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CompletedNCT04042311INITIATEUpdated Nov 14, 2024Results posted

High Intensity Interval Training In pATiEnts With Intermittent Claudication

An interventional study of High-intensity interval training in Peripheral Arterial Disease and Intermittent Claudication, sponsored by Hull University Teaching Hospitals NHS Trust. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-14.

Sponsored by Hull University Teaching Hospitals NHS Trust · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Jun 2018, registered Jul 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This INITIATE study evaluates the use of high-intensity interval training as a treatment modality for patients with intermittent claudication - an ambulatory leg pain caused by narrowed arteries that supply the lower limbs.

It is an observational cohort study considering high-intensity interval training (HIIT) as a treatment for intermittent claudication, consisting of two workstreams. Workstream 1: an initial observational cohort study to consider the feasibility of the intervention and exclusion criteria. Workstream 2: a proof of concept study utilising the altered intervention and exclusion criteria following recommendations highlighted during workstream 1.

Read the detailed description

Patients with peripheral vascular disease (PVD) may develop a reproducible pain in their legs when they walk, which usually subsides with rest. This is known as intermittent claudication (IC) and is caused by a reduced blood supply to the legs as a result of narrowed or hardened arteries that supply the lower limbs. This ambulatory pain impedes on activities of daily living, functional capacity and quality of life.

National Institute for Health and Care Excellence (NICE) clinical guidance recommends a 12-week supervised exercise programme as first-line treatment for IC, whereby patients are encouraged to walk to the point of maximal pain. Robust clinical trials have demonstrated that supervised exercise programmes are efficacious for improving both pain-free and maximal walking distances, whilst also potentially improving quality of life.

Despite this, supervised exercise programmes are vastly under-utilised and not always available to consultant vascular surgeons. This means that further programmes need to be developed in order to provide a range of options to patients to improve uptake and adherence rates. One such programme is a 6-week high-intensity interval training programme.

An initial observational cohort study of the 6 week HIIT programme will be conducted to determine to determine the feasibility of the intervention and inclusion criteria. The results from this will be used to make any necessary changes to the HIIT intervention before moving into a proof of concept study, considering the utility, safety, acceptability and potential clinical efficacy of this programme.

02

Conditions studied

  • Peripheral Arterial Disease
  • Intermittent Claudication

Keywords

  • Exercise
  • High-intensity interval training
  • interval training
03

In context

Peripheral Arterial Disease

1,542 studies on the registry are indexed under Peripheral Arterial Disease; 282 are open to participants now.

This study's enrollment of 70 is close to the median of 74 across 1,066 interventional studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease studies →

Lead sponsor

Hull University Teaching Hospitals NHS Trust is the lead sponsor of 93 studies on the registry; 15 are open to participants now.

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

04

Who can participate

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

Eligibility criteria

Workstream 1

Inclusion criteria:

  • Aged >18 years
  • Ankle-brachial pressure index (ABPI) \<0.9 at rest or a systolic pressure drop of ≥20mmHg at the ankle after exercise testing
  • Ability to walk unaided
  • English speaking and able to comply with exercise instructions

Exclusion criteria:

  • Unable to provide informed consent
  • Critical limb threatening ischaemia / rest pain / tissue loss
  • Active cancer treatment
  • Significant comorbidities precluding safe participation in exercise testing and / or training according to the American College of Sports Medicine (ACSM) guidelines (28)
  • Resting/uncontrolled tachycardia (>100 beats per minute [bpm]) and/or resting/uncontrolled hypertension (systolic blood pressure >180 millimetres of mercury [mmHg] or diastolic blood pressure >100mmHg)
  • Symptomatic hypotension

Additional exclusion criteria:

Following baseline cardiopulmonary exercise test (CPET), patients will be withdrawn and prevented from continuing their involvement in the study if there is any evidence of:

  • Exercise-induced myocardial ischaemia or significant haemodynamic compromise (manifesting as anginal symptoms, significant ECG changes or an abnormal blood pressure response).
  • An inability to complete a maximal effort CPET

Workstream 2:

Inclusion criteria:

  • Aged >18 years
  • ABPI \<0.9 at rest or a systolic pressure drop of ≥20mmHg at the ankle after exercise testing
  • Ability to walk unaided
  • English speaking and able to comply with exercise instructions

Exclusion criteria:

  • Unable to provide informed consent
  • Critical limb threatening ischaemia / rest pain / tissue loss
  • Active cancer treatment
  • Significant comorbidities precluding safe participation in exercise testing and / or training according to the American College of Sports Medicine (ACSM) guidelines (28)
  • Resting/uncontrolled tachycardia (>100bpm) and/or resting/uncontrolled hypertension (systolic blood pressure >180mmHg or diastolic blood pressure >100mmHg)
  • Symptomatic hypotension

Additional exclusion criteria:

Following baseline CPET, patients will be withdrawn and prevented from continuing their involvement in the study if there is any evidence of:

● Exercise-induced myocardial ischaemia or significant haemodynamic compromise (manifesting as anginal symptoms, significant ECG changes or an abnormal blood pressure response).

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
70 participants (actual)

Study arms

  • Experimental
    High-Intensity interval training (workstream 1)

    High-intensity interval training performed for 20 minutes, 3 times weekly for a period of 6 weeks at 85-100% of maximal heart rate.

    Other: High-intensity interval training

Interventions

  • OtherHigh-intensity interval training

    a high-intensity interval training programme completed 3 times a week for 6 weeks using a stationary Wattbike.

06

What researchers measure

Primary outcomes

  1. Tolerability Test - Related Withdrawals

    Defined by examining the number of withdrawals related to the intervention or study procedures (i.e. patients unable to tolerate).

    Time frame: From the first to last exercise session, i.e. from week 0 to week 6.

  2. Feasibility Test

    Feasibility measures included the number of patients screened vs. the number eligible, the number of patients eligible vs. the number recruited and the number recruited vs. the number completed.

    Time frame: From study opening to completion/withdrawal of the last patient

  3. Tolerability Test - Achieving the Required Intensity

    Considers the patients ability to achieve and maintain exercise at the appropriate intensity for the duration of each session

    Time frame: From the first to last exercise session, i.e. from week 0 to week 6.

  4. Tolerability Test - Number of Sessions Completed

    Considers the number of sessions completed compared to the theoretical number.

    Time frame: From the first to last exercise session, i.e. from week 0 to week 6.

  5. Tolerability Test - Number of HIIT Intervals Completed

    Considers the number of HIIT intervals completed compared to the theoretical number.

    Time frame: From the first to last exercise session, i.e. from week 0 to week 6.

Secondary outcomes

  1. Safety Events Recorded

    Defined as the occurrence of any adverse or serious adverse events related to the intervention.

    Time frame: From enrolment to completion of 12-week follow-up

  2. Acceptability Testing

    An evaluation of the acceptability of the exercise intervention assessed by patient feedback, using semi-structured interviews.

    Time frame: post-intervention follow-up, i.e. week 6.

  3. Maximum Walking Distance

    assessment of the distance that the patient can currently walk before having to stop due to claudication pain.

    Time frame: Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.

  4. Peak Oxygen Uptake

    Peak oxygen uptake assessed via cardiopulmonary exercise testing

    Time frame: Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.

  5. Quality of Life Questionnaire Short-form-36 (SF-36)

    Patient reported quality of life using the SF-36 SF-36 is a 36-Item Short Form Health Survey questionnaire. It consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability.

    Time frame: Baseline and post-intervention (week 6)

  6. Vascular Quality of Life Questionnaire - (VascuQol)

    VascuQoL includes 25 items subdivided into 5 domains and a sum score is also calculated by dividing the total score by 25. Each domain and the total score range from 1 to 7 with 1 representing the worst score and 7 the best.

    Time frame: Baseline and post-intervention (week 6) follow-up

  7. Ankle-Brachial Pressure Index

    The index or ratio of the pressure in the ankle compared with the arm.

    Time frame: Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.

  8. Peak Power Output

    Peak power output assessed via CPET

    Time frame: Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.

  9. Pain-free Walking Distance

    assessment of the distance that the patient can currently walk before experiencing claudication pain.

    Time frame: Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.

  10. Ventilatory Anaerobic Threshold (VAT)

    Ventilatory anaerobic threshold assessed via cardiopulmonary exercise testing

    Time frame: Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.

  11. Quality of Life Questionnaire Short-form-36 (SF-36)

    Patient reported quality of life using the SF-36 SF-36 is a 36-Item Short Form Health Survey questionnaire. It consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability.

    Time frame: 4 weeks (week 10) and 12 weeks (week 18) post-intervention

  12. Vascular Quality of Life Questionnaire - (VascuQol)

    VascuQoL includes 25 items subdivided into 5 domains and a sum score is also calculated by dividing the total score by 25. Each domain and the total score range from 1 to 7 with 1 representing the worst score and 7 the best.

    Time frame: 4 weeks (week 10) and 12 weeks (week 18) post-intervention.

07

Results

Posted Nov 14, 2024

Participant flow

Participant flow — Overall Study
MilestoneHigh-Intensity Interval Training
Started70
Participants enrolled in workstream 130
Participants completing workstream 115
Participants enrolled in workstream 240
Participants completing workstream 231
Completed46
Not completed24
Withdrew: Abnormal cardiopulmonary exercise test (cpet) or unable to achieve a maximal test9
Withdrew: Unable to tolerate4
Withdrew: Concurrent illness2
Withdrew: Adverse event2
Withdrew: No longer meeting inclusion criteria2
Withdrew: No reason given1
Withdrew: Withdrawal by subject4

Outcome measures

PrimaryTolerability Test - Related Withdrawals

Defined by examining the number of withdrawals related to the intervention or study procedures (i.e. patients unable to tolerate).

Time frame:
From the first to last exercise session, i.e. from week 0 to week 6.
Reported as:
Count of participants · Participants
Tolerability Test - Related Withdrawals
ParticipantsHigh-Intensity Interval Training
Workstream 1 - unable to tolerate HIIT or CPEX1
Workstream 2 - unable to tolerate HIIT or CPEX3
PrimaryFeasibility Test

Feasibility measures included the number of patients screened vs. the number eligible, the number of patients eligible vs. the number recruited and the number recruited vs. the number completed.

Time frame:
From study opening to completion/withdrawal of the last patient
Reported as:
Number · participants
Feasibility Test
participantsHigh-Intensity Interval Training
Workstream 1 - screened144
Workstream 1 - eligible95
Workstream 1 - recruited30
Workstream 1 - completed15
Workstream 2 - screened280
Workstream 2 - eligible165
Workstream 2 - recruited40
Workstream 2 - completed31
PrimaryTolerability Test - Achieving the Required Intensity

Considers the patients ability to achieve and maintain exercise at the appropriate intensity for the duration of each session

Time frame:
From the first to last exercise session, i.e. from week 0 to week 6.
Reported as:
Count of units · Number of HIIT intervals
Tolerability Test - Achieving the Required Intensity
Number of HIIT intervalsHigh-Intensity Interval Training
Workstream 1 - intervals at the required intensity2210
Workstream 2 - intervals at the required intensity4546
PrimaryTolerability Test - Number of Sessions Completed

Considers the number of sessions completed compared to the theoretical number.

Time frame:
From the first to last exercise session, i.e. from week 0 to week 6.
Reported as:
Count of units · Number of HIIT sessions
Tolerability Test - Number of Sessions Completed
Number of HIIT sessionsHigh-Intensity Interval Training
Workstream 1 - HIIT sessions completed270
Workstream 2 - HIIT sessions completed551
PrimaryTolerability Test - Number of HIIT Intervals Completed

Considers the number of HIIT intervals completed compared to the theoretical number.

Time frame:
From the first to last exercise session, i.e. from week 0 to week 6.
Reported as:
Count of units · Number of HIIT intervals
Tolerability Test - Number of HIIT Intervals Completed
Number of HIIT intervalsHigh-Intensity Interval Training
Workstream 1 - HIIT intervals completed234
Workstream 2 - HIIT intervals completed475
SecondarySafety Events Recorded

Defined as the occurrence of any adverse or serious adverse events related to the intervention.

Time frame:
From enrolment to completion of 12-week follow-up
Reported as:
Number · Events
Safety Events Recorded
EventsHigh-Intensity Interval Training
Workstream 13
Workstream 29
SecondaryAcceptability Testing

An evaluation of the acceptability of the exercise intervention assessed by patient feedback, using semi-structured interviews.

Time frame:
post-intervention follow-up, i.e. week 6.
Reported as:
Count of participants · Participants
Acceptability Testing
ParticipantsHigh-Intensity Interval Training
Acceptability Testing23
SecondaryMaximum Walking Distance

assessment of the distance that the patient can currently walk before having to stop due to claudication pain.

Time frame:
Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.
Reported as:
Mean · metres
Maximum Walking Distance
metresHigh-Intensity Interval Training
Workstream 1 baseline243.8 ± 102.2
Workstream 1 Post-intervention follow-up365.2 ± 153.6
Workstream 1 - 4-week post intervention follow-up365.4 ± 172.3
Workstream 1 - 12-week post intervention follow-up374.2 ± 233.4
Workstream 2 baseline366.5 ± 201.0
Workstream 2 Post-intervention follow-up455.0 ± 220.8
Workstream 2 - 4-week post intervention follow-up450.7 ± 242.8
Workstream 2 - 12-week post intervention follow-up448.1 ± 240.9
SecondaryPeak Oxygen Uptake

Peak oxygen uptake assessed via cardiopulmonary exercise testing

Time frame:
Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.
Reported as:
Mean · ml/kg/min
Peak Oxygen Uptake
ml/kg/minHigh-Intensity Interval Training
Workstream 1 - baseline VO2Peak15.4 ± 2.8
Workstream 1 - post-intervention follow-up VO2Peak15.9 ± 3.0
Workstream 1 - 4-week post-intervention follow-up VO2Peak15.8 ± 2.3
Workstream 1 - 12-week post-intervention follow-up VO2Peak15.3 ± 3.1
Workstream 2 - baseline VO2Peak16.4 ± 3.9
Workstream 2 - post-intervention follow-up VO2Peak17.1 ± 4.3
Workstream 2 - 4-week post-intervention follow-up VO2Peak16.9 ± 4.6
Workstream 2 - 12-week post-intervention follow-up VO2Peak17.8 ± 4.1
SecondaryQuality of Life Questionnaire Short-form-36 (SF-36)

Patient reported quality of life using the SF-36 SF-36 is a 36-Item Short Form Health Survey questionnaire. It consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability.

Time frame:
Baseline and post-intervention (week 6)
Reported as:
Mean · units on a scale
Quality of Life Questionnaire Short-form-36 (SF-36)
units on a scaleHigh-Intensity Interval Training
Workstream 1 baseline physical functioning50.1 ± 18.2
Workstream 1 follow-up physical functioning54.7 ± 20.2
Workstream 1 baseline role physical52.5 ± 26.9
Workstream 1 follow-up role physical55.4 ± 27.7
Workstream 1 baseline pain47.9 ± 13.9
Workstream 1 follow-up pain50.0 ± 22.6
Workstream 1 baseline general health46.6 ± 19.9
Workstream 1 follow-up general health52.7 ± 20.8
Workstream 1 baseline vitality41.5 ± 15.2
Workstream 1 follow-up vitality50.9 ± 17.4
Workstream 1 baseline social functioning76.8 ± 26.3
Workstream 1 follow-up social functioning76.8 ± 27.2
Workstream 1 baseline role emotional73.3 ± 30.2
Workstream 1 follow-up role emotional80.0 ± 25.2
Workstream 1 baseline mental health68.6 ± 17.7
Workstream 1 follow-up mental health73.6 ± 17.8
Workstream 1 baseline PCS37.8 ± 7.6
Workstream 1 follow-up PCS39.4 ± 7.3
Workstream 1 baseline MCS49.2 ± 9.9
Workstream 1 follow-up MCS51.9 ± 9.4
Workstream 2 baseline physical functioning53.3 ± 19.2
Workstream 2 follow-up physical functioning56.2 ± 19.1
Workstream 2 baseline role physical52.9 ± 23.9
Workstream 2 follow-up role physical60.8 ± 24.7
Workstream 2 baseline pain47.3 ± 19.9
Workstream 2 follow-up pain54.1 ± 22.6
Workstream 2 baseline general health54.4 ± 21.2
Workstream 2 follow-up general health54.8 ± 19.3
Workstream 2 baseline vitality53.2 ± 17.8
Workstream 2 follow-up vitality55.8 ± 19.3
Workstream 2 baseline social functioning77.5 ± 24.7
Workstream 2 follow-up social functioning75.4 ± 27.9
Workstream 2 baseline role emotional73.1 ± 25.2
Workstream 2 follow-up role emotional75.6 ± 25.3
Workstream 2 baseline mental health76.7 ± 14.5
Workstream 2 follow-up mental health76.7 ± 19.8
Workstream 2 baseline PCS38.5 ± 7.0
Workstream 2 follow-up PCS40.7 ± 7.3
Workstream 2 baseline MCS52.3 ± 8.8
Workstream 2 follow-up MCS52 ± 10.4
SecondaryVascular Quality of Life Questionnaire - (VascuQol)

VascuQoL includes 25 items subdivided into 5 domains and a sum score is also calculated by dividing the total score by 25. Each domain and the total score range from 1 to 7 with 1 representing the worst score and 7 the best.

Time frame:
Baseline and post-intervention (week 6) follow-up
Reported as:
Mean · units on a scale
Vascular Quality of Life Questionnaire - (VascuQol)
units on a scaleHigh-Intensity Interval Training
Workstream 1 baseline pain score4.2 ± 1.3
Workstream 1 follow-up pain score4.4 ± 1.5
Workstream 1 baseline social score5.5 ± 1.7
Workstream 1 follow-up social score5.7 ± 1.0
Workstream 1 baseline activities score4.4 ± 1.2
Workstream 1 follow-up activities score4.6 ± 1.0
Workstream 1 baseline symptom score5.5 ± 0.6
Workstream 1 follow-up symptom score5.8 ± 0.6
Workstream 1 baseline emotional score5.4 ± 1.6
Workstream 1 follow-up emotional score5.4 ± 1.4
Workstream 1 baseline total score4.9 ± 1.1
Workstream 1 follow-up total score5.1 ± 1.0
Workstream 2 baseline pain score3.7 ± 1.2
Workstream 2 follow-up pain score4.5 ± 1.1
Workstream 2 baseline social score5.2 ± 1.7
Workstream 2 follow-up social score5.4 ± 1.8
Workstream 2 baseline activities score4.3 ± 1.2
Workstream 2 follow-up activities score4.7 ± 1.2
Workstream 2 baseline symptom score4.9 ± 1.3
Workstream 2 follow-up symptom score5.4 ± 1.0
Workstream 2 baseline emotional score5.2 ± 1.3
Workstream 2 follow-up emotional score5.5 ± 1.4
Workstream 2 baseline total score4.6 ± 1.1
Workstream 2 follow-up total score5.0 ± 1.1
SecondaryAnkle-Brachial Pressure Index

The index or ratio of the pressure in the ankle compared with the arm.

Time frame:
Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.
Reported as:
Mean · Index
Ankle-Brachial Pressure Index
IndexHigh-Intensity Interval Training
Workstream 1 baseline0.76 ± 0.22
Workstream 1 post- intervention follow-up0.78 ± 0.19
Workstream 1 - 4-week post-intervention follow-up0.74 ± 0.20
Workstream 1 - 12-week post-intervention follow-up0.80 ± 0.20
Workstream 2 baseline0.74 ± 0.19
Workstream 2 post-intervention follow-up0.76 ± 0.14
Workstream 2 - 4-week post-intervention follow-up0.78 ± 0.12
Workstream 2 - 12-week post-intervention follow-up0.74 ± 0.14
SecondaryPeak Power Output

Peak power output assessed via CPET

Time frame:
Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.
Reported as:
Mean · Watts
Peak Power Output
WattsHigh-Intensity Interval Training
Workstream 1 - baseline peak power output94.9 ± 26.1
Workstream - 1 post-intervention peak power output103.7 ± 30.4
Workstream 1 - 4-weeks post-intervention follow-up peak power output98.7 ± 23.4
Workstream 1 - 12-week post-intervention follow-up peak power output102.7 ± 30.8
Workstream 2 - baseline peak power output101.6 ± 39.4
Workstream 2 - post-intervention follow-up peak power output106.0 ± 43.0
Workstream 2 - 4-weeks post-intervention follow-up peak power output112.0 ± 44.5
Workstream 2 - 12-weeks post-intervention follow-up peak power output114.1 ± 45.5
SecondaryPain-free Walking Distance

assessment of the distance that the patient can currently walk before experiencing claudication pain.

Time frame:
Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.
Reported as:
Mean · metres
Pain-free Walking Distance
metresHigh-Intensity Interval Training
Workstream 1 baseline114.1 ± 75.4
Workstream 1 Post-intervention follow-up141.3 ± 62.4
Workstream 1 - 4-week post intervention follow-up172.4 ± 103.5
Workstream 1 - 12-week post intervention follow-up216.3 ± 163.2
Workstream 2 baseline142.5 ± 95.5
Workstream 2 Post-intervention follow-up218.6 ± 166.6
Workstream 2 - 4-week post intervention follow-up212.7 ± 173.8
Workstream 2 - 12-week post intervention follow-up276.0 ± 214.7
SecondaryVentilatory Anaerobic Threshold (VAT)

Ventilatory anaerobic threshold assessed via cardiopulmonary exercise testing

Time frame:
Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.
Reported as:
Mean · ml/kg/min
Ventilatory Anaerobic Threshold (VAT)
ml/kg/minHigh-Intensity Interval Training
Workstream 1 - baseline VAT9.8 ± 1.7
Workstream 1 - post-intervention follow-up VAT10.2 ± 1.7
Workstream 1 - 4-week post-intervention follow-up VAT10.0 ± 1.3
Workstream 1 - 12-week post-intervention follow-up VAT9.4 ± 1.4
Workstream 2 - baseline VAT10.0 ± 1.9
Workstream 2 - post-intervention follow-up VAT10.4 ± 2.2
Workstream 2 - 4-week post-intervention follow-up VAT9.8 ± 2.1
Workstream 2 - 12-week post-intervention follow-up VAT10.1 ± 2.2
SecondaryQuality of Life Questionnaire Short-form-36 (SF-36)

Patient reported quality of life using the SF-36 SF-36 is a 36-Item Short Form Health Survey questionnaire. It consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability.

Time frame:
4 weeks (week 10) and 12 weeks (week 18) post-intervention
Reported as:
Mean · units on a scale
Quality of Life Questionnaire Short-form-36 (SF-36)
units on a scaleHigh-Intensity Interval Training
Workstream 1 - 4-week follow-up physical functioning61.9 ± 20.1
Workstream 1 - 12-week follow-up physical functioning64.1 ± 20.2
Workstream 1 - 4-week follow-up role physical61.5 ± 30.9
Workstream 1 - 12-week follow-up follow-up role physical62.5 ± 26.8
Workstream 1 - 4-week follow-up pain53.2 ± 19.6
Workstream 1 - 12-week follow-up pain54.1 ± 24.7
Workstream 1 - 4-week follow-up general health47.4 ± 13.9
Workstream 1 - 12-week follow-up general health53.5 ± 19.3
Workstream 1 - 4-week follow-up vitality51.0 ± 17.5
Workstream 1 - 12-week follow-up vitality55.1 ± 7.3
Workstream 1 - 4-week follow-up social functioning84.6 ± 20.5
Workstream 1 - 12-week follow-up social functioning85.0 ± 17.5
Workstream 1 - 4-week follow-up role emotional80.8 ± 31.6
Workstream 1 - 12-week follow-up role emotional76.5 ± 23.8
Workstream 1 - 4-week follow-up mental health71.2 ± 15.2
Workstream 1 - 12-week follow-up mental health71.8 ± 15.2
Workstream 1 - 4-week follow-up PCS40.9 ± 8.4
Workstream 1 - 12-week follow-up PCS38.8 ± 15.4
Workstream 1 - 4 week follow-up MCS51.5 ± 9.3
Workstream 1 - 12-week follow-up MCS46.8 ± 17.3
Workstream 2 - 4-week follow-up physical functioning61.7 ± 19.9
Workstream 2 - 12-week follow-up physical functioning61.5 ± 20.3
Workstream 2 - 4-week follow-up role physical63.9 ± 24.5
Workstream 2 - 12-week follow-up role physical57.3 ± 23.4
Workstream 2 - 4-week pain55.6 ± 20.3
Workstream 2 - 12-week follow-up pain57.5 ± 23.6
Workstream 2 - 4-week follow-up general health54.6 ± 18.1
Workstream 2 - 12-week follow-up general health53.2 ± 19.5
Workstream 2 - 4-week follow-up vitality54.9 ± 20.7
Workstream 2 - 12 -week follow-up vitality54.8 ± 22.0
Workstream 2 - 4-week follow-up social functioning79.9 ± 25.4
Workstream 2 - 12-week follow-up social functioning76.5 ± 27.8
Workstream 2 4-week follow-up role emotional77.3 ± 26.5
Workstream 2 - 12-week follow-up role emotional77.7 ± 26.5
Workstream 2 4-week follow-up mental health78.9 ± 17.4
Workstream 2 - 12-week follow-up mental health78.0 ± 18.6
Workstream 2 - 4-week follow-up PCS41.7 ± 7.5
Workstream 2 - 12-week follow-up PCS41.0 ± 8.6
Workstream 2 - 4-week follow-up MCS52.5 ± 10.0
Workstream 2 - 12-week follow-up MCS52.3 ± 11.2
SecondaryVascular Quality of Life Questionnaire - (VascuQol)

VascuQoL includes 25 items subdivided into 5 domains and a sum score is also calculated by dividing the total score by 25. Each domain and the total score range from 1 to 7 with 1 representing the worst score and 7 the best.

Time frame:
4 weeks (week 10) and 12 weeks (week 18) post-intervention.
Reported as:
Mean · units on a scale
Vascular Quality of Life Questionnaire - (VascuQol)
units on a scaleHigh-Intensity Interval Training
Workstream 1 - 4-week follow-up pain score4.7 ± 1.7
Workstream 1 -12-week follow-up pain score5.4 ± 1.2
Workstream 1 - 4-week follow-up social score6.3 ± 1.1
Workstream 1 - 12-week follow-up social score6.4 ± 0.9
Workstream 1 - 4-week follow-up activities score5.2 ± 1.0
Workstream 1 - 12-week follow-up activities score5.2 ± 1.2
Workstream 1 - 4-week follow-up symptom score5.8 ± 0.6
Workstream 1 - 12-week follow-up symptom score5.9 ± 0.7
Workstream 1 4-week follow-up emotional score6.0 ± 1.0
Workstream 1 - 12-week follow-up emotional score6.4 ± 0.4
Workstream 1 - 4-week total score5.6 ± 1.0
Workstream 1 - 12-week follow-up total score5.8 ± 0.7
Workstream 2 4-week follow-up pain score4.8 ± 1.3
Workstream 2 - 12-week follow-up pain score4.6 ± 1.3
Workstream 2 - 4-week follow-up social score5.5 ± 1.6
Workstream 2 - 12-week follow-up social score5.4 ± 1.7
Workstream 2 4-week follow-up activities score4.9 ± 1.2
Workstream 2 - 12-week follow-up activities score4.7 ± 1.1
Workstream 2 4-week follow-up symptom score5.3 ± 1.2
Workstream 2 - 12-week follow-up symptom score5.2 ± 1.2
Workstream 2 4-week follow-up emotional score5.7 ± 1.3
Workstream 2 - 12-week follow-up emotional score5.5 ± 1.1
Workstream 2 - 4-week follow-up total score5.2 ± 1.2
Workstream 2 - 12-week follow-up total score5.0 ± 1.1

Adverse events

Collected over From enrollment to 18 weeks later for each patient.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
High-Intensity Interval Training0/70 (0%)1/70 (1.4%)10/70 (14.3%)
Most frequent serious events
Most frequent serious events
EventHigh-Intensity Interval Training
Thrombosed popliteal aneurysmVascular disorders1/70
Most frequent other events
Most frequent other events
EventHigh-Intensity Interval Training
Post-exercise dizzinesGeneral disorders6/70
Dull chest acheCardiac disorders1/70
Back spasmMusculoskeletal and connective tissue disorders1/70
HeadacheGeneral disorders1/70
Hypertensive CPET responseCardiac disorders1/70

Baseline characteristics

Baseline characteristics broken down by workstream

Age, Continuous
Age, Continuous(years)High-Intensity Interval Training (Workstream 1)High-Intensity Interval Training (Workstream 2)Total
Mean69 ± 969 ± 869 ± 9
Sex: Female, Male
Sex: Female, Male(Participants)High-Intensity Interval Training (Workstream 1)High-Intensity Interval Training (Workstream 2)Total
Female7512
Male233558
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)High-Intensity Interval Training (Workstream 1)High-Intensity Interval Training (Workstream 2)Total
Count of participants——0
Height
Height(cm)High-Intensity Interval Training (Workstream 1)High-Intensity Interval Training (Workstream 2)Total
Mean168.5 ± 7.2169.1 ± 10.0168.7 ± 8.3
Weight
Weight(kg)High-Intensity Interval Training (Workstream 1)High-Intensity Interval Training (Workstream 2)Total
Mean81.6 ± 16.279.9 ± 14.580.6 ± 15.2
body mass index (BMI)
body mass index (BMI)(kg/m^2)High-Intensity Interval Training (Workstream 1)High-Intensity Interval Training (Workstream 2)Total
Mean28.5 ± 4.028.0 ± 3.928.2 ± 3.9
Systolic blood pressure
Systolic blood pressure(mmHg)High-Intensity Interval Training (Workstream 1)High-Intensity Interval Training (Workstream 2)Total
Mean146 ± 20146 ± 20146 ± 19
Diastolic blood pressure
Diastolic blood pressure(mmHg)High-Intensity Interval Training (Workstream 1)High-Intensity Interval Training (Workstream 2)Total
Mean79 ± 881 ± 1380 ± 11

5 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Academic Vascular Surgical Unit, Vascular Dept. 1st Floor Tower Block
    Hull, HU3 2JZ, United Kingdom
09

References and documents

Publications

  • Pymer S, Harwood AE, Ibeggazene S, McGregor G, Huang C, Nicholls AR, Ingle L, Long J, Rooms M, Chetter IC, Twiddy M. High INtensity Interval Training in pATiEnts with Intermittent Claudication: A Qualitative Acceptability Study. Ann Vasc Surg. 2024 May;102:17-24. doi: 10.1016/j.avsg.2023.11.043. Epub 2024 Jan 30. PubMed 38301846 ↗
  • Pymer S, Harwood AE, Prosser J, Waddell A, Rhavindhran B, Ibeggazene S, McGregor G, Huang C, Twiddy M, Nicholls AR, Ingle L, Carroll S, He H, Long J, Rooms M, Chetter IC. High-intensity interval training in patients with intermittent claudication. J Vasc Surg. 2023 Oct;78(4):1048-1056.e4. doi: 10.1016/j.jvs.2023.05.045. Epub 2023 Jun 16. PubMed 37330704 ↗
  • Pymer S, Ibeggazene S, Palmer J, Smith GE, Harwood AE, Carroll S, Ingle L, Chetter IC. Considering the Feasibility, Tolerability, and Safety of High-Intensity Interval Training as a Novel Treatment for Patients With Intermittent Claudication. J Cardiopulm Rehabil Prev. 2021 May 1;41(3):188-193. doi: 10.1097/HCR.0000000000000551. PubMed 33186201 ↗
  • Pymer S, Harwood A, Ibeggazene S, McGregor G, Huang C, Twiddy M, Nicholls AR, Ingle L, Carroll S, Long J, Rooms M, Chetter IC; INITIATE investigator group. High INtensity Interval Training In pATiEnts with intermittent claudication (INITIATE): protocol for a multicentre, proof-of-concept, prospective interventional study. BMJ Open. 2020 Jul 6;10(7):e038825. doi: 10.1136/bmjopen-2020-038825. PubMed 32636290 ↗

Study documents

  • Protocol and statistical analysis plan · Feb 25, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 14, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04042311
Lead sponsor
Hull University Teaching Hospitals NHS Trust
Collaborators
University of Hull
Responsible party
Sponsor
First posted
Aug 1, 2019
Start date
Jun 15, 2018
Primary completion
Apr 4, 2022
Completion
Jul 4, 2022
Results posted
Nov 14, 2024
Last update
Nov 14, 2024

Study contacts

Sean Pymer, MSc
principal investigator · Academic Vascular Surgical Unit, Hull York Medical School

Oversight

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

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