Disease, PulmonaryNCT02512874
Does Pulmonary Rehabilitation Improve Frailty?
A study testing Pulmonary Rehabilitation, Dynamometer and DEXA in people with Disease, Pulmonary, run by Mayo Clinic at 1 site in United States.
Trial summary
Frailty is a state of health with predisposition to adverse events, morbidity and mortality. Frailty consists of weakness, slowness, low physical activity, exhaustion, and wasting. Frailty is associated with increased hospitalizations and death in lung disease. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Disease, Pulmonary
- What is being tested?
- Pulmonary Rehabilitation, Dynamometer and DEXA
- Type of treatment
- Medical device, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 65 participants
- Where
- 1 siteUnited States
- Study dates
- 21 Jul 2015to 16 Oct 2018
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Referred for pulmonary rehabilitation
- consenting to research
Who cannot join
- -Under 18 years of age
Trial locations and contacts
1 site in 1 country.
United States1 site
Mayo Clinic in Rochester
Rochester, Minnesota, 55905
About this study
Official title: Does Pulmonary Rehabilitation Improve Frailty in Chronic Lung Disease?
Frailty is a state of health with predisposition to adverse events, morbidity and mortality. Frailty consists of weakness, slowness, low physical activity, exhaustion, and wasting. Frailty is associated with increased hospitalizations and death in lung disease. It is unknown if pulmonary rehabilitation will improve frailty markers.
Read the detailed description
Individuals referred to pulmonary rehabilitation will be examined for frailty markers. After completing pulmonary rehabilitation, the same tests will be performed. The effects of pulmonary rehabilitation will be examined.
- Conditions
- Disease, Pulmonary
- Being tested
- Pulmonary Rehabilitation, Dynamometer, DEXA, Gait Speed Test, Activity Monitor
- Medical subject headings
- Lung Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pulmonary RehabilitationOther
Measures of frailty taken before and after pulmonary rehabilitation.
DynamometerDevice
Grip Test
DEXARadiation
Body Composition Testing
Gait Speed TestOther
15 foot walk test
Activity MonitorDevice
Measures energy expenditure and activity
QuestionnairesOther
Health-related questionnaires measuring self-reported exhaustion, emotions and disease symptoms.
| Study group | Role | What they receive |
|---|---|---|
| Pulmonary Rehabilitation | Other | One arm study - all participants will go to pulmonary rehabilitation, received questionnaires, Dual-energy X-ray absorptiometry (DEXA) scans, Dynamometer and gait speed tests and activity measured through an activity monitor. Receives: Other: Pulmonary Rehabilitation; Device: Dynamometer; Radiation: DEXA; Other: Gait Speed Test; Device: Activity Monitor; Other: Questionnaires |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Frailty Phenotype at Baseline and 6 Months
Frailty phenotype is 3 or more of: slow gait speed, exhaustion, decreased hand grip strength, decreased activity level, or wasting. Grip strength parameters, gait speed, exhaustion per Fried et al. 2001. Wasting is defined as further decrease in fat free mass by body composition measurement using DEXA. Low physical activity would be activity monitor in lower quartile.
Measured: Baseline, Six months
Secondary outcomes (5)
Wasting
DXA measurement of body mass index pre- and post- PR.
Measured: after pulmonary rehabilation completion, appoximately 8 weeks
Change in Strength
Change in Grip Strength as measured by hand dynamometer.
Measured: after completion of pulmonary rehab, approximately 8 weeks
Change in Gait Speed
gait speed test measured over 15 feet
Measured: pre and post pulmonary rehab, approximately 8 weeks
Improvement in Exhaustion
Self-reported exhaustion - measured by two questions in the Center for the Epidemiological Studies in Depression (CES-D) scale and reported as a dichotomous variable (exhausted or not exhausted).
Measured: pre and post pulmonary rehab, approximately 8 weeks
Change in Physical Activity Level
Measured by Body Media armband activity monitor using total energy expenditure divided by the resting metabolic rate
Measured: pre and post pulmonary rehab, approximately 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jul 2015 (estimated)
- Study start21 Jul 2015
- Primary completion16 Oct 2018
- Study completion16 Oct 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Disease, PulmonaryStudies of the same condition, open and under way.
- More trials run by Mayo ClinicThe 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 N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 65 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mayo Clinic
- Sponsor type
- University, hospital or other
- Collaborators
- National Heart, Lung, and Blood Institute (NHLBI)
- Responsible party
- Principal investigator, Cassie C. Kennedy, M.D., Mayo Clinic
- Investigators
- Cassie Kennedy, MD, Principal investigator, Mayo Clinic
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02512874
- Sponsor's protocol ID
- 15-001230
- Other IDs
- K23HL128859
- Status last verified
- Jun 2020
- First submitted
- 24 Jul 2015
- Last updated
- 23 Jun 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 23 Jun 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Does Pulmonary Rehabilitation Improve Frailty in Chronic Lung Disease?
- ClinicalTrials.gov ID
- NCT02512874
- Acronym / sponsor ID
- 15-001230
- Conditions
- Disease, Pulmonary
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 65 participants (actual)
- Lead sponsor
- Mayo ClinicUniversity, hospital or other
- Collaborators
- National Heart, Lung, and Blood Institute (NHLBI)
- Study start
- 21 Jul 2015
- Primary completion
- 16 Oct 2018 (actual)
- Study completion
- 16 Oct 2018 (actual)
- First posted
- 31 Jul 2015 (estimated)
- Results
- Posted 5 Oct 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Frailty is a state of health with predisposition to adverse events, morbidity and mortality. Frailty consists of weakness, slowness, low physical activity, exhaustion, and wasting. Frailty is associated with increased hospitalizations and death in lung disease. It is unknown if pulmonary rehabilitation will improve frailty markers.
Detailed description
Individuals referred to pulmonary rehabilitation will be examined for frailty markers. After completing pulmonary rehabilitation, the same tests will be performed. The effects of pulmonary rehabilitation will be examined.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Pulmonary Rehabilitation | Other | Other: Pulmonary Rehabilitation, Device: Dynamometer, Radiation: DEXA, Other: Gait Speed Test, Device: Activity Monitor, Other: QuestionnairesOne arm study - all participants will go to pulmonary rehabilitation, received questionnaires, Dual-energy X-ray absorptiometry (DEXA) scans, Dynamometer and gait speed tests and activity measured through an activity monitor. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Referred for pulmonary rehabilitation
- consenting to research
Key exclusion criteria (1 listed)
- -Under 18 years of age
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 |
|---|---|---|
| Pulmonary RehabilitationMeasures of frailty taken before and after pulmonary rehabilitation. | Other | Pulmonary Rehabilitation |
| DynamometerGrip Test | Device | Pulmonary Rehabilitation |
| DEXABody Composition Testing | Radiation | Pulmonary Rehabilitation |
| Gait Speed Test15 foot walk test | Other | Pulmonary Rehabilitation |
| Activity MonitorMeasures energy expenditure and activity | Device | Pulmonary Rehabilitation |
| QuestionnairesHealth-related questionnaires measuring self-reported exhaustion, emotions and disease symptoms. | Other | Pulmonary Rehabilitation |
Primary outcome
Number of Participants With Frailty Phenotype at Baseline and 6 Months
Time frame: Baseline, Six months
Frailty phenotype is 3 or more of: slow gait speed, exhaustion, decreased hand grip strength, decreased activity level, or wasting. Grip strength parameters, gait speed, exhaustion per Fried et al. 2001. Wasting is defined as further decrease in fat free mass by body composition measurement using DEXA. Low physical activity would be activity monitor in lower quartile.
5 secondary outcomes
Wasting
Time frame: after pulmonary rehabilation completion, appoximately 8 weeks
Change in Strength
Time frame: after completion of pulmonary rehab, approximately 8 weeks
Change in Gait Speed
Time frame: pre and post pulmonary rehab, approximately 8 weeks
Improvement in Exhaustion
Time frame: pre and post pulmonary rehab, approximately 8 weeks
Change in Physical Activity Level
Time frame: pre and post pulmonary rehab, approximately 8 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jun 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Mayo Clinic Clinical TrialsLink 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.
Cassie Kennedy, MD principal investigator
Mayo Clinic
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Pulmonary Rehabilitation, Dynamometer and DEXA in people with Disease, Pulmonary, run by Mayo Clinic 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 2 inclusion and 1 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 23 Jun 2020. 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. 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?
Yes. Results are posted in the registry (first posted 5 Oct 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Number of Participants With Frailty Phenotype at Baseline and 6 Months (time frame: Baseline, Six months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 23 Jun 2020.