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Trial registered on ANZCTR
Registration number
ACTRN12614001309673
Ethics application status
Approved
Date submitted
14/11/2014
Date registered
16/12/2014
Date last updated
16/12/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Exercise, chronic fatigue syndrome and multiple sclerosis
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Scientific title
Physiological and Gene Responses to Cardiopulmonary Exercise Testing in Individuals with Chronic Fatigue Syndrome and Multiple Sclerosis.
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Secondary ID [1]
285662
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None
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Universal Trial Number (UTN)
U1111-1164-1193
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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:
Multiple Sclerosis (MS)
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Myalgic Encephalopathy/Chronic Fatigue Syndrome (ME/CFS)
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Condition category
Condition code
Neurological
293793
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0
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Multiple sclerosis
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Physical Medicine / Rehabilitation
293794
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0
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Other physical medicine / rehabilitation
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Other
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0
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Conditions of unknown or disputed aetiology (such as chronic fatigue syndrome/myalgic encephalomyelitis)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Individuals will be asked to visit the Human Performance Lab at Massey University, Palmerston North on two occasions, 24 hours apart. During the first visit, individuals will have height, weight and blood pressure measured. Individuals will then be asked to provide a blood sample from a vein in their arm. Following this individuals will have their radial and corotid artery assessed via pulse wave analysis/velocity. Individuals will complete a 5 minute resting ECG. Each individual will then complete an incrememntal cycle ergometer test. Exercise commences at 0W and increased at 15W every minute until exhaustion. On completion of the exercise test you will be asked to repeat the blood sampling and corotid and radial pulse wave analysis/velocity measurement. Finally you will be asked to complete an exercise recovery questionnaire, SF36 questionnaire and the Multidisciplinary fatigue inventory-20. On return to the lab 24 hours later each participant will repeat the radial and corotid pulse wave analysis/velocity assessment, blood sampling, incremental exercise test, exercise recovery questionnaire and Multidisciplinary fatigue inventory. The approximate duration will be an hour and a half for the first day and one hour max on the second data. The tests are administered and supervised by an Exercise Physiologist.
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Intervention code [1]
290605
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Early detection / Screening
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Comparator / control treatment
A Comparison of differences in physiological variables between individuals with ME/CFS, MS and healthy controls
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Control group
Active
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Outcomes
Primary outcome [1]
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Peak oxygen consumption will be assessed via Turbofit metabolic cart.
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Assessment method [1]
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Timepoint [1]
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Individuals will complete two peak oxygen tests, separated by 24 hours.
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Primary outcome [2]
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Cardiac output will be assessed using the Defares rebreathing method and will be monitored using power lab. Individuals will be asked to complete two rebreathing samples at anaerobic threshold and at peak oxygen consumption
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Assessment method [2]
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Timepoint [2]
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Individuals will complete two measurements of cardiac output at anaerobic threshold and peak oxygen consumption which will be separated by 24 hours.
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Primary outcome [3]
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Pulse wave analysis and velocity will be assessed with SphygmaCor
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Assessment method [3]
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Timepoint [3]
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Individuals will have pulse wave analysis and velocity tested before the exercise testing. Individuals will have pulse wave analysis and velocity retested 24 hours after initial testing.
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Secondary outcome [1]
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Individuals will be asked to complete 6 questions regarding their recovery from peak oxygen consumption exercise testing.
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Assessment method [1]
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Timepoint [1]
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Individuals will be asked to complete questions, following the initial exercise test, one day post exercise testing, following the second exercise test, day three (day after 2nd exercise test and then to describe how long it takes them to recover in days.
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Secondary outcome [2]
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Gene response to exercise testing measured by blood samples
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Assessment method [2]
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Timepoint [2]
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Individuals will provide blood samples pre and post exercise testing. Individuals will provide 4 samples across 2 days. The samples will be analysed to see how they change pre and post exercise testing.
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Eligibility
Key inclusion criteria
Individuals who have been diagnosed with Multiple Sclerosis or ME/Chronic Fatigue Syndrome or that meet the criteria based on the De Paul Symptom Questionnaire and those who are healthy aged matched controls
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Minimum age
18
Years
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Maximum age
80
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
Individuals with co-mordibities such as cardiovascular disease, diabetes.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
At Massey University we run an exercise clinic for Multiple Sclerosis, so these individuals will be recruited through our clinic. Individuals with ME/CFS will be recruited through completion of an online DePaul Symptom Questionnaire.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Individuals will not be randomised into treatment/non treatment. All individuals will undergo all tests
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
Sample size calculation.
Taking peak oxygen consumption for the CFS subjects, Standard deviation appears to be around 1.8 ml/kg/min, take 0.05 as the significance level. An improvement would be of 1 ml/kg/min and the power 80%. Therefore it is possible to calculate a sample size of 21 required.
The use of SPSS will allow for descriptive data on each health condition. Results of each health condition will be compared using T-test and Anova.
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
1/12/2014
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Actual
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Date of last participant enrolment
Anticipated
14/02/2015
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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
21
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Manawatu
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Massey University
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Address [1]
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School of Sport and Exercise
Massey University,
Private Bag 11-222
Palmerston North
4442
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
Massey University
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Address
School of Sport and Exercise,
Massey University
Private Bag 11-222
Palmerston North
4442
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Central Health and Ethics Disability Committee
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Ethics committee address [1]
291946
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Health and Disability Ethics Committees 1 The Terrace C/-MEDSAFE Level 6, Deloitte House 10 Brandon Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
291946
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New Zealand
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Date submitted for ethics approval [1]
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Approval date [1]
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07/02/2014
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Ethics approval number [1]
291946
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13/CEN203
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Summary
Brief summary
The purpose of the study is to show a difference in fatigue measured using physiological outcomes following repeated exercise in three groups of participants. These groups will include, Multiple Sclerosis, Chronic Fatigue Syndrome/Myalgic Encephalopathy and healthy age matched controls. Although individuals with MS, CFS/ME suffer from fatigue, it is expected that the type of fatigue and the way it affects the body is different and therefore the responses to physical incremental exercise separated by 24 hours will be different.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Lynette Hodges
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Address
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School of Sport and Exercise,
Massey University,
Private Bag 11-222
Palmerston North
4442
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Country
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New Zealand
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Phone
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+64 6 356 9099 ext 84536
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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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Lynette Hodges
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Address
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School of Sport and Exercise,
Massey University,
Private Bag 11-222
Palmerston North
4442
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Country
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New Zealand
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Phone
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+64 6 356 9099 ext 84536
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Fax
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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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Lynette Hodges
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Address
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School of Sport and Exercise,
Massey University,
Private Bag 11-222
Palmerston North
4442
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Country
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New Zealand
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Phone
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+64 6 356 9099 ext 84536
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Fax
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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
No additional documents have been identified.
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