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Coronary Artery DiseaseRT in CVDNCT04638764

Resistance Training in Cardiovascular Disease Patients

A study testing Aerobic interval training combined with high intensity resistance training, Aerobic interval training combined with low intensity resistance training and Aerobic interval training in people with Coronary Artery Disease and Heart Failure With Reduced Ejection Fraction, run by General Hospital Murska Sobota at 1 site in Slovenia.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

In this study coronary artery disease patients and patients with heart failure will be randomly assigned to three training groups: combined aerobic interval training with high intensity resistance training, combined aerobic interval training with low intensity resistance training and aerobic interval training. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Aerobic interval training combined with high intensity resistance training, Aerobic interval training combined with low intensity resistance training and Aerobic interval training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
1 siteSlovenia
Study dates
23 Nov 2020to 26 Nov 2021
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

  • Stable patients with documented CAD with clinical event (>1 month after acute coronary syndrome and/or percutaneous coronary intervention) or coronarography and/or
  • Stable Heart Failure patients with documented reduced ejection fraction (>40-45 %)
  • age >18 years
  • NYHA class I-III
  • Cardiopulmonary exercise test without ECG abnormalities

Who cannot join

  • Unstable CHD
  • Decompensated HF
  • Uncontrolled arrhythmias
  • Severe and symptomatic aortic stenosis
  • Acute myocarditis, endocarditis, or pericarditis
  • Aortic dissection
  • Marfan syndrome
  • Musculoskeletal limitations

Trial locations and contacts

1 site in 1 country.

Mitja Lainščak, MD, PhD contact

+386 (0)2 5123733

mitja.lainscak@guest.arnes.si

Tim Kambič, MKin contact

tim.kambic@gmail.com

Slovenia1 site, 1 recruiting
  • Division of Cardiology, General Hospital Murska Sobota

    Murska Sobota, 9000

    Mitja Lainščak, MD, PhD, mitja.lainscak@guest.arnes.si

    Tim Kambič, MKin, tim.kambic@gmail.com

    Recruiting

Other trials in Slovenia

About this study

Official title: Resistance Training in Coronary Artery Disease and Heart Failure Patients Undergoing Cardiac Rehabilitation

In this study coronary artery disease patients and patients with heart failure will be randomly assigned to three training groups: combined aerobic interval training with high intensity resistance training, combined aerobic interval training with low intensity resistance training and aerobic interval training.

Read the detailed description

Exercise-based cardiac rehabilitation programmes have predominantly used aerobic-dynamic exercise modalities, whereas resistance training have been discouraged in patients with cardiovascular disease, due to safety concerns related to cardiovascular response (heart rate and blood pressure) during the exertion. Contrary to such concerns, recent hemodynamic studies have reported lower blood pressure and heart rate during higher intensity resistance training (>70 % 1-RM) compared to lower intensity resistance training (>40 % 1-RM). Furthermore, the latest meta analysis have demonstrated that combined resistance training with standard aerobic interval training has been superior than aerobic training alone in several aspects of health.

However, there is still huge heterogeneity in training intervention design, also there still lacks studies to further elucidate the effects of high intensity resistance training combined with aerobic training on physical performance (aerobic capacity, muscle strength, balance), body composition, quality of life, morbidity, mortality, etc. Therefore, the aim of this study was to examine the effects of high (70%-80 % 1-RM) versus low loads (30%- 40 % 1-RM) resistance training in combination with aerobic interval cycling (50 % -80% of baseline peak Power output) in coronary artery disease patients and patients with heart failure.

Being tested
Aerobic interval training combined with high intensity resistance training, Aerobic interval training combined with low intensity resistance training, Aerobic interval training
Keywords
resistance training, coronary artery disease, heart failure, hemodynamic response, cardiac rehabilitation, aerobic training
Medical subject headings
Coronary Artery Disease, Heart Failure

What participants receive

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

  • Aerobic interval training combined with high intensity resistance trainingOther

    Also called Aerobic and high intensity strength training

    Patients enrolled in arm of the study will perform 12 weeks of combined aerobic interval training (5 intervals of cycling at the intensity of 50 %-80% of peak power obtained at baseline cardiopulmonary testing) combined with high intensity resistance training (3 sets of leg press at the intensity of 70 %- 80 % of one repetition maximum (1-RM)).

  • Aerobic interval training combined with low intensity resistance trainingOther

    Also called Aerobic and low intensity strength training

    Patients enrolled in arm of the study will perform 12 weeks of combined aerobic interval training (5 intervals of cycling at the intensity of 50 %-80% of peak power obtained at baseline cardiopulmonary testing) combined with high intensity resistance training (3 sets of leg press at the intensity of 30 %- 40 % 1-RM).

  • Aerobic interval trainingOther

    Also called Aerobic training

    Patients enrolled in arm of the study will perform 12 weeks of aerobic interval training (5 intervals of cycling at the intensity of 50 %-80% of peak power obtained at baseline cardiopulmonary testing).

Study groups in NCT04638764
Study groupRoleWhat they receive
Aerobic interval training with high loads resistance trainingActive comparatorPatient to be randomised into "combined aerobic training with high loads resistance training group".
Receives: Other: Aerobic interval training combined with high intensity resistance training
Aerobic interval training with low loads resistance trainingActive comparatorPatient to be randomised into "combined aerobic training with low loads resistance training group".
Receives: Other: Aerobic interval training combined with low intensity resistance training
Aerobic interval trainingActive comparatorPatient to be randomised into "aerobic training training group".
Receives: Other: Aerobic interval training

What is being measured

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

  1. Change in Maximal aerobic capacity

    Measured as change in VO2 max (ml/kg/min)

    Measured: Change in maximal aerobic capacity at 12 weeks compared to baseline

  2. Change in Maximal voluntary contraction of knee extensors

    Measured as change in maximal isometric torque of knee extensors

    Measured: Change in maximal isometric torque at 12 weeks compared to baseline

Secondary outcomes (28)
  1. Change in Homeostatic Model Assessment for Insulin Resistance (HOMA-IR)

    Measured as change in HOMA IR (%)

    Measured: Change in HOMA-IR at 12 weeks compared to baseline

  2. Change in glucose levels

    Measured as change in glucose levels (mmol/L)

    Measured: Change in glucose levels at 12 weeks compared to baseline

  3. Change in insulin levels

    Measured as change in insulin levels

    Measured: Change in insulin levels at 12 weeks compared to baseline

  4. Change in systolic blood pressure during high and low load resistance exercise

    Measured as change in systolic blood pressure during resistance exercise compared to baseline (pre-exercise) values

    Measured: Change of systolic blood pressure during resistance exercise compared to baseline (pre-exercise) within the first and the last week of the intervention

  5. Change in diastolic blood pressure during high and low load resistance exercise

    Measured as change in diastolic blood pressure during resistance exercise compared to baseline (pre-exercise)

    Measured: Change of diastolic blood pressure during resistance exercise compared to baseline (pre-exercise) within the first and the last week of the intervention

  6. Change in heart rate during high and low load resistance exercise

    Measured as change in heart rate during resistance exercise compared to baseline (pre-exercise)

    Measured: Change of heart rate during resistance exercise compared to baseline (pre-exercise) within the first and the last week of the intervention

  7. Change in rating of perceived exertion during high and low load resistance exercise

    Measured as change of rating of perceived exertion (0-10) during resistance exercise compared to baseline (pre-exercise)

    Measured: Change of rating of perceived exertion (score 0-10, 0-no exertion, 10-maximal exertion) during resistance exercise compared to baseline (pre-exercise) within the first and the last week of the intervention

  8. Change in Short Physical Performance Battery (SPPB) total score

    Measured as change in points of the SPPB after 12 weeks compared to baseline

    Measured: Change in the Short Physical Performance battery test total score (0-the worse outcome, 12- the best outcome) after 12 weeks compared to baseline

  9. Change in time of the "Up and Go" test

    Measured as change of time (s) in "Up and Go" test

    Measured: Change in seconds of the "Up and Go" test after 12 weeks compared to baseline

  10. Change in Grip strength test (kg)

    Measured as change of kg in Grip strength test

    Measured: Change in kg of Grip strength test after 12 weeks compared to baseline

  11. Change in Arm curl test (number of repetitions)

    Measured as change of number of repetitions in Arm curl test

    Measured: Change in number of repetitions of the Arm curl test after 12 weeks compared to baseline

  12. Change in time of the Sit to stand test

    Measured as change in time (s) of the Sit and stand test

    Measured: Change in seconds of the Sit to stand test after 12 weeks compared to baseline

  13. Change in One Leg Heel Raise test (number of repetitions)

    Measured as change of number of repetitions in One leg heel raise test

    Measured: Change in number of repetitions of One leg heel raise test after 12 weeks compared to baseline

  14. Change in total energy expenditure

    Measured as change in kcal using accelerometry data

    Measured: Change in kcal after 12 weeks compared to baseline

  15. Change in sedentary activity level

    Measured as change in minutes spent in sedentary activity level using accelerometry data

    Measured: Change in minutes of sedentary activity after 12 weeks compared to baseline

  16. Change in moderate to vigorous physical activity level

    Measured as change in minutes spent in moderate to vigorous physical activity level using accelerometry data

    Measured: Change in minutes of moderate to vigorous physical activity after 12 weeks compared to baseline

  17. Change in the Back Scratch test

    Measured as change in cm of the Back Scratch test

    Measured: Change in cm of the Back Scratch test after 12 weeks compared to baseline

  18. Change in the Chair Sit and Reach test

    Measured as change in cm of the Chair Sit and Reach test

    Measured: Change in cm of the Chair sit and Reach test after 12 weeks compared to baseline

  19. Change in Stork balance test

    Measured as change in seconds of the Stork balance test

    Measured: Change in seconds of the Stork balance test after 12 weeks compared to baseline

  20. Change in Short form Health related quality of life questionnaire (SF-12)

    Measured as change in score of the SF-12

    Measured: Change in score of the Short form 12 items health related questionnaire (12 points -the lowest score, 47 points the highest score) after 12 weeks compared to baseline

  21. Change in Patients health questionnaire score (PHQ-9)

    Measured as change in points of PHQ-9 questionnaire

    Measured: Change in score of the Patients health 9-item questionnaire (0 points-the best outcome, 27 points-the worse outcome) after 12 weeks compared to baseline

  22. Change in Respiratory Exchange Ratio (RER)

    Measured as percent change of RER during cardiopulmonary exercise test

    Measured: Change in % after 12 weeks compared to baseline

  23. Change in Ve/VCO2 slope ratio

    Measured as change in VE/VCO2 slope

    Measured: Change in ratio of VE/VCO2 slope after 12 weeks compared to baseline

  24. Change in Tumor necrosis factor alpha (TNF-alpha) level

    Measured as change in TNF-alpha

    Measured: Change in TNF-alpha level after 12 weeks compared to baseline

  25. Change in Interleukin 6 (IL-6) level

    Measured as change in IL-6 level

    Measured: Change in IL-6 level after 12 weeks compared to baseline

  26. Change in Human Growth hormone (hGH) level

    Measured as change in hGH level

    Measured: Change in hGH level after 12 weeks compared to baseline

  27. Change in Insulin like Growth Factor 1 (IGF-1)

    Measured as change in IGF-1 level

    Measured: Change in IGF-1 level after 12 weeks compared to baseline

  28. Change in N-terminal-pro brain natriuretic peptide (NT-proBNP)

    Measured as change in NT-proBNP level

    Measured: Change in NT-proBNP level after 12 weeks compared to baseline

Timeline

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

  1. First posted20 Nov 2020
  2. Study start23 Nov 2020 (estimated)
  3. Primary completion30 Jun 2021 (estimated)
  4. Study completion26 Nov 2021 (estimated)

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
Model description
Cluster randomisation with three parallel intervention groups
Masking
None (open label)
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04638764
Sponsor's protocol ID
GH-MS-CVD-RT
Acronym
RT in CVD
Status last verified
Nov 2020
First submitted
29 Oct 2020
Last updated
20 Nov 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kambic T, Bozic Mijovski M, Jug B, Hadzic V, Lainscak M. Insulin resistance, lipids and body composition in patients with coronary artery disease after combined aerobic training and resistance training: a randomised, controlled trial. Diabetol Metab Syndr. 2023 Mar 15;15(1):47. doi: 10.1186/s13098-023-01017-w.

    PubMed 36918949
  • Kambic T, Sarabon N, Hadzic V, Lainscak M. Physical activity and sedentary behaviour following combined aerobic and resistance training in coronary artery disease patients: A randomised controlled trial. Int J Cardiol. 2023 Jan 1;370:75-79. doi: 10.1016/j.ijcard.2022.10.157. Epub 2022 Oct 29.

    PubMed 36367488
  • Kambic T, Sarabon N, Lainscak M, Hadzic V. Combined resistance training with aerobic training improves physical performance in patients with coronary artery disease: A secondary analysis of a randomized controlled clinical trial. Front Cardiovasc Med. 2022 Aug 24;9:909385. doi: 10.3389/fcvm.2022.909385. eCollection 2022.

    PubMed 36093154
  • Kambic T, Sarabon N, Hadzic V, Lainscak M. Effects of high-load and low-load resistance training in patients with coronary artery disease: rationale and design of a randomised controlled clinical trial. BMJ Open. 2021 Jul 22;11(7):e051325. doi: 10.1136/bmjopen-2021-051325.

    PubMed 34301669
  • Kambic T, Hadzic V, Lainscak M. Hemodynamic Response to High- and Low-Load Resistance Exercise in Patients with Coronary Artery Disease: A Randomized, Crossover Clinical Trial. Int J Environ Res Public Health. 2021 Apr 8;18(8):3905. doi: 10.3390/ijerph18083905.

    PubMed 33917770

Questions about this trial

What is this clinical trial studying?

A study testing Aerobic interval training combined with high intensity resistance training, Aerobic interval training combined with low intensity resistance training and Aerobic interval training in people with Coronary Artery Disease and Heart Failure With Reduced Ejection Fraction, run by General Hospital Murska Sobota at 1 site in Slovenia.

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 5 inclusion and 8 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: status not confirmed, as of the sponsor's last update on 20 Nov 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 Slovenia. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Mitja Lainščak, MD, PhD (+386 (0)2 5123733, mitja.lainscak@guest.arnes.si), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Maximal aerobic capacity (time frame: Change in maximal aerobic capacity at 12 weeks compared to baseline). The study lists 2 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 NCT04638764, which also lists 5 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 20 Nov 2020.

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