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Trial registered on ANZCTR
Registration number
ACTRN12609000077268
Ethics application status
Approved
Date submitted
3/12/2008
Date registered
30/01/2009
Date last updated
30/01/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
Exercise training for pulmonary arterial hypertension
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Scientific title
The effect of exercise training on safety, exercise capacity and quality of life in people with pulmonary arterial hypertension - a pilot study
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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:
Pulmonary arterial hypertension
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Condition category
Condition code
Cardiovascular
4265
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Supervised exercise training conducted as an outpatient at the hospital. Participants will attend 90 minute sessions twice weekly for eight weeks and will undertake an individualised program under the supervision of a physiotherapist. Training will include walking, cycling and light weights for the arms and legs.
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Intervention code [1]
3780
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Rehabilitation
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Comparator / control treatment
N/A - this is a single group study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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adverse events: Failure to complete the prescribed exercise session or failure to achieve the set exercise intensity; Oxygen desaturation to less than 85% or heart rate > 140 beats per minute; Failure to progress the exercise prescription in subsequent sessions according to the protocol; Symptoms of dizziness, chest pain, palpitations or episodes of syncope / pre-syncope
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Assessment method [1]
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Timepoint [1]
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Assessed immediately after each exercise session during the 8 week study period
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Secondary outcome [1]
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6-minute walk test
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Assessment method [1]
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Timepoint [1]
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Baseline and immediately following the 8 weeks of training
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Secondary outcome [2]
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quality of life - measured with the Medical Outcomes Study Short Form 36 (SF-36)
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Assessment method [2]
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Timepoint [2]
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Baseline and immediately following the 8 weeks of training
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Secondary outcome [3]
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quadriceps strength - measured with an isokinetic dynamometer
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Assessment method [3]
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Timepoint [3]
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Baseline and immediately following the 8 weeks of training
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Eligibility
Key inclusion criteria
Patients will be eligible for inclusion if they are are aged over 18 years and in New York Heart Association (NYHA) functional class II – III. Eligible patients will also be clinically stable and compensated on optimal medical therapy. Clinical stability will be defined as stable symptoms and no evidence of heart failure, a stable NYHA score and no changes in medical therapy over the last three months (16). Patients wth Idiopathic Pulmonary Arterial Hypertension (IPAH) as well as those with Pulmonary arterial hypertension (PAH) related to connective tissue disease, congenital heart disease, sarcoidosis or the human immunodeficiency virus (HIV) will be eligible to participate. All patients will need to have had PAH confirmed on prior right heart catheterisation.
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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
recent syncope (within the last three months) or comorbidities which would preclude participation in an exercise program
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Study design
Purpose of the study
Treatment
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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)
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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
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
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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
2/04/2008
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Actual
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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
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Alfred Hospital
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Address
Commercial Rd Melbourne Victoria 3004
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Country
Australia
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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]
3812
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Pulmonary arterial hypertension (PAH) is a debilitating and life-threatening vascular disease affecting the lungs. Exercise training has traditionally had little role in the management of patients with PAH due to fears that it may cause disease progression and increase the risk of sudden death. However, this assumption may no longer be valid in patients who are stabilised on new medical therapies. We hypothesise that a supervised exercise training program conducted in the outpatient setting is safe and feasible, and improves exercise capacity, strength and quality of life in people with PAH. People with PAH will undergo 8 weeks of supervised exercise training in the outpatient setting. We will record any adverse events that ocfur during training. Before and after the training we will measure exercise capacity, strength and quality of life. the results of this study will indicate whether exercise training is safe for people with PAH and whether it has potential as a new treatment to improve exericse capacity and wellbeing.
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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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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 public queries
Name
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Anne Holland
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Address
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Physiotherapy Dept, Alfred Hospital, Commercial Rd Melbourne Victoria 3004
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Country
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Australia
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Phone
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+61 3 90763450
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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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Anne Holland
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Address
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Physiotherapy Dept, Alfred Hospital, Commercial Rd Melbourne Victoria 3004
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Country
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Australia
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Phone
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+61 3 90763450
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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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