NIDDMPhase 2NCT00234273
APAD2: Effects of Rehabilitation Programme in Adapted Physical Activity (APA) Among Type 2 Diabetics
A Phase 2 study testing Rehabilitation programme in Adapted Physical Activity (APA) and Therapeutic education primarily focused on dietary in people with NIDDM, run by University Hospital, Grenoble at 4 sites in France.
Trial summary
The principal objective is to assess and analyze the effects of a six month programme in Adapted Physical Activity (APA) on physical activity, compliance, and insulin resistance among type 2 diabetics. Read more about this study
- Who is it for?
- Ages 40 years and olderHealthy volunteers can take part
- Conditions the study is for
- NIDDM
- What is being tested?
- Rehabilitation programme in Adapted Physical Activity (APA) and Therapeutic education primarily focused on dietary
- Type of treatment
- Surgery or procedure, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 4 sitesFrance
- Study dates
- Nov 2004to Jun 2008
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Type 2 diabetics
- Age > 40
- First education in the Education Diabetics Department of the University Hospital Grenoble
- Sedentary patients
- Hemoglobin A1c (HbA1c) > 7%
- Body mass index (BMI) > 25
- To be affiliated with disease assurance
- To give written and informed consent
Who cannot join
- Foot sore < six months
- Renal disease - proteinuria stage
- Contraindication for exercise
- VO2 max > 120% Wassermann standard
- Coronary pathology non-stabilization
- Arteriopathy stage 2 non-compensation
- Osteo-articular crippling problem
- Geographically distant
Trial locations and contacts
4 sites in 1 country.
France4 sites
Department of Endocrinology, Diabetology and Nutrition
Grenoble, Auvergne-Rhône-Alpes, 38000
Endocrinology, Diabetology and Nutrition - University Hospital of Grenoble
Grenoble, Auvergne-Rhône-Alpes, 38000
Endocrinology, Diabetology and Nutrition Department - University Hospital of Grenoble
Grenoble, 38000
HALIMI Serge
Grenoble, 38000
About this study
Official title: Effects Rehabilitation Programme in Adapted Physical Activity (APA) Among Type 2 Diabetics Persons
The principal objective is to assess and analyze the effects of a six month programme in Adapted Physical Activity (APA) on physical activity, compliance, and insulin resistance among type 2 diabetics.
Read the detailed description
Clinical trial with direct individual profit. Study phase 2. Study center: University Hospital Grenoble Principal investigator: Pr. Serge HALIMI Sponsor: University Hospital Grenoble
The principal objective is to assess and analyze the effects of a six month programme in Adapted Physical Activity (APA) on physical activity, compliance, and insulin resistance among type 2 diabetics.
Secondary objectives are to assess and analyze the effects of a six month programme in APA of:
- arterial tension
- weight, body composition and abdominal perimeter
- quality of life
- treatment dosage
- number of hospitalisation thick a diabetes complication acute for one year and for each patient Compare two exercise's intensity: first lactate threshold (SL1) and crossover (PCGL).
Inclusion criteria:
- type 2 diabetics
- age > 40 years
- first education in Education Diabetics Department of University Hospital Grenoble
- sedentary patients
- HbA1c > 7%-
- BMI > 25
- to be affiliate disease assurance
- to give consent written and inform
Judgment criteria for physical activity compliance:
- leisure time physical activity: Modifiable Activity Questionnaire
- training note-book
Judgment criteria for resistance insulin:
- Crossover (PCGL)
- HOMA and FIRI index
- HbA1c
Programme test: Rehabilitation programme in Adapted Physical Activity (APA)
Programme test period: 6 months
Study total period: 28 months
Study period for each patient: 18 months
Safety criteria: clinical compendium undesirable events
- Conditions
- NIDDM
- Being tested
- Rehabilitation programme in Adapted Physical Activity (APA), Therapeutic education primarily focused on dietary
- Keywords
- Adapted Physical Activity, Quality of life, cardiovascular risk, teaching, Directly Observed Therapy, Physical activity
- Medical subject headings
- Diabetes Mellitus, Type 2, Directly Observed Therapy, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rehabilitation programme in Adapted Physical Activity (APA)Procedure or surgery
Therapeutic education primarily focused on dietaryBehavioural
| Study group | Role | What they receive |
|---|---|---|
| Therapeutic education combining dietary and rehabilitation | Experimental | Therapeutic education combining dietary and rehabilitation (APA) Receives: Procedure: Rehabilitation programme in Adapted Physical Activity (APA); Behavioral: Therapeutic education primarily focused on dietary |
| Therapeutic education primarily focused on dietary | Active comparator | Therapeutic education primarily focused on dietary Receives: Behavioral: Therapeutic education primarily focused on dietary |
What is being measured
The primary outcome is the main question the study is designed to answer.
Increase physical activity compliance long-term
Modifiable Activity Questionnaire (MAQ
Measured: 6 months after the beginning of the program
Lessen insulin resistance
HOMA (Homeo-stasis model assessment), HbA1c, PCGL
Measured: 6 months after the beginning of the program
Secondary outcomes (3)
Improve the quality of life
Short Form-36 Health Survey Questionnary (SF-36)
Measured: 6 months after the beginning of the program
Improve the arterial tension
arterial tension
Measured: 6 months after the beginning of the program
Lessen the weight
weight
Measured: 6 months after the beginning of the program
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Oct 2005 (estimated)
- Study startNov 2004
- Primary completionJun 2008
- Study completionJun 2008
Why it stopped: recrutment
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for NIDDMStudies of the same condition, open and under way.
- More trials run by University Hospital, GrenobleThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital, Grenoble
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- HALIMI Serge, Principal investigator, Institut National de la Santé Et de la Recherche Médicale, FranceHalimi S. Therapeutic strategies for type 2 diabetes. Rev Prat HALIMI, Principal investigator, Institut National de la Santé Et de la Recherche Médicale, France
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00234273
- Sponsor's protocol ID
- DCIC 03 09
- Status last verified
- Jun 2013
- First submitted
- 5 Oct 2005
- Last updated
- 19 Jun 2013
- Results posted
- No
- Data monitoring committee
- No
Publications
Bouvard S, Faure P, Roucard C, Favier A, Halimi S. Characterization of free radical defense system in high glucose cultured HeLa-tat cells: consequences for glucose-induced cytotoxicity. Free Radic Res. 2002 Sep;36(9):1017-22. doi: 10.1080/107156021000006671.
PubMed 12448827Halimi S, Wion-Barbot N, Lambert S, Benhamou P. [Self-monitoring of blood glucose in type 2 diabetic patients. What could we propose according to their treatment?]. Diabetes Metab. 2003 Apr;29(2 Pt 2):S26-30. French.
PubMed 12746623Halimi S. [Therapeutic strategies for type 2 diabetes]. Rev Prat. 2003 May 15;53(10):1079-85. French.
PubMed 12846028Halimi S. [Is a new therapeutic class justified in the treatment of type 2 diabetes?]. Ann Endocrinol (Paris). 2002 Apr;63(2 Pt 2):1S7-11. French.
PubMed 12037511Halimi S, Charpentier G, Grimaldi A, Grenier JL, Baut F, Germain B, Magnette J. Effect on compliance, acceptability of blood glucose self-monitoring and HbA(1c) of a self-monitoring system developed according to patient's wishes. The ACCORD study. Diabetes Metab. 2001 Dec;27(6):681-7.
PubMed 11852377
Study at a glance
From the registry record, last updated by the sponsor on 19 Jun 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects Rehabilitation Programme in Adapted Physical Activity (APA) Among Type 2 Diabetics Persons
- ClinicalTrials.gov ID
- NCT00234273
- Acronym / sponsor ID
- DCIC 03 09
- Conditions
- NIDDM
- Keywords
- Adapted Physical Activity, Quality of life, cardiovascular risk, teaching, Directly Observed Therapy, Physical activity
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: recrutment
- Enrolment
- 10 participants (actual)
- Lead sponsor
- University Hospital, GrenobleUniversity, hospital or other
- Study start
- Nov 2004
- Primary completion
- Jun 2008 (actual)
- Study completion
- Jun 2008 (actual)
- First posted
- 6 Oct 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The principal objective is to assess and analyze the effects of a six month programme in Adapted Physical Activity (APA) on physical activity, compliance, and insulin resistance among type 2 diabetics.
Detailed description
Clinical trial with direct individual profit. Study phase 2. Study center: University Hospital Grenoble Principal investigator: Pr. Serge HALIMI Sponsor: University Hospital Grenoble
The principal objective is to assess and analyze the effects of a six month programme in Adapted Physical Activity (APA) on physical activity, compliance, and insulin resistance among type 2 diabetics.
Secondary objectives are to assess and analyze the effects of a six month programme in APA of:
- arterial tension
- weight, body composition and abdominal perimeter
- quality of life
- treatment dosage
- number of hospitalisation thick a diabetes complication acute for one year and for each patient Compare two exercise's intensity: first lactate threshold (SL1) and crossover (PCGL).
Inclusion criteria:
- type 2 diabetics
- age > 40 years
- first education in Education Diabetics Department of University Hospital Grenoble
- sedentary patients
- HbA1c > 7%-
- BMI > 25
- to be affiliate disease assurance
- to give consent written and inform
Judgment criteria for physical activity compliance:
- leisure time physical activity: Modifiable Activity Questionnaire
- training note-book
Judgment criteria for resistance insulin:
- Crossover (PCGL)
- HOMA and FIRI index
- HbA1c
Programme test: Rehabilitation programme in Adapted Physical Activity (APA)
Programme test period: 6 months
Study total period: 28 months
Study period for each patient: 18 months
Safety criteria: clinical compendium undesirable events
Study design
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Therapeutic education combining dietary and rehabilitation | Experimental | Procedure: Rehabilitation programme in Adapted Physical Activity (APA), Behavioral: Therapeutic education primarily focused on dietaryTherapeutic education combining dietary and rehabilitation (APA) |
| Therapeutic education primarily focused on dietary | Active comparator | Behavioral: Therapeutic education primarily focused on dietaryTherapeutic education primarily focused on dietary |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Type 2 diabetics
- Age > 40
- First education in the Education Diabetics Department of the University Hospital Grenoble
- Sedentary patients
- Hemoglobin A1c (HbA1c) > 7%
Key exclusion criteria (8 listed)
- Foot sore < six months
- Renal disease - proteinuria stage
- Contraindication for exercise
- VO2 max > 120% Wassermann standard
- Coronary pathology non-stabilization
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Rehabilitation programme in Adapted Physical Activity (APA) | Procedure or surgery | Therapeutic education combining dietary and rehabilitation |
| Therapeutic education primarily focused on dietary | Behavioural | Therapeutic education combining dietary and rehabilitation, Therapeutic education primarily focused on dietary |
Primary outcome
Increase physical activity compliance long-term
Time frame: 6 months after the beginning of the program
Modifiable Activity Questionnaire (MAQ
Lessen insulin resistance
Time frame: 6 months after the beginning of the program
HOMA (Homeo-stasis model assessment), HbA1c, PCGL
3 secondary outcomes
Improve the quality of life
Time frame: 6 months after the beginning of the program
Improve the arterial tension
Time frame: 6 months after the beginning of the program
Lessen the weight
Time frame: 6 months after the beginning of the program
Results and safety
The study was stopped early (reason given: recrutment). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Jun 2013.
- Results publication: PubMed 12448827Bouvard S, Faure P, Roucard C, Favier A, Halimi S. Characterization of free radical defense system in high glucose cultured HeLa-tat cells: consequences for glucose-induced cytotoxicity. Free Radic Res. 2002 Sep;36(9):1017-22. doi: 10.1080/107156021000006671.
- Results publication: PubMed 12746623Halimi S, Wion-Barbot N, Lambert S, Benhamou P. [Self-monitoring of blood glucose in type 2 diabetic patients. What could we propose according to their treatment?]. Diabetes Metab. 2003 Apr;29(2 Pt 2):S26-30. French.
- Results publication: PubMed 12846028Halimi S. [Therapeutic strategies for type 2 diabetes]. Rev Prat. 2003 May 15;53(10):1079-85. French.
- Results publication: PubMed 12037511Halimi S. [Is a new therapeutic class justified in the treatment of type 2 diabetes?]. Ann Endocrinol (Paris). 2002 Apr;63(2 Pt 2):1S7-11. French.
- Results publication: PubMed 11852377Halimi S, Charpentier G, Grimaldi A, Grenier JL, Baut F, Germain B, Magnette J. Effect on compliance, acceptability of blood glucose self-monitoring and HbA(1c) of a self-monitoring system developed according to patient's wishes. The ACCORD study. Diabetes Metab. 2001 Dec;27(6):681-7.
- PubMedLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
HALIMI Serge principal investigator
Institut National de la Santé Et de la Recherche Médicale, France
Halimi S. Therapeutic strategies for type 2 diabetes. Rev Prat HALIMI principal investigator
Institut National de la Santé Et de la Recherche Médicale, France
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Rehabilitation programme in Adapted Physical Activity (APA) and Therapeutic education primarily focused on dietary in people with NIDDM, run by University Hospital, Grenoble at 4 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 19 Jun 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: recrutment). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Increase physical activity compliance long-term (time frame: 6 months after the beginning of the program). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00234273, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Jun 2013.