NCT04983823

Brief Summary

This is a prospective study in which a process of identifying and improving a reduction of functional capacity in COVID-19 survivors \>50 years old. The overall goal of this study to identify the feasibility and value of risk-guided medical therapy and exercise intervention in COVID-19 survivors.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
820

participants targeted

Target at P75+ for not_applicable heart-failure

Timeline
Completed

Started Nov 2021

Longer than P75 for not_applicable heart-failure

Geographic Reach
1 country

1 active site

Status
recruiting

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

July 29, 2021

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 30, 2021

Completed
4 months until next milestone

Study Start

First participant enrolled

November 18, 2021

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 30, 2025

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2025

Completed
Last Updated

October 3, 2025

Status Verified

September 1, 2025

Enrollment Period

3.7 years

First QC Date

July 29, 2021

Last Update Submit

September 30, 2025

Conditions

Keywords

Heart failureCOVID

Outcome Measures

Primary Outcomes (1)

  • Change in exercise capacity

    Cardio pulmonary fitness (peak oxygen uptake (VO2 peak)) from baseline to follow up.

    Over a period of 24 months

Secondary Outcomes (3)

  • New onset heart failure

    Over a period of 24 months

  • Change in maximal isometric grip strength

    Over a period of 24 months

  • Change on quality of life

    Over a period of 24 months

Study Arms (2)

Heart failure intervention (Cardiac COVID Disease Management Plan (CC-DMP)

EXPERIMENTAL

1. Optimization of pharmacotherapy: This will be performed by a supervising clinician and will comprise treatment with angiotensin-converting enzyme inhibitor (ACEi, Ramipril) and beta blocker (Metoprolol) for cardioprotection. 2. Exercise intervention: Individualized training program will be provided by an exercise physiologist

Other: Heart Failure intervention (Cardiac COVID Disease Management Plan (CC-DMP)

Usual care

ACTIVE COMPARATOR

All medical management for participants allocated to this group will be at the discretion of their usual care healthcare professional(s).

Other: Usual care

Interventions

A clinical review to ensure optimal risk factor control and cardioprotection along with exercise intervention.

Heart failure intervention (Cardiac COVID Disease Management Plan (CC-DMP)

This will be provided by participants' usual healthcare professional(s).

Usual care

Eligibility Criteria

Age50 Years - 85 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • History of COVID-19 infection
  • Live within a geographically accessible area for follow-up

You may not qualify if:

  • Valvular stenosis or regurgitation of \>moderate severity
  • History of previous heart failure (baseline New York Heart Association (NYHA) classification \>2)
  • Inability to acquire interpretable images (identified from baseline echo)
  • Contraindications to beta blockers or angiotensin-converting enzyme inhibitors
  • Oncologic (or other) life expectancy \<12 months or any other medical condition (including pregnancy) that results in the belief (deemed by the Chief Investigators) that it is not appropriate for the patient to participate in this trial
  • Already taking both angiotensin converting enzyme inhibitors/ angiotensin receptor blockers and beta blockers, or intolerance (or allergy) to both.
  • Mobility impairment that would impact participants' ability to perform exercise
  • Unable to provide written informed consent to participate in this study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Baker Heart and Diabetes Institute

Melbourne, Victoria, 3004, Australia

RECRUITING

MeSH Terms

Conditions

Heart Failure

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Study Officials

  • Thomas H Marwick, MD,PhD,MPH

    Baker Heart and Diabetes Institute

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Thomas H Marwick, MD,PhD,MPH

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Outcomes assessor will receive study data based on pooled de identified dataset.
Purpose
SCREENING
Intervention Model
PARALLEL
Model Details: Randomization to CC-DMP or usual care
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 29, 2021

First Posted

July 30, 2021

Study Start

November 18, 2021

Primary Completion

July 30, 2025

Study Completion

December 30, 2025

Last Updated

October 3, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Data sharing based available on application to the study PI

Locations