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Trial registered on ANZCTR
Registration number
ACTRN12617001264370
Ethics application status
Approved
Date submitted
28/08/2017
Date registered
1/09/2017
Date last updated
12/06/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
The effects of external counterpulsation on blood glucose control in participants with type 2 diabetes
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Scientific title
Effects of external counterpulsation on blood glucose control in participants with type 2 diabetes
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Secondary ID [1]
292756
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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:
type 2 diabetes
304546
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Condition category
Condition code
Metabolic and Endocrine
303867
303867
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Two intervention arms corresponding to 30 mins and 45 mins of external counterpulsation (ECP)treatment per session. Participants in both intervention arms will have 3 sessions/week for 7 weeks.
Treatment involves the participant lying on a bed with cuffs around the legs and hips. The ECP treatment involves the cuffs inflating and deflating every few seconds to change the blood flow returning to the heart.
The sessions will take place at The University of Queensland, St Lucia and will be provided by a trained technician.
Intervention adherence will be assessed as the number of visits attended from the 21 possible.
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Intervention code [1]
298991
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Treatment: Devices
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Comparator / control treatment
Sham treatment involves the participant lying on a bed with cuffs around the legs and hips. It is sham because the cuffs do not inflate and deflate.
The sessions will take place at The University of Queensland, St Lucia and will be provided by a trained technician.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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HbA1c using serum samples
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Assessment method [1]
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Timepoint [1]
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7 weeks
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Secondary outcome [1]
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HOMA2 beta cell function (%B) value calculated using fasting plasma glucose and insulin values taken from a blood test
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Assessment method [1]
338272
0
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Timepoint [1]
338272
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7 weeks
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Secondary outcome [2]
338273
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HOMA2 insulin sensitivity (%S) value calculated using fasting plasma glucose and insulin values taken from a blood test
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Assessment method [2]
338273
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Timepoint [2]
338273
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7 weeks
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Secondary outcome [3]
338274
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HOMA2 insulin resistance (IR) value calculated using fasting plasma glucose and insulin values taken from a blood test
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Assessment method [3]
338274
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Timepoint [3]
338274
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7 weeks
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Secondary outcome [4]
338275
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Basal Disposition Index calculated using fasting plasma glucose and insulin values taken from a blood test
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Assessment method [4]
338275
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Timepoint [4]
338275
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7 weeks
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Secondary outcome [5]
338276
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Cardiorespiratory Fitness (VO2peak) as a measure of exercise capacity using a graded exercise test to exhaustion with expired air measured using a metabolic system.
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Assessment method [5]
338276
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Timepoint [5]
338276
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7 weeks
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Secondary outcome [6]
338277
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Central Mean Arterial Pressure as a measure of vascular structure using a SpyhgmoCor pulse wave analysis/velocity machine
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Assessment method [6]
338277
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Timepoint [6]
338277
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7 weeks
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Secondary outcome [7]
338278
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Pulse Wave Velocity using a SpyhgmoCor pulse wave analysis/velocity machine
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Assessment method [7]
338278
0
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Timepoint [7]
338278
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7 weeks
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Secondary outcome [8]
338279
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Flow Mediated Dilation of the Brachial Artery following ischemia as a measure of vascular function measured using vascular ultrasound
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Assessment method [8]
338279
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Timepoint [8]
338279
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7 weeks
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Secondary outcome [9]
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Markers of oxidative stress and inflammation (nitrate, nitrite, F2-isoprostanes, protein carbonyls, C reactive protein, IL-6, IL-10, IL-ra and thrombospondin-2) in plasma/serum taken from a blood test
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Assessment method [9]
338319
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Timepoint [9]
338319
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7 weeks
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Eligibility
Key inclusion criteria
Diagnosis of Type 2 Diabetes
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Minimum age
25
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
History of deep vein thrombosis, phlebitis, stasis ulcer, or pulmonary embolism;
Uncontrolled hypertension or systemic hypotension;
Cardiac arrhythmia that would interfere with ECG synchronisation of ECP;
Severe heart failure;
Aortic valve insufficiency, regurgitation, dissection, or aneurysm;
Recent illness or heart catheterizations within the past 3 months;
Acute coronary syndrome;
Diagnosed glaucoma;
Pregnancy.
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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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
1/10/2017
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Actual
10/10/2017
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Date of last participant enrolment
Anticipated
31/01/2018
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Actual
31/01/2018
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Date of last data collection
Anticipated
31/03/2018
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Actual
1/06/2018
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Sample size
Target
45
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Accrual to date
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Final
50
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
297391
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Commercial sector/Industry
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Name [1]
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Renew Group
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Address [1]
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6 Serangoon North Avenue 5 #06-01. Singapore 554910
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Country [1]
297391
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Singapore
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Primary sponsor type
Individual
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Name
Jeff Coombes
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Address
School of HMNS, Blair Drive, University of Queensland, St Lucia 4072, AUSTRALIA
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Country
Australia
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Secondary sponsor category [1]
296389
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None
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Name [1]
296389
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Address [1]
296389
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Country [1]
296389
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298490
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University of Queensland Human Research Ethics Committee
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Ethics committee address [1]
298490
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Cumbrae-Stewart Building (72), Research Road, University of Queensland, St Lucia 4072.
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Ethics committee country [1]
298490
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Australia
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Date submitted for ethics approval [1]
298490
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Approval date [1]
298490
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24/05/2016
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Ethics approval number [1]
298490
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Summary
Brief summary
A three-group, randomised, placebo-controlled trial will be performed. Forty five participants with type 2 diabetes will be assigned to either 1) ECP30: ECP therapy for 30 mins/session or 2) ECP45: ECP therapy for 45 mins/session or 3) placebo (sham). Each participant will have 3 ECP/sham sessions/week for 7 weeks. To assess the effectiveness of the ECP therapy before and after the 7-week intervention participants will undergo tests of cardiorespiratory fitness, exercise capacity, blood markers (HOMA values and basal disposition index using fasting glucose and insulin), HbA1c, nitrate, nitrite, F2-isoprostanes, protein carbonyls, C reactive protein, IL-6, IL-10, IL-ra and thrombospondin-2) and vascular structure and function.
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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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Prof Jeff Coombes
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Address
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School of HMNS, Blair Drive, University of Queensland, St Lucia, 4072
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Country
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Australia
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Phone
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+61733656767
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Fax
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Email
77254
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[email protected]
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Contact person for public queries
Name
77255
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Llion Roberts
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Address
77255
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School of HMNS, Blair Drive, University of Queensland, St Lucia, 4072
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Country
77255
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Australia
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Phone
77255
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+61733656445
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Fax
77255
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Email
77255
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[email protected]
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Contact person for scientific queries
Name
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Jeff Coombes
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Address
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School of HMNS, Blair Drive, University of Queensland, St Lucia, 4072
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Country
77256
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Australia
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Phone
77256
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+61733656767
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Fax
77256
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Email
77256
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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
Embase
Efficacy of two doses of external counterpulsation (ECP) on glycemic control in people with type 2 diabetes mellitus: A randomized SHAM-controlled trial.
2023
https://dx.doi.org/10.1016/j.diabres.2023.110701
N.B. These documents automatically identified may not have been verified by the study sponsor.
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