Comparison of Repetitive Magnetic Stimulation and Exercise on Quadriceps Function in COPD
Is the Anaerobic Quadriceps Muscle Phenotype in Chronic Obstructive Pulmonary Disease Mediated by Reduced Muscle Concentrations of Peroxisome Proliferator-Activated Receptors Alpha and Delta?
1 other identifier
interventional
86
1 country
1
Brief Summary
Background Chronic Obstructive Pulmonary Disease (COPD) patients develop leg weakness and a reduced walking capacity, due to reduced leg muscle oxygen-utilising capacity (OUC). Animal experiments indicate that low muscle levels of Peroxisome Proliferator-Activated Receptors (PPAR) cause the reduced muscle OUC. Aims In COPD patients, investigate whether:
- 1.reduced muscle PPAR levels cause reduced leg muscle OUC, by investigating a correlation between these in muscle samples (Study 1).
- 2.training increases muscle PPAR levels in proportion to increases in OUC, as should occur if PPARs control OUC (Study 2).
- 3.muscle PPAR levels and walking capacity correlate (Study 1 and 2).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable chronic-obstructive-pulmonary-disease
Started Jan 2007
Longer than P75 for not_applicable chronic-obstructive-pulmonary-disease
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2007
CompletedFirst Submitted
Initial submission to the registry
August 18, 2008
CompletedFirst Posted
Study publicly available on registry
August 19, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2010
CompletedResults Posted
Study results publicly available
September 16, 2019
CompletedSeptember 28, 2023
September 1, 2023
1.8 years
August 18, 2008
April 15, 2019
September 27, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Quadriceps Fibre Size of Type IIa Fibres
Quadriceps fibre cross-sectional area type II a fibres in quadriceps fibre.
8 weeks
Study Arms (3)
Exercise
EXPERIMENTALExercise
Repetitive magnetic stimulation
EXPERIMENTALRepetitive magnetic stimulation of femoral nerve
Control
NO INTERVENTIONNo active treatment
Interventions
Physiotherapist-supervised exercise course (endurance and resistance exercises) for 2 hours twice a week for 8 weeks
Repetitive magnetic stimulation of the intramuscular branches of the femoral nerve for 3 hours twice a week for 8 weeks
Eligibility Criteria
You may qualify if:
- Chronic Obstructive Pulmonary Disease
You may not qualify if:
- Cardiac failure
- Renal failure
- Liver failure
- Diabetes mellitus
- Systemic inflammatory diseases eg Rheumatoid arthritis, SLE
- Warfarin, coagulation problems
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Imperial College Londonlead
- Wellcome Trustcollaborator
- Maastricht Universitycollaborator
- Magstim Company, Whitland, Walescollaborator
Study Sites (1)
Respiratory Muscle Lab, Royal Brompton Hospital, Fulham Road
London, SW3 6NP, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr Samantha Amanda Sathyapala
- Organization
- Imperial College London
Study Officials
- STUDY DIRECTOR
Michael I Polkey, MBBSFRCPPhD
Royal Brompton Hospital/Imperial College
- PRINCIPAL INVESTIGATOR
Samantha A Sathyapala, MABMBChPhD
Imperial College London
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Wellcome Trust Clinical Research Fellow
Study Record Dates
First Submitted
August 18, 2008
First Posted
August 19, 2008
Study Start
January 1, 2007
Primary Completion
October 1, 2008
Study Completion
October 1, 2010
Last Updated
September 28, 2023
Results First Posted
September 16, 2019
Record last verified: 2023-09
Data Sharing
- IPD Sharing
- Will not share