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CompletedNCT00214513Updated May 17, 2007

A Randomized Trial of Effect of Low-Cost Maintenance Training on Exercise Capacity, Quality of Life and Morbidity

A Phase 3 interventional study of Home-based exercise training in Chronic Heart Failure, sponsored by Amager Hospital. Completed at 1 site in Denmark. Per ClinicalTrials.gov, last updated 2007-05-17.

Sponsored by Amager Hospital · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
160
Allocation
Randomized
Sex
All
01

Study summary

The aim of the study is to determine whether a low-cost home-based training programme can maintain the achieved effect of physical training on exercise capacity and QOL in patients with Chronic Heart Failure.

Read the detailed description

Guidelines recommend physical training in the treatment of patients with CHF. Several studies have demonstrated that even short-term training programmes can increase maximal oxygen intake, improve muscular strength, reduce neurohumoral activity and result in other effects, which are of potential benefit. Following 2-3 months training at 70 - 80% of maximal capacity, improved exercise capacity and oxygen uptake due to increased cardiac output and also better oxygen uptake in the peripheral muscles have been demonstrated. Moreover, studies have indicated an improvement of the quality of life (QOL). However, the effects of exercise training are rapidly lost without maintenance. Thus the crucial question is to identify a method to sustain the physical activity outside an expensive, enthusiastic and highly motivating protocol.

The aim of the study is to determine whether a low-cost home-based training programme can maintain the achieved effect of physical training on exercise capacity and QOL in patients with Chronic Heart Failure.

Comparison:

Patients fulfilling specified criteria for Chronic Heart Failure are randomised to either eight weeks with supervised group-based training (1.5 hrs.) twice a week followed by home-based training according to a specified protocol with supervised group-based training every 2 weeks (1,5 hrs), or to eight weeks with supervised training followed by usual care. During the whole period patients in both groups can contact the Heart Failure Clinic when needed.

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Conditions studied

  • Chronic Heart Failure
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In context

Lead sponsor

Amager Hospital is the lead sponsor of 21 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. NYHA II-IV
  2. Ejection Fraction ≤45% assessed by echocardiography within the last 6 months
  3. Optimal medical treatment according to guidelines
  4. Informed consent -

Exclusion criteria

Exclusion Criteria:

  1. Hæmodynamically significant obstructive heart valve disease
  2. Hæmodynamically significant valve insufficiency
  3. Recent Myocardial infarction (8 weeks)
  4. Significant arrythmia at exercise testing (NSVT, VT, VF or SVT with ventricular action >150)
  5. Significant ischaemia or angina at low strain(£ 50 W)
  6. Disabilities that render physical training impossible
  7. Dementia
  8. Serious other illness with expected shortened survival
  9. Participation in other scientific protocols that do not allow participation
  10. Lack of informed consent
  11. If the patient cannot train in a team supervised by only one physiotherapist, e.g. due to poor balance, the patient can be excluded within the first two weeks of inclusion.
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Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
160 participants (estimated)

Interventions

  • BehavioralHome-based exercise training
06

What researchers measure

Primary outcomes

  1. Primary endpoint: Exercise capacity based on standardised cycle ergometer test after 14 months.

Secondary outcomes

  1. Secondary endpoints:

  2. Maximum oxygen uptake at 14 months

  3. Maximum exercise capacity measured by the Shuttle Walk test at 14 months

  4. Exercise capacity measured by 6-minute walking test (6MWT)at 14 months

  5. Muscular strength (sit-to-stand) at 14 months

  6. QOL (SF36 and Minnesota) at 14 months

  7. Serological tests including brain natriuretic peptide at 14 months

  8. In a subgroup including 2x20 patients training-induced changes in muscle biopsies will be evaluated at 14 months.

  9. After 1,3 and 5 years hospital-admissions and death through record linkage.

07

Study locations

1 site
  • Amager Hospital
    Copenhagen, 2300 S, Denmark
08

References and documents

Publications

  • Prescott E, Hjardem-Hansen R, Dela F, Orkild B, Teisner AS, Nielsen H. Effects of a 14-month low-cost maintenance training program in patients with chronic systolic heart failure: a randomized study. Eur J Cardiovasc Prev Rehabil. 2009 Aug;16(4):430-7. doi: 10.1097/HJR.0b013e32831e94f8. PubMed 19491687 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 17, 2007, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00214513
Lead sponsor
Amager Hospital
Collaborators
Bispebjerg Hospital, University of Copenhagen, Danish Heart Foundation, Ministry of the Interior and Health, Denmark
First posted
Sep 22, 2005
Start date
Jun 2004
Completion
Jul 2006
Last update
May 17, 2007

Study contacts

Eva Prescott, MD
principal investigator · Dept of Cardiology, Rigshospitalet, Copenhagen, Denmark
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2007. You cannot join it, but the record below documents what was studied.

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