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AzTrials

Ultra-marathon RunnersUTMB_2019NCT04025138

Fatigability Compared Men and Women Induced According to the Distance Traveled on an Ultra-marathon in the Mountains

A study testing Neuromuscular tests in isometric mode, Transcranial Magnetic Stimulation (TMS) and Neuromuscular fatigue assessment test in people with Ultra-marathon Runners, run by Centre Hospitalier Universitaire de Saint Etienne at 1 site in France.

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

Acute physiological consequences of ultra-marathon running are still unknown, particularly in women. Some studies have suggested that the proportion of fatigue attributable to peripheral and central mechanisms varies between males and females; however, results are contradictory. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Ultra-marathon Runners
What is being tested?
Neuromuscular tests in isometric mode, Transcranial Magnetic Stimulation (TMS) and Neuromuscular fatigue assessment test
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
75 participants
Where
1 siteFrance
Study dates
2 Jul 2019to 1 Sep 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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subject listed in the race "2019 Mont Blanc Ultra Trail"
  • Affiliates or beneficiaries of social security scheme
  • Signed consent

Who cannot join

  • Subject having been injured in the previous 3 months
  • Pregnant woman
  • Chronic joint diseases
  • Chronic or central neurological pathologies
  • Taking neuroactive substances that can alter corticospinal excitability
  • Contraindication to experimental procedures including Transcranial Magnetic Stimulation (TMS)
  • Taking corticosteroids in the previous 3 months

Trial locations and contacts

1 site in 1 country.

France1 site
  • CHU Saint-Etienne

    Saint-Etienne

Other trials in France

About this study

Acute physiological consequences of ultra-marathon running are still unknown, particularly in women. Some studies have suggested that the proportion of fatigue attributable to peripheral and central mechanisms varies between males and females; however, results are contradictory.

The results from the investigators of the present experiment in two studies conducted in 2009 and 2012 showed that:

Read more
  • A large part of fatigue induced by a mountain ultra-marathon could be attributed to central fatigue in males and that,
  • Females exhibited less peripheral fatigue in the plantar flexors than males did after a 110-km ultra-trail-running race.

According to the literature, there seems to be a plateau in fatigue after 12-15 hours of running.

Read the detailed description

Thus, the main purpose of the present project is to investigate whether sex differences in neuromuscular fatigue in plantar flexors depend on the distance (> 100 km vs < 60 km).

Being tested
Neuromuscular tests in isometric mode, Transcranial Magnetic Stimulation (TMS), Neuromuscular fatigue assessment test, treadmill, Blood sample
Keywords
Sex differences, Ultra-endurance running, Mont Blanc Ultra Trail, Transcranial Magnetic Stimulation (TMS), Neuromuscular tests, Plantar flexors, Knee extensors, Force/Velocity Profile (FVP)

What participants receive

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

  • Neuromuscular tests in isometric modeOther

    Protocol for neuromuscular tests in isometric mode will be assessed by the composite of these measures :

    • Voluntary maximum forces plantar flexors and knee extensors
    • Electrically evoked forces
    • ElectroMyoGraphic activity (EMG)
    • Three-Modality Evoked Potentials (TMEPs)
  • Transcranial Magnetic Stimulation (TMS)Device

    Measure of supraspinal activation level and cortical excitation by Transcranial Magnetic Stimulation (TMS).

  • Neuromuscular fatigue assessment testOther

    Neuromuscular fatigue assessment test in dynamic mode will be assessed by the Force/Velocity Profile (FVP) measure: 2 sprints of 8 seconds on a cycle ergometer.

  • treadmillOther

    2 sessions of treadmill will be realized: 8 and 10 km.h-1 for level running and 7 km.h-1 with 10% slope for graded running.

  • Blood sampleBiological

    Blood sample will be realized to measure hemorrheologic and hematologic parameters.

  • Urinary sampleBiological

    Urinary sample will be realized to measure hemorrheologic and hematologic parameters.

Study groups in NCT04025138
Study groupRoleWhat they receive
female subjects involved in races over 100 km (F>100)ExperimentalFemale subjects involved in races over 100 km (F>100) will be included. They will have neuromuscular tests in isometric mode, Transcranial Magnetic Stimulation (TMS), neuromuscular fatigue assessment test, treadmill, blood sample and urinary sample.
Receives: Other: Neuromuscular tests in isometric mode; Device: Transcranial Magnetic Stimulation (TMS); Other: Neuromuscular fatigue assessment test; Other: treadmill; Biological: Blood sample; Biological: Urinary sample
female subjects involved in races less than 60 km (F<60)ExperimentalFemale subjects involved in races less than 60 km (F<60) will be included. They will have neuromuscular tests in isometric mode, Transcranial Magnetic Stimulation (TMS), neuromuscular fatigue assessment test, treadmill, blood sample and urinary sample.
Receives: Other: Neuromuscular tests in isometric mode; Device: Transcranial Magnetic Stimulation (TMS); Other: Neuromuscular fatigue assessment test; Other: treadmill; Biological: Blood sample; Biological: Urinary sample
male subjects involved in races over 100 km (H>100)ExperimentalMale subjects involved in races over 100 km (H>100) will be included. They will have neuromuscular tests in isometric mode, Transcranial Magnetic Stimulation (TMS), neuromuscular fatigue assessment test, treadmill, blood sample and urinary sample.
Receives: Other: Neuromuscular tests in isometric mode; Device: Transcranial Magnetic Stimulation (TMS); Other: Neuromuscular fatigue assessment test; Other: treadmill; Biological: Blood sample; Biological: Urinary sample
male subjects involved in races less than 60 km (H<60)ExperimentalMale subjects involved in races less than 60 km (H<60) will be included. They will have neuromuscular tests in isometric mode, Transcranial Magnetic Stimulation (TMS), neuromuscular fatigue assessment test, treadmill, blood sample and urinary sample.
Receives: Other: Neuromuscular tests in isometric mode; Device: Transcranial Magnetic Stimulation (TMS); Other: Neuromuscular fatigue assessment test; Other: treadmill; Biological: Blood sample; Biological: Urinary sample

What is being measured

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

  1. Variation (%) of the amplitudes of the electric shock

    Measured by the electrically evoked force after contraction in isometric mode of the plantar flexors

    Measured: 5 or 6 day before the race and 1 hour after

Secondary outcomes (19)
  1. Voluntary maximum forces plantar flexors

    Analysis :

    • Quantification of neuromuscular fatigue assessment;
    • Evolution of race mechanics and the energy cost between males and females depending on the distance of the race.

    Measured by voluntary maximum forces plantar flexors test (seat type Cybex) in percentage (%).

    Measured: 5 or 6 day before the race and 1 hour after

  2. Voluntary maximum forces knee extensors

    Analysis :

    • Quantification of neuromuscular fatigue assessment;
    • Evolution of race mechanics and the energy cost between males and females depending on the distance of the race.

    Voluntary maximum forces knee extensors measures by seat type Cybex in percentage (%).

    Measured: 5 or 6 day before the race and 1 hour after

  3. Electrically evoked forces

    Analysis :

    • Quantification of neuromuscular fatigue assessment;
    • Evolution of race mechanics and the energy cost between males and females depending on the distance of the race.

    Electrically evoked forces measures by neurostimulator in percentage (%).

    Measured: 5 or 6 day before the race and 1 hour after

  4. ElectroMyoGraphic activity (EMG)

    Analysis :

    • Quantification of neuromuscular fatigue assessment;
    • Evolution of race mechanics and the energy cost between males and females depending on the distance of the race.

    ElectroMyoGraphic activity (EMG) measures by electromyography. The EMG signal will be recorded with pairs of electrodes fixed with an adhesive tape bilaterally over the muscular belly.

    Measured: 5 or 6 day before the race and 1 hour after

  5. Three-Modality Evoked Potentials (TMEPs)

    Analysis :

    • Quantification of neuromuscular fatigue assessment;
    • Evolution of race mechanics and the energy cost between males and females depending on the distance of the race.

    Three-Modality Evoked Potentials (TMEPs) measures by magnetic stimulator in percentage (%).

    Measured: 5 or 6 day before the race and 1 hour after

  6. Transcranial Magnetic Stimulation (TMS)

    Analysis :

    • Quantification of neuromuscular fatigue assessment;
    • Evolution of race mechanics and the energy cost between males and females depending on the distance of the race.

    Measured supraspinal activation level and cortical excitation by Transcranial Magnetic Stimulation (TMS) in percentage (%).

    Measured: 5 or 6 day before the race and 1 hour after

  7. Force/Velocity Profile (FVP)

    Analysis:

    • Quantification of neuromuscular fatigue assessment;
    • Evolution of race mechanics and the energy cost between males and females depending on the distance of the race.

    Measured Force/Velocity Profile (FVP) test: 2 sprints of 8 seconds on a cycle ergometer.

    Measured: 5 or 6 day before the race and 1 hour after

  8. Blood viscosity

    Measured by blood sample.

    Measured: 5 or 6 day before the race and 1 hour after

  9. Number of red blood cell

    Measured by blood sample.

    Measured: 5 or 6 day before the race and 1 hour after

  10. Number of platelets

    Measured by blood sample.

    Measured: 5 or 6 day before the race and 1 hour after

  11. Number of white blood cells

    Measured by blood sample.

    Measured: 5 or 6 day before the race and 1 hour after

  12. Rate of hemoglobin (%)

    Measured by blood sample.

    Measured: 5 or 6 day before the race and 1 hour after

  13. creatinine (mg/L)

    Measured by blood sample.

    Measured: 5 or 6 day before the race and 1 hour after

  14. C reactive protein (CRP) (mg/L)

    Measured by blood sample.

    Measured: 5 or 6 day before the race and 1 hour after

  15. urea (g/L)

    Measured by blood sample.

    Measured: 5 or 6 day before the race and 1 hour after

  16. uric acid (mg/L)

    Measured by blood sample.

    Measured: 5 or 6 day before the race and 1 hour after

  17. lactate (mg/L)

    Measured by blood sample.

    Measured: 5 or 6 day before the race and 1 hour after

  18. Proteinuria-density urinary (mg/24h)

    Measured by urinary sample.

    Measured: 5 or 6 day before the race and 1 hour after

  19. Kinematic variable

    Measured by treadmill result.

    Measured: 5 or 6 day before the race and 1 hour after

Timeline

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

  1. First posted18 Jul 2019
  2. Study start2 Jul 2019
  3. Primary completion1 Sep 2019
  4. Study completion1 Sep 2019

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
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
75 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04025138
Sponsor's protocol ID
19CH060
Other IDs
2019-A00736-51
Acronym
UTMB_2019
Status last verified
Dec 2022
First submitted
3 Jul 2019
Last updated
15 Dec 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Robert M, Stauffer E, Nader E, Skinner S, Boisson C, Cibiel A, Feasson L, Renoux C, Robach P, Joly P, Millet GY, Connes P. Impact of Trail Running Races on Blood Viscosity and Its Determinants: Effects of Distance. Int J Mol Sci. 2020 Nov 12;21(22):8531. doi: 10.3390/ijms21228531.

    PubMed 33198320
  • Temesi J, Besson T, Parent A, Singh B, Martin V, Brownstein CG, Espeit L, Royer N, Rimaud D, Lapole T, Feasson L, Millet GY. Effect of race distance on performance fatigability in male trail and ultra-trail runners. Scand J Med Sci Sports. 2021 Sep;31(9):1809-1821. doi: 10.1111/sms.14004. Epub 2021 Jul 12.

    PubMed 34170574
  • Foure A, Besson T, Stauffer E, Skinner SC, Bouvier J, Feasson L, Connes P, Hautier CA, Millet GY. Sex-related differences and effects of short and long trail running races on resting muscle-tendon mechanical properties. Scand J Med Sci Sports. 2022 Oct;32(10):1477-1492. doi: 10.1111/sms.14203. Epub 2022 Jul 6.

    PubMed 35730335
  • Pastor FS, Besson T, Varesco G, Parent A, Fanget M, Koral J, Foschia C, Rupp T, Rimaud D, Feasson L, Millet GY. Performance Determinants in Trail-Running Races of Different Distances. Int J Sports Physiol Perform. 2022 Jun 1;17(6):844-851. doi: 10.1123/ijspp.2021-0362. Epub 2022 Feb 25.

    PubMed 35213820
  • Sabater Pastor F, Varesco G, Besson T, Koral J, Feasson L, Millet GY. Degradation of energy cost with fatigue induced by trail running: effect of distance. Eur J Appl Physiol. 2021 Jun;121(6):1665-1675. doi: 10.1007/s00421-021-04624-5. Epub 2021 Mar 5.

    PubMed 33666727
  • Trama R, Blache Y, Hintzy F, Rossi J, Millet GY, Hautier C. Does neuromuscular fatigue generated by trail running modify foot-ground impact and soft tissue vibrations? Eur J Sport Sci. 2023 Jul;23(7):1155-1163. doi: 10.1080/17461391.2022.2093649. Epub 2022 Jul 10.

    PubMed 35730761
  • Besson T, Parent A, Brownstein CG, Espeit L, Lapole T, Martin V, Royer N, Rimaud D, Sabater Pastor F, Singh B, Varesco G, Rossi J, Temesi J, Millet GY. Sex Differences in Neuromuscular Fatigue and Changes in Cost of Running after Mountain Trail Races of Various Distances. Med Sci Sports Exerc. 2021 Nov 1;53(11):2374-2387. doi: 10.1249/MSS.0000000000002719.

    PubMed 34107510

Questions about this trial

What is this clinical trial studying?

A study testing Neuromuscular tests in isometric mode, Transcranial Magnetic Stimulation (TMS) and Neuromuscular fatigue assessment test in people with Ultra-marathon Runners, run by Centre Hospitalier Universitaire de Saint Etienne 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 3 inclusion and 7 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 15 Dec 2022. 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?

Variation (%) of the amplitudes of the electric shock (time frame: 5 or 6 day before the race and 1 hour after). 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 NCT04025138, which also lists 7 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 15 Dec 2022.

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