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RecruitingNCT06931470Updated Mar 5, 2026

A Pilot Feasibility and Acceptability Study of Remote ExerciSe Training mOdalities (PRESTO)

An interventional study of In-person supervised exercise sessions and Virtual classes (live-streamed sessions) in Cardiovascular Diseases, sponsored by NYU Langone Health. Recruiting at 1 site in United States. Open to participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2026-03-05.

Sponsored by NYU Langone Health · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
45 Years and older
Sex
All
01

Study summary

This study will investigate the acceptability and efficacy of 12 weeks of: Smart-device app-based (MyZone) Asynchronous Virtual, Synchronous Virtual, and in-person aerobic training in individuals at risk for Cardiovascular Disease (CVD) who do are not meeting American Heart Association (AHA) guidelines for physical activity. The study aims to 1) Assess the effect of several approaches to remote aerobic training on measures of physical activity, cardiovascular fitness and CVD risk, and 2) Quantitatively and qualitatively evaluate exercise training program fidelity, implementation, effectiveness, and remaining barriers to acceptance.

Participants will be asked to undergo Cardiopulmonary Exercise Testing (CPET) before and after 12-weeks of training via one of the 4 modalities (random assignment) listed above. They will respond to questions regarding acceptability of the interventions.

02

Conditions studied

  • Cardiovascular Diseases
03

In context

Cardiovascular Diseases

4,904 studies on the registry are indexed under Cardiovascular Diseases; 919 are open to participants now.

This study's planned enrollment of 30 is below the median of 100 across 2,738 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

NYU Langone Health is the lead sponsor of 1,391 studies on the registry; 254 are open to participants now.

Of its 227 completed or terminated interventional studies of FDA-regulated products, 191 (84%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  1. >45 years
  2. At risk for CVD (participants must have one or more of the following risk factors: hypertension, hyperlipidemia, Type 2 Diabetes Mellitus, smoking, obesity, family history of premature CVD)
  3. Not meeting AHA physical activity guidelines for at least 3 months prior to screening

    • Hypertension:

      • Systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg and/or
      • Use of anti-hypertensive medication
    • Hyper / dyslipidemia

      • LDL cholesterol levels ≥160 mg/dL and/or
      • HDL cholesterol \<50mg/dL for women, \<40mg/dL for women, in addition to fasting triglycerides >150mg/dL
    • Diabetes Mellitus:

      • Hemoglobin A1c levels ≥6.5%, fasting glucose levels ≥126 mg/dL, or 2-hour glucose levels ≥200 mg/dL after an oral glucose tolerance test and/or
      • Use of any diabetes medication
    • Smoking:

      o Current regular tobacco use.

    • Obesity:

      o BMI ≥30 kg/m².

    • Family History of Premature Cardiovascular Disease:

      • Having a first-degree relative (parent, sibling) who developed CVD before age 55 for biological males or age 65 for biological females.

Exclusion criteria

Exclusion Criteria:

  1. Established diagnosis of atherosclerotic CVD
  2. Presence of any serious medical conditions that would not allow safe participation in exercise according to the American College of Sports Medicine (ACSM) and the AHA (56-58)
  3. Pregnant or anticipating pregnancy
  4. Plan to be away for >2 weeks during the intervention period
  5. Presence of any biopsychosocial factors that the principal investigator deems as having significant potential to interfere with effective study participation
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Active comparator
    In-Person Supervised Aerobic Exercise Intervention (IPSAEI)

    Participants engage in supervised exercise sessions at a facility, where trainers use centralized telemetry to monitor heart rates and provide immediate feedback and adjustments to exercise intensity.

    Behavioral: In-person supervised exercise sessions · Device: Centralized telemetry

  • Experimental
    Remote Synchronous Aerobic Exercise Intervention (RSAEI)

    Participants join live-streamed exercise sessions led by a virtual trainer. Real-time heart rate monitoring via an app allows the trainer to provide immediate feedback and adjust exercise intensity as needed.

    Behavioral: Virtual classes (live-streamed sessions) · Device: Map My Fitness mobile application

  • Experimental
    Asynchronous Remote Aerobic Exercise Intervention (RASAEI)

    Participants exercise independently while monitoring their heart rate in real time using the Map My Fitness app. They adjust their intensity based on personal targets and receive periodic feedback from a trainer during scheduled check-ins.

    Behavioral: Self-directed aerobic exercise · Device: Map My Fitness mobile application

  • Experimental
    Remote MyZone Aerobic Exercise Intervention (RMZAEI)

    Participants use the Myzone heart rate monitor and app to receive real-time feedback on their exercise intensity. The Myzone platform provides automated guidance on intensity adjustments, goal setting, and motivational support through features like challenges and social connectivity.

    Device: Myzone mobile application · Device: Myzone heart rate monitor

Interventions

  • BehavioralIn-person supervised exercise sessions

    Gold-standard, facility-based sessions (3 sessions/week) with an onsite trainer guidance with an exercise Intensity of 40-80% heart rate reserve (HRR) or Rate of Perceived Exertion (RPE) 12-16.

  • BehavioralVirtual classes (live-streamed sessions)

    Live-streamed exercise classes (3 sessions/week) with a trainer providing real-time feedback.

  • BehavioralSelf-directed aerobic exercise

    Participants exercise independently and follow a weekly progression plan (3-5 sessions/week (depending on the specific progression)).

  • DeviceMyzone mobile application

    Training using the Myzone platform, with participants wearing the Myzone heart rate monitor and using the Myzone app to receive real-time feedback and guidance during exercise sessions (3 days per week). Myzone integrates with its proprietary wearable devices to monitor heart rate and other activity metrics, providing real-time data to users via the app.

  • DeviceMap My Fitness mobile application

    Participants will wear a Bluetooth-compatible heart rate monitor (e.g., apple watch/fitbit) that syncs with MapMyFitness. MapMyFitness automatically records workout sessions (duration, distance, heart rate, calories burned, and elevation gain where applicable).

  • DeviceCentralized telemetry

    Centralized telemetry monitors heart rates and provides immediate feedback for trainers to adjust exercise intensity.

  • DeviceMyzone heart rate monitor

    Wearable device (chest strap or armband) that monitors heart rate.

06

What researchers measure

Primary outcomes

  1. Average minutes of moderate to vigorous physical activity per week

    Outcome is measured via wearable technology (smart device).

    Time frame: Up to 13 weeks

Secondary outcomes

  1. Change in peak oxygen consumption (VO2peak)

    Peak oxygen consumption (VO2peak) is measured as the highest VO2 recorded during the course of a Cardiopulmonary Exercise Testing (CPET).

    Time frame: Baseline, Week 13

  2. Change in blood pressure

    Time frame: Baseline, Week 13

  3. Change in Body mass index (BMI)

    BMI (kg/m2) will be calculated using measured body weight and height

    Time frame: Baseline, Week 13

  4. Change in body fat percentage

    Body fat percentage will be assessed via multi-frequency bioelectrical impedance analysis (BIA) with 8 tactile electrodes.

    Time frame: Baseline, Week 13

  5. Change in fasting glucose levels

    Time frame: Baseline, Week 13

  6. Change in 36-Item Short Form Survey Instrument (SF-36)

    SF-36 captures mental health, general health perception, emotional, and social role functioning. The SF-36 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. Higher scores indicate a more favorable health state.

    Time frame: Baseline, Week 13

07

Study locations

1 of 1 sites recruiting
  • NYU Langone Health
    New York, New York 10016, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — The de-identified participant data from the final research dataset will be shared upon reasonable request beginning 9 to 36 months after publication or as required by a condition of awards or supporting agreements, provided the requesting investigator executes a data use agreement with NYU Langone Health. This instance of data sharing will also require separate IRB review as well as review from NYU Langone's Data Sharing Strategy Board (DSSB). Requests should be directed to: \[Alec Sinatro, MD; alec.sinatro@nyulangone.org\]. The protocol and statistical analysis plan will be posted on Clinicaltrials.gov only as required by federal regulation or supporting awards and agreements.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2026, 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
NCT06931470
Lead sponsor
NYU Langone Health
Responsible party
Sponsor
First posted
Apr 17, 2025
Start date
Apr 6, 2025
Primary completion
Dec 1, 2026 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Mar 5, 2026

Study contacts

Sean Heffron, MD
Contact
Sean.heffron@nyulangone.org
857-366-1417
Ryan Burnett
Contact
Ryan.Burnett@nyulangone.org
646-856-3492
Sean P. Heffron, MD
principal investigator · NYU Langone Health

Oversight

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

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