Trial Outcomes & Findings for Novel Respiratory Training as Part of Palliative Care for Older Adults With Heart Failure (NCT NCT06576297)

NCT ID: NCT06576297

Last Updated: 2026-07-17

Results Overview

The number of participants who complete the 3-month assessment is used as a measure of intervention feasibility. Completion of this assessment indicates the feasibility of retaining participants in the study throughout the 3-month intervention period.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

3-month

Results posted on

2026-07-17

Participant Flow

20 individuals enrolled in the study, however, 1 participant withdrew from the study prior to assignment.

Participant milestones

Participant milestones
Measure
Standard of Care
Participants in the usual care group will be telephoned at 4, 8, and 12 weeks for AE/SAE review.
IMT Group: Inspiratory Muscle Training (IMT)
Inspiratory Muscle Training (IMT) exercise sessions in addition to standard of care group telephone calls at 4 and 8 weeks, and 12 weeks for AE/SAE review.
Overall Study
STARTED
9
10
Overall Study
COMPLETED
7
7
Overall Study
NOT COMPLETED
2
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Standard of Care
Participants in the usual care group will be telephoned at 4, 8, and 12 weeks for AE/SAE review.
IMT Group: Inspiratory Muscle Training (IMT)
Inspiratory Muscle Training (IMT) exercise sessions in addition to standard of care group telephone calls at 4 and 8 weeks, and 12 weeks for AE/SAE review.
Overall Study
Lost to Follow-up
2
3

Baseline Characteristics

Novel Respiratory Training as Part of Palliative Care for Older Adults With Heart Failure

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard of Care
n=9 Participants
Participants in the standard of care (SOC) group will be telephoned monthly at 4 weeks, 8 weeks, and 12 weeks, and AE/SAE will be reviewed and collected.
IMT Group: Inspiratory Muscle Training (IMT)
n=10 Participants
Participants in the Inspiratory Muscle Training (IMT) group will be telephoned monthly at 4 weeks, 8 weeks, and 12 weeks, and AE/SAE will be reviewed and collected.
Total
n=19 Participants
Total of all reporting groups
Age, Continuous
75.67 Years
STANDARD_DEVIATION 7.25 • n=20 Participants
73.10 Years
STANDARD_DEVIATION 3.63 • n=20 Participants
74.32 Years
STANDARD_DEVIATION 5.63 • n=40 Participants
Sex: Female, Male
Female
3 Participants
n=20 Participants
2 Participants
n=20 Participants
5 Participants
n=40 Participants
Sex: Female, Male
Male
6 Participants
n=20 Participants
8 Participants
n=20 Participants
14 Participants
n=40 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Asian
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=20 Participants
2 Participants
n=20 Participants
2 Participants
n=40 Participants
Race (NIH/OMB)
White
09 Participants
n=20 Participants
8 Participants
n=20 Participants
17 Participants
n=40 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
09 Participants
n=20 Participants
10 Participants
n=20 Participants
19 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants

PRIMARY outcome

Timeframe: 3-month

The number of participants who complete the 3-month assessment is used as a measure of intervention feasibility. Completion of this assessment indicates the feasibility of retaining participants in the study throughout the 3-month intervention period.

Outcome measures

Outcome measures
Measure
Standard of Care
n=9 Participants
Participants in the usual care group will be telephoned at 4 and 8 weeks, and AE/SAE will be reviewed.
IMT Group: Inspiratory Muscle Training (IMT)
n=10 Participants
IMT exercise sessions addition to standard of care.
Completion of 3-month Assessment
7 Participants
7 Participants

SECONDARY outcome

Timeframe: Baseline to 3-months

Population: Three participants in the IMT Group and three participants in the Standard of Care Group did not complete MIP Testing at the three month data collection visit.

Change in maximum inspiratory pressure (MIP; cmH₂O). MIP is used as an indicator of inspiratory muscle strength

Outcome measures

Outcome measures
Measure
Standard of Care
n=6 Participants
Participants in the usual care group will be telephoned at 4 and 8 weeks, and AE/SAE will be reviewed.
IMT Group: Inspiratory Muscle Training (IMT)
n=7 Participants
IMT exercise sessions addition to standard of care.
Change in MIP (Maximum Inspiratory Pressure)
10.50 cmH2O
Standard Deviation 8.09
23.00 cmH2O
Standard Deviation 13.22

SECONDARY outcome

Timeframe: Baseline to 3-months

Population: Three participants in the IMT Group and two participants in the Standard of Care Group did not complete Sit to Stand Testing at the three month data collection visit.

Change in Sit-to-Stand Time: Time needed to complete 5 Sit-to-Stands from a chair (in seconds).

Outcome measures

Outcome measures
Measure
Standard of Care
n=7 Participants
Participants in the usual care group will be telephoned at 4 and 8 weeks, and AE/SAE will be reviewed.
IMT Group: Inspiratory Muscle Training (IMT)
n=7 Participants
IMT exercise sessions addition to standard of care.
Change in Sit to Stand Time
1.43 seconds
Standard Deviation 3.05
0.14 seconds
Standard Deviation 0.38

SECONDARY outcome

Timeframe: Baseline to 3-month

Population: Three participants in the IMT group and two participants in the Standard of Care Group did not complete Gait speed testing at the three-month data collection visit.

4 m Gait Speed: m/sec

Outcome measures

Outcome measures
Measure
Standard of Care
n=7 Participants
Participants in the usual care group will be telephoned at 4 and 8 weeks, and AE/SAE will be reviewed.
IMT Group: Inspiratory Muscle Training (IMT)
n=7 Participants
IMT exercise sessions addition to standard of care.
Change in Gait Speed
-0.02 meters/second
Standard Deviation 0.18
0.04 meters/second
Standard Deviation 0.14

SECONDARY outcome

Timeframe: Baseline to 3-month

Population: Three participants in the IMT group and two participants in the Standard of Care Group did not complete the Sullivan Self-Efficacy to Maintain Function Scale at the three-month data collection visit.

Change in the Sullivan Self-Efficacy to Maintain Function Scale: 0-52; higher score is more favorable

Outcome measures

Outcome measures
Measure
Standard of Care
n=7 Participants
Participants in the usual care group will be telephoned at 4 and 8 weeks, and AE/SAE will be reviewed.
IMT Group: Inspiratory Muscle Training (IMT)
n=7 Participants
IMT exercise sessions addition to standard of care.
Change in the Sullivan Self-Efficacy to Maintain Function Scale
4.43 score
Standard Deviation 8.46
-0.14 score
Standard Deviation 6.28

SECONDARY outcome

Timeframe: Baseline to 3-month

Population: Three participants in the IMT Group and two participants in the Standard of Care Group did not complete the KCCQ at the three month data collection visit.

Kansas City Cardiomyopathy Questionnaire (KCCQ) to measure quality of life; score: 0-100; higher is more favorable than lower score.

Outcome measures

Outcome measures
Measure
Standard of Care
n=7 Participants
Participants in the usual care group will be telephoned at 4 and 8 weeks, and AE/SAE will be reviewed.
IMT Group: Inspiratory Muscle Training (IMT)
n=7 Participants
IMT exercise sessions addition to standard of care.
Change in Kansas City Cardiomyopathy Questionnaire (KCCQ): Quality of Life Score
13.02 score
Standard Deviation 20.75
6.77 score
Standard Deviation 14.95

SECONDARY outcome

Timeframe: Baseline to 3-month

Population: Three participants in the IMT Group and two participants in the Standard of Care Group did not complete the PROMIS survey at the three month data collection visit.

Fatigue: PROMIS Item Bank v1.0 - Fatigue - short form 13a (FACIT-Fatigue): scale 0-52; lower indicates less fatigue.

Outcome measures

Outcome measures
Measure
Standard of Care
n=7 Participants
Participants in the usual care group will be telephoned at 4 and 8 weeks, and AE/SAE will be reviewed.
IMT Group: Inspiratory Muscle Training (IMT)
n=7 Participants
IMT exercise sessions addition to standard of care.
Change in Fatigue
-3.83 score
Standard Deviation 6.86
-4.54 score
Standard Deviation 6.40

SECONDARY outcome

Timeframe: Baseline to 3-months

Population: Three participants in the IMT group and two participants in the Standard of Care Group did not complete gripo strength testing at the three-month data collection visit.

Change in Grip Strength (of dominant hand) in kilograms(kg)

Outcome measures

Outcome measures
Measure
Standard of Care
n=7 Participants
Participants in the usual care group will be telephoned at 4 and 8 weeks, and AE/SAE will be reviewed.
IMT Group: Inspiratory Muscle Training (IMT)
n=7 Participants
IMT exercise sessions addition to standard of care.
Change in Grip Strength: kg
28.29 kilogram (kg)
Standard Deviation 9.89
32.29 kilogram (kg)
Standard Deviation 15.51

Adverse Events

Standard of Care

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

IMT Group: Inspiratory Muscle Training (IMT)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Daniel E. Forman, M.D.

University of Pittsburgh

Phone: 412-864-2082

Results disclosure agreements

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