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Trial registered on ANZCTR
Registration number
ACTRN12622001225707
Ethics application status
Approved
Date submitted
1/04/2021
Date registered
12/09/2022
Date last updated
12/09/2022
Date data sharing statement initially provided
12/09/2022
Type of registration
Retrospectively registered
Titles & IDs
Public title
Efficacy of complementary interventions in the treatment of Ankylosing Spondylitis
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Scientific title
Efficacy of modification of lifestyle in the treatment of Ankylosing Spondylitis: a pilot study
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Secondary ID [1]
303857
0
Nil known
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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:
Ankylosing Spondylitis
321420
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Quality of life
321421
0
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Spinal mobility
321422
0
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Limited thoracic expansion
321423
0
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Condition category
Condition code
Alternative and Complementary Medicine
319180
319180
0
0
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Other alternative and complementary medicine
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Inflammatory and Immune System
319181
319181
0
0
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Autoimmune diseases
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Physical Medicine / Rehabilitation
319183
319183
0
0
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Other physical medicine / rehabilitation
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Excercise group:
Tabata method that consists of batches of one or more different exercises (high knees, squats, basic burpees, plank or climbers) performed during 8-20 intervals with 10 second interpersed breaks. The excercise will led at home supervised by a physiotherapist. We will achieve two 4-minute sessions per week high intensity workout, the level of intensity was not assessed . The intervention will last 3 months and there were session attendance checklists supervised by a physiotherapist.
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Intervention code [1]
320165
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Lifestyle
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Intervention code [2]
324089
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Rehabilitation
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Comparator / control treatment
Probiotic group:
Daily supplementation of a probiotic protocol of bacterial strains during 3 months. The mode of administration is oral tablet. For the first month, the 2 Enterelle capsules will be taken in the morning. For the following two months, participants will switch to 2 Adomelle capsules (Bromatech Laboratories) taken at night.
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- Enterelle capsules (Bromatech Laboratories), with a Composition: Saccharomyces cerevisiae sub. boulardii MTCC-5375 (<1billon CFU), Saccharomyces cerevisiae sub. boulardii SP92 (<1billon CFU) Enterococcus faecium UBEF41 (<1billon CFU) and Lactobacillus acidophilus LA14 (1billon CFU).
- Adomelle capsules (Bromatech Laboratories) with a composition: Lactobacillus plantarum LP115 (<1billon CFU), Bifidobacterium breve B3 (<1billon CFU) and Lactobacillus acidophilus LA14 (1billon CFU).
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Control group
Active
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Outcomes
Primary outcome [1]
327058
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Bath Ankylosing Spondylitis functional index (BASFI) , Bath Ankylosing Spondylitis Activity Index (BASDAI) and Metrological index of Bath Ankylosing Spondylitis (BASMI)
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Assessment method [1]
327058
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Timepoint [1]
327058
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Measurements were made to the subjects: the first was made one week before the intervention, the second 1 month later (primary timepoint) and a third 3 months after the first measurement. All measurements were made in the morning and fasting, scheduled at the same time.
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Secondary outcome [1]
393655
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Specific questionnaire on quality of life in Ankylosing Spondylitis (ASQoL)
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Assessment method [1]
393655
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Timepoint [1]
393655
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Measurements were made to the subjects: the first was made one week before the intervention, the second 1 month later and a third 3 months after the first measurement. All measurements were made in the morning and fasting, scheduled at the same time.
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Eligibility
Key inclusion criteria
Patients diagnosed with Ankylosing Spondylitis according to the modified criteria of New York
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Minimum age
18
Years
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Maximum age
No limit
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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 systemic disorder that contraindicates exercise, active peripheral arthritis, total spinal ankylosis, or C-reactive protein (PCR) more than 10 times the normal value. Patients will also be excluded if their treatment has been modified 2 months before the start of the study.
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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)
Randomization was performed using a computer generated random sequence in permuted blocks (https://www.randomizer.org). The sequence was obtained by a research assistant who was not involved in the trial.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised 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
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data collected is being analysed
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
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Actual
23/04/2021
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Date of last participant enrolment
Anticipated
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Actual
23/04/2021
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Date of last data collection
Anticipated
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Actual
17/11/2021
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Sample size
Target
60
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Accrual to date
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Final
12
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Recruitment outside Australia
Country [1]
24805
0
Spain
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State/province [1]
24805
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Madrid
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Funding & Sponsors
Funding source category [1]
308249
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University
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Name [1]
308249
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Universidad Camilo José Cela
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Address [1]
308249
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Urb. Villafranca del Castillo
Calle Castillo de Alarcón 49
28692 Villanueva de la Cañada
Madrid
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Country [1]
308249
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Spain
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Primary sponsor type
University
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Name
Universidad Camilo José Cela
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Address
Urb. Villafranca del Castillo
Calle Castillo de Alarcón 49
28692 Villanueva de la Cañada
Madrid
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Country
Spain
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Secondary sponsor category [1]
309044
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None
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Name [1]
309044
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Address [1]
309044
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Country [1]
309044
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
308232
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Research Ethics Committee of the Camilo José Cela University.
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Ethics committee address [1]
308232
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Urb. Villafranca del Castillo Calle Castillo de Alarcón 49 28692 Villanueva de la Cañada Madrid
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Ethics committee country [1]
308232
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Spain
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Date submitted for ethics approval [1]
308232
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Approval date [1]
308232
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01/10/2019
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Ethics approval number [1]
308232
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Summary
Brief summary
Ankylosing spondylitis (AS) is a chronic and systemic rheumatic disease that causes inflammation and ankylosis of the axial skeleton. Disease progression often leads to spinal pain, stiffness, strain, deformity, functional impairment, disability and poor quality of life. From a biological point of view, physical exercise is indicated as a treatment for any chronic pathology and is proposed as a successful complement to the pharmacological treatment of any disease. The gut microbiota can contribute to the metabolic health of the human host and, when abnormal, affects the phenotype of immune cells, increasing the risk of autoimmunity. On the other hand, exercise is a potential modulator of gut microbiome composition and is associated with increased biodiversity and representation of taxa with beneficial metabolic functions. Therefore, we hypothesized that a lifestyle change could improve disease progression (spinal mobility, stiffness, tension, deformity, functional impairment, disability, and poor quality of life).
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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
110006
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Mr Alvaro Otero Campos
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Address
110006
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Otero Campos
Calle Princesa 22, 4 izq
28008 Madrid, Spain
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Country
110006
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Spain
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Phone
110006
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+34618910140
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Fax
110006
0
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Email
110006
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[email protected]
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Contact person for public queries
Name
110007
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Alvaro Otero Campos
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Address
110007
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Clinica Otero Campos
Calle Princesa 22, 4 izq
28008 Madrid, Spain
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Country
110007
0
Spain
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Phone
110007
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+34618910140
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Fax
110007
0
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Email
110007
0
[email protected]
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Contact person for scientific queries
Name
110008
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Alvaro Otero Campos
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Address
110008
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Clinica Otero Campos
Calle Princesa 22, 4 izq
28008 Madrid, Spain
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Country
110008
0
Spain
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Phone
110008
0
+34618910140
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Fax
110008
0
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Email
110008
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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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