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Peripheral Artery DiseaseGrEnADaNCT02879019

Walking Training in Peripheral Artery Disease (GrEnADa Sub-study)

A study testing Stretching exercise group and Walking training group in people with Peripheral Artery Disease and Intermittent Claudication, run by KU Leuven.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

Whereas the efficacy of exercise interventions has been abundantly proven in male with peripheral artery disease (PAD), it remains to be determined whether these interventions are effective in women. Read more about this study

Who is it for?
Ages 50 to 80 years, women only
What is being tested?
Stretching exercise group and Walking training group
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
No sites listed yet
Study dates
Nov 2017to Oct 2019
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 50 to 80 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • aankle-brachial index (ABI) ≤ 0.9 in one or two legs
  • fontaine stage II of PAD
  • body mass index <35 kg/m2
  • resting systolic blood pressure (BP) <160 mmHg and diastolic BP <105 mmHg
  • ability to walk at least 2min at 3.2 km/h
  • ability to undertake an incremental treadmill test
  • decrease of at least 15% in ABI after a maximal treadmill test
  • not currently engaging in any regular exercise program

Who cannot join

  • exercise induced signs of myocardial ischemia or complex ventricular arrhythmias
  • cardiovascular autonomic neuropathy
  • use of beta-blocker, nondihydropyridine calcium antagonists or insulin and hormone replacement therapy.

About this study

Official title: 12 Weeks of Walking Exercise Training in Women With Peripheral Artery Disease: A Sub-study of GrEnADa-project

Whereas the efficacy of exercise interventions has been abundantly proven in male with peripheral artery disease (PAD), it remains to be determined whether these interventions are effective in women. The aim of this randomized controlled trial which will be performed with 34 PAD women will be to investigating the effects of 12 weeks of supervised walking on functional capacity and cardiovascular function and regulation at rest and during exercise.

Being tested
Stretching exercise group, Walking training group
Medical subject headings
Peripheral Arterial Disease, Intermittent Claudication

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Stretching exercise groupOther

    In each stretching class, approximately 20 exercises will be performed. The total duration of the session will be approximately 30 minutes.

  • Walking training groupOther

    Patients will perform two walking session per week, each consisting of 15*2-min walking bouts, with 2-min of rest in between. The intensity will be set at heart rate corresponding to the pain threshold.

Study groups in NCT02879019
Study groupRoleWhat they receive
Stretching exercise groupSham comparatorPatients will receive two session per week of stretching classes.
Receives: Other: Stretching exercise group
Walking training groupExperimentalPatients will perform two walking sessions per week.
Receives: Other: Walking training group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in walking capacity at 12 weeks of follow-up

    Claudication onset distance (m) defined as the distance walked until the patients first reported pain in the leg during the treadmill test and total walk distance (m) defined as the total distance that the patient was able to walk during the test will be performed before and after 12 weeks of follow-up.

    Measured: 12 weeks

  2. Change in functional capacity at 12 weeks of follow-up

    Walking economy defined as VO2 measured during the first stage of the treadmill test and functional capacity defined as VO2 peak obtained during the test will be measured to determine the cardiopulmonary response after 12 weeks of walking training.

    Measured: 12 weeks

  3. Change in heart rate pain threshold at 12 weeks of follow-up

    The heart rate obtained at claudication onset distance during the treadmill test will be evaluate before and after 12 weeks of follow-up.

    Measured: 12 weeks

Secondary outcomes (5)
  1. Change in Ankle-Brachial Index decrease at 12 weeks of follow-up

    Will defined by the difference in ankle-brachial index measured immediately after the exercise and pre-exercise.

    Measured: 12 weeks

  2. Change in ischemic window at 12 weeks of follow-up

    Calculated by area under the curve of the ankle systolic blood pressure measured during the first 10 min of recovery after the test divided by total walk distance.

    Measured: 12 weeks

  3. Change in autonomic modulation at 12 weeks of follow-up

    Autonomic modulation: assessed by spectral analysis of heart rate and systolic blood pressure variabilities. Heart rate (electrocardiogram) and beat-by-beat blood pressure (finometer) will be recorded for 10 min at a sample frequency of 500Hz/channel.

    Measured: 12 weeks

  4. Change in cardiac output at 12 weeks of follow-up

    Cardiac output will be estimated at baseline and after 12 weeks of follow-up bu the indirect Fick method using the CO2 rebreathing technique and a metabolic card.

    Measured: 12 weeks

  5. Change in vascular function at 12 weeks of follow-up

    Blood flow and blood flow in response to hyperemia will be obtained.

    Measured: 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Aug 2016 (estimated)
  2. Study startNov 2017 (estimated)
  3. Primary completionAug 2019 (estimated)
  4. Study completionOct 2019 (estimated)

Why it stopped: Study was not started due to lack of funding

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02879019
Sponsor's protocol ID
150716_GrenSub
Acronym
GrEnADa
Status last verified
Jun 2019
First submitted
11 Aug 2016
Last updated
24 Jun 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Stretching exercise group and Walking training group in people with Peripheral Artery Disease and Intermittent Claudication, run by KU Leuven.

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 3 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: withdrawn, as of the sponsor's last update on 24 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

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 was withdrawn before enrolling participants, so there are no results.

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?

Change in walking capacity at 12 weeks of follow-up (time frame: 12 weeks). The study lists 3 primary outcomes in all. 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 24 Jun 2019.

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