Myocardial InfarctionTrainStrainNCT02932696
Post Infarction Exercise Effects on Myocardial Function Assessed by 2D Strain Ultrasound
A study testing Cardiac training program in people with Myocardial Infarction, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.
Trial summary
The main goal of our project is to study and describe the effect of exercise training on systolic and diastolic myocardial function assessed by 2D ultrasound strain after myocardial infarction. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Myocardial Infarction
- What is being tested?
- Cardiac training program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 65 participants
- Where
- 1 siteFrance
- Study dates
- 5 May 2017to 11 Jul 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 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is available for 4 months of follow-up
- The patient had a first myocardial infarction episode (within the past 3 months) requiring medical treatment or revascularisation (e.g. balloon angioplasty) or aortocoronary bypass
Who cannot join
- The patient is simultaneously participating in (or has participated in the past 3 months) another interventional study
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection or under guardianship
- It is impossible to correctly inform the patient or the patient refuses to sign the consent
- The patient is pregnant, parturient, or breastfeeding
- Contra indication for exercise training
Show all 11Show fewer
- Valve prosthesis
- Severe valvular disease
- Pacemaker
- Heart transplant
- Non sinus rhythm
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Post Infarction Exercise Training Effects on Systolic and Diastolic Myocardial Function Assessed by 2D Strain Ultrasound
The main goal of our project is to study and describe the effect of exercise training on systolic and diastolic myocardial function assessed by 2D ultrasound strain after myocardial infarction.
Our working hypothesis is that the intrinsic myocardial contractility and relaxation assessed by global longitudinal strain in phase II (or 2D strain) during post-infarction exercise training will be improved compared to baseline values as well as compared to values in a no-training group. Should this hypothesis prove true, it would help explain the improvements in functional capacity observed during the post-infarction period and after exercise training.
- Conditions
- Myocardial Infarction
- Being tested
- Cardiac training program
- Medical subject headings
- Myocardial Infarction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cardiac training programOther
This program takes place at the Cardiovascular Rehabilitation Department at the Nîmes University Hospital and includes a combination of various physical activities: treadmill, exercise bike, rower, aerobics, gymnastics, serious games, swimming. The program begins approximately within 3 months after myocardial infarction and consists of 20 consecutive days of training. The main physical activity is aerobic interval training (AIT).
30-minute AIT sessions will occur 5x per week for 4 weeks.
1 AIT session includes a warm up for 8 minutes to reach a heart rate during exercise corresponding to 20 to 30% of maximum aerobic power determined during the initial effort test. Then interval training occurs with 4x2 min of high intensity effort (heart rate during exercise corresponding to 80% of maximum aerobic power) alternating with 2 min of active recovery at 20-30% of maximum aerobic power. Then recovery for 8 minutes.
| Study group | Role | What they receive |
|---|---|---|
| Exercise training | Experimental | Patients in this arm were encouraged to participate in an exercise training program, and they accepted to do so.
Intervention: Cardiac training program Receives: Other: Cardiac training program |
| No exercise training | No intervention | Patients in this arm were encouraged to participate in an exercise training program, and they refused to do so. |
What is being measured
The primary outcome is the main question the study is designed to answer.
The % global longitudinal strain of the left ventricle
Measured: within 3 months post infarction = T0 (baseline)
The % global longitudinal strain of the left ventricle
Measured: 5 weeks
The % global longitudinal strain of the left ventricle
Measured: 3 months
Secondary outcomes (62)
maximal oxygen consumption (VO2max; mL/min/kg)
Measured: within 3 months post infarction = T0 (baseline)
maximal oxygen consumption (VO2max; mL/min/kg)
Measured: T0 + 5 weeks
maximal oxygen consumption (VO2max; mL/min/kg)
Measured: T0 + 3 months
maximum aerobic power (watts)
Measured: within 3 months post infarction = T0 (baseline)
maximum aerobic power (watts)
Measured: T0 + 5 weeks
maximum aerobic power (watts)
Measured: T0 + 3 months
First ventilatory threshold (mL/min/kg)
Measured: within 3 months post infarction = T0 (baseline)
First ventilatory threshold (mL/min/kg)
Measured: T0 + 5 weeks
First ventilatory threshold (mL/min/kg)
Measured: T0 + 3 months
left ventricle longitudinal systolic strain rate
Measured: within 3 months post infarction = T0 (baseline)
left ventricle longitudinal systolic strain rate
Measured: T0 + 5 weeks
left ventricle longitudinal systolic strain rate
Measured: T0 + 3 months
left ventricle longitudinal diastolic strain rate
Measured: within 3 months post infarction = T0 (baseline)
left ventricle longitudinal diastolic strain rate
Measured: T0 + 5 weeks
left ventricle longitudinal diastolic strain rate
Measured: T0 + 3 months
% radial systolic strain
Measured: within 3 months post infarction = T0 (baseline)
% radial systolic strain
Measured: T0 + 5 weeks
% radial systolic strain
Measured: T0 + 3 months
% radial diastolic strain
Measured: within 3 months post infarction = T0 (baseline)
% radial diastolic strain
Measured: T0 + 5 weeks
% radial diastolic strain
Measured: T0 + 3 months
% circumferential systolic strain
Measured: within 3 months post infarction = T0 (baseline)
% circumferential systolic strain
Measured: T0 + 5 weeks
% circumferential systolic strain
Measured: T0 + 3 months
% circumferential diastolic strain
Measured: within 3 months post infarction = T0 (baseline)
% circumferential diastolic strain
Measured: T0 + 5 weeks
% circumferential diastolic strain
Measured: T0 + 3 months
Radial systolic strain rate
Measured: within 3 months post infarction = T0 (baseline)
Radial systolic strain rate
Measured: T0 + 5 weeks
Radial systolic strain rate
Measured: T0 + 3 months
Radial diastolic strain rate
Measured: within 3 months post infarction = T0 (baseline)
Radial diastolic strain rate
Measured: T0 + 5 weeks
Radial diastolic strain rate
Measured: T0 + 3 months
Circumferential systolic strain rate
Measured: within 3 months post infarction = T0 (baseline)
Circumferential systolic strain rate
Measured: T0 + 5 weeks
Circumferential systolic strain rate
Measured: T0 + 3 months
Circumferential diastolic strain rate
Measured: within 3 months post infarction = T0 (baseline)
Circumferential diastolic strain rate
Measured: T0 + 5 weeks
Circumferential diastolic strain rate
Measured: T0 + 3 months
Telediastolic volume (mL)
Measured: within 3 months post infarction = T0 (baseline)
Telesystolic volume (mL)
Measured: T0 + 5 weeks
Telesystolic volume (mL)
Measured: T0 + 3 months
Telediastolic volume (mL)
Measured: T0 + 5 weeks
Telediastolic volume (mL)
Measured: T0 + 3 months
Left ventricle mass (g/m^2)
Measured: within 3 months post infarction = T0 (baseline)
Left ventricle mass (g/m^2)
Measured: T0 + 5 weeks
Left ventricle mass (g/m^2)
Measured: T0 + 3 months
Ejection fraction of the left ventricle
Measured: within 3 months post infarction = T0 (baseline)
Ejection fraction of the left ventricle
Measured: T0 + 5 weeks
Ejection fraction of the left ventricle
Measured: T0 + 3 months
S' wave velocity (cm/s)
Measured: within 3 months post infarction = T0 (baseline)
S' wave velocity (cm/s)
Measured: T0 + 5 weeks
S' wave velocity (cm/s)
Measured: T0 + 3 months
E' wave velocity (cm/s)
Measured: within 3 months post infarction = T0 (baseline)
E' wave velocity (cm/s)
Measured: T0 + 5 weeks
E' wave velocity (cm/s)
Measured: T0 + 3 months
A' wave velocity (cm/s)
Measured: within 3 months post infarction = T0 (baseline)
A' wave velocity (cm/s)
Measured: T0 + 5 weeks
A' wave velocity (cm/s)
Measured: T0 + 3 months
The E/A ratio
Measured: within 3 months post infarction = T0 (baseline)
The E/A ratio
Measured: T0 + 5 weeks
The E/A ratio
Measured: T0 + 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Oct 2016 (estimated)
- Study start5 May 2017
- Primary completion11 Jul 2019
- Study completion11 Jul 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Myocardial InfarctionStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire de NīmesThe 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
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 65 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Nīmes
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Arnaud Dupeyron, MD, PhD, Principal investigator, Centre Hospitalier Universitaire de Nīmes
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02932696
- Sponsor's protocol ID
- NIMAO/2016-06/AD-01
- Acronym
- TrainStrain
- Status last verified
- Oct 2019
- First submitted
- 12 Oct 2016
- Last updated
- 24 Oct 2019
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Oct 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Post Infarction Exercise Training Effects on Systolic and Diastolic Myocardial Function Assessed by 2D Strain Ultrasound
- ClinicalTrials.gov ID
- NCT02932696
- Acronym / sponsor ID
- TrainStrain / NIMAO/2016-06/AD-01
- Conditions
- Myocardial Infarction
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 65 participants (actual)
- Lead sponsor
- Centre Hospitalier Universitaire de NīmesUniversity, hospital or other
- Study start
- 5 May 2017 (actual)
- Primary completion
- 11 Jul 2019 (actual)
- Study completion
- 11 Jul 2019 (actual)
- First posted
- 13 Oct 2016 (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 main goal of our project is to study and describe the effect of exercise training on systolic and diastolic myocardial function assessed by 2D ultrasound strain after myocardial infarction.
Our working hypothesis is that the intrinsic myocardial contractility and relaxation assessed by global longitudinal strain in phase II (or 2D strain) during post-infarction exercise training will be improved compared to baseline values as well as compared to values in a no-training group. Should this hypothesis prove true, it would help explain the improvements in functional capacity observed during the post-infarction period and after exercise training.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Exercise training | Experimental | Other: Cardiac training programPatients in this arm were encouraged to participate in an exercise training program, and they accepted to do so. Intervention: Cardiac training program |
| No exercise training | No intervention | –Patients in this arm were encouraged to participate in an exercise training program, and they refused to do so. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient is available for 4 months of follow-up
- The patient had a first myocardial infarction episode (within the past 3 months) requiring medical treatment or revascularisation (e.g. balloon angioplasty) or aortocoronary bypass
Key exclusion criteria (11 listed)
- The patient is simultaneously participating in (or has participated in the past 3 months) another interventional study
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection or under guardianship
- It is impossible to correctly inform the patient or the patient refuses to sign the consent
- The patient is pregnant, parturient, or breastfeeding
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 |
|---|---|---|
| Cardiac training programThis program takes place at the Cardiovascular Rehabilitation Department at the Nîmes University Hospital and includes a combination of various physical activities: treadmill, exercise bike, rower, aerobics, gymnastics, serious games, swimming. The program begins approximately within 3 months after myocardial infarction and consists of 20 consecutive days of training. The main physical activity is aerobic interval training (AIT). 30-minute AIT sessions will occur 5x per week for 4 weeks. 1 AIT session includes a warm up for 8 minutes to reach a heart rate during exercise corresponding to 20 to 30% of maximum aerobic power determined during the initial effort test. Then interval training occurs with 4x2 min of high intensity effort (heart rate during exercise corresponding to 80% of maximum aerobic power) alternating with 2 min of active recovery at 20-30% of maximum aerobic power. Then recovery for 8 minutes. | Other | Exercise training |
Primary outcome
The % global longitudinal strain of the left ventricle
Time frame: within 3 months post infarction = T0 (baseline)
The % global longitudinal strain of the left ventricle
Time frame: 5 weeks
The % global longitudinal strain of the left ventricle
Time frame: 3 months
62 secondary outcomes
maximal oxygen consumption (VO2max; mL/min/kg)
Time frame: within 3 months post infarction = T0 (baseline)
maximal oxygen consumption (VO2max; mL/min/kg)
Time frame: T0 + 5 weeks
maximal oxygen consumption (VO2max; mL/min/kg)
Time frame: T0 + 3 months
maximum aerobic power (watts)
Time frame: within 3 months post infarction = T0 (baseline)
maximum aerobic power (watts)
Time frame: T0 + 5 weeks
maximum aerobic power (watts)
Time frame: T0 + 3 months
First ventilatory threshold (mL/min/kg)
Time frame: within 3 months post infarction = T0 (baseline)
First ventilatory threshold (mL/min/kg)
Time frame: T0 + 5 weeks
First ventilatory threshold (mL/min/kg)
Time frame: T0 + 3 months
left ventricle longitudinal systolic strain rate
Time frame: within 3 months post infarction = T0 (baseline)
left ventricle longitudinal systolic strain rate
Time frame: T0 + 5 weeks
left ventricle longitudinal systolic strain rate
Time frame: T0 + 3 months
left ventricle longitudinal diastolic strain rate
Time frame: within 3 months post infarction = T0 (baseline)
left ventricle longitudinal diastolic strain rate
Time frame: T0 + 5 weeks
left ventricle longitudinal diastolic strain rate
Time frame: T0 + 3 months
% radial systolic strain
Time frame: within 3 months post infarction = T0 (baseline)
% radial systolic strain
Time frame: T0 + 5 weeks
% radial systolic strain
Time frame: T0 + 3 months
% radial diastolic strain
Time frame: within 3 months post infarction = T0 (baseline)
% radial diastolic strain
Time frame: T0 + 5 weeks
% radial diastolic strain
Time frame: T0 + 3 months
% circumferential systolic strain
Time frame: within 3 months post infarction = T0 (baseline)
% circumferential systolic strain
Time frame: T0 + 5 weeks
% circumferential systolic strain
Time frame: T0 + 3 months
% circumferential diastolic strain
Time frame: within 3 months post infarction = T0 (baseline)
% circumferential diastolic strain
Time frame: T0 + 5 weeks
% circumferential diastolic strain
Time frame: T0 + 3 months
Radial systolic strain rate
Time frame: within 3 months post infarction = T0 (baseline)
Radial systolic strain rate
Time frame: T0 + 5 weeks
Radial systolic strain rate
Time frame: T0 + 3 months
Radial diastolic strain rate
Time frame: within 3 months post infarction = T0 (baseline)
Radial diastolic strain rate
Time frame: T0 + 5 weeks
Radial diastolic strain rate
Time frame: T0 + 3 months
Circumferential systolic strain rate
Time frame: within 3 months post infarction = T0 (baseline)
Circumferential systolic strain rate
Time frame: T0 + 5 weeks
Circumferential systolic strain rate
Time frame: T0 + 3 months
Circumferential diastolic strain rate
Time frame: within 3 months post infarction = T0 (baseline)
Circumferential diastolic strain rate
Time frame: T0 + 5 weeks
Circumferential diastolic strain rate
Time frame: T0 + 3 months
Telediastolic volume (mL)
Time frame: within 3 months post infarction = T0 (baseline)
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 24 Oct 2019.
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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.
Arnaud Dupeyron, MD, PhD principal investigator
Centre Hospitalier Universitaire de Nīmes
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Cardiac training program in people with Myocardial Infarction, run by Centre Hospitalier Universitaire de Nīmes at 1 site 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 4 inclusion and 11 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 24 Oct 2019. 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 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.
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?
The % global longitudinal strain of the left ventricle (time frame: within 3 months post infarction = T0 (baseline)). 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 Oct 2019.