efficAcy and Safety of Home-baSed Cardiac rehabIlitation in ChineSe Revascularized patienTs
ASSIST
A Perspective Randomized Controlled Clinical Trial to Investigate the Effect of Home-based Cardiac Rehabilitation Monitored by Mobile Phone Interaction on Exercise Capacity and One-year Clinical Outcome in Chinese Revascularized Patients
1 other identifier
interventional
2,000
1 country
1
Brief Summary
Home-based CR (HBCR) was reported to improve the clinical outcomes of coronary artery disease (CAD) patients. There is no data published to investigate whether HBCR is also effective for Chinese CAD patients who have been revascularized. This trial was designed to investigate the safety and efficacy of CR program at home for Chinese patients who underwent PCI (Percutaneous Coronary Intervention) procedure. This is a multicenter, randomized, controlled and observational study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable coronary-artery-disease
Started Nov 2017
Typical duration for not_applicable coronary-artery-disease
1 active site
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
March 25, 2017
CompletedFirst Posted
Study publicly available on registry
April 5, 2017
CompletedStudy Start
First participant enrolled
November 9, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2021
CompletedApril 16, 2019
April 1, 2019
3.7 years
March 25, 2017
April 15, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
MACCE(death, nonfatal myocardial infarction, revascularization, stroke)
defined as the incidence of composite MACCE.
during 12 months
Secondary Outcomes (4)
improvement of hospitalization due to refractory angina pectoris
during 12 months
improvement of cardiorespiratory fitness
during 12 months
improvement of life quality
during 12 months
improvement of angina pectoris
during 12 months
Study Arms (2)
Home-based Cardiac Rehabilitation group
EXPERIMENTALremote instructed exercise training at home
routine group
NO INTERVENTIONno instructed exercise training
Interventions
The exercise training includes aerobic exercise (fast walking or cycling ,30-40 minutes per day,5-6 times a week), stretching exercise (15 minutes every time, 5-6 times a week), and resistance and balance training (each of 15 minutes every time, twice to 3 times a week).
Eligibility Criteria
You may qualify if:
- all of them
- age range from 30 to 80.
- coronary artery disease,revascularized with stent deployment.
- New York Heart Association (NYHA) classification Class I-III.
- Good cognitive level.
- Ability to perform aerobic exercise.
- Understand be able to use a mobile smart phone by himself or with help of family members.
- Signature of informed consent. The informed consent will be valid for the duration of the trial or until the subject withdraws.
You may not qualify if:
- Presence of malignant arrhythmias such as ventricular fibrillation outside the acute phase of Acute myocardial infarction (AMI) (\> 24 h after AMI), ventricular tachycardia, Atrioventricular block of 2nd degree and 3rd degree, Atrial fibrilation (FA) in patients with Wolf Parkinson White, fibrillation or paroxysmal atrial flutter with response ventricular quickly and hemodynamic deterioration, premature ventricular contractions increases during exertion, paroxysmal supraventricular tachycardia uncontrolled.
- Hypotensive response to exercise.
- acute myocardial infarction within 2 weeks
- Poorly controlled hypertension baseline,hyperglycemia,respiratory failure.
- severe pulmonary hypertension
- acute phase of heart failure
- Pathology of musculoskeletal, neurological or breathing that impair the ability of prolonged ambulation.
- Pregnant women.
- Subjects unable to give informed consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
the First People's Hospital of Yunnan Province
Kunming, Yunnan, 650032, China
Related Publications (7)
DeBusk RF, Miller NH, Parker KM, Bandura A, Kraemer HC, Cher DJ, West JA, Fowler MB, Greenwald G. Care management for low-risk patients with heart failure: a randomized, controlled trial. Ann Intern Med. 2004 Oct 19;141(8):606-13. doi: 10.7326/0003-4819-141-8-200410190-00008.
PMID: 15492340BACKGROUNDHaskell WL, Alderman EL, Fair JM, Maron DJ, Mackey SF, Superko HR, Williams PT, Johnstone IM, Champagne MA, Krauss RM, et al. Effects of intensive multiple risk factor reduction on coronary atherosclerosis and clinical cardiac events in men and women with coronary artery disease. The Stanford Coronary Risk Intervention Project (SCRIP). Circulation. 1994 Mar;89(3):975-90. doi: 10.1161/01.cir.89.3.975.
PMID: 8124838BACKGROUNDFroelicher V, Jensen D, Genter F, Sullivan M, McKirnan MD, Witztum K, Scharf J, Strong ML, Ashburn W. A randomized trial of exercise training in patients with coronary heart disease. JAMA. 1984 Sep 14;252(10):1291-7.
PMID: 6381770BACKGROUNDNewton M, Mutrie N, McArthur JD. The effects of exercise in a coronary rehabilitation programme. Scott Med J. 1991 Apr;36(2):38-41. doi: 10.1177/003693309103600203.
PMID: 1853191BACKGROUNDConraads VM, Van Craenenbroeck EM, Pattyn N, Cornelissen VA, Beckers PJ, Coeckelberghs E, De Maeyer C, Denollet J, Frederix G, Goetschalckx K, Hoymans VY, Possemiers N, Schepers D, Shivalkar B, Vanhees L. Rationale and design of a randomized trial on the effectiveness of aerobic interval training in patients with coronary artery disease: the SAINTEX-CAD study. Int J Cardiol. 2013 Oct 9;168(4):3532-6. doi: 10.1016/j.ijcard.2013.05.007. Epub 2013 May 24.
PMID: 23711446BACKGROUNDSoga Y, Yokoi H, Amemiya K, Iwabuchi M, Nobuyoshi M. Safety and efficacy of exercise training after coronary stenting in patients with stable coronary artery disease. Circ J. 2011;75(10):2379-86. doi: 10.1253/circj.cj-11-0470. Epub 2011 Jul 28.
PMID: 21799272BACKGROUNDPerez-Terzic CM. Exercise in cardiovascular diseases. PM R. 2012 Nov;4(11):867-73. doi: 10.1016/j.pmrj.2012.10.003.
PMID: 23174552BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yundai Chen, MD,PHD
Director of department of Cardiology, Chinese PLA General Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director, Head of Cardiology, Principal Investigator, Clinical Professor
Study Record Dates
First Submitted
March 25, 2017
First Posted
April 5, 2017
Study Start
November 9, 2017
Primary Completion
August 1, 2021
Study Completion
December 1, 2021
Last Updated
April 16, 2019
Record last verified: 2019-04
Data Sharing
- IPD Sharing
- Will not share