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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01871779
Registration number
NCT01871779
Ethics application status
Date submitted
31/05/2013
Date registered
7/06/2013
Date last updated
7/06/2013
Titles & IDs
Public title
Effect of Exercise Training on Protein Expression in Skeletal Muscle Tissue After Exercise in Peripheral Arterial Disease
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Scientific title
The Effect of Different Forms of Exercise on Both the Clinical, Systemic and Local Biological Responses in Intermittent Claudication
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Secondary ID [1]
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CALPAINCLAUD2011
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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:
Peripheral Arterial Disease
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - Standard Treadmill Exercise
Other interventions - Intermittent treadmill & resistance training
Experimental: Standard Treadmill Exercise - The first group would undergo standard treadmill exercise to the point of pain and repeat these cycles for a total period of 35-45 minutes twice weekly for 12 weeks
Experimental: Intermittent Treadmill & Resistance Training - The second group would have a combination of intermittent treadmill and some resistance training with weights. They will undergo repeated cycles to a maximum of 35-45 minutes twice weekly for 12 weeks
Other interventions: Standard Treadmill Exercise
Standard treadmill exercise to the point of pain twice weekly for 35-45 minutes for 12 weeks
Other interventions: Intermittent treadmill & resistance training
Combination of standard treadmill training and resistance training with weights twice weekly for 12 weeks
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Improvement in Pain Free Walking Distance
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Assessment method [1]
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Patients will be exercised based on standard protocols and monitored for improvements in Maximal walking distance and Pain Free Walking distances.
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Timepoint [1]
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Change from baseline (pre intervention) to 12 weeks (post intervention)
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Secondary outcome [1]
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Skeletal muscle protein expression
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Assessment method [1]
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Skeletal muscle samples obtained from ultrasound guided biopsy of symptomatic medial gastrocnemius muscle will be assessed for protein activity of proteins from the calpain family, specifically, m-calpain and calpastatin.
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Timepoint [1]
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Change from baseline (pre intervention) to 12 weeks (post intervention)
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Secondary outcome [2]
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Inflammatory cytokines
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Assessment method [2]
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Fasting C Reactive Protein, Interleukin 6 and Neutrophil Elastase will be analysed from serum via enzyme-linked immunosorbent assays.
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Timepoint [2]
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Change from baseline (pre intervention) to 12 weeks (post intervention)
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Secondary outcome [3]
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Endothelial function
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Assessment method [3]
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Endothelium-mediated changes in vascular tone will be quantified by reactive hyperemia-peripheral artery tonometry index and flow-mediated dilatation using high resolution ultrasound.
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Timepoint [3]
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Change from baseline (pre intervention) to 12 weeks (post intervention)
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Eligibility
Key inclusion criteria
1. All claudicants with a walking distance of 50 metres or more with a resting ankle brachial index equal to or less than 0.9.
2. Claudicants meeting above criteria, who may have previously had a percutaneous arterial intervention for symptom control more than 12 months ago.
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Minimum age
No limit
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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
1. Patients with lower limb pain of other aetiologies - neurogenic claudication evidenced by normal ankle brachial indices and duplex ultrasound.
2. Patients with lower limb ischaemic rest pain
3. Patients with current or previous tissue loss, such as ulcers or necrotic lesions.
4. Patients with recent (<12 months) history of peripheral vascular interventions for symptoms.
5. Patients with pre-existing cardiac or respiratory problems limiting exercise.
6. Patients with previous disabling strokes which would restrict exercise regimes
7. Patients with anticoagulation or blood dyscrasias.
8. Women who are pre-menopausal,
9. Women receiving hormone-replacement therapy.
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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
Open (masking not 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
NA
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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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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2010
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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
1/02/2013
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Sample size
Target
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Accrual to date
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Final
35
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Repatriation General Hospital - Daw Park
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Recruitment postcode(s) [1]
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5041 - Daw Park
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Funding & Sponsors
Primary sponsor type
Other
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Name
Flinders University
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Address
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Country
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Other collaborator category [1]
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Government body
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Name [1]
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Flinders Medical Centre
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Address [1]
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Other collaborator category [2]
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Other
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Name [2]
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Royal Adelaide Hospital
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Address [2]
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Other collaborator category [3]
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Other
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Name [3]
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The Queen Elizabeth Hospital
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Address [3]
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Country [3]
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Ethics approval
Ethics application status
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Summary
Brief summary
Cardiovascular disease remain one of the leading causes of death in Australia, accounting for 47637 (36%) of deaths in 2004. Peripheral arterial disease (PAD) is a category of cardiovascular disease, characterised by intermittent claudication. This is defined as walking induced pain, cramping, aching, tiredness or heaviness in one or both legs that does not go away with continued walking and is relieved with rest. It is estimated that between 5-10% of individuals aged over 50 years suffer from claudication. The primary and most effective treatment for these patients is focused on improving walking ability and functional status. Current research has shown that approximately 30% of patients improve with exercise, while 30% continue to deteriorate and the rest show no change. The changes produced at a biochemical and cellular level due to exercise are unknown. To help better understand this, our study will assess the entire range of proteins expressed before and after exercise in the skeletal muscle tissue of patients with intermittent claudication. This will help to identifying key proteins that have a role in improving patient symptoms and outcome.
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Trial website
https://clinicaltrials.gov/study/NCT01871779
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Trial related presentations / publications
Delaney CL, Miller MD, Dickinson KM, Spark JI. Change in dietary intake of adults with intermittent claudication undergoing a supervised exercise program and compared to matched controls. Nutr J. 2014 Oct 15;13:100. doi: 10.1186/1475-2891-13-100.
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Public notes
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Contacts
Principal investigator
Name
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Christopher L Delaney, BMBS
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Address
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Flinders University and Flinders Medical Centre Department of Vascular Surgery
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01871779
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