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HealthyMARA-TRAILNCT06282341

Fatigue and Recovery: a Comparison Between Trail and Marathon

A study testing Race: Simulated marathon, Race: Simulated trail and Race: Trail in nature in people with Healthy, run by Centre Hospitalier Universitaire de Saint Etienne at 1 site in France.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Road marathon is a famous running race known for hundreds of years. Trail running is an emerging running discipline which count new runners every year. Trail running and road marathon are two running endurance disciplines which differed by variation of elevation and nature of the terrain. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Race: Simulated marathon, Race: Simulated trail and Race: Trail in nature
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
1 siteFrance
Study dates
28 Dec 2023to 17 Dec 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 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Common for MARASIM, TRAILSIM and TRAILNAT:
  • Male or female
  • 18-55 years old
  • Endurance runners who run at least one running session of 20 km per week
  • Being able to run a marathon under 5 h or finishing a trail of 30 km during the last 3 years
  • Refrain from participating to a competition one month before the first visit and during the duration of the study
Show all 12Show fewer
  • To have a medical certificate of no contraindication of running practise in competition
  • Registered with a social security scheme
  • Having given the written consent freely
  • Specific for the 3 groups :
  • Specialist of trail running (TRAILSIM and TRAILNAT)
  • Specialist of road running (MARASIM)

Who cannot join

  • Subjects who present cardiac or articular chronic pathologies (example: repeated sprain, patellar or joint problems)
  • Subjects who present chronic or central neurological pathologies
  • Subjects deprived of liberty or who should be legally deprived
  • Subjects who report to take forbidden products by the World Anti-Doping Agency
  • pregnant or breastfeeding woman

Trial locations and contacts

1 site in 1 country.

France1 site
  • Unités de Myologie et de Médecine du Sport

    Saint-Etienne, France, 42055

Other trials in France

About this study

Road marathon is a famous running race known for hundreds of years. Trail running is an emerging running discipline which count new runners every year. Trail running and road marathon are two running endurance disciplines which differed by variation of elevation and nature of the terrain. While marathon is essentially run on flat roads, trail races are realized on steep paths (mountain, desert…) with an important variation of elevation. Neuromuscular, biomechanical and physiological consequences are different depending on the discipline, especially with a greater eccentric contribution in trail running. In spite of this characteristic, trail runners take part in several races longer than 40 km per year, while road runners participate in one to two marathons per year.

Read the detailed description

Some studies focused on fatigue and recovery following 30-to-40-km trail races or marathon but no direct comparison between both disciplines have been done yet. A direct comparison between marathon and trail would aim to better understand if the occurrence of fatigue is more important or if the recovery is longer in one of the two disciplines. The comparison is also a way to better understand mechanisms involved in fatigue and recovery following a trail and a marathon. Then, this research could be applied to improve specificity of training and prevent risk of injuries. This project aims to compare fatigue and recovery following a trail and a marathon.

Conditions
Healthy
Being tested
Race: Simulated marathon, Race: Simulated trail, Race: Trail in nature
Keywords
Running, Marathon, Trail, Fatigue
Medical subject headings
Fatigue

What participants receive

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

  • Race: Simulated marathonOther

    Participants will take part in a race: simulated marathon. Before, during, immediately after and the month after the race, neuromuscular, physiological and biomechanical assessments will take place.

  • Race: Simulated trailOther

    Participants will take part in a race: simulated trail. Before, during, immediately after and the month after the race, neuromuscular, physiological and biomechanical assessments will take place.

  • Race: Trail in natureOther

    Participants will take part in a race: trail in nature. Before, during, immediately after and the month after the race, neuromuscular, physiological and biomechanical assessments will take place.

Study groups in NCT06282341
Study groupRoleWhat they receive
MARASIMActive comparatorDuring visit 2, road runners will take part in a simulated marathon race on a treadmill.
Receives: Other: Race: Simulated marathon
TRAILSIMActive comparatorDuring visit 2, trail runners will take part in a simulated trail race on a treadmill.
Receives: Other: Race: Simulated trail
TRAILNATActive comparatorDuring visit 2, trail runners will take part in a real trail race in the nature.
Receives: Other: Race: Trail in nature

What is being measured

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

  1. Change in knee extensors maximal isometric torque output

    The primary outcome will be changed (in % of baseline value) of the maximal voluntary torque (in Nm) produced by the knee extensors, measured at D0 (= day of the race) with an isometric knee dynamometer (ARS dynamometry, SP2, Ltd., Ljubljana, Slovenia), before (baseline value = 30 minutes before the race) and at the end (15 minutes after the race) of a marathon or a trail (depending on the group)

    Measured: Day 0 (day of the race) baseline value = 30 minutes before the race and 15 minutes after the race

Secondary outcomes (19)
  1. Change in plantar flexor maximal isometric torque output

    Change (in % of baseline value) of the maximal voluntary torque (in Nm) produced by the plantar flexor measured at D0, by an instrumental pedal placed at 45 degrees with respect to the horizontal (ATI Industrial Automation, Inc., Apex, North Carolina USA), before (baseline value) and at the end of a marathon or a trail (depending on the group), and during recovery at Day1 Day2 Day7).

    Measured: Day 0 (day of the race) baseline value = 30 minutes before the race and 15 minutes after the race, Days 1, 2, 7

  2. Recovery of quadriceps maximal isometric torque output the month after the race

    Change (in % of post-exercise baseline value) of the maximal voluntary torque (in Nm) produced by the knee extensors, measured with an isometric knee dynamometer (ARS dynamometry, SP2, Ltd., Ljubljana, Slovenia), during recovery at Day 1 Day 2 Day 7).

    Measured: Day 0 (day of the race) baseline value = 30 minutes before the race, (Day 1 (= 24 hours after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race).

  3. Voluntary activation level

    Voluntary activation level (in %) of the plantar flexors and knee extensors will be assessed through neuromuscular assessments before, in the middle (except for the trail in the nature), after the marathon or trail of equivalent effort, and during recovery (Day 1, Day 2, and Day 7).

    Voluntary activation level will be calculated as followed:

    VA (%) = (1- (superimposed Db100/ resting Db100))x100

    Measured: D0 (day of the race) baseline value = 30 min before the race, in the middle of the race (except for the trail in the nature) and 15 min after the race;D1 = 24h after the end of the race , D2 = 48h after the end of the race, D7 = 7 days after the end

  4. Force assessed in dynamic

    Force assessed in dynamic mode on a cycloergometer (Monark, Vansbro, Sweden) composed of strain gauges, a flywheel, a belt and an optical encoder allowing data collection. Force (N) will be measured in order to establish a force-velocity / power- velocity profile at Day 0 15 min before the race, after the marathon or trail ( 1 hour after the end) of equivalent effort, and during recovery (Day 1 (= 24h after the end of the race) , Day 2 (= 48 h after the end of the race), Day 7 (= 7 days after the end of the race).

    Measured: Day 0 15 minutes before the race, after the marathon or trail ( 1 hour after the end), and during recovery (Day 1 (= 24 hours after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race).

  5. Velocity assessed in dynamic

    Velocity assessed in dynamic mode on a cycloergometer (Monark, Vansbro, Sweden) composed of strain gauges, a flywheel, a belt and an optical encoder allowing data collection. Speed (rad/s) will be measured in order to establish a force-velocity / power-velocity profile before (=15 minutes before the race), after the marathon or trail (=1 hour after the end) of equivalent effort, and during recovery (Day 1 = 24hours after the end of the race, Day 2 = 48hours after the end of the race, Day 7 = 7 days after the end of the race).

    Measured: Day 0 15 minutes before the race, after the marathon or trail ( 1 hour after the end), and during recovery (Day 1 (= 24 hours after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race).

  6. Power assessed in dynamic

    Power assessed in dynamic mode on a cycloergometer (Monark, Vansbro, Sweden) composed of strain gauges, a flywheel, a belt and an optical encoder allowing data collection. Power (W) will be measured in order to establish a force-velocity / power-velocity profile before (=15 minutes before the race), after the marathon or trail (=1 hour after the end) of equivalent effort, and during recovery (Day 1 = 24hours after the enf of the race, Day 2 = 45hours after the end of the race, Day 7= 7 days after the race).

    Measured: Day 0 15 minutes before the race, after the marathon or trail ( 1 hour after the end), and during recovery (Day 1 (= 24 hours after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race).

  7. Muscular power and stretch-shortening cycle assessed through squat jumps

    Muscular power and stretch-shortening cycle assessed through squat jump ; Height (m) and duration (s) of jumps are calculated through force platform (90 x90 cm, Model 9287C, Kisler, Winterthur, Switzerland).

    Measured: Day 0 15 minutes before the race, after the marathon or trail ( 1 hour after the end), and during recovery (Day 1 (= 24 hours after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race).

  8. Muscular power and stretch-shortening cycle assessed through countermovement jump

    Muscular power and stretch-shortening cycle assessed through countermovement. Height (meter) and duration (seconde) of jumps are calculated through force platform (90 x90 centimeter, Model 9287C, Kisler, Winterthur, Switzerland)

    Measured: Day 0 15 minutes before the race, after the marathon or trail ( 1 hour after the end), and during recovery (Day1 (= 24 hours after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race).

  9. Muscular power and stretch-shortening cycle assessed through drop jump

    Muscular power and stretch-shortening cycle assessed through drop jump. Height (m) and duration (s) of jumps are calculated through force platform (90 x90 cm, Model 9287C, Kisler, Winterthur, Switzerland)

    Measured: Day 0 15 minutes before the race, after the marathon or trail ( 1 hour after the end), and during recovery (Day 1 (= 24hours after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race).

  10. Muscle electrical activity

    Muscle electrical activity (Trigno avanti Sensor, Delsys, Natick, MA including electrodes connected to thin-10-cm-long cables) are measured

    Measured: Day 0: 30 minutes before the race, in the middle (except for the trail in the nature) 15 minutes after the end of the race

  11. The kinetics of energy cost

    The kinetics of energy cost (Ccr en J/kg/m) measured using a portable gas exchange measurement system (Ergospirometer Metamax 3B®, Cortex Medical, Leipzig, Germany) 1h30 before the race, in the middle (except for the trail in the nature) and 30 min after the race the marathon or simulated trail and during recovery Day 1, Day 2, Day 7 7)7).measurement system (Ergospirometer Metamax 3B®, Cortex Medical, Leipzig, Germany)

    Measured: Day 0 1 hour 30 minutes before the race,in the middle, 30 minutes after the end of the race, and during recovery (Day 1 (= 24hours after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race).

  12. Racing kinematics

    Evolution of moments and hip joint angles, knee and ankle measured by a Markerless tracking system will be measured

    1 hour before the race , in the middle (except for the trail in the nature), immediately after the simulated trail or marathon, and during recovery (Day 1 (= 24hours after the end of the race) , Day 2 (= 48hours after the end of the race), Day 7 (= 7 days after the end of the race).

    Measured: 1 hour before, in the middle and immediately after the race and during recovery(Day 1 (= 24hours after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race).

  13. Ground reaction force (in Newton)

    Force will be measured by force platforms contained in the treadmill (h/p/Cosmos-Stellar, Germany). to get the ground reaction forces at each step 1hour before, in the middle (except for the trail in the nature) and immediately after the race and during recovery(Day 1 (= 24hours after the end of the race) , Day 2 (= 48hours after the end of the race), Day 7 (= 7 days after the end of the race).

    Measured: 1hour before, in the middle (except for the trail in the nature) and immediately after the race and during recovery(Day 1 (= 24hours after the end of the race) , Day 2 (= 48hours after the end of the race), Day 7 (= 7 days after the end of the race).

  14. Center of pressure (in Newton)

    Force will be measured by force platforms contained in the treadmill (h/p/Cosmos-Stellar, Germany). to get the center of pressure each step before (=1 hour before), in the middle (except for the trail in the nature), after (=immediately after the race) the simulated trail or marathon, and during recovery (Day 1 = 24 hours after the race, Day 2 = 48 hours after the race, Day 7 = 7 days after the race)

    Measured: 1hour before, in the middle (except for the trail in the nature) and immediately after the race and during recovery(Day 1 (= 24hours after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race).

  15. Muscle damage blood markers

    Witness muscle damage following a marathon or a trail of equivalent effort. Biological variables are taken 2h before the race and 2 h after the race: a marathon or a trail of equivalent effort, and during recovery ((Day 1 (= 24h after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race). Followed i- Inflammatory parameters are taken through blood test (2 tubes of 5 ml/blood test): ionogram (sodium [mmol/l], potassium [mmol/l], chlorine [mmol/l], bicarbonates [mmol/l], urea [mmol/l], creatinine [µmol/l], glucose [mmol/l], proteins [g/l], uric acid [[µmol/l ], osmolality [m0smol/kg]; Creatine Kinase (UI/l)myoglobine [µg/l ], C reactive Protein [mg/l], lactate [mmol/l]

    Measured: Day 0: 2hours before the race, 2hours after the race and during recovery (Day 1 (= 24hours after the end of the race) , Day 2 (= 48 hours after the end of the race), Day 7 (= 7 days after the end of the race).

  16. Resting heart rate variability parameters

    Evolution of resting heart rate variability, a marker of psychophysiological recovery will be assessed through a Polar H10 heart rate monitor before the race (at least 3 times in the 2 weeks before the race) and during recovery (at least every two days until one month after the race).

    Analysis of time domain and frequency domain variables via measurement of heart rate variability will be achieved through HRV analysis software.

    Measured: 3 times in the 2 weeks before the race and every other day for the month following the race

  17. Effort perception

    Perception of effort will be assessed during the marathon or trail of equivalent effort every 5 km effort on the modified Borg scale (from 0 - rest to 10 - Maximal perceived effort).

    Measured: D0 (day of the race) : during the race, every 5 kilometers effort

  18. Fatigue assessment

    Fatigue assessment will be carried out before (=once during the 2 weeks before the race) the marathon or trail of equivalent effort , immediately after and during recovery (Day 1 = 24 hours after the race, Day 2 = 48 hours after the race, Day 3 = 72 hours after the race, Day 4 = 4 days after the race, Day 5 = 5 days after the race, Day 6 = 6 days after the race, Day 7 = 7 days after the race, Day 14 = 14 days after the race, Day 21 = 21 days after the race, Day 30 = 30 days after the race) via the of the "Rating scale of fatigue " (from 0 - Not fatigued at all to 10 - Total exhaustion nothing left).

    Measured: Once during 2 weeks before, immediately after the race and during recovery (Day 1 = 24 hours after the race, Day 2 = 48 hours after, Day 3 = 72 hours after, Day 4, Day 5, Day 6, Day 7, Day 14, Day 21 and Day 30 after the race

  19. Muscular pain

    Muscle pain felt in the quadriceps and calves will be rated on a visual analog scale ranging from 0 (No muscular pain at all) at 10 (Unbearable muscle pain) during the marathon or trail of equivalent effort every 5 km-effort

    Measured: Day 0 (day of the race) : during the race, every 5 kilometers effort

Timeline

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

  1. First posted28 Feb 2024
  2. Study start28 Dec 2023
  3. Primary completion3 Dec 2025
  4. Study completion17 Dec 2025

Why it stopped: Official premature termination is failure to be included in the marathon group.

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
Screening
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Prospective study on healthy volunteers, comparing the neurophysiological, physiological and biomechanical effects at the end of a marathon compared with an equivalent effort trail in the open air, or simulated on a treadmill, in runners specialising in each of the 2 disciplines
Masking
None (open label)
Enrolment
46 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06282341
Sponsor's protocol ID
23CH132
Acronym
MARA-TRAIL
Status last verified
Mar 2026
First submitted
23 Oct 2023
Last updated
11 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Race: Simulated marathon, Race: Simulated trail and Race: Trail in nature in people with Healthy, 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 12 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: stopped early, as of the sponsor's last update on 11 Mar 2026. 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 was stopped early (reason given: Official premature termination is failure to be included in the marathon group.). Results are not available in the source record.

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?

Change in knee extensors maximal isometric torque output (time frame: Day 0 (day of the race) baseline value = 30 minutes before the race and 15 minutes after the race). 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 11 Mar 2026.

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