respond to exercise, HIT has previously not been introduced among these patients. Rikshospitalet carried out a RCT to investigate this (the TEX study 2009-2012), and found that this form of exercise also was highly effective and safe in long term HTx with clinically significant improvement in VO2peak, muscular exercise capasity, general HRQoL, and even slower progression of CAV (coronary allograft vasculopathy). Based on these findings we ask the following questions in this follow-up study:
- Would the effect on VO2peak, HRQoL,muscle capacity and CAV obtained during the study period continue during long term follow up (5 years)?
- Is the intervention group more physical active after HIT compared to the control group?
Aperçu de l'étude
Statut
Les conditions
Type d'étude
Inscription (Réel)
Contacts et emplacements
Lieux d'étude
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Oslo, Norvège, 0424
- OUS- Rikshospitalet
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- stable situation
- optimal medical treatment
- written concent
Exclusion Criteria:
- unstable situation,
- infections (open wounds or skin diseases),
- physical conditions that prevents participation,
- or other injuries/ diseases who are contraindicated with training.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
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Intervention group
Group that followed high- intensity interval training program in TEX study.
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Control group
Followed up on a regular basis for HTx recipients in Norway.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
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mean VO2peak in the intervention group and control group
Délai: 5 years after start of inclusion in RCT (TEX). One measurment.
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We will use the same test protocol as the TEX- study.
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5 years after start of inclusion in RCT (TEX). One measurment.
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
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How many has progression of cardiac allograft vasculopathy in the intervention group and control group.
Délai: 5 years after inclusion in RCT (TEX study).
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Progression of vasculopathy will be studied with IVUS technique, and compared with IVUS pictures from TEX.
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5 years after inclusion in RCT (TEX study).
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Mean muscle capacity in the intervention group and control group.
Délai: 5 years after inclusion in RCT, TEX study.
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5 years after inclusion in RCT, TEX study.
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Quality of life
Délai: 5 years after inclusion in TEX- study.
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We will use validated questionnaires to estimate quality of life and to evaluate depression.
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5 years after inclusion in TEX- study.
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Difference in activity level between groups
Délai: 5 years after inclusion i RCT, TEX study.
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To estimate activity the study population will fill out a validated questionnaire about physical activity, and they will wear a physical activity monitor at home for one week.
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5 years after inclusion i RCT, TEX study.
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Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Directeur d'études: Lars Gullestad, professor, OUS- kardiologisk avdeling
Publications et liens utiles
Publications générales
- Nytroen K, Rustad LA, Aukrust P, Ueland T, Hallen J, Holm I, Rolid K, Lekva T, Fiane AE, Amlie JP, Aakhus S, Gullestad L. High-intensity interval training improves peak oxygen uptake and muscular exercise capacity in heart transplant recipients. Am J Transplant. 2012 Nov;12(11):3134-42. doi: 10.1111/j.1600-6143.2012.04221.x. Epub 2012 Aug 17.
- Nytroen K, Rustad LA, Gude E, Hallen J, Fiane AE, Rolid K, Holm I, Aakhus S, Gullestad L. Muscular exercise capacity and body fat predict VO(2peak) in heart transplant recipients. Eur J Prev Cardiol. 2014 Jan;21(1):21-9. doi: 10.1177/2047487312450540. Epub 2012 Jun 1.
- Nytroen K, Myers J, Chan KN, Geiran OR, Gullestad L. Chronotropic responses to exercise in heart transplant recipients: 1-yr follow-up. Am J Phys Med Rehabil. 2011 Jul;90(7):579-88. doi: 10.1097/PHM.0b013e31821f711d.
- Nytroen K, Rustad LA, Erikstad I, Aukrust P, Ueland T, Lekva T, Gude E, Wilhelmsen N, Hervold A, Aakhus S, Gullestad L, Arora S. Effect of high-intensity interval training on progression of cardiac allograft vasculopathy. J Heart Lung Transplant. 2013 Nov;32(11):1073-80. doi: 10.1016/j.healun.2013.06.023. Epub 2013 Jul 29.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- 2014/872/REK sør-øst C
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