UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000049976
Receipt number R000056644
Scientific Title Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension
Date of disclosure of the study information 2023/01/10
Last modified on 2023/01/06 14:56:06

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Basic information

Public title

Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension

Acronym

Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension

Scientific Title

Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension

Scientific Title:Acronym

Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension

Region

Japan


Condition

Condition

Investigation of safety and efficacy of cardiac rehabilitation for pulmonary hypertension

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Pulmonary hypertension (PH) is characterized by narrowing and occlusion of pulmonary artery which cause elevation of pulmonary vascular resistance. There are many young-onset patients and continuous administration of cardiotonic agents or lung transplantation are often needed in severe cases. Nowadays progress in treatments of PH including drug and catheter intervention have improved the outcome of PH; however, there are many patients in whom oxygeneration of blood remains low in spite of improved hemodynamics. In those patients, quality of life are reduced and solution for improvement of oxygeneration is needed.It is well known that cardiac rehabilitation, one of the non-pharmacological treatment, ameriolates mortality and incidence of adverse cardiac event with patients with left ventricular heart failure. Some of clinical trials demonstrated the efficacy of cardiac rehabilitation in pulmonary hypertension (Circulation. 2006;114:1482, European Heart Journal. 2016;37:35); however, number of patients was small in those studies and further studies are needed to prove the efficacy of cardiac rehabilitation in pulmonary hypertension.
The adoption rate of cardic rehabilitation is still low and pandemic of coronavirus infection made it difficult for patients to recieve outpatient rehabilitation. Thus, establishment of home-based cardiac rehabilitation would improve the adoption rate of cardiac rehabilitation.(Circulation: Cardiovascular Quality and Outcomes. 2020;13:e005902). In this clinical trial, we aim to prove the safety and efficacy of home-based cardiac rehabilitation for pulmonary hypertension .

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Comparison of morality, the ratio of the patients with adverse cardiovascular events, the ratio of the patients who needed intensive treatment, and the ratio of the patients with addmision during non-intervention period (3months) and rehabilitation period (3month).

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Cardiac rehabilitation

Interventions/Control_2


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Males and females who is 20 years old or over.
2. Patients who are treated for pulmonary arterial hypertension or chronic thromboembolic pulmonary hypertension in the Univeresity of Tokyo Hospital and whose mean pulmonary arterial pressures are under 25 mmHg within 6 month before starting this clinical trial.
3. Patients with informed consent for clinical trial enrollment.

Key exclusion criteria

1. Patients who are not appropriate for excercise
2. Patients in whom excercise is thought to be contraindication or who are at high risk for complication of excercise (Patients with severe valvular diseases, severe arrythmia, severe renal dysfunction, severe hepatic dysfunction, and carcinoma)
3. Patients with dimentia
4. Patientsin the terminal phase of the disease
5. Patients with pregnancy

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Shun
Middle name
Last name Minatsuki

Organization

The University of Tokyo Hospital

Division name

Department of cardiovacular medicine

Zip code

113-8655

Address

7-3-1 Hongo, Bunkyo-ku, Tokyo

TEL

0338155411

Email

shunminatsuki@gmail.com


Public contact

Name of contact person

1st name Takayuki
Middle name
Last name Fujiwara

Organization

The University of Tokyo Hospital

Division name

Department of Computational Diagnostic Radiology and Preventive Medicine

Zip code

1138655

Address

7-3-1 Hongo, Bunkyo-ku, Tokyo

TEL

0338155411

Homepage URL


Email

sasasatf5804@yahoo.co.jp


Sponsor or person

Institute

The University of Tokyo Hospital

Institute

Department

Personal name



Funding Source

Organization

Fukuda Foundation for Medical Technology

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research ethics committe, the faculty of medicine, the University of Tokyo

Address

7-3-1 Hongo, Bunkyo-ku, Tokyo

Tel

0338155411

Email

ethics@m.u-tokyo.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

2023 Year 01 Month 10 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

Open public recruiting

Date of protocol fixation

2022 Year 10 Month 19 Day

Date of IRB

2022 Year 10 Month 19 Day

Anticipated trial start date

2022 Year 12 Month 01 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

2023 Year 01 Month 06 Day

Last modified on

2023 Year 01 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000056644


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name