UMIN-CTR Clinical Trial

Recruitment status Completed
Unique ID issued by UMIN UMIN000026151
Receipt No. R000030047
Scientific Title Effect of branched chain amino acid with exercise on elderly patients with total hip arthroplasty and THA revision: Confirmatory study
Date of disclosure of the study information 2017/02/15
Last modified on 2020/07/13 (Ver. 9)

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Basic information
Public title Effect of branched chain amino acid with exercise on elderly patients with total hip arthroplasty and THA revision: Confirmatory study
Acronym Effect of branched chain amino acid with exercise on patients with total hip arthroplasty and THA revision
Scientific Title Effect of branched chain amino acid with exercise on elderly patients with total hip arthroplasty and THA revision: Confirmatory study
Scientific Title:Acronym Effect of branched chain amino acid with exercise on patients with total hip arthroplasty and THA revision
Region
Japan

Condition
Condition Total hip arthroplasty
Revision for Total hip arthroplasty
Classification by specialty
Orthopedics Rehabilitation medicine
Classification by malignancy Others
Genomic information NO

Objectives
Narrative objectives1 Using randomized control trial, This study examined the efficacy of muscle strength exercise combined with branched chain amino acid supplementation to physical function.
Basic objectives2 Efficacy
Basic objectives -Others
Trial characteristics_1 Exploratory
Trial characteristics_2 Pragmatic
Developmental phase Phase II

Assessment
Primary outcomes Hip abductor strength
Key secondary outcomes knee extensor strength
muscle mass of upper and lower limb
Grip strength
Cross-sectional aera of the brachium
Functional Indepndence Measure
10-m timed gait test

Base
Study type Interventional

Study design
Basic design Parallel
Randomization Randomized
Randomization unit Individual
Blinding Single blind -participants are blinded
Control Placebo
Stratification NO
Dynamic allocation NO
Institution consideration Institution is not considered as adjustment factor.
Blocking NO
Concealment Numbered container method

Intervention
No. of arms 2
Purpose of intervention Treatment
Type of intervention
Food
Interventions/Control_1 Branched amino acid supplement
3.4g(6.8g)/ 1 month
Interventions/Control_2 starch 1.2g/ 1 month
Interventions/Control_3
Interventions/Control_4
Interventions/Control_5
Interventions/Control_6
Interventions/Control_7
Interventions/Control_8
Interventions/Control_9
Interventions/Control_10

Eligibility
Age-lower limit
70 years-old <=
Age-upper limit

Not applicable
Gender Female
Key inclusion criteria Patients with no deglutition disorder.
Key exclusion criteria 1) Persons with past surgical history
2) Persons with renal disorder who need
to protein restriction
3) Persons with progressive disorder of
the nervous system and muscle
4) Patients scheduled for conventional
total hip arthroplasty.
5) Patients scheduled for arthroplasy
with osteotomy
6) Patients scheduled for arthroplasy
with hip adductor muscle dehiscence
7) Patients with dementia
8) Patients with the depression or
schizophrenic disorder
9) Patients with cerebro-vascular
disease
10) Patients with untreated cardio
-vascular disorder
Target sample size 55

Research contact person
Name of lead principal investigator
1st name Takashi
Middle name
Last name Ikeda
Organization Showa University
Division name School of Nrsing and Rehabilitation sciences
Zip code 227-8517
Address 2-1-1, Fujigaoka Aoba YOKOHAMA, KANAGAWA
TEL +81-045-974-2221
Email tk.ikeda@nr.showa-u.ac.jp

Public contact
Name of contact person
1st name Takashi
Middle name
Last name Ikeda
Organization Showa University
Division name School of Nrsing and Rehabilitation sciences
Zip code 227-8517
Address 2-1-1, Fujigaoka Aoba YOKOHAMA, KANAGAWA
TEL +81-045-974-2221
Homepage URL
Email tk.ikeda@nr.showa-u.ac.jp

Sponsor
Institute Showa University Fujigaoka Hospital
Institute
Department

Funding Source
Organization Showa University, School of Nrsing and Rehabilitation sciences
Organization
Division
Category of Funding Organization Other
Nationality of Funding Organization Japan

Other related organizations
Co-sponsor
Name of secondary funder(s)

IRB Contact (For public release)
Organization Showa University Fujigaoka hospital ethic commttiee
Address 2-1-1 Fujigaoka, Aoba ward
Tel 045-974-6329
Email f-irb@cmed.showa-u.ac.jp

Secondary IDs
Secondary IDs NO
Study ID_1
Org. issuing International ID_1
Study ID_2
Org. issuing International ID_2
IND to MHLW

Institutions
Institutions 昭和大学藤が丘リハビリテーション病院: Showa University Fujigaoka Rehabilitation Hospital

Other administrative information
Date of disclosure of the study information
2017 Year 02 Month 15 Day

Related information
URL releasing protocol none
Publication of results Published

Result
URL related to results and publications https://www.ncbi.nlm.nih.gov/pubmed/31826368
Number of participants that the trial has enrolled 31
Results
 BCAA supplementation combined with muscle strengthening exercises had a significant effect on knee extension strength of the contralateral side and on upper arm cross-sectional area. The improvement ratio of knee extension strength before and after intervention on the operated side was also significantly higher in the BCAA group.
Results date posted
2020 Year 07 Month 13 Day
Results Delayed
Results Delay Reason
Date of the first journal publication of results
2019 Year 12 Month 01 Day
Baseline Characteristics
The eligible patients were 31 elderly women who were admitted to a ward for rehabilitation during convalescence after THA and revisions.
Participant flow
A one-month period of supplementation was
combined with physical exercises.
Adverse events
none
Outcome measures
Demographic data were collected from clinical records and included age, body mass index (BMI), co-morbidity index, diagnosis, surgical procedure, duration of hospital stay, the number of combined therapy sessions, nutritional status, and prescribed analgesic medicines. The antiinflammatory activity of non-steroidal anti-inflammatory drugs (NSAIDs) has been reported to impair satellite cell activity, which is required for muscle protein synthesis. Evaluations were conducted in the preintervention period and the post-intervention period. Investigators assessed muscle strength, skeletal muscle mass, and the functional independence measure (FIM)
score.
Plan to share IPD
IPD sharing Plan description

Progress
Recruitment status Completed
Date of protocol fixation
2017 Year 01 Month 24 Day
Date of IRB
2017 Year 02 Month 15 Day
Anticipated trial start date
2017 Year 02 Month 28 Day
Last follow-up date
2018 Year 03 Month 25 Day
Date of closure to data entry
2018 Year 03 Month 25 Day
Date trial data considered complete
2018 Year 03 Month 31 Day
Date analysis concluded
2018 Year 03 Month 31 Day

Other
Other related information

Management information
Registered date
2017 Year 02 Month 15 Day
Last modified on
2020 Year 07 Month 13 Day


Link to view the page
URL(English) https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030047