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Trial registered on ANZCTR
Registration number
ACTRN12611000416998
Ethics application status
Approved
Date submitted
20/04/2011
Date registered
20/04/2011
Date last updated
5/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Exercise in Interstitial Lung Disease
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Scientific title
Defining the benefit of exercise training in interstitial lung disease. A multi-centre randomised controlled trial.
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Secondary ID [1]
260024
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Nil
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Universal Trial Number (UTN)
U1111-1120-8387
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Interstitial Lung disease
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Condition category
Condition code
Respiratory
265821
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The Exercise training (ET) group will undergo a twice-weekly exercise training program a for a period of 8 weeks. The ET will be conducted in a group setting and will be individually prescribed, monitored and progressed by an experienced exercise physiologist or physiotherapist according to the protocol. The exercise training will consist of 30 minutes of aerobic exercise at each session, comprising of 15 minutes each of stationary cycling and walking, either on the treadmill or along a corridor depending of the capability of the individual. The initial walking intensity will be set a speed that is 80% of the peak walking speed (km/hr) achieved on the 6minute walk test. The stationary cycling will be set at an intensity that will elicit a 3-4 on the BORG modified scale (0-10). Upper and lower limb resistance training (RT) exercises using dumbbell hand weights will also be included. Heart rate, SpO2 and shortness of breath will be monitored during each session. All exercise modalities will be progressed each week with the goal of achieving dyspnoea score of 3-4 on each occasion. Supplemental oxygen will be provided during training to maintain SpO2>85%.
Once the subject is safely established on a supervised exercise regimen, an unsupervised home exercise program will be prescribed to achieve two additional home-based sessions per week. Home exercise will be monitored using an exercise diary and reviewed weekly by the supervising clinician. At the conclusion of the 8-week program, subjects will be encouraged to continue with an unsupervised home exercise program at least three times per week.
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Intervention code [1]
264445
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Treatment: Other
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Comparator / control treatment
The control group will not undergo any exercise training but will be contacted weekly by telephone to provide general support for the duration of the intervention period.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in functional exercise capacity measured with 6 minute walk test according to standardised criteria.
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Assessment method [1]
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Timepoint [1]
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At baseline, post 8 weeks intervention and 6 months following intervention.
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Secondary outcome [1]
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Change in peripheral Muscle strength measured using a hand held dynamometer.
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Assessment method [1]
276054
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Timepoint [1]
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At baseline, post 8weeks intervention and 6 months following intervention.
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Secondary outcome [2]
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Health-related Quality of Life (HRQOL) measured using with the Chronic Respiratory Disease Questionnaire (CRQ), and St George Respiratory Questionnaire idiopathic pulmonary fibrosis specific version (SGRQ-I).
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Assessment method [2]
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Timepoint [2]
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At baseline, post 8 weeks intervention and 6 months following intervention.
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Secondary outcome [3]
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Dyspnoea measured using the University of California San Diego Shortness of breath questionnaire (UCSD SOBQ).disease.
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Assessment method [3]
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Timepoint [3]
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At baseline, post 8 weeks intervention and 6 months following intervention.
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Secondary outcome [4]
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Standard spirometry, lung volumes and transfer factor for carbon monoxide (TLCO) will be measured to quantify disease severity.
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Assessment method [4]
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Timepoint [4]
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Spirometry and TLCO will be measured at baseline and 6 months following intervention. Lung volumes will be measured at baseline only.
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Secondary outcome [5]
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Trans-thoracic echocardiogram will be performed to quantify the degree of pulmonary hypertension.
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Assessment method [5]
276058
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Timepoint [5]
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At baseline only
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Eligibility
Key inclusion criteria
Patients with documented interstitial lung disease, who are ambulant and suffer from dyspnoea on exertion despite maximal medical treatment
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Minimum age
30
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients who have a history of syncope on exertion, are too unwell to attend the hospital for exercise training or have any other comorbidities which would prevent Exercise training such as severe orthopaedic or neurological deficits or unstable cardiac disease.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes containing group allocation will be opened by an individual unrelated to the study
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomization by using a computer generated list of random numbers
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2011
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Actual
11/11/2011
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Date of last participant enrolment
Anticipated
30/04/2014
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Actual
19/06/2014
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Date of last data collection
Anticipated
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Actual
26/02/2015
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Sample size
Target
116
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Accrual to date
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Final
142
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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NHMRC
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Address [1]
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GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Leona Dowman
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Address
La Trobe / Alfred Health Clinical School
Level 4, The Alfred Centre
99 Commercial Road
PRAHRAN VICTORIA 3181
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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La Trobe University
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Address [1]
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c/- La Trobe / Alfred Health Clinical School
Level 4, The Alfred Centre
99 Commercial Road
Prahran VICTORIA 3181
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Country [1]
264015
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Australia
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Secondary sponsor category [2]
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None
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Name [2]
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Address [2]
264035
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Country [2]
264035
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health Human Research Ethics Commitee
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Ethics committee address [1]
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Studley Rd Heidelberg Victoria 3084
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Ethics committee country [1]
266875
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Australia
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Date submitted for ethics approval [1]
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20/04/2011
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Approval date [1]
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18/07/2011
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Ethics approval number [1]
266875
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Ethics committee name [2]
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Alfred Hospital Human Research Ethics Commitee
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Ethics committee address [2]
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Commercial Rd Prahran Victoria 3181
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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23/05/2011
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Approval date [2]
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23/07/2011
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Ethics approval number [2]
266895
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Ethics committee name [3]
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La Trobe University
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Ethics committee address [3]
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Faculty Human Ethics Committee Faculty of Health Sciences Level 2 Health Sciences Building 2 La Trobe University Bundoora Victoria 3086
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Ethics committee country [3]
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Australia
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Date submitted for ethics approval [3]
266896
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02/05/2011
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Approval date [3]
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07/11/2011
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Ethics approval number [3]
266896
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Ethics committee name [4]
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Western Health Low Risk Human Research Ethics Panel
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Ethics committee address [4]
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Office for Research Western Health Furlong Rd St Albans VIC 3021
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Ethics committee country [4]
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Australia
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Date submitted for ethics approval [4]
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21/07/2011
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Approval date [4]
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08/08/2011
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Ethics approval number [4]
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HREC/11/WH/58
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Summary
Brief summary
The interstitial lung diseases (ILDs) are characterised by shortness of breath, progressive deterioration in exercise tolerance, poor quality of life and reduced life expectancy. To date there are few treatments which have demonstrated improvements in this patient group. Exercise training (ET) is one of few treatments to improve symptoms and QoL in ILD. However the response to ET is variable and dependent on disease type and severity. The aim of this study is to establish the effect of ET in ILD and to identify whether there is optimal timing for maximal benefit to be obtained. improvements in this patient group.
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Trial website
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Trial related presentations / publications
ATS 2015 conference presentation Dowman L, McDonald CF, Hill C, Lee A, Barker K, Boote C, Glaspole I, Goh N, Southcott A, Burge A, Ndongo R, Martin A, Holland AE. Effect of Disease Aetiology On Response to Exercise Training in Patients with Interstitial Lung Disease. Am J Respir Crit Care Med 2015;191:A2460. TSANZ 2015 conference presentation • Dowman L, McDonald CF, Hill C, Lee A, Barker K, Boote C, Glaspole I, Goh N, Southcott A, Burge A, Ndongo R, Martin A, Holland AE. Effect of Disease Aetiology On Response to Exercise Training in Patients with Interstitial Lung Disease. Respirology 2015;20(Suppl 2):13-61 Journal publication Dowman LM, McDonald CF, Hill CJ, Lee AL, Barker K, Boote C, Glaspole I, Goh NSL, Southcott AM, Burge AT, Gillies R, Martin A, Holland AE. The evidence of benefits of exercise training in interstitial lung disease: a randomised controlled trial.Thorax. 2017 Jul;72(7):610-619.
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Anne Holland
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Address
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La Trobe Uni/Alfred Health Clinic School
Level 4, Alfred Centre
99 Commercial Rd
Prahran
Vic 3181
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Country
32509
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Australia
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Phone
32509
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+613 9479 6744
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Leona Dowman
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Address
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La Trobe / Alfred Health Clinical School
Level 4, The Alfred Centre
99 Commercial Road
Prahran VICTORIA 3181
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Country
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Australia
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Phone
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+ 61 3 9749 6747
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Fax
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+ 61 3 9749 2104
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Email
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[email protected]
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Contact person for scientific queries
Name
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Leona Dowman
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Address
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La Trobe / Alfred Health Clinical School
Level 4, The Alfred Centre
99 Commercial Road
Prahran VICTORIA 3181
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Country
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Australia
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Phone
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+ 61 3 9749 6747
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Fax
6684
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+ 61 3 9749 2104
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
The benefits of exercise training in interstitial lung disease: protocol for a multicentre randomised controlled trial
2013
https://doi.org/10.1186/1471-2466-13-8
Embase
Reliability of the hand held dynamometer in measuring muscle strength in people with interstitial lung disease.
2016
https://dx.doi.org/10.1016/j.physio.2015.10.002
N.B. These documents automatically identified may not have been verified by the study sponsor.
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