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Myocardial IschemiaCarPE3NCT04251611

Randomized Clinical Trial by Conglomerates on the Efficacy of Maintenance of Physical Exercise in Myocardial Ischemia

A study testing Maintenance of physical exercise in people with Myocardial Ischemia and Physical Exercise, run by Núria Santaularia Capdevila at 1 site in Spain.

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

Main objective: To assess the efficacy of a phase III cardiac rehabilitation program (CRP), based on counseling in the maintenance of physical exercise (time of physical exercise per week) for patients with myocardial ischemia (MI), once the supervised physical exercise program of phase II of CRP is completed. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Myocardial Ischemia, Physical Exercise
What is being tested?
Maintenance of physical exercise
Could I receive a placebo?
No, everyone receives an active treatment
How many people
101 participants
Where
1 siteSpain
Study dates
1 Oct 2019to 30 May 2022
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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients diagnosed with myocardial ischemia, angina pectoris, other specific forms of chronic ischemic heart disease or unspecified ischemic heart disease.
  • Patients who have completed the supervised physical exercise program of phase II of the CRP.
  • Absence of cognitive deficit (Pfeiffer test: 0-2 mistakes).
  • Sufficient functional capacity to follow the CRP (Barthel index >60)
  • Residence in catchment area of Bages and Moianès.
  • Providing signed informed consent.

Who cannot join

  • Symptoms of right heart failure producing pulmonary hypertension.
  • Dyspnea caused by severe pulmonary pathology.
  • Additional comorbidities affecting the prognosis of cardiac disease.
  • Major comorbidities or limitations that could interfere with the exercise training programme.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Althaia Xarxa Assistencial Universitària de Manresa

    Manresa, Barcelona, 08243

Other trials in Spain

About this study

Official title: Randomized Clinical Trial by Conglomerates on the Efficacy of the Maintenance of Physical Exercise for Patients With Myocardial Ischemia. Study Cardiopathy Prevention and Exercise in Phase 3 (CarPE3)

Main objective: To assess the efficacy of a phase III cardiac rehabilitation program (CRP), based on counseling in the maintenance of physical exercise (time of physical exercise per week) for patients with myocardial ischemia (MI), once the supervised physical exercise program of phase II of CRP is completed.

Secondary objectives: To assess the efficacy of a phase III program of CRP based on counseling in the maintenance of physical exercise for the patient with MI in: 1) the energy expenditure per week, 2) body mass index and abdominal perimeter, 3) control of cardiovascular risk factors (smoking, high blood pressure, dyslipidemia and diabetes mellitus), 4) quality of life related to health, 5) assess the adherence to cardiac pharmacological treatment.

Method: Randomized clinical trial in conglomerates, open and controlled. The intervention group will carry out phase III of CRP based on counseling in the maintenance of physical exercise. The control group will receive the usual care. The main outcome will be the physical exercise time per week after finish the supervised physical exercise program of phase II of CRP and at 6 and 12 month later according to the 7-day Physical Activity Recall.

Being tested
Maintenance of physical exercise
Keywords
Cardiac Rehabilitation, Myocardial Ischemia, Physical Exercise, Cardiovascular Risk Factors, Randomized Controlled Trial
Medical subject headings
Myocardial Ischemia, Motor Activity

What participants receive

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

  • Maintenance of physical exerciseOther

    Also called Strengthen the control of cardiovascular risk factors

    Objectives will be established with the patient to increase the practice of physical exercise and reinforce the control of cardiovascular risk factors (CVRF) and the maintenance of a long-term cardio-healthy lifestyle.

Study groups in NCT04251611
Study groupRoleWhat they receive
Control groupNo interventionThe usual care in patients with myocardial ischemia without other cardiovascular risk factors (CVFR) will be to attend one visit per year with doctor and nurse of the local health center. In this visit, it will be done a blood test and an electrocardiogram. Blood pressure, weight, body mass index, abdominal circumference will be measured and, in case of detecting enolic habit, smoking or sedentary lifestyle, generic advice will be done. If the patient, apart from myocardial ischemia, presents diabetes mellitus type 2, 3-4 follow-up visits per year will be recommended and will be increased according to specific needs. In case of presenting hypertension, will be recommended 2 visits with the nurse and one visit with the doctor per year and will be increased according to specific needs. In addition, in this case the blood pressure is checked every 6 months. During all visits, professionals will reinforce the control of CVRF and the maintenance of a long-term cardio-healthy lifestyle.
Intervention groupExperimentalPatient will go to health center to visit the cardiac rehabilitation (CR) reference team, which is composed for a doctor and a nurse. This team will establish the guideline of action in the maintenance and/or increase in the physical exercise practice, in function of the resources of each zone and the preferences and motivations of the patient. They also reinforce the control of CVRF and the maintenance of a long-term cardio-healthy lifestyle. At the end of the visit, control visit will be given with the CR reference team at 3, 6 and 12 months after completing the supervised physical exercise program of phase II of the CRP. In case of detecting specific needs for the patient and/or relapses, the team will consult with the appropriate professional (cardiologist, cardiology nurse, physiotherapist, rehabilitator, nutritionist and/or psychologist). At the same time, the patient will be informed of the possibility of re-evaluating the CR reference team.
Receives: Other: Maintenance of physical exercise

What is being measured

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

  1. The physical exercise minutes performed by the patient per week

    The physical exercise minutes performed by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  2. The physical exercise minutes performed by the patient per week

    The physical exercise minutes performed by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  3. The physical exercise minutes performed by the patient per week

    The physical exercise minutes performed by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

Secondary outcomes (37)
  1. The energy expenditure by the patient per week

    The energy expenditure by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  2. The energy expenditure by the patient per week

    The energy expenditure by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  3. The energy expenditure by the patient per week

    The energy expenditure by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  4. The body mass index (BMI)

    BMI is the quotient between the weight (kg) and the square of the height (m). It is usually used for the definition of underweight (BMI <15.99), normal weight (BMI 18.5 to 24.99), overweight (BMI ≥ 25 kg / m2) and obesity (BMI ≥ 30 kg / m2).

    Measured: At baseline of the supervised physical exercise program of phase II of the CRP has been completed.

  5. The body mass index (BMI)

    BMI is the quotient between the weight (kg) and the square of the height (m). It is usually used for the definition of underweight (BMI <15.99), normal weight (BMI 18.5 to 24.99), overweight (BMI ≥ 25 kg / m2) and obesity (BMI ≥ 30 kg / m2).

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  6. The abdominal circumference

    Abdominal circumference is the measurement of the abdomen of the patient at the level of the navel. It will be recorded in centimeters using a tape measure.

    Measured: At baseline of the supervised physical exercise program of phase II of the CRP has been completed.

  7. The abdominal circumference

    Abdominal circumference is the measurement of the abdomen of the patient at the level of the navel. It will be recorded in centimeters using a tape measure.

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  8. The control of smoking

    Smoking:The degree of dependence on tobacco consumption will be recorded through the Fargeström test.

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  9. The control of smoking

    Smoking:The degree of dependence on tobacco consumption will be recorded through the Fargeström test.

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  10. The control of smoking

    Smoking:The degree of dependence on tobacco consumption will be recorded through the Fargeström test.

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  11. Systolic blood pressure

    Physiological parameter

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  12. Systolic blood pressure

    Physiological parameter

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  13. Systolic blood pressure

    Physiological parameter

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  14. Diastolic blood pressure

    Physiological parameter

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  15. Diastolic blood pressure

    Physiological parameter

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  16. Diastolic blood pressure

    Physiological parameter

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  17. Total cholesterol

    Physiological parameter

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  18. Total cholesterol

    Physiological parameter

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  19. Total cholesterol

    Physiological parameter

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  20. Low-density lipoproteins cholesterol

    Physiological parameter

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  21. Low-density lipoproteins cholesterol

    Physiological parameter

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  22. Low-density lipoproteins cholesterol

    Physiological parameter

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  23. High-density lipoproteins cholesterol

    Physiological parameter

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  24. High-density lipoproteins cholesterol

    Physiological parameter

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  25. High-density lipoproteins cholesterol

    Physiological parameter

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  26. Triglycerides

    Physiological parameter

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  27. Triglycerides

    Physiological parameter

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  28. Triglycerides

    Physiological parameter

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  29. Basal plasma glucose

    Physiological parameter

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  30. Basal plasma glucose

    Physiological parameter

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  31. Basal plasma glucose

    Physiological parameter

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  32. The quality of life related to health.

    Level of perception of the patient regarding their state of health. It will be measured through the EuroQol-5D test.

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  33. The quality of life related to health.

    Level of perception of the patient regarding their state of health. It will be measured through the EuroQol-5D test.

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  34. The quality of life related to health.

    Level of perception of the patient regarding their state of health. It will be measured through the EuroQol-5D test.

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

  35. Assess the adherence to cardiovascular medication.

    It will be recorded if the patient is successfully taking the cardiovascular medication through the Haynes-Sackett test.

    Measured: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.

  36. Assess the adherence to cardiovascular medication.

    It will be recorded if the patient is successfully taking the cardiovascular medication through the Haynes-Sackett test.

    Measured: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.

  37. Assess the adherence to cardiovascular medication.

    It will be recorded if the patient is successfully taking the cardiovascular medication through the Haynes-Sackett test.

    Measured: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.

Timeline

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

  1. First posted5 Feb 2020
  2. Study start1 Oct 2019
  3. Primary completion30 May 2022
  4. Study completion30 May 2022

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
101 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04251611
Sponsor's protocol ID
CEIC 18/82
Acronym
CarPE3
Status last verified
Jun 2022
First submitted
19 Jul 2019
Last updated
31 Oct 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data will be shared with a request of researchers. All the information will be anonymous.

Questions about this trial

What is this clinical trial studying?

A study testing Maintenance of physical exercise in people with Myocardial Ischemia and Physical Exercise, run by Núria Santaularia Capdevila at 1 site in Spain.

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 6 inclusion and 4 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 31 Oct 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 Spain. 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 physical exercise minutes performed by the patient per week (time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.). 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 31 Oct 2022.

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