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Heart FailureExIC-FEpNCT05726474

Comparison of the Effect of Two Types of Physical Exercises in Patients With Heart Failure With Preserved Ejection Fraction

A study testing Combined exercise and High interval training in people with Heart Failure and Physical Exercise, run by University of Castilla-La Mancha 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

Background: Heart failure (HF) is a chronic disease with a very important and increasingly severe social and health impact with a prevalence of 6.8% in Spain. HF with preserved ejection fraction (HFpEF) represents approximately 50% of all patients with HF. Read more about this study

Who is it for?
Ages 40 years and older
What is being tested?
Combined exercise and High interval training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
1 siteSpain
Study dates
23 Jan 2023to 15 May 2025
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 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Heart Failure with preserved ejection fraction picture (diagnosis according to ESC 2021 criteria)
  • Signs and symptoms of Heart Failure
  • A left ventricular ejection fraction of ≥50%.
  • Objective evidence of cardiac structural and/or functional abnormalities consistent with the presence of left ventricular diastolic dysfunction/elevated left ventricular filling pressures, including elevated natriuretic peptides.
  • Sedentary men and women (structured exercise <2 x 30 min/week).
  • Age ≥40 years
Show all 9Show fewer
  • Written informed consent
  • Clinically stable for 6 weeks
  • Optimal medical treatment for ≥6 weeks

Who cannot join

  • Non-cardiac causes of heart failure symptoms:
  • Significant valvular or coronary artery disease - Uncontrolled hypertension or arrhythmias.
  • Primary cardiomyopathies
  • Significant pulmonary disease (FEV1<50% predicted, GOLD III-IV)
  • Inability to exercise or conditions that may interfere with exercise intervention.
  • Myocardial infarction in the last 3 months
  • Signs of ischaemia during maximal cardiopulmonary exercise test.
  • Comorbidity that may influence one-year prognosis 7. Participation in another clinical trial.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Universidad de Castulla-La Mancha

    Cuenca, Cuenca, 16001

Other trials in Spain

About this study

Official title: Comparison of the Effect of Two Types of Physical Exercise on the Improvement of Exercise Capacity, Diastolic Function, Endothelial Function, and Arterial Stiffness in Patients With Heart Failure With Preserved Ejection Fraction (ExIC-FEp Study)

Background: Heart failure (HF) is a chronic disease with a very important and increasingly severe social and health impact with a prevalence of 6.8% in Spain. HF with preserved ejection fraction (HFpEF) represents approximately 50% of all patients with HF. In the absence of pharmacological treatments that have succeeded in reducing mortality or morbidity in this pathology, it is recommended that interventions be directed at prevention, symptomatic treatment of HF and treatment of comorbidities to avoid exacerbations, thus physical exercise is recognized as an important adjunct in the treatment of HF and is recommended by the guidelines of the American College of Cardiology (ACC)/American Heart Association (AHA) and the European Society of Cardiology (ESC). Currently, aerobic exercise is the most studied physical exercise in this population, but in recent years high-intensity interval training (HIIT) and the combination of aerobic exercise with strength training (combined exercise) have emerged.

Objectives: The overall objective of this study is to compare the effectiveness of combined training and HIIT on exercise capacity, diastolic function, endothelial function, and arterial stiffness in patients with HFpEF. The specific objectives of this study are: a) to compare the effectiveness of combined training and HIIT on quality of life in patients with HFpEF and b) to analyze the cost-effectiveness of combined training and HIIT versus conventional treatment in patients with HFpEF.

Read more

Methodology: The ExIC-FEp study will be a single-blind randomized clinical trial with 3 arms (combined exercise, HIIT and a control group), conducted at the Health and Social Research Center of the University of Castilla-La Mancha, to analyze two types of supervised physical exercise in patients with HFpEF for 6 months. Patients with HFpEF will be randomly assigned (1:1:1) to the combined exercise, HIIT or control group. All participants will be examined, at baseline (prior to randomization), at three months (mid-intervention) and at six months (at the end of the intervention). Participants will undergo physical examination, echocardiography, maximal cardiopulmonary stress test, and measurement of endothelial function and arterial stiffness. In addition, sociodemographic variables, quality of life, physical activity, adherence to the Mediterranean diet, strength, spirometry and blood sampling will be measured.

Expected scientific contributions: this randomized clinical trial will represent a a significant advance in the scientific evidence available on the efficacy of physical exercise in the treatment of HFpEF, through: (a) transfer of the results to physicians, nurses and patients; (b) dissemination of results through scientific articles, doctoral theses and participation in congresses; (c) press releases and press conferences with the aim of disseminating the research results to the population; (d) dissemination through social networks to improve the social impact; and (e) design and content development of a web page.

Being tested
Combined exercise, High interval training
Medical subject headings
Heart Failure, Motor Activity

What participants receive

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

  • Combined exerciseBehavioural

    Patients will exercise for 40 minutes three times a week on an ergometric bicycle at 50-60% of VO2max, 60-70% of HRmax, 11-13 on the Borg scale, without ergometer at 50-60% of VO2max, 60-70% of HRmax, 11-13 on the Borg scale, without shortness of breathing difficulty. In addition, strength training will be performed (bench press, leg press, leg curl, leg machine, bench press, leg press, leg curl, leg curl, leg machine). leg curls, leg curls, rowing machine, triceps dips, pectoral pull-ups) twice a week. week. Strength training will be performed with 15 repetitions per exercise and per session, with a corresponding workload of 15 repetitions. session, with a workload corresponding to 60% to 65% of the 1-repetition maximum (1RM) measured at (1RM) measured at the beginning and at the end of the intervention.

  • High interval trainingBehavioural

    Patients will perform three training sessions per week. Each training session begins with a 10-minute warm-up at moderate intensity (corresponding to 50-60% of VO2max, 60-70% of HRmax, 11-13 on the Borg scale, no shortness of breath) before cycling, four 4-minute intervals at high intensity (corresponding to 85-90% of VO2max, 90-95% of HRmax, 15-17 on the Borg scale, shortness of breath). Each interval will be separated by 3 minutes of active pauses, with a HRmax of 50-70%. The training session will end with 3 minutes of cool down at moderate intensity (corresponding to 50-60%). moderate intensity (corresponding to 50-60% of VO2max, 60-70% of HRmax, 11-13 on the Borg scale, without difficulty). Borg scale, no shortness of breath). The total exercise time will be 40 minutes for the HIIT group.

Study groups in NCT05726474
Study groupRoleWhat they receive
Combined exerciseExperimentalNot described
Receives: Behavioral: Combined exercise
High interval trainingExperimentalNot described
Receives: Behavioral: High interval training
Usual careNo interventionNot described

What is being measured

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

  1. Exercise capacity

    Maximal cardiopulmonary stress test with Ergoline600 ergometer bicycle.

    Measured: Change from Baseline exercise capacity at 3 months

  2. E velocity

    E velocity in m/s

    Measured: Change from Baseline E velocity at 3 months

  3. Endothelial function

    Carotid intima-media thickness: by ultrasound with the Sonosite SII device.

    Measured: Change from Baseline endothelial function at 3 months

  4. Arterial stiffness

    Pulse wave velocity and augmentation index

    Measured: Change from Baseline arterial stiffness at 3 months

  5. A velocity

    A velocity in m/s

    Measured: Change from Baseline A velocity at 3 months

  6. E/A ratio

    E/A ratio

    Measured: Change from Baseline E/A ratio at 3 months

  7. e' velocity

    e' velocity in m/s

    Measured: Change from Baseline e' velocity in m/s at 3 months

  8. E/e' ratio

    E/e' ratio

    Measured: Change from Baseline E/e' ratio at 3 months

  9. ejection fraction

    percentage of ejection fraction

    Measured: Change from Baseline ejection fraction at 3 months

  10. left ventricular volume index

    left ventricular volume index

    Measured: Change from Baseline left ventricular volume index at 3 months

  11. end-diastolic volume

    end-diastolic volume

    Measured: Change from Baseline end-diastolic volume at 3 months

  12. left ventricular mass

    left ventricular mass

    Measured: Change from Baseline left ventricular mass at 3 months

  13. left atrial diameter

    left atrial diameter

    Measured: Change from Baseline left atrial diameter at 3 months

  14. isovolume relaxation time

    isovolume relaxation time in seg

    Measured: Change from Baseline isovolume relaxation time at 3 months

  15. deceleration time

    deceleration time in m/s

    Measured: Change from Baseline deceleration time at 3 months

  16. left atrial volume index

    left atrial volume index

    Measured: Change from Baseline left atrial volume index at 3 months

Secondary outcomes (23)
  1. Sociodemographic variables

    Age, sex and socioeconomic level

    Measured: Baseline

  2. Patient's medical history

    Comorbidities and medication

    Measured: Baseline

  3. Weight

    Weight in kilogram

    Measured: Change from Baseline weight at 3 months

  4. Muscular strength

    Handgrip force to be determined with TKK 5401 Grip-D dynamometer.

    Measured: Change from Baseline Muscular strength at 3 months

  5. Spirometry

    Forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and FEV1/FVC ratio.

    Measured: Change from Baseline spirometry at 3 months

  6. Glucose

    Glucose

    Measured: Change from Baseline Glucose at 3 months

  7. Physical activity

    Accelerometry. Time of physical activity

    Measured: Change from Baseline phisical activity at 3 months

  8. HQoL

    Validated 12-item health questionnaire (SF-12). From 0 to 12 (higher values better HQoL)

    Measured: Change from Baseline HQoL at 3 months

  9. Adherence to the Mediterranean diet

    Validated 14-item questionnaire on adherence to the Mediterranean diet (MEDAS-14). From 0 to 14 (higher values better Adherence)

    Measured: Change from Baseline Adherence to the Mediterranean diet at 3 months

  10. height

    height in centimeters

    Measured: Change from Baseline height at 3 months

  11. BMI

    BMI in kg/m2

    Measured: Change from Baseline BMI at 3 months

  12. waist circumference

    waist circumference in cm

    Measured: Change from Baseline waist circumference at 3 months

  13. body fat

    percentage of body fat

    Measured: Change from Baseline body fat at 3 months

  14. blood pressure

    systolic and diastolic blood pressure in mmHg

    Measured: Change from Baseline blood pressure at 3 months

  15. total cholesterol

    total cholesterol

    Measured: Change from Baseline total cholesterol at 6 months

  16. triglycerides

    triglycerides

    Measured: Change from Baseline triglycerides at 6 months

  17. HDL-cholesterol

    HDL-cholesterol

    Measured: Change from Baseline HDL-cholesterol at 6 months

  18. LDL-cholesterol

    LDL-cholesterol

    Measured: Change from Baseline LDL-cholesterol at 6 months

  19. apolipoproteins A1 and B

    apolipoproteins A1 and B

    Measured: Change from Baseline apolipoproteins A1 and B at 6 months

  20. insulin

    insulin

    Measured: Change from Baseline insulin at 6 months

  21. ultra-sensitive C-reactive protein

    ultra-sensitive C-reactive protein

    Measured: Change from Baseline ultra-sensitive C-reactive protein at 6 months

  22. N-terminal pro-B-type natriuretic peptide (NT-proBNP)

    N-terminal pro-B-type natriuretic peptide (NT-proBNP)

    Measured: Change from Baseline N-terminal pro-B-type natriuretic peptide (NT-proBNP) at 6 months

  23. HbA1c

    HbA1c

    Measured: Change from Baseline HbA1c at 6 months

Timeline

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

  1. First posted14 Feb 2023
  2. Study start23 Jan 2023
  3. Primary completion30 Sep 2024
  4. Study completion15 May 2025

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
Masking
Single blind
Who is masked
Participant
Enrolment
72 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05726474
Sponsor's protocol ID
SBPLY/21/180501/000112
Acronym
ExIC-FEp
Status last verified
May 2025
First submitted
20 Oct 2022
Last updated
4 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Cavero-Redondo I, Saz-Lara A, Bizzozero-Peroni B, Nunez-Martinez L, Diaz-Goni V, Calero-Paniagua I, Matinez-Garcia I, Pascual-Morena C. Accuracy of the 6-Minute Walk Test for Assessing Functional Capacity in Patients With Heart Failure With Preserved Ejection Fraction and Other Chronic Cardiac Pathologies: Results of the ExIC-FEp Trial and a Meta-Analysis. Sports Med Open. 2024 Jun 18;10(1):74. doi: 10.1186/s40798-024-00740-6.

    PubMed 38886304

Questions about this trial

What is this clinical trial studying?

A study testing Combined exercise and High interval training in people with Heart Failure and Physical Exercise, run by University of Castilla-La Mancha 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 9 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: finished, as of the sponsor's last update on 4 Jun 2025. 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?

Exercise capacity (time frame: Change from Baseline exercise capacity at 3 months). The study lists 16 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 NCT05726474, which also lists 1 linked publication.

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 4 Jun 2025.

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