UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000047619
Receipt number R000053942
Scientific Title A study of a randomized control trial of the effect of respiratory muscle training on suppressing recurrence of pneumonia in older people
Date of disclosure of the study information 2022/05/02
Last modified on 2022/10/28 17:29:51

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Basic information

Public title

A study of a randomized control trial of the effect of respiratory muscle training on suppressing recurrence of pneumonia in older people

Acronym

A study of a randomized control trial of the effect of respiratory muscle training on suppressing recurrence of pneumonia in older people

Scientific Title

A study of a randomized control trial of the effect of respiratory muscle training on suppressing recurrence of pneumonia in older people

Scientific Title:Acronym

Respiratory muscle training and recurrence of pneumonia in older people

Region

Japan


Condition

Condition

Pneumonia in older people

Classification by specialty

Medicine in general Geriatrics Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We include older pneumonia inpatients aged 70 years and more with a cognitive function test mini mental state examination (MMSE) 10 and more points. All cases will receive standard treatments for pneumonia according to the guidelines. We will divide them into 2 groups, a group with respiratory muscle training + fortification + rehabilitation for 4 weeks (intervention group) and a rehabilitation group (control group). After the intervention, we will observe the recurrence rate of pneumonia during the 1-year follow-up period.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary endpoint is the recurrence rate of pneumonia in the intervention and the control group for 1 year after the beginning of the training. We will observe the presence of superiority of the intervention group to the control group.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Food Device,equipment

Interventions/Control_1

The intervention group; Respiratory muscle training + fortification + rehabilitation.

The respiratory muscle training machines are set at a resistance value of 50-80% of the maximum respiratory muscle strength. The patients repeat inspiration and expiration 6 times. Patients will train 5-7 sets a day, 3-5 days a week for 4 weeks.
Nutrition is strengthened with supplemental calories and proteins (especially branched chain amino acids) after its evaluation.
Patients will receive a general respiratory rehabilitation.

Interventions/Control_2

control group; rehabilitation

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

70 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Older pneumonia patients requiring hospitalization aged 70 years and older, regardless of gender.
Patients that can tolerate standard treatments for pneumonia according to the guidelines.
Patients with a cognitive function test MMSE score 10 and higher, who can perform respiratory muscle training.

Key exclusion criteria

Cancer patients managed within the past 5 years, patients with pacemakers (muscle mass and fat mass cannot be measured), postoperative pneumonia, intubated patients, patients with tracheostomy. Patients that are prone to pneumothorax such as severe interstitial pneumonia and chronic obstructive pulmonary disease, patients whose blood pressure rising is danger such as aortic aneurysm and severe heart failure, patients with severe renal failure (before introduction of dialysis), septic patients, patients with tube feeding, gastric fistula, immunodeficiency patients such as taking immunosuppressive agents or dialysis, patients with multiple fractures of ribs, patients with severe dementia and etc.

Target sample size

240


Research contact person

Name of lead principal investigator

1st name Tatsuma
Middle name
Last name Okazaki

Organization

Tohoku University Hospital

Division name

Department of Physical Medicine and Rehabilitation

Zip code

980-8575

Address

2-1 Seiryo-machi, Aoba-ku, Sendai

TEL

0227177338

Email

tmokazaki0808@gmail.com


Public contact

Name of contact person

1st name Ryuuko
Middle name
Last name Ishimoda

Organization

Tohoku University Graduate School of Medicine

Division name

Department of Physical Medicine and Rehabilitation

Zip code

9808575

Address

2-1 Seiryo-machi, Aoba-ku, Sendai

TEL

0227177338

Homepage URL


Email

ishimoda@med.tohoku.ac.jp


Sponsor or person

Institute

Tohoku University

Institute

Department

Personal name



Funding Source

Organization

Kakenhi

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee Tohoku University Graduate School of Medicine

Address

2-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan

Tel

022-717-8007

Email

med-kenkyo@grp.tohoku.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



Other administrative information

Date of disclosure of the study information

2022 Year 05 Month 02 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2022 Year 04 Month 27 Day

Date of IRB

2022 Year 04 Month 27 Day

Anticipated trial start date

2022 Year 05 Month 09 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 04 Month 28 Day

Last modified on

2022 Year 10 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000053942


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name