ClinicalTrials.gg
Not yet recruitingNCT07929701Updated Nov 10, 2026

High-Intensity Functional Training vs. Moderate-Intensity Continuous Training in Cardiovascular Disease Patients

An interventional study of High-Intensity Functional Training (HIFT) and Moderate-Intensity Continuous Training (MICT) in Cardiovascular Disease (CVD), sponsored by University of Miami. Not yet recruiting at 1 site in United States. Open to participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by University of Miami · Not applicable, Interventional, and Treatment

Updated Nov 10, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
45 Years and older
Sex
All
01

Study summary

The purpose of this study is to compare two exercise programs with a control group to see how they affect blood vessel health in people with cardiovascular disease.

02

Conditions studied

  • Cardiovascular Disease (CVD)
03

In context

Cardiovascular Diseases

5,368 studies on the registry are indexed under Cardiovascular Diseases; 939 are open to participants now.

This study's planned enrollment of 200 is above the median of 100 across 3,084 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

University of Miami is the lead sponsor of 840 studies on the registry; 164 are open to participants now.

Of its 115 completed or terminated interventional studies of FDA-regulated products, 97 (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

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

  • Age: ≥45 years.
  • Diagnosis of cardiovascular disease (CVD): Clinically documented by a licensed clinician in the medical record, including at least one of the following:

    1. Prior myocardial infarction (MI) or angiographically confirmed coronary artery disease (CAD).
    2. Stable angina, prior PCI/CABG, or documented myocardial ischemia on stress testing.
  • Clinical stability: On stable guideline-directed medical therapy (GDMT) for ≥2 weeks and no hospitalizations for acute cardiovascular events within the past 4 weeks.
  • For post-myocardial infarction (MI) participants: ≥4 weeks since index MI and clinically stable without ongoing ischemia.
  • Capacity and consent: Able to understand the study procedures and provide written (with interpreter support if needed).
  • Procedural feasibility: Able to undergo vascular ultrasound testing (e.g., flow-mediated dilation), pulse wave analysis/velocity, standard transthoracic echocardiography, body composition assessment, venipuncture for biomarkers, and submaximal fitness tests (e.g., 6-minute walk and handgrip).
  • Participants should be able to understand English or bring someone who speaks and understands English.

Exclusion criteria

Exclusion Criteria:

  • Individuals who are not yet adults (infants, children, teenagers)
  • Pregnant women
  • Prisoners
  • Acute/unstable conditions (past 4 weeks): Acute coronary syndrome, decompensated heart failure, sustained ventricular arrhythmias, syncope of cardiac origin, or stroke/ (TIA).
  • Hemodynamic instability or severe uncontrolled disease:

    1. Resting Systolic Blood Pressure (SBP) ≥180 mmHg or Diastolic Blood Pressure (DBP) ≥110 mmHg at screening or visit day despite medication
    2. Oxygen saturation \<90% at rest on room air
    3. Active myocarditis
    4. Active pericarditis
  • Valvular/structural heart disease likely to confound measures or increase risk: Severe aortic stenosis or severe valvular regurgitation; obstructive hypertrophic cardiomyopathy with resting Left Ventricular Outflow Tract (LVOT) gradient >30 mmHg; restrictive or constrictive physiology chronic or acute requiring urgent intervention
  • Arrhythmias that preclude accurate testing or pose risk: Rapid, uncontrolled atrial fibrillation/flutter (ventricular rate persistently >110 bpm at rest) or frequent ectopy that prevents reliable Doppler/strain or pulse-wave measurements. (Rate-controlled Atrial fibrillation (AF) is allowable if measurements are technically feasible.)
  • Recent major procedures: Major surgery, Percutaneous Coronary Intervention (PCI), or Coronary Artery Bypass Grafting (CABG) within the past 4 weeks (CABG within 8 weeks) unless cleared by the treating physician and study PI.
  • Severe non-cardiac comorbidities likely to confound vascular/endothelial markers or limit participation:
  • Active systemic infection or fever within 7 days; active /inflammatory disease flare requiring escalation of in past 8 weeks.
  • Advanced renal dysfunction ( \<30 mL/min/1.73 m² or dialysis) or decompensated cirrhosis ( C).
  • Active receiving cytotoxic chemotherapy or thoracic radiation within the past 6 months (hormonal therapy permitted).
  • to phlebotomy or vascular testing: Known severe bleeding diathesis or count \<50,000/μL; current therapeutic anticoagulation is permitted if clinically stable and venipuncture is not contraindicated by the treating clinician.
  • Peripheral vascular disease
  • Musculoskeletal/neurologic limitations preventing fitness testing (e.g., non-weight-bearing status, unstable orthopedic injuries) without safe alternatives.
  • Substance use or cognitive/psychiatric conditions that, in the investigator's judgment, would impair consent, adherence to pre-test restrictions, or completion of study procedures.
  • Current participation in another interventional trial that could affect vascular/endothelial outcomes (observational registries permitted).
  • Active participation in sports or exercise with 24-48 hours of testing.
Terms in these criteria, in plain language(9)

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    High-intensity Functional Training (HIFT) Group

    Participants assigned to the HIFT group will perform supervised high-intensity functional training using scalable, multi-joint functional movements three days per week for a total of 12 weeks.

    Behavioral: High-Intensity Functional Training (HIFT)

  • Experimental
    Moderate-Intensity Continuous Training (MICT) Group

    Participants assigned to the MICT group will perform supervised moderate-intensity continuous aerobic exercise three days per week for a total of 12 weeks.

    Behavioral: Moderate-Intensity Continuous Training (MICT)

  • No intervention
    Control Group

    Participants in this group will be asked to maintain their usual diet, usual medical care, physical activity, and lifestyle behaviors.

Interventions

  • BehavioralHigh-Intensity Functional Training (HIFT)

    Participants will complete supervised high-intensity functional training consisting of scalable, multi-joint functional movements. Exercise sessions will occur approximately 3 times per week for 12 weeks and will last 40 to 60 minutes, including warm-up and cool-down. Examples of activities may include body-weight exercises, resistance training, step-ups, sit-to-stand movements, squats, lunges, modified push-ups, and core exercises.

  • BehavioralModerate-Intensity Continuous Training (MICT)

    Participants will complete supervised moderate-intensity continuous aerobic exercise. Exercise sessions will occur approximately 3 times per week for 12 weeks and will last 40 to 60 minutes, including warm-up and cool-down. Examples of activities may include treadmill walking, cycling, elliptical exercise, or step-based aerobic activity.

06

What researchers measure

Primary outcomes

  1. Change in Carotid-Femoral Pulse Wave Velocity (cfPWV)

    Carotid-Femoral Pulse Wave Velocity (cfPWV) will be measured in meters per second (m/s) as an indicator of arterial stiffness. Measurement will be obtained using the SphygmoCor XCEL device (AtCor Medical) with upper arm and thigh cuffs with carotid artery applanation tonometry to assess pulse wave transit time.

    Time frame: Baseline and Week 12 (post-intervention)

  2. Change in Central Augmentation Index (cAIx)

    Central Augmentation Index (cAIx) expressed as a percentage (%) will be assessed using the SphygmoCor XCEL device via pulse wave analysis of the central arterial waveform derived from carotid artery tonometry and peripheral blood pressure measurements.

    Time frame: Baseline and Week 12 (post-intervention)

  3. Change in Mean Arterial Pressure (MAP)

    Mean Arterial Pressure (MAP) measured in millimeters of mercury (mmHg), will be estimated using the SphygmoCor XCEL device based on an algorithm derived from peripherally measured blood pressure obtained from an automated upper arm cuff.

    Time frame: Baseline and Week 12 (post-intervention)

  4. Percent Change in Flow-Mediated Dilation (FMD)

    Flow-Mediated Dilation (FMD) will be measured using a Philips Affiniti 50 ultrasound system. FMD will be expressed as percent (%) change in brachial artery diameter from pre-occlusion baseline to peak dilation following a 5-minute forearm occlusion.

    Time frame: Baseline and Week 12 (post-intervention)

  5. Change in Carotid Intima-Media Thickness (cIMT)

    Carotid Intima-Media Thickness (cIMT), measured in millimeters (mm), will be assessed using a Philips Affiniti 50 ultrasound system. High-resolution B-mode images of the distal common carotid artery will be acquired, and mean wall thickness will be calculated from standardized image segments of the left and right carotid arteries.

    Time frame: Baseline and Week 12 (post-intervention)

Secondary outcomes

  1. Change in Body Mass Index (BMI)

    Change in body mass index (BMI), measured in kilograms per square meter (kg/m²), will be calculated as weight in kilograms divided by height in meters squared.

    Time frame: Baseline and Week 12 (post-intervention)

  2. Change in Waist Circumference

    Change in waist circumference, measured in centimeters (cm), will be assessed using a standardized measuring tape.

    Time frame: Baseline and Week 12 (post-intervention)

  3. Change in Body Fat Percentage

    Change in body fat percentage, measured as a percentage (%), will be assessed using the SECA mBCA bioelectrical impedance analysis system.

    Time frame: Baseline and Week 12 (post-intervention)

  4. Change in Skeletal Muscle Mass

    Change in skeletal muscle mass, measured in kilograms (kg), will be assessed using the SECA mBCA bioelectrical impedance analysis system.

    Time frame: Baseline and Week 12 (post-intervention)

  5. Change in Visceral Adipose Tissue

    Change in visceral adipose tissue, measured in liters, will be assessed using the SECA mBCA bioelectrical impedance analysis system.

    Time frame: Baseline and Week 12 (post-intervention)

  6. Change in Handgrip Strength

    Handgrip strength will be assessed using a calibrated hydraulic hand dynamometer. Grip force will be recorded in kilograms (kg), with higher values indicating greater muscle strength.

    Time frame: Baseline and Week 12 (post-intervention)

  7. Change in Cardiorespiratory Fitness (6-minute walk test (6MWT))

    Cardiorespiratory fitness is measured by the 6-Minute Walk Test (6MWT) as the total distance walked (meters) in six minutes.

    Time frame: Baseline and Week 12 (post-intervention)

  8. Change in Nutritional Intake and Diet Quality

    Diet quality will be assessed using the Mini-EAT instrument. The Mini-EAT generates a total score ranging from 0 to 90 points, with higher scores indicating greater adherence to healthy dietary patterns and better overall diet quality.

    Time frame: Baseline and Week 12 (post-intervention)

  9. Change in Depression Symptoms

    Depression symptoms will be assessed using the Patient Health Questionnaire-9 (PHQ-9). The PHQ-9 consists of 9 items with a total score ranging from 0 to 27, with higher scores indicating greater severity of depressive symptoms.

    Time frame: Baseline and Week 12 (post-intervention)

  10. Change in Anxiety Symptoms

    Anxiety symptoms will be assessed using the Generalized Anxiety Disorder 7-item scale (GAD-7). The GAD-7 consists of 7 items with a total score ranging from 0 to 21, with higher scores indicating greater severity of anxiety symptoms.

    Time frame: Baseline and Week 12 (post-intervention)

  11. Change in General Well-Being

    General well-being will be assessed using the World Health Organization-5 Well-Being Index (WHO-5). The WHO-5 consists of 5 items with a total raw score ranging from 0 to 25, with higher scores indicating better well-being.

    Time frame: Baseline and Week 12 (post-intervention)

  12. Change in Composite Blood Lipid Profile

    A composite blood lipid score will be calculated using total cholesterol (mg/dL), low-density lipoprotein (LDL) cholesterol (mg/dL), high-density lipoprotein (HDL) cholesterol (mg/dL), and triglycerides (mg/dL) measurements obtained from blood samples collected and analyzed using standard clinical laboratory methods.

    Time frame: Baseline and Week 12 (post-intervention)

  13. Change in High-Sensitivity C-Reactive Protein (hs-CRP)

    Change in high-sensitivity C-reactive protein (hs-CRP) levels, measured in milligrams per liter (mg/L), will be assessed from study blood draws and/or clinically obtained laboratory results when available and authorized.

    Time frame: Baseline and Week 12 (post-intervention)

  14. Change in N-Terminal Pro-B-Type Natriuretic Peptide

    N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels, measured in picograms per milliliter (pg/mL), will be assessed from study blood draws and/or clinically obtained laboratory results when available and authorized.

    Time frame: Baseline and Week 12 (post-intervention)

  15. Change in Glycosylated Hemoglobin (HbA1c)

    Hemoglobin A1c (HbA1c), measured as a percentage (%), will be assessed using study blood draws and/or clinically obtained laboratory results when available and authorized.

    Time frame: Baseline and Week 12 (post-intervention)

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07929701
Responsible party
Arlette Perry (Professor, University of Miami) — Principal investigator
First posted
Nov 10, 2026
Start date
Jan 2027 (estimated)
Primary completion
Jan 2028 (estimated)
Completion
Jan 2028 (estimated)
Last update
Nov 10, 2026

Study contacts

Arlette Perry, PhD
Contact
aperry@miami.edu
305-898-7370
Arlette Perry, PhD
principal investigator · University of Miami

Oversight

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

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