UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000036182
Receipt number R000041221
Scientific Title Combination effect of exercise instruction and biologics on rheumatoid arthritis patients. -a randomized controlled trial-
Date of disclosure of the study information 2019/03/13
Last modified on 2023/03/16 17:12:49

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Basic information

Public title

Combination effect of exercise instruction and biologics on rheumatoid arthritis patients. -a randomized controlled trial-

Acronym

Combination effect of exercise instruction and biologics on rheumatoid arthritis patients. -a randomized controlled trial-

Scientific Title

Combination effect of exercise instruction and biologics on rheumatoid arthritis patients. -a randomized controlled trial-

Scientific Title:Acronym

Combination effect of exercise instruction and biologics on rheumatoid arthritis patients. -a randomized controlled trial-

Region

Japan


Condition

Condition

rheumatoid arthritis

Classification by specialty

Clinical immunology Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the appropriate exercise instruction method for RA patients simultaneously starting Bio and to clarify the effect through multifaceted evaluation.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

knee extension muscle strength and 6 minute-walk test before and 3 months after the introduction of biological agents

Key secondary outcomes

DAS28-CRP,C-reactive protein,Erythrocyte sedimentation rate,White blood cell,Swollen joint number,Tender joint number,Visual Analogue Scale,Grip,Pinch strength,modified Health Assessment Questionnaire(mHAQ),MOS36-Item Short-Form Health Survey(SF-36)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

We conducted guidance on living behavior in the control group.

Interventions/Control_2

We instructed walking and standing sitting exercise in addition to living action instruction to the exercise instruction group. We conducted exercise intensity of modified Borg Scale 2 to 3 at a frequency of twice to 4 times/week and continued to instruct these exercise for 3 months.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1.RA diagnosed according to ACR/EULAR2010 revised criteria
2.RA patient who treated with Bio for the first time
3.Age<80 years old
4.Patients for whom written consent was obtained
5.Patients with class I to III of ACR functional classification
6.Patients who have been taking antirheumatic drugs (DMARDs) for the past 3 months
7.Patients who can walk for 10 minutes or more
8.Patients who can fully answer the questionnaire

Key exclusion criteria

1.Patients judged by the attending physician as inappropriate for research
2.ACR functional classification class IV patients
3.Patients with high degree of joint deformity
4.Patients whose treatment for rheumatoid arthritis changed during the study period

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Kaori
Middle name
Last name Yoshida

Organization

Nagasaki University Graduate School of Biomedical Sciences

Division name

Department of Locomotive Rehabilitation Science, Unit of Rehabilitation Sciences

Zip code

852-8520

Address

1-7-1 Sakamoto Nagasaki, Japan

TEL

095-819-7919

Email

yee.yahho.jessie@gmail.com


Public contact

Name of contact person

1st name Kaori
Middle name
Last name Yoshida

Organization

Nagasaki University Graduate School of Biomedical Sciences

Division name

Department of Locomotive Rehabilitation Science, Unit of Rehabilitation Sciences

Zip code

852-8520

Address

1-7-1 Sakamoto Nagasaki, Japan

TEL

095-819-7919

Homepage URL


Email

yee.yahho.jessie@gmail.com


Sponsor or person

Institute

Nagasaki University Graduate School of Biomedical Sciences

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagasaki University Graduate School of Biomedical Sciences and Technology Cooperation Division

Address

1-12-4 Sakamoto Nagasaki, Japan

Tel

095-819-7195

Email

gakujutu_gakuji@ml.nagasaki-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

日本赤十字社長崎原爆病院(長崎県)


Other administrative information

Date of disclosure of the study information

2019 Year 03 Month 13 Day


Related information

URL releasing protocol

unpublished

Publication of results

Unpublished


Result

URL related to results and publications

unpublished

Number of participants that the trial has enrolled

39

Results

15 in the control group and 13 patients in the exercise instruction group were completed this study program.
In both groups, tender joint number, swollen joint number, erythrocyte sediment rate, DAS28-CRP and mHAQ were likely to be improved.
In addition, in the exercise instruction group, daily role (mental) and mental health in SF-36 was significantly improved after the exercise instruction compared to before the instruction.

Results date posted

2021 Year 10 Month 02 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

39 subjects were admitted to our hospital for the initiation of biological agents. We randomly assigned these patients to control group and exercise instruction group.

Participant flow

We conducted guidance on living behavior in the control group, and instructed walking and standing sitting exercise in addition to living action instruction to the exercise instruction group. We conducted exercise intensity of modified Borg Scale 2 to 3 at a frequency of 2to 4 times/week and continued to instruct these exercise for 3 months.

Adverse events

Adverse event related this exam were nothing in either group.

Outcome measures

We examined the disease activities, ADL and psychological assessment before and 3 months after the initiation of biologics treatment.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 10 Month 23 Day

Date of IRB

2015 Year 10 Month 23 Day

Anticipated trial start date

2016 Year 04 Month 05 Day

Last follow-up date

2020 Year 03 Month 25 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2019 Year 03 Month 13 Day

Last modified on

2023 Year 03 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000041221


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name