Trial Outcomes & Findings for Exercise Training in Heart Failure: Changes in Cardiac Structure and Function (NCT NCT02275819)

NCT ID: NCT02275819

Last Updated: 2021-03-08

Results Overview

Change in left ventricular ejection fraction.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

11 participants

Primary outcome timeframe

Baseline and endpoint at 3-5 months

Results posted on

2021-03-08

Participant Flow

Recruitment occurred at VA Boston Healthcare System cardiology related clinics from 6/6/2016 to 12/21/2018. As per the protocol the recruitment was supposed to begin in 2014. Unfortunately there were a number of issues including the fact that the parent study moved to Pittsburgh and we were not able to start recruitment till 2016.

13 participants were consented but only 11 were enrolled. Two were excluded from randomization due to subsequent echocardiogram or pulmonary function screening not meeting enrollment criteria. One was withdrawn after enrollment due to increasing symptoms of heart failure. Due to the small number of participants enrolled in each of the active intervention arms we combined participants from both intervention groups and analyzed against the controls.

Participant milestones

Participant milestones
Measure
Control
Will not receive intervention with exercise
Intervention Group
2 groups will receive 2 different types of exercise
Overall Study
STARTED
5
6
Overall Study
COMPLETED
5
5
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Control
Will not receive intervention with exercise
Intervention Group
2 groups will receive 2 different types of exercise
Overall Study
Adverse Event
0
1

Baseline Characteristics

Exercise Training in Heart Failure: Changes in Cardiac Structure and Function

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=5 Participants
Will not receive intervention with exercise
Intervention Group
n=5 Participants
2 groups will receive 2 different types of exercise
Total
n=10 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Age, Categorical
>=65 years
3 Participants
n=99 Participants
3 Participants
n=107 Participants
6 Participants
n=206 Participants
Age, Continuous
69.6 years
STANDARD_DEVIATION 8.4 • n=99 Participants
67.2 years
STANDARD_DEVIATION 4.4 • n=107 Participants
68.4 years
STANDARD_DEVIATION 6.4 • n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Male
5 Participants
n=99 Participants
5 Participants
n=107 Participants
10 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
White
4 Participants
n=99 Participants
4 Participants
n=107 Participants
8 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
5 Participants
n=99 Participants
5 Participants
n=107 Participants
10 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline and endpoint at 3-5 months

Change in left ventricular ejection fraction.

Outcome measures

Outcome measures
Measure
Control
n=5 Participants
Will not receive intervention with exercise
Intervention Group
n=5 Participants
2 groups will receive 2 different types of exercise
Change in Left Ventricular Systolic Function.
.82 percent LVEF
Standard Deviation 3.54
-1.90 percent LVEF
Standard Deviation 1.14

PRIMARY outcome

Timeframe: Baseline and endpoint at 3-5 months

Change in left ventricular mass.

Outcome measures

Outcome measures
Measure
Control
n=5 Participants
Will not receive intervention with exercise
Intervention Group
n=5 Participants
2 groups will receive 2 different types of exercise
Change in Left Ventricular Structure.
-34.8 grams
Standard Deviation 49.8
3.1 grams
Standard Deviation 40.8

PRIMARY outcome

Timeframe: Baseline and endpoint at 3-5 months

Change in mitral annular early diastolic velocity (e')

Outcome measures

Outcome measures
Measure
Control
n=5 Participants
Will not receive intervention with exercise
Intervention Group
n=5 Participants
2 groups will receive 2 different types of exercise
Change in Diastolic Function.
.31 centimeters/second
Standard Deviation .68
-1.07 centimeters/second
Standard Deviation 1.42

PRIMARY outcome

Timeframe: Baseline and endpoint at 3-5 months

Change in the ratio of early mitral in-flow velocity (E) to mitral annular early diastolic velocity (e')

Outcome measures

Outcome measures
Measure
Control
n=5 Participants
Will not receive intervention with exercise
Intervention Group
n=5 Participants
2 groups will receive 2 different types of exercise
Change in Left Ventricular (LV) Diastolic Function
-1.85 ratio
Standard Deviation 3.06
2.68 ratio
Standard Deviation 3.49

PRIMARY outcome

Timeframe: Baseline and endpoint at 3-5 months

Change in tricuspid annular tissue doppler velocity

Outcome measures

Outcome measures
Measure
Control
n=5 Participants
Will not receive intervention with exercise
Intervention Group
n=5 Participants
2 groups will receive 2 different types of exercise
Change in Right Ventricular Function
0.16 centimeters/second
Standard Deviation 1.04
-0.70 centimeters/second
Standard Deviation 2.05

Adverse Events

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention Group

Serious events: 4 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Control
n=5 participants at risk
Will not receive intervention with exercise
Intervention Group
n=5 participants at risk
2 groups will receive 2 different types of exercise
Respiratory, thoracic and mediastinal disorders
ER Visit
0.00%
0/5 • Adverse event data was collected while participants were enrolled from enrollment until collection of the final study endpoint at 3-5 months.
20.0%
1/5 • Number of events 1 • Adverse event data was collected while participants were enrolled from enrollment until collection of the final study endpoint at 3-5 months.
Cardiac disorders
HF exacerbation
0.00%
0/5 • Adverse event data was collected while participants were enrolled from enrollment until collection of the final study endpoint at 3-5 months.
20.0%
1/5 • Number of events 1 • Adverse event data was collected while participants were enrolled from enrollment until collection of the final study endpoint at 3-5 months.
Cardiac disorders
Low BP
0.00%
0/5 • Adverse event data was collected while participants were enrolled from enrollment until collection of the final study endpoint at 3-5 months.
20.0%
1/5 • Number of events 1 • Adverse event data was collected while participants were enrolled from enrollment until collection of the final study endpoint at 3-5 months.
Cardiac disorders
A-fib Hospitalization
0.00%
0/5 • Adverse event data was collected while participants were enrolled from enrollment until collection of the final study endpoint at 3-5 months.
20.0%
1/5 • Number of events 1 • Adverse event data was collected while participants were enrolled from enrollment until collection of the final study endpoint at 3-5 months.

Other adverse events

Other adverse events
Measure
Control
n=5 participants at risk
Will not receive intervention with exercise
Intervention Group
n=5 participants at risk
2 groups will receive 2 different types of exercise
General disorders
Not Fasted
0.00%
0/5 • Adverse event data was collected while participants were enrolled from enrollment until collection of the final study endpoint at 3-5 months.
20.0%
1/5 • Number of events 1 • Adverse event data was collected while participants were enrolled from enrollment until collection of the final study endpoint at 3-5 months.

Additional Information

Dr. Jayashri Aragam

VA Boston Healthcare System

Phone: 617-323-7700

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place