NCT02878954

Brief Summary

This research project aims to investigate the gender-based difference in patients with peripheral artery disease. To attend this, this study has two specific objectives: Objective 1: To identify gender-specific barriers towards exercise and physical activity in patients with peripheral artery disease (PAD). Objective 2: To evaluate gender-specific differences in functional capacity and cardiovascular function and regulation in patients with PAD at rest, during and following a single session of maximal exercise.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
160

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2017

Typical duration for not_applicable

Status
unknown

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

First Submitted

Initial submission to the registry

August 11, 2016

Completed
14 days until next milestone

First Posted

Study publicly available on registry

August 25, 2016

Completed
4 months until next milestone

Study Start

First participant enrolled

January 1, 2017

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2019

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2019

Completed
Last Updated

August 25, 2016

Status Verified

August 1, 2016

Enrollment Period

2.7 years

First QC Date

August 11, 2016

Last Update Submit

August 22, 2016

Conditions

Outcome Measures

Primary Outcomes (3)

  • Barriers towards exercise assessed by questionnaires in patients with peripheral artery disease.

    After completion of the 6-minute walking test, patients will be asked to fill in the following questionnaires: walking impairment questionnaire, walking estimated-limitation calculated by history (WELCH), San Diego Claudication Questionnaire, SF-36 and two questionnaires for personal and environmental barriers to physical activity.

    Cross-sectional study. This outcome will be measured through study completion, an average of 18 months.

  • Gender-specific differences in walk capacity in patients with peripheral artery disease

    The measurements of this outcome will be performed in a second visit day, separated by at least 48h from visit 1 (outcome 1). Patients will perform a maximal exercise test to determine claudication onset distance (m) defined as the distance walked until the patients first reported pain in the leg during the treadmill test and total walk distance (m) defined as the total distance that the patient was able to walk during the test.

    Cross-sectional study. This outcome will be measured through study completion, an average of 18 months.

  • Gender-specific differences in functional capacity in patients with peripheral artery disease

    Walking economy defined as VO2 measured during the first stage of the treadmill test and functional capacity defined as VO2 peak obtained during the test will be obtained.

    Cross-sectional study. This outcome will be measured through study completion, an average of 18 months.

Secondary Outcomes (3)

  • Gender-specific differences in physical activity level measured by accelerometer

    Cross-sectional study. This outcome will be measured through study completion, an average of 18 months.

  • Gender-specific differences in autonomic modulation at rest and after a maximal exercise test

    Cross-sectional study. This outcome will be measured through study completion, an average of 18 months.

  • Gender-specific differences in vascular function in patients with peripheral artery disease at rest and after a maximal exercise test

    Cross-sectional study. This outcome will be measured through study completion, an average of 18 months.

Study Arms (3)

No intervention

OTHER

160 men and women with PAD will be recruited.

Other: No intervention (Observational study)Other: Control sessionOther: Exercise session

Control session

OTHER

40 patients (men and women) will complete this session.

Other: Control session

Exercise session

OTHER

40 patients (men and women) will complete this session.

Other: Exercise session

Interventions

160 patients will be recruited to: * Fill in questionnaires related to demographic characteristics, severity of disease and physical activity. * Perform a six-minute walk test Comparison between men and women will be performed.

No intervention

Out of the 160 participants of the observational study, at least 40 (20 men and 20 women) will be recruited. In the control session participants will be seated in resting position for 15 minutes.

Control sessionNo intervention

40 patients will perform a single maximal exercise test on a treadmill. Speed will be maintained at 3.2 km/h and the grade will be increased with 2% every 2 min following Gardner's protocol.

Exercise sessionNo intervention

Eligibility Criteria

Age50 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Ankle-brachial index (ABI) ≤ 0.9 in one or two legs
  • Fontaine stage II of PAD
  • Body mass index \<35 kg/m2
  • Resting systolic blood pressure (BP) \<160 mmHg and diastolic BP \<105 mmHg
  • Ability to walk at least 2min at 3.2 km/h
  • Ability to undertake an incremental treadmill test
  • Decrease of at least 15% in ABI after a maximal treadmill test
  • Not currently engaging in any regular exercise program

You may not qualify if:

  • Exercise induced signs of myocardial ischemia or complex ventricular arrhythmias
  • Cardiovascular autonomic neuropathy
  • Use of beta-blocker
  • Nondihydropyridine calcium antagonists or insulin and hormone replacement therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Peripheral Arterial DiseaseIntermittent Claudication

Interventions

Observation

Condition Hierarchy (Ancestors)

AtherosclerosisArteriosclerosisArterial Occlusive DiseasesVascular DiseasesCardiovascular DiseasesPeripheral Vascular DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

MethodsInvestigative Techniques

Central Study Contacts

Veronique Cornelissen, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD

Study Record Dates

First Submitted

August 11, 2016

First Posted

August 25, 2016

Study Start

January 1, 2017

Primary Completion

September 1, 2019

Study Completion

December 1, 2019

Last Updated

August 25, 2016

Record last verified: 2016-08