ClinicalTrials.gg
Enrolling by invitationNCT07771023KOREKTUpdated Aug 25, 2026

Effects of Exercise in Patients With Repaired Coarctation of the Aorta

An interventional study of Outpatient high-intensity interval training (HIIT) and Home-based high-intensity interval training (HIIT) in Coarctation of the Aorta and Coarctation of Aorta, sponsored by University Medical Centre Ljubljana. Enrolling by invitation at 2 sites in Slovenia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-25.

Sponsored by University Medical Centre Ljubljana · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This interventional study will investigate the effects of high-intensity interval training (HIIT) in adults with repaired coarctation of the aorta. Participants will be randomised into three groups: HIIT performed at home, HIIT performed in a supervised outpatient setting, or a control group receiving usual care. The two HIIT protocols will be identical in intensity and progression, individually prescribed for each patient.

The study will evaluate the effects of HIIT on exercise capacity, health-related quality of life, blood pressure response to exercise, and other select measures of cardiovascular health, including vascular stiffness and endothelial function. In addition, the study will examine the acute effects of a single exercise session on arterial stiffness.

02

Conditions studied

  • Coarctation of the Aorta
  • Coarctation of Aorta

Keywords

  • exercise
  • HIIT
  • home-based exercise
  • exercise training
  • cardiopulmonary exercise testing
  • arterial stiffness
  • hypertensive reaction
  • congenital heart disease
03

In context

Aortic Coarctation

49 studies on the registry are indexed under Aortic Coarctation; 16 are open to participants now.

This study's planned enrollment of 45 is close to the median of 45 across 19 interventional studies indexed under Aortic Coarctation.

Browse Aortic Coarctation studies →

Lead sponsor

University Medical Centre Ljubljana is the lead sponsor of 296 studies on the registry; 72 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

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

  • surgically repaired coarctation of the aorta,
  • age at least 18 years, and
  • signed form.

Exclusion criteria

Exclusion Criteria:

  • residual aortic stenosis (gradient across the narrowing >20 mmHg),
  • presence of ascending aortic aneurysm,
  • recent major cardiovascular event or other event requiring hospitalization (event less than 2 months before inclusion),
  • unstable rhythm disturbances,
  • unstable or low-threshold angina pectoris,
  • class III or IV heart failure, and
  • pregnancy.
Terms in these criteria, in plain language(2)

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

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

Study arms

  • Experimental
    Outpatient HIIT

    Anticipated number of patients: 15. Participants will complete a structured high-intensity interval training (HIIT) programme performed in an outpatient setting. Intensity and progression are identical to the home-based HIIT arm.

    Behavioral: Outpatient high-intensity interval training (HIIT)

  • Experimental
    Home-based HIIT

    Anticipated number of patients: 15. Participants will complete a structured high-intensity interval training (HIIT) programme performed independently at home. Intensity and progression are identical to the outpatient HIIT arm.

    Behavioral: Home-based high-intensity interval training (HIIT)

  • No intervention
    Control (usual care)

    Anticipated number of patients: 15. Participants will receive usual care, consisting of general counselling on physical activity performed at home, without a structured or supervised exercise training programme.

Interventions

  • BehavioralOutpatient high-intensity interval training (HIIT)

    A structured exercise programme performed under direct supervision in an outpatient/clinical setting on a stationary bicycle or treadmill, consisting of 36 one-hour sessions over 2-4 months (approximately 2-3 sessions per week). Each session will comprise 8 five-minute intervals, each consisting of 2 minutes at 85-95% of the heart rate reached at VO2peak, followed by 3 minutes of active recovery. The interval block will be preceded by a 5-minute active warm-up and followed by a 5-minute active cool-down. Interval intensity will be individually determined for each patient.

  • BehavioralHome-based high-intensity interval training (HIIT)

    A structured exercise programme performed independently at home, consisting of 36 one-hour sessions over 2-4 months (approximately 2-3 sessions per week). Each session will comprise 8 five-minute intervals, each consisting of 2 minutes at 85-95% of the heart rate reached at VO2peak, followed by 3 minutes of active recovery. The interval block will be preceded by a 5-minute active warm-up and followed by a 5-minute active cool-down. Interval intensity will be individually determined for each patient.

06

What researchers measure

Primary outcomes

  1. VO2peak on cardiopulmonary exercise testing (CPET)

    Hypothesis: The outpatient high-intensity interval training (HIIT) programme improves aerobic capacity (measured by VO2peak) more than a home-based HIIT program or usual care.

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

  2. Health-related quality of life

    Hypothesis: The outpatient high-intensity interval training (HIIT) programme improves health-related quality of life, assessed using the standardised SF-36 and EQ-5D questionnaires, more than a home-based HIIT programme or usual care.

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

  3. Ratio of peak systolic blood pressure to peak workload (mmHg/W) on CPET

    Hypothesis: The outpatient high-intensity interval training (HIIT) programme reduces the ratio between peak systolic blood pressure and peak workload achieved during exercise testing more than a home-based HIIT programme or usual care.

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

Secondary outcomes

  1. Mean 24-hour systolic blood pressure

    Assessment of average systolic pressure during sleep and wakefulness, measured using 24-hour ambulatory blood pressure monitoring.

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

  2. Echocardiographic parameters

    Assessment of standard echocardiographic measures of cardiac structure and function, including left ventricular global longitudinal strain (GLS).

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

  3. Endothelial function of the right radial artery (flow-mediated dilation, FMD)

    Ultrasound assessment of endothelial function of the right radial artery, measured by flow-mediated dilation (FMD).

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

  4. Heart rate variability

    Assessment of heart rate variability using high-resolution electrocardiography.

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

  5. Biomarkers associated with vascular stiffness and atherosclerosis

    Assessment of circulating biomarkers associated with vascular stiffness and atherosclerosis, including atrial natriuretic peptide (ANP), growth/differentiation factor 15 (GDF-15), matrix metalloproteinase 1 (MMP-1), interleukin-33 receptor (IL-33/ST2), brain-derived neurotrophic factor (BDNF), galectin-3, myeloperoxidase, and tissue inhibitor of metalloproteinase 1 (TIMP-1).

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

  6. Self-reported physical activity

    Self-reported physical activity level, assessed using the standardised International Physical Activity Questionnaire (IPAQ).

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

Other outcomes

  1. Body composition

    Assessment of body composition using bioelectrical impedance analysis.

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

  2. Standard laboratory panel

    Assessment of standard laboratory parameters: electrolytes, renal function markers, liver function tests.

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

  3. NT-proBNP

    Assessment of NT-proBNP

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

  4. Extended lipid panel

    Assessment extended lipid panel, including Lp(a).

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

  5. Thyroid hormone level

    Assessment of thyroid hormones.

    Time frame: At baseline and on follow-up assessment, with follow-up occurring within 3-12 months after baseline.

07

Study locations

2 sites
08

References and documents

Individual participant data

Plan to share: Yes — All IPD that underlie results in a publication will be shared upon reasonable request.

Supporting information: Study protocol, Informed consent form

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 Aug 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07771023
Collaborators
University Medical Centre Maribor
Responsible party
Kevin Pelicon (MD, University Medical Centre Ljubljana) — Principal investigator
First posted
Aug 18, 2026
Start date
Aug 2026 (estimated)
Primary completion
Oct 2027 (estimated)
Completion
Oct 2027 (estimated)
Last update
Aug 25, 2026

Oversight

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

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