ClinicalTrials.gg
CompletedNCT03270124Updated Apr 1, 2021

A pragmatiC sTrategy to Promote actIVity and Enhance Quality of Life AFTER Transcatheter Aortic Valve Replacement

An interventional study of Daily Activity Goal and Resistance Exercises in Aortic Valve Stenosis, sponsored by Vanderbilt University Medical Center. Completed at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-04-01.

Sponsored by Vanderbilt University Medical Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
85
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 189 studies in Aortic Valve Stenosis with a site in United States — 44 open to participants now, 68 under way, 3 of them phase 3. Aortic Valve Stenosis · United States.

Enrollment
76th of 125
85 · median 172
Started
2017
with 7 others
No phase
102 of 189
22 open now
Registered
96th of 189
by date

Among the 189 studies in Aortic Valve Stenosis with a site in United States, this one is the 76th largest by enrollment of the 125 interventional ones that give a count, is one of 8 that started in 2017, is one of 102 with no phase, and was the 96th registered.

Aortic Valve Stenosis

1,025 studies on the registry are indexed under Aortic Valve Stenosis; 293 are open to participants now.

Browse Aortic Valve Stenosis studies →

Open to participants now

44 of the 189 studies in Aortic Valve Stenosis with a site in United States are open now. Recruiting first, the newest first:

39 more — sign in →

All 44 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 209 Aortic Valve Stenosis studies recruiting now, 163 (78%) set no upper age limit and 9 (4%) stop at 75 or younger; 25 take children under 18; 14 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 189 studies in Aortic Valve Stenosis with a site in United States, or all of them as a file.
02

Study summary

This study is being performed in patients who have undergone transcatheter aortic valve replacement (TAVR) for aortic stenosis. The goal is to obtain pilot and feasibility data on a novel post-procedure rehabilitation strategy, including a daily activity goal using a fitness tracking device (Fitbit Alta HR) and in-home resistance training exercises targeting muscles related to activities of daily living. We will evaluate the effect of these interventions on physical performance and several quality of life domains.

Read the detailed description

The study will be conducted in three phases. Subjects who have been treated commercially with TAVR with a SAPIEN 3 valve and are being discharged to home will be eligible for Phase 1. Once consented prior to discharge, patients will complete the KCCQ, PROMIS Questionnaires, 5m walk, chair stand, and handgrip tests. During phase 1, all subjects will have a Fitbit and answer quality of life questions on the iPad about their activities and quality of life. After 30 days, the subject will return to complete the PROMIS Questionnaires, 5m walk, chair stand, balance tests, and handgrip tests, as well as a KCCQ. If the subject has consistently provided data throughout Phase 1, they will be asked to continue on to Phases 2 and 3 and complete a 6 minute walk test at this baseline visit. For Phase 2, subjects will be randomized to one of two arms. In one arm, they will have a daily activity goal and resistance exercises; in the other arm, there will not be a daily activity goal and no resistance exercises given. After 6 weeks, the subject will return to complete the 5m walk, 6 minute walk test, chair stand, balance tests, and handgrip tests, PROMIS Questionnaires, as well as a KCCQ. Five months after enrollment into Phase 2, subjects will be given a Fitbit to track their daily activity for 1 week (Phase 3). They will also complete a KCCQ, PROMIS Questionnaires, and end of study questionnaire.

03

Conditions studied

  • Aortic Valve Stenosis

Keywords

  • Aortic Valve Stenosis
  • Fitbit
  • iPAD
  • Physical Exercises
  • Quality of Life
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Phase 1 - Starts after the TAVR procedure and prior to discharge • Patients treated commercially with TAVR with a SAPIEN 3 valve

Phases 2 and 3 - Starts at 30 day post-TAVR follow-up visit

  • Patients enrolled in Phase 1

Exclusion criteria

Exclusion Criteria:

Phase 1 - Starts after the TAVR procedure and prior to discharge

  • Stroke during or immediately after the TAVR procedure prior to discharge
  • Inability to walk
  • Non-English speaking (because the mobile app and CAT questionnaires are only in English)
  • Physical or neuropsychiatric limitations that would prevent proficient use of the study tools and successful completion of the physical and quality of life assessments. These limitations may include, but are not limited to: blindness, neuropathy, severe tremor or disabling motor deficit, cognitive impairment (documentation of dementia in the medical record), or illiteracy.
  • Unwillingness or inability of the subject to provide for Phase 1 (no LARs allowed)
  • Planned discharge from hospital to skilled nursing or rehabilitation facility

Phases 2 and 3 - Starts at 30 day post-TAVR follow-up visit

  • All exclusion criteria from Phase 1 apply
  • Stroke during Phase 1
  • Residing in a skilled nursing facility at the 30 day post-TAVR follow-up visit
  • Patients with unreliable use of the iPad mobile app or Fitbit during Phase 1 (e.g. not wearing the Fitbit at least 10 waking hours a day for at least 5 days a week)
  • Unwillingness or inability of the subject to provide informed consent for Phases 2/3 (no LARs allowed)
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
85 participants (actual)

Study arms

  • Active comparator
    No Resistance Exercise and No Activity Goal Arm

    Blinded use of Fitbit with no daily activity goal and no resistance exercises

    Behavioral: Daily Activity Recording

  • Experimental
    Resistance Exercise and Activity Goal Arm

    Unblinded use of Fitbit with a daily activity goal (steps per day) and resistance exercises

    Behavioral: Daily Activity Goal · Behavioral: Resistance Exercises · Behavioral: Daily Activity Recording

Interventions

  • BehavioralDaily Activity Goal

    Patients are given a tailored daily activity goal in terms of steps per day for which to aim.

    Also known as: Resistance Exercise and Activity Goal Arm

  • BehavioralResistance Exercises

    Patients will instructed to perform 3 different resistance exercises targeting muscles pertinent to activities of daily living on 6 out of 7 days a week.

    Also known as: Resistance Exercise and Activity Goal Arm

  • BehavioralDaily Activity Recording

    A Fitbit will be worn by all participants to record daily activity.

06

What researchers measure

Primary outcomes

  1. Average Daily Steps

    Average daily steps over the intervention period

    Time frame: Randomization to 6 weeks

  2. Short Physical Performance Battery score

    Combination of gait speed, balance test, and chair-to-stand test at the end of the intervention

    Time frame: 6 week value, adjusted for baseline value

  3. Quality of Life as measured with the KCCQ Overall Summary Score

    KCCQ overall summary score

    Time frame: 6 week value, adjusted for baseline value

Secondary outcomes

  1. 5 meter gait time at the end of the intervention period

    5 meter gait time at the end of the intervention period, adjusted for baseline

    Time frame: Randomization to 6 weeks

  2. Chair Sit to Stand Test

    Time to complete 5 chair stands

    Time frame: 6 week value, adjusted for baseline value

  3. Balance Test Score at the end of the intervention period

    Balance Test Score at the end of the intervention period, adjusted for baseline

    Time frame: Randomization to 6 weeks

  4. 6 minute walk

    6 minute walk distance at the end of the intervention period

    Time frame: 6 week value, adjusted for baseline value

  5. Handgrip

    Handgrip strength

    Time frame: 6 week value, adjusted for baseline value

  6. Average number of hours per day with 250 or more steps

    Average number of hours per day with 250 or more steps over the intervention period

    Time frame: Randomization to 6 weeks

  7. Average Global Physical Health as assessed by the PROMIS Global Health 10 Short Form

    Average Global Physical Health as assessed by the PROMIS Global Health 10 Short Form over the intervention period

    Time frame: Randomization to 6 weeks

  8. Average Global Mental Health as assessed by the PROMIS Global Health 10 Short Form

    Average Global Mental Health as assessed by the PROMIS Global Health 10 Short Form over the intervention period

    Time frame: Randomization to 6 weeks

  9. Physical Function as assessed by the NIH PROMIS computerized adaptive test

    Physical Function as assessed by the NIH PROMIS computerized adaptive test, adjusted for baseline

    Time frame: Randomization to 6 weeks

  10. Depression as assessed by the NIH PROMIS computerized adaptive test

    Depression as assessed by the NIH PROMIS computerized adaptive test, adjusted for baseline

    Time frame: Randomization to 6 weeks

  11. Fatigue as assessed by the NIH PROMIS computerized adaptive test

    Fatigue as assessed by the NIH PROMIS computerized adaptive test, adjusted for baseline

    Time frame: Randomization to 6 weeks

  12. Dyspnea as assessed by the NIH PROMIS computerized adaptive test

    Dyspnea as assessed by the NIH PROMIS computerized adaptive test, adjusted for baseline

    Time frame: Randomization to 6 weeks

  13. Daily Active Minutes (total)

    Average daily active minutes (total)

    Time frame: Randomization to 6 weeks

  14. Daily Active Minutes of Moderate to High Intensity

    Average daily minutes of moderate to high intensity

    Time frame: Randomization to 6 weeks

  15. Sedentary Minutes

    Average daily sedentary minutes

    Time frame: Randomization to 6 weeks

  16. Daily Steps

    Average daily steps

    Time frame: 6 weeks post baseline to end of study

  17. Daily Active Minutes (total)

    Average daily active minutes (total)

    Time frame: 6 weeks post baseline to end of study

  18. Daily Active Minutes of Moderate to High Intensity

    Average daily active minutes of moderate to high intensity

    Time frame: 6 weeks post baseline to end of study

  19. Daily Sedentary Minutes

    Average daily sedentary minutes

    Time frame: 6 weeks post baseline to end of study

  20. KCCQ Overall Summary Score

    KCCQ overall summary score, adjusted for baseline

    Time frame: 6 weeks post baseline to end of study

  21. Global Physical Health

    Global physical health as assessed by the PROMIS Global Health 10 Short Form, adjusted for baseline

    Time frame: 6 weeks post baseline to end of study

  22. Global Mental Health

    Global mental health as assessed by the PROMIS Global Health 10 Short Form, adjusted for baseline

    Time frame: 6 weeks post baseline to end of study

07

Study locations

5 sites
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Dartmouth-Hitchcock Medical Center
    Lebanon, New Hampshire 03756, United States
  • Atlantic Health - Morristown Medical Center
    Morristown, New Jersey 07960, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37203, United States
  • University of Utah
    Salt Lake City, Utah 84132, United States
08

References and documents

Publications

  • Lindman BR, Gillam LD, Coylewright M, Welt FGP, Elmariah S, Smith SA, McKeel DA, Jackson N, Mukerjee K, Cloud H, Hanna N, Purpura J, Ellis H, Martinez V, Selberg AM, Huang S, Harrell FE Jr. Effect of a pragmatic home-based mobile health exercise intervention after transcatheter aortic valve replacement: a randomized pilot trial. Eur Heart J Digit Health. 2021 Feb 4;2(1):90-103. doi: 10.1093/ehjdh/ztab007. eCollection 2021 Mar. Erratum In: Eur Heart J Digit Health. 2021 Nov 21;3(1):115-116. doi: 10.1093/ehjdh/ztab098. PubMed 34048509 ↗
  • Abraham LN, Sibilitz KL, Berg SK, Tang LH, Risom SS, Lindschou J, Taylor RS, Borregaard B, Zwisler AD. Exercise-based cardiac rehabilitation for adults after heart valve surgery. Cochrane Database Syst Rev. 2021 May 7;5(5):CD010876. doi: 10.1002/14651858.CD010876.pub3. PubMed 33962483 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in Mar 2020, 28 months.

Of 177 non-industry interventional studies with no phase under Aortic Valve Stenosis, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 79. This study's 28 months is below that.

Counting every sponsor, half of 288 studies reached it within 33 months; a quarter within 18 and three quarters within 72.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 29, 2017
First posted
Sep 1, 2017
StartActual
Nov 7, 2017
Primary completionActual
Mar 24, 2020
CompletionActual
Mar 25, 2020
Last update
Apr 1, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 1, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03270124
Responsible party
Brian Lindman (Associate Professor, Vanderbilt University Medical Center) — Principal investigator
First posted
Sep 1, 2017
Start date
Nov 7, 2017
Primary completion
Mar 24, 2020
Completion
Mar 25, 2020
Last update
Apr 1, 2021

Study contacts

Brian R Lindman, MD
principal investigator · Vanderbilt University Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion