Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05059899
Other study ID # P123339
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date May 9, 2022
Est. completion date June 26, 2023

Study information

Verified date August 2023
Source Coventry University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of the study is to assess the feasibility of undertaking a randomised controlled trial investigating the effectiveness of a 12-week home-based exercise programme for people with intermittent claudication.


Description:

30 participants with PAD will be randomised to one of two groups: either exercise or usual care. The 12 week exercise intervention will consist of a home-based circuit programme, including both resistance exercises and walking. This will be combined with promoting free-living walking throughout the rest of the week. Exercise will be regulated via the use of a wearable activity monitor. Biweekly phone calls will address compliance with the intervention. The primary outcomes are feasibility and acceptability, which will be determined after 12 weeks via recruitment and attrition rates, protocol adherence and with participant interviews. Secondary outcomes include changes in pain-free and maximal walking distances with both a graded treadmill test and six-minute walk test, hand grip strength, physical activity behaviour (measured with an accelerometer), quality of life (measured with the SF-36, VascuQol and E5-5D-5L questionnaires) after 12 and 24 weeks. Investigators will also assess changes in markers of inflammation, vascular remodeling, mitochondrial biogenesis and oxidative stress at 12 and 24 weeks. Other outcomes include changes in time spent resting during a six-minute walk test and time to pain cessation following a graded treadmill test at 12 and 24 weeks.


Recruitment information / eligibility

Status Completed
Enrollment 30
Est. completion date June 26, 2023
Est. primary completion date June 26, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Ankle/brachial index (ABPI) < 0.9 at rest or a drop of 20mmHg after exercise testing - Ability to walk independently - English speaking - Able to follow instructions - = 18 years of age Exclusion Criteria: - Unable to provide informed consent - Walking impairment for a reason that is not PAD - Critical limb ischaemia - Asymptomatic PAD - Active cancer treatment - Severe mental or physical limitations precluding participation safely in the home environment

Study Design


Intervention

Behavioral:
Exercise group
The exercise group will receive a 12-week home-based exercise programme, with a wearable activity watch to regulate physical activity behaviour. This group will also receive biweekly telephone calls from the investigator.

Locations

Country Name City State
United Kingdom Coventry University Coventry West Midlands

Sponsors (2)

Lead Sponsor Collaborator
Coventry University University Hospitals Coventry and Warwickshire NHS Trust

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Other 12 and 24 week change in rest times during a six-minute walk test Change in time spent resting during a six-minute walk test after 12 and 24 weeks will be compared to participants randomised to the exercise group vs the usual care group. Baseline to 12 weeks and 24 weeks
Other 12 and 24 week change in pain cessation following a treadmill test Change in time to pain cessation following a treadmill test after 12 and 24 weeks will be compared to participants randomised to the exercise group vs the usual care group. Baseline to 12 weeks and 24 weeks
Other 12 and 24 week changes in walking speed during a six-minute walk test Change in walking speed during a six-minute walk test after 12 and 24 weeks will be compared to participants randomised to the exercise group vs the usual care group. Baseline to 12 weeks and 24 weeks
Primary Intervention feasibility assessed via recruitment rate The investigators will record the number of eligible participants, as well as the number who enroll onto the study. Will be evaluated after the intervention period (i.e.. 24 weeks after inclusion)
Primary Intervention feasibility assessed via attrition rate The investigators will record the number of protocol discontinuations and losses to follow-up. Will be evaluated after the intervention period (i.e.. 24 weeks after inclusion)
Primary Intervention feasibility assessed via protocol adherence The investigators will examine discrepancies between intervention prescription and what is completed. Will be evaluated after the intervention period (i.e.. 24 weeks after inclusion)
Primary Intervention acceptability via participant interviews One-to-one interviews will be held between an investigator and participant who has either completed the intervention, withdrawn or declined participation, to ask questions regarding the intervention protocol. Will be evaluated after the intervention period (either at 12 week or 24 week follow up)
Secondary 12 and 24 week change in six-minute walk distance and pain-free walk distance Change in six-minute and pain-free walk distance after 12 and 24 weeks will be compared to participants randomised to the exercise group vs the usual care group. Baseline to 12 weeks and 24 weeks
Secondary 12 and 24 week change in pain-free and maximal treadmill walk distance Change in pain-free and maximal treadmill walk distance after 12 and 24 weeks will be compared to participants randomised to the exercise group vs the usual care group. Baseline to 12 weeks and 24 weeks
Secondary 12 and 24 weeks change in left and right hand grip strength (via hand held dynamometer) Change in left and right hand grip strength after 12 and 24 weeks will be compared to participants randomised to the exercise group vs the usual care group. Baseline to 12 weeks and 24 weeks
Secondary 12 and 24 week change in physical activity measured by accelerometer data Change in physical activity behaviour at 12 and 24 weeks will be compared to participants randomised to the exercise group vs the usual care group, using accelerometer data. Baseline to 12 weeks and 24 weeks
Secondary 12 and 24 week change in SF-36 score Change in 36 Item Short Form survey scores at 12 and 24 weeks will be compared to participants randomised to the exercise group vs the usual care group. (Score ranges from 0-100, with higher scores associated with a better outcome). Baseline to 12 weeks and 24 weeks
Secondary 12 and 24 week change in VascuQol questionnaire score Change in Vascular Quality of Life questionnaire scores at 12 and 24 weeks will be compared to participants randomised to the exercise group vs the usual care group. (Score ranges from 1-7, with higher scores associated with a better outcome). Baseline to 12 weeks and 24 weeks
Secondary 12 and 24 week change in EQ-5D-5L questionnaire score Change in European Quality of Life Five Dimension questionnaire scores at 12 and 24 weeks will be compared to participants randomised to the exercise group vs the usual care group. (Scores range from 1-5, with lower scores associated with a better outcome). Baseline to 12 weeks and 24 weeks
Secondary 12 and 24 week change in circulating markers of inflammation Investigators will compare blood sample measures of IL-6, TNF-a, CRP between participants randomised to the exercise group vs the usual care group at 12 and 24 weeks. Baseline to 12 weeks and 24 weeks
Secondary 12 and 24 week change in circulating markers of vascular remodelling Investigators will compare blood sample measures of VEGF between participants randomised to the exercise group vs the usual care group at 12 and 24 weeks. Baseline to 12 weeks and 24 weeks
See also
  Status Clinical Trial Phase
Active, not recruiting NCT04534257 - Prospective Registry to Investigate the Safety and Efficacy of the Treatment With the Selution Sirolimus Drug Coated Balloon in TASC C and D Atheroma-occlusive Infra-Inguinal Disease in Patients With Chronic Limb Threatening Ischemia From Singapore N/A
Recruiting NCT04511234 - Sirolimus Coated Balloon Versus Standard Balloon for SFA and Popliteal Artery Disease N/A
Recruiting NCT03506633 - Impacts of Mitochondrial-targeted Antioxidant on Peripheral Artery Disease Patients N/A
Active, not recruiting NCT03506646 - Dietary Nitrate Supplementation and Thermoregulation N/A
Completed NCT02554266 - Registry Investigating the Clinical Use and Safety of the Lutonix Drug Coated Balloon for Treatment of BTK Arteries
Completed NCT03921905 - Peripheral Artery Disease in Patients With Stable Coronary Artery Disease in General Practice: Prevalence, Management and Clinical Outcomes.
Not yet recruiting NCT06369350 - Vitamin B6 on Exercise Pressor Reflex on Leg Ischemia-reperfusion Early Phase 1
Not yet recruiting NCT05063474 - Microvascular Reactivity in Peripheral Artery Disease
Recruiting NCT04545268 - Prehabilitation for Cardiac Surgery in Patients With Reduced Exercise Tolerance N/A
Recruiting NCT02389023 - Comparison of Prevena Negative Pressure Incision Management System vs. Standard Dressing After Vascular Surgery N/A
Completed NCT02522884 - Tack Optimized Balloon Angioplasty Study of the Tack Endovascular Systemâ„¢ in Femoropoliteal Arteries N/A
Completed NCT02539940 - Elutax-SV Drug-eluting Balloons for Below-the-knee Treatment
Completed NCT02542267 - In-Stent Restenosis Post-Approval Study N/A
Completed NCT02563535 - Evaluation of the Use of ACOTEC Drug-Eluting Balloon Litos ® in Below-The-Knee Arteries to Treat Critical Limb Ischemia Phase 4
Completed NCT02145065 - First-in-man Evaluation of a Novel, Microcrystalline Paclitaxel Coated Balloon for Treatment of Femoropopliteal Artery Disease (PAX-r) N/A
Completed NCT02228564 - BARD® Study of LIFESTREAMâ„¢ Balloon Expandable Covered Stent Treating Iliac Arterial Occlusive Disease N/A
Completed NCT02262949 - A Prospective Study of the Bard® LifeStent® Solo Vascular Stent System N/A
Completed NCT01743872 - Optical Imaging Measurement of Intravascular Solution Efficacy Trial N/A
Recruiting NCT01424020 - Walking Estimated Limitation Calculated by History - Study 2 Phase 4
Active, not recruiting NCT01597453 - NOR-SYS: The Norwegian Stroke in the Young Study N/A