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Diabetic CardiomyopathiesNCT03299790

Effect of High-intensity Interval Training on Cardiac Function and Regulation of Glycemic Control in Diabetic Cardiomyopathy

A study testing high-intensity interval exercise training (HIIT) and moderate-intensity exercise training (MIT) in people with Diabetic Cardiomyopathies and Type2 Diabetes, run by Hasselt University at 1 site in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

According to data of the International Diabetes Federation (IDF), diabetes in general affects approximately 415 million people worldwide and this number is still increasing. Cardiovascular diseases, one of the major complications of diabetes, are the leading cause of mortality and morbidity in the diabetic population. Read more about this study

Who is it for?
Ages 18 to 81 yearsHealthy volunteers can take part
Conditions the study is for
Diabetic Cardiomyopathies, Type2 Diabetes
What is being tested?
high-intensity interval exercise training (HIIT) and moderate-intensity exercise training (MIT)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
53 participants
Where
1 siteBelgium
Study dates
6 Oct 2017to 30 Sep 2020
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 81 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • type 2 diabetes patients:
  • BMI > 20kg/m²
  • diagnosis of T2DM as stated in guidelines of ADA (American Diabetes Association)
  • stable medication for at least 3 months
  • Healthy controls:
  • BMI > 20kg/m²
  • no diabetes

Who cannot join

  • iron deficiency anemia
  • participation in another clinical trial
  • heart diseases: CAD (coronary artery disease), ischemia, valvular diseases, congenital heart diseases
  • neurological, pneumological, oncological, orthopedic disorders
  • diabetes complications: renal diseases, retinopathy

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • Jessa Ziekenhuis

    Hasselt, 3500

Other trials in Belgium

About this study

According to data of the International Diabetes Federation (IDF), diabetes in general affects approximately 415 million people worldwide and this number is still increasing. Cardiovascular diseases, one of the major complications of diabetes, are the leading cause of mortality and morbidity in the diabetic population. One of the cardiovascular complications is diabetic cardiomyopathy, in which structural and functional changes occur in the heart impairing cardiac function.

Exercise training has already proven the benefits on glycemic control in diabetes. This is also the case for the effects on cardiac function. However, as results are conflicting, it remains unclear which elements of exercise training should be focused on. For instance, high-intensity interval training (HIIT) is gaining interest as positive effects are already shown on glycemic control. Therefore, the potential of HIIT to improve cardiac function in diabetes should be investigated. Further on, the effects of exercise training on cardiac function are mainly investigated during rest by the use of transthoracic echocardiography. Therefore, as data are lacking, it remains unclear how the diabetic heart functions during exercise.

Read more

The aim of the present study is to investigate the effects of different training modalities (e.g. HIIT) on heart function in diabetes both during rest and during exercise itself. Therefore, cardiac function will be evaluated by the use transthoracic (exercise) echocardiography. This will be combined by the evaluation of several biochemical parameters.

The results will provide more insight in the pathology of diabetic cardiomyopathy as well as the potential of exercise training for this cardiovascular complication. Eventually, this research will contribute to the optimization of exercise programs for patients with diabetes.

Being tested
high-intensity interval exercise training (HIIT), moderate-intensity exercise training (MIT)
Keywords
Type 2 diabetes, Diabetic cardiomyopathy, Cardiac function, Exercise echocardiography, Exercise training
Medical subject headings
Diabetic Cardiomyopathies, Diabetes Mellitus, Type 2

What participants receive

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

  • high-intensity interval exercise training (HIIT)Other

    This program includes 24 weeks of exercise training and is divided in different phases (phase 1: week 1-2, equal to the MIT group, phase 2: week 3-6, 6 bouts of high-intensity exercise, phase 3: week 7-12, 7 bouts of high-intensity exercise, phase 4: week 13-24, 8 bouts of high-intensity exercise). The exercise training program consists of 3 exercise sessions per week (for 6 months).

  • moderate-intensity exercise training (MIT)Other

    This program includes 24 weeks of exercise training and is not devided in phases. The exercise training program consists of 3 endurance exercise sessions per week (for 6 months). The total exercise volume equals the exercise volume of the HIIT group.

Study groups in NCT03299790
Study groupRoleWhat they receive
training group 1: HIITActive comparatorhigh-intensity interval exercise training group (T2DM patients)
Receives: Other: high-intensity interval exercise training (HIIT)
training group 2: MITActive comparatormoderate-intensity exercise training group (T2DM patients)
Receives: Other: moderate-intensity exercise training (MIT)
Detraining periodNo interventionFollow-up: detraining of group 1 and 2 (T2DM patients)
Healthy controlsNo interventionNot described

What is being measured

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

  1. Transthoracic echocardiography (TTE) during excercise

    heart function during exercise by means of standard echocardiography: evaluation of diastolic and systolic function (mitral inflow pattern, ejection fraction, tissue doppler imaging, strain rate analyses,…) and cardiac structure (left ventricle mass, intraventricular wall mass,…)

    Measured: day 1

  2. Transthoracic echocardiography (TTE) during excercise

    heart function during exercise by means of standard echocardiography: evaluation of diastolic and systolic function (mitral inflow pattern, ejection fraction, tissue doppler imaging, strain rate analyses,…) and cardiac structure (left ventricle mass, intraventricular wall mass,…)

    Measured: month 3

  3. Transthoracic echocardiography (TTE) during excercise

    heart function during exercise by means of standard echocardiography: evaluation of diastolic and systolic function (mitral inflow pattern, ejection fraction, tissue doppler imaging, strain rate analyses,…) and cardiac structure (left ventricle mass, intraventricular wall mass,…)

    Measured: month 6

  4. Transthoracic echocardiography (TTE) during excercise

    heart function during exercise by means of standard echocardiography: evaluation of diastolic and systolic function (mitral inflow pattern, ejection fraction, tissue doppler imaging, strain rate analyses,…) and cardiac structure (left ventricle mass, intraventricular wall mass,…)

    Measured: month 12

  5. Transthoracic echocardiography (TTE)

    heart function in rest by means of standard echocardiography: evaluation of diastolic and systolic function (mitral inflow pattern, ejection fraction, tissue doppler imaging, strain rate analyses,…) and cardiac structure (left ventricle mass, intraventricular wall mass,…)

    Measured: day 1

  6. Transthoracic echocardiography (TTE)

    heart function in rest by means of standard echocardiography: evaluation of diastolic and systolic function (mitral inflow pattern, ejection fraction, tissue doppler imaging, strain rate analyses,…) and cardiac structure (left ventricle mass, intraventricular wall mass,…)

    Measured: month 3

  7. Transthoracic echocardiography (TTE)

    heart function in rest by means of standard echocardiography: evaluation of diastolic and systolic function (mitral inflow pattern, ejection fraction, tissue doppler imaging, strain rate analyses,…) and cardiac structure (left ventricle mass, intraventricular wall mass,…)

    Measured: month 6

  8. Transthoracic echocardiography (TTE)

    heart function in rest by means of standard echocardiography: evaluation of diastolic and systolic function (mitral inflow pattern, ejection fraction, tissue doppler imaging, strain rate analyses,…) and cardiac structure (left ventricle mass, intraventricular wall mass,…)

    Measured: month 12

  9. ECG (Electrocardiogram) during excercise

    ECG during excercise (an incremental exercise test on a cycle)

    Measured: month 3

  10. ECG (Electrocardiogram) during excercise

    ECG during excercise (an incremental exercise test on a cycle)

    Measured: month 12

  11. ECG (Electrocardiogram)

    ECG in rest

    Measured: month 3

  12. ECG (Electrocardiogram)

    ECG in rest

    Measured: month 12

Secondary outcomes (22)
  1. Glycemic control

    glycemic concentrations, HbA1c levels, insulin sensitivity, inflammation, cardiac biomarkers

    Measured: day 1

  2. Glycemic control

    glycemic control, insulin sensitivity, inflammation, cardiac biomarkers

    Measured: month 3

  3. Glycemic control

    glycemic concentrations, HbA1c levels, insulin sensitivity, inflammation, cardiac biomarkers

    Measured: month 6

  4. Glycemic control

    glycemic concentrations, HbA1c levels, insulin sensitivity, inflammation, cardiac biomarkers

    Measured: month 12

  5. Insulin metabolism

    Fasting serum insulin, homeostasis model assessment insulin resistance and measures of central insulin sensitivity derived from an oral glucose tolerance test (75g)

    Measured: day 1

  6. Insulin metabolism

    Fasting serum insulin, homeostasis model assessment insulin resistance and measures of central insulin sensitivity derived from an oral glucose tolerance test (75g)

    Measured: month 3

  7. Insulin metabolism

    Fasting serum insulin, homeostasis model assessment insulin resistance and measures of central insulin sensitivity derived from an oral glucose tolerance test (75g)

    Measured: month 6

  8. Insulin metabolism

    Fasting serum insulin, homeostasis model assessment insulin resistance and measures of central insulin sensitivity derived from an oral glucose tolerance test (75g)

    Measured: month 12

  9. Cardiac function

    Cardiac biomarkers (brain-derived natriuretic peptide (BNP) levels, cardiac troponin levels)

    Measured: day 1

  10. Cardiac function

    Cardiac biomarkers (BNP levels, cardiac troponin levels)

    Measured: month 3

  11. Cardiac function

    Cardiac biomarkers (BNP levels, cardiac troponin levels)

    Measured: month 6

  12. Cardiac function

    Cardiac biomarkers (BNP levels, cardiac troponin levels)

    Measured: month 12

  13. Inflammation and oxidative stress

    C reactive protein (CRP) levels, tumor necrosis factor-(TNF)alpha levels, interleukin (IL)-10 (interleukin) levels, oxidative stress markers (superoxide dismutase (SOD), malondialdehyde (MDA), glutathione peroxidase (GPX))

    Measured: day 1

  14. Inflammation and oxidative stress

    CRP levels, TNF-alpha levels, IL-10 levels, oxidative stress markers (SOD, MDA, GPX)

    Measured: month 3

  15. Inflammation and oxidative stress

    CRP levels, TNF-alpha levels, IL-10 levels, oxidative stress markers (SOD, MDA , GPX)

    Measured: month 6

  16. Inflammation and oxidative stress

    CRP levels, TNF-alpha levels, IL-10 levels, oxidative stress markers (SOD, MDA, GPX)

    Measured: month 12

  17. body composition

    body composition, measured using dual x-ray absorptiometry

    Measured: day 1

  18. body composition

    body composition, measured using dual x-ray absorptiometry

    Measured: month 6

  19. Maximal oxygen uptake (ml/O2/kg/min)

    exercise capacity measured using indirect calorimetry and an incremental bicycle exercise protocol

    Measured: day 1

  20. Maximal oxygen uptake (ml/O2/kg/min)

    exercise capacity measured using indirect calorimetry and an incremental bicycle exercise protocol

    Measured: month 3

  21. Maximal oxygen uptake (ml/O2/kg/min)

    exercise capacity measured using indirect calorimetry and an incremental bicycle exercise protocol

    Measured: month 6

  22. Maximal oxygen uptake (ml/O2/kg/min)

    exercise capacity measured using indirect calorimetry and an incremental bicycle exercise protocol

    Measured: month 12

Timeline

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

  1. First posted3 Oct 2017
  2. Study start6 Oct 2017
  3. Primary completion31 Dec 2019
  4. Study completion30 Sep 2020

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
53 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03299790
Sponsor's protocol ID
HITDCM01
Status last verified
Dec 2020
First submitted
12 Sep 2017
Last updated
10 Dec 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Van Ryckeghem L, Keytsman C, De Brandt J, Verboven K, Verbaanderd E, Marinus N, Franssen WMA, Frederix I, Bakelants E, Petit T, Jogani S, Stroobants S, Dendale P, Bito V, Verwerft J, Hansen D. Impact of continuous vs. interval training on oxygen extraction and cardiac function during exercise in type 2 diabetes mellitus. Eur J Appl Physiol. 2022 Apr;122(4):875-887. doi: 10.1007/s00421-022-04884-9. Epub 2022 Jan 17.

    PubMed 35038022
  • Van Ryckeghem L, Keytsman C, Verboven K, Verbaanderd E, Frederix I, Bakelants E, Petit T, Jogani S, Stroobants S, Dendale P, Bito V, Verwerft J, Hansen D. Exercise capacity is related to attenuated responses in oxygen extraction and left ventricular longitudinal strain in asymptomatic type 2 diabetes patients. Eur J Prev Cardiol. 2022 Jan 11;28(16):1756-1766. doi: 10.1093/eurjpc/zwaa007.

    PubMed 33623980
  • Van Ryckeghem L, Keytsman C, Verbaanderd E, Frederix I, Bakelants E, Petit T, Jogani S, Stroobants S, Dendale P, Bito V, Verwerft J, Hansen D. Asymptomatic type 2 diabetes mellitus display a reduced myocardial deformation but adequate response during exercise. Eur J Appl Physiol. 2021 Mar;121(3):929-940. doi: 10.1007/s00421-020-04557-5. Epub 2021 Jan 8.

    PubMed 33417036

Questions about this trial

What is this clinical trial studying?

A study testing high-intensity interval exercise training (HIIT) and moderate-intensity exercise training (MIT) in people with Diabetic Cardiomyopathies and Type2 Diabetes, run by Hasselt University at 1 site in Belgium.

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 7 inclusion and 5 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 10 Dec 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 Belgium. 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?

Transthoracic echocardiography (TTE) during excercise (time frame: day 1). The study lists 12 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 NCT03299790, 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 10 Dec 2020.

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