Trial Outcomes & Findings for Home-based Digital Exercise Training Program to Improve Physical Function of Older Sepsis Survivors - HEAL Sepsis Trial (NCT NCT05568511)

NCT ID: NCT05568511

Last Updated: 2026-03-18

Results Overview

Assessment of adherence to exercise intervention - percentage of performed exercise sessions.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

21 participants

Primary outcome timeframe

Baseline to 3 months

Results posted on

2026-03-18

Participant Flow

Participant milestones

Participant milestones
Measure
Exercise Intervention
Home-based, remotely-controlled, app-guided exercise program
Standard Care Control Group
These participants will follow the usual post-sepsis care after returning to home. The participants will be asked to log their daily activities in the app's health diary. The app will be activated for the baseline and follow-up physical function assessments, which will be supervised be a blinded coordinator via a video call.
Overall Study
STARTED
10
11
Overall Study
COMPLETED
9
11
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Home-based Digital Exercise Training Program to Improve Physical Function of Older Sepsis Survivors - HEAL Sepsis Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Exercise Intervention
n=10 Participants
Home-based, remotely-controlled, app-guided exercise program
Standard Care Control Group
n=11 Participants
These participants will follow the usual post-sepsis care after returning to home. The participants will be asked to log their daily activities in the app's health diary. The app will be activated for the baseline and follow-up physical function assessments, which will be supervised be a blinded coordinator via a video call.
Total
n=21 Participants
Total of all reporting groups
Age, Continuous
69.6 years old
STANDARD_DEVIATION 8.5 • n=110 Participants
72.3 years old
STANDARD_DEVIATION 7.9 • n=114 Participants
71 years old
STANDARD_DEVIATION 8.1 • n=224 Participants
Sex: Female, Male
Female
4 Participants
n=110 Participants
5 Participants
n=114 Participants
9 Participants
n=224 Participants
Sex: Female, Male
Male
6 Participants
n=110 Participants
6 Participants
n=114 Participants
12 Participants
n=224 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=110 Participants
0 Participants
n=114 Participants
0 Participants
n=224 Participants
Race (NIH/OMB)
Asian
0 Participants
n=110 Participants
0 Participants
n=114 Participants
0 Participants
n=224 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=110 Participants
0 Participants
n=114 Participants
0 Participants
n=224 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=110 Participants
1 Participants
n=114 Participants
2 Participants
n=224 Participants
Race (NIH/OMB)
White
9 Participants
n=110 Participants
9 Participants
n=114 Participants
18 Participants
n=224 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=110 Participants
0 Participants
n=114 Participants
0 Participants
n=224 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=110 Participants
1 Participants
n=114 Participants
1 Participants
n=224 Participants
Total Sequential Organ Failure Assessment (SOFA) score
3.1 scores on a scale
STANDARD_DEVIATION 0.7 • n=110 Participants
2.7 scores on a scale
STANDARD_DEVIATION 1.1 • n=114 Participants
2.9 scores on a scale
STANDARD_DEVIATION 0.9 • n=224 Participants

PRIMARY outcome

Timeframe: Baseline to 3 months

Population: One participant in the exercise group withdrew from the study; therefore, nine participants were included in the exercise adherence analysis.

Assessment of adherence to exercise intervention - percentage of performed exercise sessions.

Outcome measures

Outcome measures
Measure
Exercise Intervention
n=9 Participants
Home-based, remotely-controlled, app-guided exercise program
Standard Care Control Group
These participants will follow the usual post-sepsis care after returning to home. The participants will be asked to log their daily activities in the app's health diary. The app will be activated for the baseline and follow-up physical function assessments, which will be supervised be a blinded coordinator via a video call.
Exercise Adherence
76 Percentage
Standard Deviation 18.6

PRIMARY outcome

Timeframe: Baseline to 3 months

Recording a number of adverse events during the study period.

Outcome measures

Outcome measures
Measure
Exercise Intervention
n=10 Participants
Home-based, remotely-controlled, app-guided exercise program
Standard Care Control Group
n=11 Participants
These participants will follow the usual post-sepsis care after returning to home. The participants will be asked to log their daily activities in the app's health diary. The app will be activated for the baseline and follow-up physical function assessments, which will be supervised be a blinded coordinator via a video call.
Safety (Number of Adverse Events)
11 number of events
16 number of events

SECONDARY outcome

Timeframe: Change between Baseline and 3 months

Population: Five participants (Exercise: n=2; Control: n=3) were excluded because of inability to complete the physical function assessments due to hospital readmission before the 12-week visit or health status changes that prevented them from performing the tests according to the standard protocol.

Application-guided physical function testing. The 30-second sit-to-stand test assesses lower-body strength and functional mobility by measuring the number of times a participant can rise from a seated position to a full stand and return to sitting within 30 seconds.

Outcome measures

Outcome measures
Measure
Exercise Intervention
n=7 Participants
Home-based, remotely-controlled, app-guided exercise program
Standard Care Control Group
n=8 Participants
These participants will follow the usual post-sepsis care after returning to home. The participants will be asked to log their daily activities in the app's health diary. The app will be activated for the baseline and follow-up physical function assessments, which will be supervised be a blinded coordinator via a video call.
30-second Sit-to-Stand Test
1.14 repetitions
Standard Deviation 2.91
-0.88 repetitions
Standard Deviation 0.99

SECONDARY outcome

Timeframe: Change between Baseline and 3 months

Population: Five participants (Exercise: n=2; Control: n=3) were excluded because of inability to complete the physical function assessments due to hospital readmission before the 12-week visit or health status changes that prevented them from performing the tests according to the standard protocol.

Application-guided physical function testing. The 4-stage balance test assesses static balance by evaluating a participant's ability to maintain four progressively challenging standing positions for up to 10 seconds each. Successful completion of more advanced stages indicates better balance and postural control.

Outcome measures

Outcome measures
Measure
Exercise Intervention
n=7 Participants
Home-based, remotely-controlled, app-guided exercise program
Standard Care Control Group
n=8 Participants
These participants will follow the usual post-sepsis care after returning to home. The participants will be asked to log their daily activities in the app's health diary. The app will be activated for the baseline and follow-up physical function assessments, which will be supervised be a blinded coordinator via a video call.
4-Stage Balance Test
5.07 seconds
Standard Deviation 4.75
0.01 seconds
Standard Deviation 4.38

Adverse Events

Exercise Intervention

Serious events: 1 serious events
Other events: 6 other events
Deaths: 1 deaths

Standard Care Control Group

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Exercise Intervention
n=10 participants at risk
Home-based, remotely-controlled, app-guided exercise program
Standard Care Control Group
n=11 participants at risk
These participants will follow the usual post-sepsis care after returning to home. The participants will be asked to log their daily activities in the app's health diary. The app will be activated for the baseline and follow-up physical function assessments, which will be supervised be a blinded coordinator via a video call.
Renal and urinary disorders
Hospitalization
0.00%
0/10 • From enrollment until the end of 12-week follow-up
9.1%
1/11 • Number of events 1 • From enrollment until the end of 12-week follow-up
General disorders
Death
10.0%
1/10 • Number of events 1 • From enrollment until the end of 12-week follow-up
0.00%
0/11 • From enrollment until the end of 12-week follow-up

Other adverse events

Other adverse events
Measure
Exercise Intervention
n=10 participants at risk
Home-based, remotely-controlled, app-guided exercise program
Standard Care Control Group
n=11 participants at risk
These participants will follow the usual post-sepsis care after returning to home. The participants will be asked to log their daily activities in the app's health diary. The app will be activated for the baseline and follow-up physical function assessments, which will be supervised be a blinded coordinator via a video call.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain or associated issues
20.0%
2/10 • Number of events 3 • From enrollment until the end of 12-week follow-up
36.4%
4/11 • Number of events 7 • From enrollment until the end of 12-week follow-up
Renal and urinary disorders
Urinary tract or kidney associated issues
0.00%
0/10 • From enrollment until the end of 12-week follow-up
18.2%
2/11 • Number of events 2 • From enrollment until the end of 12-week follow-up
Respiratory, thoracic and mediastinal disorders
Respiratory issues
10.0%
1/10 • Number of events 1 • From enrollment until the end of 12-week follow-up
9.1%
1/11 • Number of events 1 • From enrollment until the end of 12-week follow-up
Cardiac disorders
Cardiac issues
10.0%
1/10 • Number of events 1 • From enrollment until the end of 12-week follow-up
9.1%
1/11 • Number of events 2 • From enrollment until the end of 12-week follow-up
Eye disorders
Eye disorders
0.00%
0/10 • From enrollment until the end of 12-week follow-up
9.1%
1/11 • Number of events 1 • From enrollment until the end of 12-week follow-up
Infections and infestations
Infections (non-UTI/respiratory)
10.0%
1/10 • Number of events 1 • From enrollment until the end of 12-week follow-up
9.1%
1/11 • Number of events 1 • From enrollment until the end of 12-week follow-up
Injury, poisoning and procedural complications
Falls or injuries
10.0%
1/10 • Number of events 1 • From enrollment until the end of 12-week follow-up
9.1%
1/11 • Number of events 1 • From enrollment until the end of 12-week follow-up
General disorders
Fatigue/malaise/dizziness/nausea
20.0%
2/10 • Number of events 3 • From enrollment until the end of 12-week follow-up
0.00%
0/11 • From enrollment until the end of 12-week follow-up

Additional Information

Robert Mankowski

University of Alabama at Birmingham

Phone: 205-996-3006

Results disclosure agreements

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