NCT02435667

Brief Summary

The objective of this proposal is to determine the effect of resistance exercise training on locomotor muscle function, exercise capacity, exertional symptoms, and quality of life in HF patients with preserved ejection fraction (HFpEF).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jun 2015

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 29, 2015

Completed
7 days until next milestone

First Posted

Study publicly available on registry

May 6, 2015

Completed
26 days until next milestone

Study Start

First participant enrolled

June 1, 2015

Completed
5.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2021

Completed
Last Updated

February 3, 2021

Status Verified

February 1, 2021

Enrollment Period

5.6 years

First QC Date

April 29, 2015

Last Update Submit

February 1, 2021

Conditions

Keywords

Resistance TrainingExerciseHeart Failure preserved Ejection Fraction

Outcome Measures

Primary Outcomes (4)

  • Bone density and strength

    DEXA scan

    12 weeks

  • Cardiopulmonary Function

    Cardiopulmonary bike exercise

    12 weeks

  • Quality of Life

    Questionnaire

    12 weeks

  • Blood Biomarkers

    Blood draw

    12 weeks

Study Arms (2)

Resistance Exercise Training

EXPERIMENTAL

Entails 36 supervised resistance exercise training sessions (3 sessions per week for 12 weeks). Each exercise session will be supervised by a trained, certified Exercise Physiologist specializing in Cardiac Rehabilitation. The specific resistance exercise training will include Aerobic Exercise, Resistance Exercise, and Core Strengthening Exercises. Other baseline and follow-up tests include: DEXA bone scan, Blood Draw, Cardiopulmonary Max Exercise Test, Quality of Life Questionnaire, and a Submaximal Exercise Test.

Other: Resistance Exercise TrainingRadiation: DEXA bone scanOther: Cardiopulmonary Max Exercise TestOther: Quality of Life QuestionnaireOther: Submaximal Exercise TestOther: Blood Draw

Standard Care

PLACEBO COMPARATOR

No resistance exercise training. Patients will stay on their current healthcare regimen as previously assigned by their physician. Patients will still undergo baseline and follow-up tests similar to the Resistance Exercise Training group, including: DEXA bone scan, Blood Draw, Cardiopulmonary Max Exercise Test, Quality of Life Questionnaire, and a Submaximal Exercise Test.

Radiation: DEXA bone scanOther: Cardiopulmonary Max Exercise TestOther: Quality of Life QuestionnaireOther: Submaximal Exercise TestOther: Blood Draw

Interventions

1. Aerobic Exercise a. Each participant will engage in 5 minutes of aerobic based exercise on an arm/leg ergometer (NuStep Cross Trainer) at an intensity of 12-14 on the Borg Rating of Perceived Exertion Scale as a warm-up prior to the exercise session and again as a cool-down at the end of the exercise session. 2. Resistance Exercise - 2 sets of 8-12 repetitions - beginning at 60% of the initial 1 RM. a) Leg Extension, b) Bicep Curl, c) Leg Press, d) Chest Press, e) Leg Curl, f)Seated Row (horizontal or pulldown), g) Calf Raises 3. Core Strengthening Exercises a. 5-10 minutes of stability ball and balance exercises

Resistance Exercise Training

A DEXA scan that provides bone density measures.

Resistance Exercise TrainingStandard Care

Pedaling on a cycle ergometer to volitional fatigue.

Resistance Exercise TrainingStandard Care

A 10 minute questionnaire that measures quality of life.

Resistance Exercise TrainingStandard Care

Two short submaximal constant-load exercise sessions at 20 Watts. Each session will include 6 minutes of cycling (baseline). Following baseline, the sessions will be randomized to continued constant-load cycling for an additional 9 minutes (for echocardiographic measures) or randomized sub-systolic inflation of bilateral thigh pressure tourniquets to 40 and 80 mmHg for 3 minutes with 3 minutes of deflation between inflations to stimulate locomotor muscle neural feedback.

Resistance Exercise TrainingStandard Care

A blood draw amounting to 1 teaspoon of blood drawn.

Resistance Exercise TrainingStandard Care

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may not qualify if:

  • Clinical diagnosis of HFpEF.
  • Patients 18-80 yrs old with a history stable (no medication changes in past 6 weeks (w/duration of diagnosis \>6 months).
  • New York Heart Association class I-III.
  • Ejection fraction ≥40%.
  • Current non-smokers with \<15 pack year history.
  • Non-pregnant women, and individuals who are able to exercise (i.e. without orthopedic limitations or neuromuscular disorders).
  • Patient refusal to participate.
  • Significant orthopedic or neuromuscular limitations
  • Significant cognitive impairment
  • Hemoglobin \< 7.0 g/d.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mayo Clinic in Rochester

Rochester, Minnesota, 55905, United States

Location

Related Links

MeSH Terms

Conditions

Heart Failure, DiastolicMotor Activity

Interventions

Resistance TrainingBlood Specimen Collection

Condition Hierarchy (Ancestors)

Heart FailureHeart DiseasesCardiovascular DiseasesBehavior

Intervention Hierarchy (Ancestors)

Exercise TherapyRehabilitationAftercareContinuity of Patient CarePatient CareTherapeuticsPhysical Therapy ModalitiesPhysical Conditioning, HumanExerciseMotor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological PhenomenaSpecimen HandlingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisPuncturesSurgical Procedures, OperativeInvestigative Techniques

Study Officials

  • Thomas Olson, MS, PhD

    Mayo Clinic

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

April 29, 2015

First Posted

May 6, 2015

Study Start

June 1, 2015

Primary Completion

January 1, 2021

Study Completion

January 1, 2021

Last Updated

February 3, 2021

Record last verified: 2021-02

Locations