Cardiovascular DiseaseNCT01335737
Exercise and Inflammation
A study testing aerobic training and Wait list in people with Cardiovascular Disease, run by New York State Psychiatric Institute at 1 site in United States.
Trial summary
The purpose of this study is to test the hypothesis that aerobic exercise leads to attenuation of the inflammatory response to lipopolysaccharide (LPS) stimulation. Read more about this study
- Who is it for?
- Ages 20 to 45 yearsHealthy volunteers can take part
- Conditions the study is for
- Cardiovascular Disease
- What is being tested?
- aerobic training and Wait list
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 241 participants
- Where
- 1 siteUnited States
- Study dates
- Jan 2010to Apr 2015
- Phase
- Interventional
- 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 20 to 45 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Age 20-45 years old
- English-speaking
- Ambulatory
- BMI < 32
- Pre-menopausal (women only) with regular cycle lengths between 26-32 days
- "Average" fitness as determined by American Heart Association standards (VO2max < 43 ml/kg/min for men, < 37 ml/kg/min for women) VO2max test
Who cannot join
- Use of anti-psychotic medications
- Current of past major depressive disorder, or total symptom score > 10
- BMI<18
- Heart disease
- Hypertension
- Diabetes mellitus
Show all 13Show fewer
- Neurologic disease
- Smoking
- Individuals with ischemic heart disease, cardiac arrhythmias, peripheral vascular disease, orthopedic problems such as foot, leg, hip and spine problems,movement disorders, other neurological disorders affecting gait or balance, conditions or treatments associated with impaired thermoregulation, or other medical problems, for which aerobic training would be contraindicated.
- Use of any medication with autonomic effects
- Use of birth control medication
- Ischemic changes, abnormal blood pressure responses, significant ectopy
- Appears to be at high risk to be unable to adhere to study protocol
Trial locations and contacts
1 site in 1 country.
United States1 site
Columbia University Medical Center
New York, New York, 10032
About this study
Official title: Exercise and Inflammation: Autonomic, Affective & Cellular Mechanisms
The purpose of this study is to test the hypothesis that aerobic exercise leads to attenuation of the inflammatory response to lipopolysaccharide (LPS) stimulation.
Read the detailed description
Aerobic exercise - the most widely recommended health behavior - is recognized to reduce the risk of coronary heart disease, so much so that consensus panels routinely include it as part of a cardioprotective regimen for healthy people, but the physiological or mechanistic basis of this protection is uncertain. Understanding the mechanisms has considerable public health significance because it will allow development and testing of targeted interventions to produce comparable cardioprotective effects more directly or in cases where aerobic exercise is not possible. This application proposes to test the hypothesis that aerobic training leads to attenuation of the inflammatory response to LPS stimulation and to examine the role played by exercise-induced increases in vagal activity, improvements in mood, and decreased expression of Toll Receptor 4 (TLR4), the cognate receptor for endotoxin expressed by monocytes.
- Conditions
- Cardiovascular Disease
- Being tested
- aerobic training, Wait list
- Medical subject headings
- Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
aerobic trainingBehavioural
Also called Training, aerobic
12 weeks of aerobic training, 4 times/week
Wait listBehavioural
Also called Condition, wait list control
wait list control condition
| Study group | Role | What they receive |
|---|---|---|
| aerobic training | Experimental | 12 weeks of aerobic training, 4 times/week Receives: Behavioral: aerobic training |
| wait list control | Placebo comparator | wait list control condition, 12 weeks + 4 to parallel the deconditioning protocol in active intervention group Receives: Behavioral: Wait list |
What is being measured
The primary outcome is the main question the study is designed to answer.
tumor necrosis factor (TNF-alpha)
TNF-alpha will be measured from whole blood samples stimulated with lipopolysaccharide
Measured: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning
Secondary outcomes (4)
Change in mood, including depressive symptomatology and negative affect
Measured: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning
interleukin 1 (IL-1), IL-6, IL-8, IL-10
these cytokines will be measured from whole blood samples stimulated with lipopolysaccharide
Measured: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning
TLR-4
TLR-4 will be measured from blood samples
Measured: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning
cerebral blood volume (CBV) in the dentate gyrus
Measured: change from before (pre) to after (post) 12 weeks of training
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Apr 2011 (estimated)
- Study startJan 2010
- Primary completionApr 2015
- Study completionApr 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Cardiovascular DiseaseStudies of the same condition, open and under way.
- 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 N/A
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 241 participants (actual)
Sponsor and investigators
- Lead sponsor
- New York State Psychiatric Institute
- Sponsor type
- University, hospital or other
- Collaborators
- Feinstein Institute for Medical Research
- Responsible party
- Principal investigator, Richard Sloan, New York State Psychiatric Institute
- Investigators
- Richard P Sloan, PhD, Principal investigator, Columbia University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01335737
- Sponsor's protocol ID
- 5948/6956R
- Other IDs
- HL094423
- Status last verified
- Jun 2018
- First submitted
- 14 Jul 2010
- Last updated
- 11 Jun 2018
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Sloan RP, Shapiro PA, Demeersman RE, McKinley PS, Tracey KJ, Slavov I, Fang Y, Flood PD. Aerobic exercise attenuates inducible TNF production in humans. J Appl Physiol (1985). 2007 Sep;103(3):1007-11. doi: 10.1152/japplphysiol.00147.2007. Epub 2007 Jul 12.
PubMed 17626836Sloan RP, Shapiro PA, Lauriola V, McIntyre K, Pavlicova M, Choi CJ, Choo TH, Scodes JM. The Impact of Aerobic Training on Cardiovascular Reactivity to and Recovery From Psychological and Orthostatic Challenge. Psychosom Med. 2021 Feb-Mar 01;83(2):125-137. doi: 10.1097/PSY.0000000000000896.
PubMed 33337592McIntyre KM, Puterman E, Scodes JM, Choo TH, Choi CJ, Pavlicova M, Sloan RP. The effects of aerobic training on subclinical negative affect: A randomized controlled trial. Health Psychol. 2020 Apr;39(4):255-264. doi: 10.1037/hea0000836. Epub 2020 Jan 9.
PubMed 31916828
Study at a glance
From the registry record, last updated by the sponsor on 11 Jun 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Exercise and Inflammation: Autonomic, Affective & Cellular Mechanisms
- ClinicalTrials.gov ID
- NCT01335737
- Acronym / sponsor ID
- 5948/6956R
- Conditions
- Cardiovascular Disease
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 241 participants (actual)
- Lead sponsor
- New York State Psychiatric InstituteUniversity, hospital or other
- Collaborators
- Feinstein Institute for Medical Research
- Study start
- Jan 2010
- Primary completion
- Apr 2015 (actual)
- Study completion
- Apr 2015 (actual)
- First posted
- 14 Apr 2011 (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 purpose of this study is to test the hypothesis that aerobic exercise leads to attenuation of the inflammatory response to lipopolysaccharide (LPS) stimulation.
Detailed description
Aerobic exercise - the most widely recommended health behavior - is recognized to reduce the risk of coronary heart disease, so much so that consensus panels routinely include it as part of a cardioprotective regimen for healthy people, but the physiological or mechanistic basis of this protection is uncertain. Understanding the mechanisms has considerable public health significance because it will allow development and testing of targeted interventions to produce comparable cardioprotective effects more directly or in cases where aerobic exercise is not possible. This application proposes to test the hypothesis that aerobic training leads to attenuation of the inflammatory response to LPS stimulation and to examine the role played by exercise-induced increases in vagal activity, improvements in mood, and decreased expression of Toll Receptor 4 (TLR4), the cognate receptor for endotoxin expressed by monocytes.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| aerobic training | Experimental | Behavioral: aerobic training12 weeks of aerobic training, 4 times/week |
| wait list control | Placebo comparator | Behavioral: Wait listwait list control condition, 12 weeks + 4 to parallel the deconditioning protocol in active intervention group |
Who may qualify
- Ages
- 20 to 45 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Age 20-45 years old
- English-speaking
- Ambulatory
- BMI < 32
- Pre-menopausal (women only) with regular cycle lengths between 26-32 days
Key exclusion criteria (13 listed)
- Use of anti-psychotic medications
- Current of past major depressive disorder, or total symptom score > 10
- BMI<18
- Heart disease
- Hypertension
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 |
|---|---|---|
| aerobic trainingAlso: Training, aerobic12 weeks of aerobic training, 4 times/week | Behavioural | aerobic training |
| Wait listAlso: Condition, wait list controlwait list control condition | Behavioural | wait list control |
Primary outcome
tumor necrosis factor (TNF-alpha)
Time frame: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning
TNF-alpha will be measured from whole blood samples stimulated with lipopolysaccharide
4 secondary outcomes
Change in mood, including depressive symptomatology and negative affect
Time frame: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning
interleukin 1 (IL-1), IL-6, IL-8, IL-10
Time frame: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning
TLR-4
Time frame: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning
cerebral blood volume (CBV) in the dentate gyrus
Time frame: change from before (pre) to after (post) 12 weeks of training
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jun 2018.
- Results publication: PubMed 17626836Sloan RP, Shapiro PA, Demeersman RE, McKinley PS, Tracey KJ, Slavov I, Fang Y, Flood PD. Aerobic exercise attenuates inducible TNF production in humans. J Appl Physiol (1985). 2007 Sep;103(3):1007-11. doi: 10.1152/japplphysiol.00147.2007. Epub 2007 Jul 12.
- Derived from this study: PubMed 33337592Sloan RP, Shapiro PA, Lauriola V, McIntyre K, Pavlicova M, Choi CJ, Choo TH, Scodes JM. The Impact of Aerobic Training on Cardiovascular Reactivity to and Recovery From Psychological and Orthostatic Challenge. Psychosom Med. 2021 Feb-Mar 01;83(2):125-137. doi: 10.1097/PSY.0000000000000896.
- Derived from this study: PubMed 31916828McIntyre KM, Puterman E, Scodes JM, Choo TH, Choi CJ, Pavlicova M, Sloan RP. The effects of aerobic training on subclinical negative affect: A randomized controlled trial. Health Psychol. 2020 Apr;39(4):255-264. doi: 10.1037/hea0000836. Epub 2020 Jan 9.
Related trials for Cardiovascular Disease
Not yet recruiting
Brain-Machine Interface With Virtual Reality and Neuromuscular Electrical Stimulation for Upper Limb Rehabilitation After Stroke
Ischemic Stroke
Not yet recruitingPhase 4
An Investigator-initiated, Prospective, Open-label, Multicenter Randomized Controlled Trial, Comparing the Efficacy of Sacubitril/Valsartan and Standard Treatment on Atrial Fibrillation Recurrence After Catheter Ablation in Persistent Atrial Fibrillation Patients Without Hypertensive
Atrial Fibrillation (Persistent), Catheter Ablation
Not yet recruiting
LBBAP Versus ILR in Patients With New-Onset LBBB and Moderately Reduced LVEF After TAVI
TAVI(Transcatheter Aortic Valve Implantation), Left Bundle Branch Block
Recruiting
Tricuspid Regurgitation Treatment With LAPLACE Transcatheter Tricuspid Valve Replacement System
Severe Tricuspid Valve Regurgitation, Tricuspid Valve Regurgitation
Recruiting
Effects of Pitavastatin or Combination of Pitavastatin and Ezetimibe on Glucose Metabolism Compared to AtoRvastatin in atheroscLerotic Cardiovascular Disease Patients With Metabolic Syndrome: The EZ-PEARL Randomized Trial
Dyslipidemias, Atherosclerotic Cardiovascular Disease
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.
Richard P Sloan, PhD principal investigator
Columbia University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing aerobic training and Wait list in people with Cardiovascular Disease, run by New York State Psychiatric Institute at 1 site in United States.
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 6 inclusion and 13 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: finished, as of the sponsor's last update on 11 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
tumor necrosis factor (TNF-alpha) (time frame: change from before (pre) to after (post) 12 weeks of training & after 4 weeks of post-deconditioning). 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 NCT01335737, which also lists 3 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 11 Jun 2018.