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Trial registered on ANZCTR
Registration number
ACTRN12613001031752
Ethics application status
Approved
Date submitted
12/09/2013
Date registered
16/09/2013
Date last updated
18/07/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Exercise and Nutrition Intervention for Patients with Psoriasis
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Scientific title
The effect of an exercise and nutrition intervention on body composition in patients with psoriasis
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Secondary ID [1]
283213
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Nil
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Universal Trial Number (UTN)
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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:
Psoriasis
290076
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Condition category
Condition code
Skin
290458
290458
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0
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Dermatological conditions
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Inflammatory and Immune System
290471
290471
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0
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Autoimmune diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Immediate Exercise Group:
The physical exercise intervention program will include 12 weeks of resistance (i.e. lifting weights) and aerobic exercise (e.g. walking, jogging, cycling) undertaken 3 times per week in an exercise clinic. Exercise sessions will take approximately 60 minutes and will be conducted in small groups under the supervision of an accredited exercise physiologist. Participants will also receive 3 one-on-one 45 minute consultations with a dietician during weeks 1, 2 and 3 of the intervention. These consultations will involve advice about nutritional intake for healthy fat loss, maximising gains in muscle as well as reducing whole body inflammatory state. Attendance rates and exercise training logs will be used to monitor adherence with the intervention.
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Intervention code [1]
287939
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Lifestyle
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Comparator / control treatment
Delayed Exercise Group: Participants will maintain their normal lifestyle for 12 weeks and then will receive the exercise intervention and consultations with a dietician for the following 12 weeks (i.e. 12-24 weeks).
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Control group
Active
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Outcomes
Primary outcome [1]
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Whole body and regional fat and lean mass as determined by Dual Energy X-Ray Absorptiometry
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Assessment method [1]
290484
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Timepoint [1]
290484
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Baseline (0 weeks), post-intervention (12 weeks) and follow-up (24 weeks)
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Secondary outcome [1]
304600
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Muscle density and muscle cross-sectional areas of the lower limb as determined by Peripheral Quantitative Computed Tomography
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Assessment method [1]
304600
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Timepoint [1]
304600
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Baseline (0 weeks), post-intervention (12 weeks) and follow-up (24 weeks)
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Secondary outcome [2]
304601
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Physical function - muscle strength as determine by one repetition maximum in the leg press, chest press and seated row and cardiorespiratory fitness as determined by a sub-maximal treadmill test.
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Assessment method [2]
304601
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Timepoint [2]
304601
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Baseline (0 weeks), post-intervention (12 weeks) and follow-up (24 weeks)
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Secondary outcome [3]
304602
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Resting metabolic rate will be determined using expired air analysis.
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Assessment method [3]
304602
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Timepoint [3]
304602
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Baseline (0 weeks), post-intervention (12 weeks) and follow-up (24 weeks)
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Secondary outcome [4]
304603
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Insulin, glucose, triglycerides, cholesterol, IGF-1, leptin, CRP, TNF Alpha and IL-6 will be measured from a blood sample
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Assessment method [4]
304603
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Timepoint [4]
304603
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Baseline (0 weeks), post-intervention (12 weeks) and follow-up (24 weeks)
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Secondary outcome [5]
304604
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The Medical Outcomes Study 36-Item Short-Form Health Survey and the Dermatology Life Quality Index will be used to assess quality of life.
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Assessment method [5]
304604
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Timepoint [5]
304604
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Baseline (0 weeks), post-intervention (12 weeks) and follow-up (24 weeks)
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Secondary outcome [6]
304639
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The Psoriatic Arthritis Screening and Evaluation Questionnaire as well as the WOMAC Osteoarthritis Index will be used to assess psoriasis severity.
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Assessment method [6]
304639
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Timepoint [6]
304639
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Baseline (0 weeks), post-intervention (12 weeks) and follow-up (24 weeks)
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Secondary outcome [7]
304640
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The Godin Leisure-Time Exercise Questionnaire will be used to assess physical activity level.
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Assessment method [7]
304640
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Timepoint [7]
304640
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Baseline (0 weeks), post-intervention (12 weeks) and follow-up (24 weeks)
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Secondary outcome [8]
304641
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A 3-day food diary will be used to assess dietary intake.
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Assessment method [8]
304641
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Timepoint [8]
304641
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Baseline (0 weeks), post-intervention (12 weeks) and follow-up (24 weeks)
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Eligibility
Key inclusion criteria
Currently receiving Humira for management of psoriasis
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Minimum age
18
Years
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Maximum age
45
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
Any neurological, musculoskeletal or cardio respiratory condition which would put potential participants at risk during exercise or inhibit their ability to adapt to an exercise program.
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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)
Central randomisation by computer. Written informed consent will be required prior to any testing or randomisation. subjects who dropout prior to completing baseline testing will not be randomised
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by a randomisation table created by a computer sequence. Randomisation is at the level of the individual patient and will be stratified by age and sex.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
The two groups of participants receive different interventions during the same time span of the study, however the delayed exercise group receive the intervention after 12 weeks of usual care.
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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
Recruiting
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Date of first participant enrolment
Anticipated
30/09/2013
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Actual
10/06/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
287958
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Commercial sector/Industry
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Name [1]
287958
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Abbvie Australasia Pty Ltd
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Address [1]
287958
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32-34 Lord Street
BOTANY, NSW 2019
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Country [1]
287958
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Australia
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Primary sponsor type
University
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Name
Edith Cowan University
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Address
ECU Health and Wellness Institute
270 Joondalup Drive
Joondalup, WA 6027
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Country
Australia
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Secondary sponsor category [1]
286679
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Individual
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Name [1]
286679
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Professor Robert Newton
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Address [1]
286679
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Edith Cowan University
270 Joondalup Drive
Joondalup, WA 6027
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Country [1]
286679
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Australia
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Psoriasis is a chronic and lifelong autoimmune disease which affects the skin and for one in four sufferers also results in arthritis. Tumour necrosis factor (TNF) is believed to play a role in psoriasis by acting as a regulator of inflammation. Exercise, fat loss and muscle gain have been proven to reduce chronic inflammatory state in the body as well as lower TNF levels. Exercise and dietary modification may enhance the effectiveness of pharmaceutical therapies such as Humira, a TNF blocker which has been very effective for the management of psoriasis and other autoimmune diseases. Our main aim is to find out if an exercise and nutritional support program can reduce body fat, improve physical fitness and function, lower inflammatory status, and improve the cardiometabolic risk profile of patients receiving Humira for psoriasis.
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Trial website
www.ecuhealthwellnessinstitute.org/research-activity/projects
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
42938
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Prof Robert Newton
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Address
42938
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Edith Cowan University
270 Joondalup Drive
Joondalup, WA 6027
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Country
42938
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Australia
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Phone
42938
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+61 8 6304 5037
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Fax
42938
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Email
42938
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[email protected]
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Contact person for public queries
Name
42939
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Robert Newton
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Address
42939
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Edith Cowan University
270 Joondalup Drive
Joondalup, WA 6027
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Country
42939
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Australia
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Phone
42939
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+61 8 6304 5037
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Fax
42939
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Email
42939
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[email protected]
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Contact person for scientific queries
Name
42940
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Robert Newton
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Address
42940
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Edith Cowan University
270 Joondalup Drive
Joondalup, WA 6027
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Country
42940
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Australia
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Phone
42940
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+61 8 6304 5037
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Fax
42940
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Email
42940
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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
No additional documents have been identified.
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