UMIN-CTR Clinical Trial

Recruitment status Completed
Unique ID issued by UMIN UMIN000041616
Receipt No. R000047504
Scientific Title Prevention of frailty in Elderly by home-based Exercise intervention with Remote Supervision (PEERS trial)
Date of disclosure of the study information 2020/09/05
Last modified on 2022/09/02 (Ver. 3)

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Basic information
Public title Prevention of frailty in Elderly by home-based Exercise intervention with Remote Supervision (PEERS trial)
Acronym PEERS Trial
Scientific Title Prevention of frailty in Elderly by home-based Exercise intervention with Remote Supervision (PEERS trial)
Scientific Title:Acronym PEERS Trial
Region
Japan

Condition
Condition Elderly without frailty
Classification by specialty
Adult
Classification by malignancy Others
Genomic information NO

Objectives
Narrative objectives1 The purpose of this study is to evaluate the effectiveness of a preventive exercise program for elderly people (65 years of age and older) that they can participate in remotely at home using Moff's mobile application that allows them to perform a preventive exercise program for frailty prevention while wearing motion sensors developed by Moff.
Basic objectives2 Safety,Efficacy
Basic objectives -Others
Trial characteristics_1
Trial characteristics_2
Developmental phase

Assessment
Primary outcomes 30-second chair stand test(CS-30)
Key secondary outcomes Time Upe & Go test (TUG), one-leg standing duration with vision, self-reported efect (physical fitness, back/knee pain, feelings, interactions, family conversations, etc.), safety

Base
Study type Interventional

Study design
Basic design Parallel
Randomization Randomized
Randomization unit Individual
Blinding Open -no one is blinded
Control No treatment
Stratification YES
Dynamic allocation NO
Institution consideration Institution is not considered as adjustment factor.
Blocking YES
Concealment Central registration

Intervention
No. of arms 2
Purpose of intervention Educational,Counseling,Training
Type of intervention
Other
Interventions/Control_1 Intensive exercise course (a course designed to improve physical function by exercising three times a week on a continuous basis)
Interventions/Control_2 Healthy Learning Course (a course that combines exercise and health-related learning three times a week to help maintaining their health)
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
65 years-old <=
Age-upper limit

Not applicable
Gender Male and Female
Key inclusion criteria 1) Residents of Kobe City who are 65 years of age or older
2) Those who can safely perform the "Lively 100 year old exercise" (sitting and standing) at home.
3) iPhone or iPad owners
Key exclusion criteria 1) Frail elderly based on the frailty screening index
2) High-risk elderly based on the fall risk criteria
Target sample size 100

Research contact person
Name of lead principal investigator
1st name Koji
Middle name
Last name Oba
Organization The University of Tokyo
Division name Interfaculty Initiative in Information Studies
Zip code 113-0033
Address 7-3-1, Hongo, Bunkyo-ku, Tokyo
TEL 03-5841-3519
Email oba@epistat.m.u-tokyo.ac.jp

Public contact
Name of contact person
1st name Yasuhiro
Middle name
Last name Tsuchida
Organization Moff Corp.
Division name Moff
Zip code 107-0062
Address 3-3-6, Minami-Aoyama, Minato-ku, Tokyo
TEL 03-4405-5216
Homepage URL
Email info@moff.mobi

Sponsor
Institute The University of Tokyo
Institute
Department

Funding Source
Organization Moff Corp.
Organization
Division
Category of Funding Organization Self funding
Nationality of Funding Organization

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

IRB Contact (For public release)
Organization Interfaculty Initiative in Information Studies, The University of Tokyo
Address 7-3-1, Bunkyo-ku, Hongo, Tokyo
Tel 03-5841-5960
Email kenkyo@iii.u-tokyo.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 自宅(兵庫県)

Other administrative information
Date of disclosure of the study information
2020 Year 09 Month 05 Day

Related information
URL releasing protocol https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-022-03273-3
Publication of results Published

Result
URL related to results and publications https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-022-03273-3
Number of participants that the trial has enrolled 70
Results After 3 months of intervention, CS-30 scores and other physical function improved in both groups. Difference in the 3-month CS-30 scores between two programs was found to be 0.08 (95% confidence interval: -2.64, 2.79; p = 0.955), which was not statistically significant. No harmful incidents, such as falls, occurred in either group.
Results date posted
2022 Year 09 Month 02 Day
Results Delayed
Results Delay Reason
Date of the first journal publication of results
Baseline Characteristics Ultimately, 70 participants were enrolled and allocated into the two groups, with the Exercise-Intensive and Light-load exercise programs comprising 36 and 34 participants, respectively. Table 2 summarizes the participants' characteristics at baseline according to their assigned program. Accordingly, 53% of the participants were male, with a mean age of 69 years. Although both groups were found to have comparable characteristics, there was a slight difference in the distribution of the Brief Frailty Index values. Notably, 50% of participants in the Exercise-Intensive program had a score of 0, whereas only 29% of those in the Light-load exercise program had the same score. The mean baseline scores for the CS-30 were 16.83 and 18.06 in the Exercise-Intensive and Light-load exercise programs, respectively. SOLEO test scores were considerably skewed, with several participants in both groups scoring the maximum of 120 s.
Participant flow The diagram includes the breakdown of the number of people who participated/did not participate in the intervention, the number of people in whom measurements were/were not obtained after 3 months, and the number of people included/excluded from analyses (all were included despite some missing data).
Adverse events No adverse events, such as falls, occurred in either of the programs.
Outcome measures Figure 5 shows the crude changes in the mean (SD) results of the CS-30, TUG, and SOLEO tests for each month. A clear improvement in CS-30 and TUG test results was observed for both programs. Although the SOLEO test results also improved, the improvement leveled off given that the test had an upper limit of 120s. Table 3 shows the between-group differences (Exercise-Intensive program score - Light-load exercise program score) in MMRM estimates for the least squares means of the three tests. Participants in the Exercise-Intensive and Lightload exercise programs had an estimated least square mean for the 3-month CS-30 score of 27.30 (95% CI: 25.43 - 29.17) and 27.22 (95% CI: 25.27 - 29.18), respectively. The change in the CS-30 score after 3 months was 9.89 and 9.81 following the Exercise-Intensive and Light-load exercise programs, respectively. Therefore, the primary outcome (i.e., the 3-month between-group difference in scores) was 0.08 (95% CI: - 2.64 - 2.79), which was not statistically significant (p = 0.955). Similarly, no significant differences in secondary endpoints were found (Table 3). Subgroup analysis based on age, sex, and baseline CS-30 scores showed that the difference in the CS-30 scores after 3 months between the Exercise-Intensive and Light-load exercise programs was consistent across the prespecified subgroups (Table 4). Participation compliance differed between programs (Fig. 3). The crude mean change in the CS-30 score after 3 months was 12.55 (6.14) among compliers (N = 11) and 9.39 (6.25) among non-compliers (N = 18) in the Exercise-Intensive program. Similarly, the crude mean change in the CS-30 score after 3 months was 10.65 (4.92) among compliers (N = 23) and 6.00 (6.35) among noncompliers (N = 6) in the Light-load exercise program. Compliers exhibited a greater change in the CS-30 scores after 3 months than non-compliers in both the programs (p = 0.014 and p = 0.017, respectively). However, the complier-averaged treatment effect, defined as the average causal effect of the program on those who complied with their assignments, was 1.44 (95% CI: -2.33 - 5.21), without a significant difference between the programs (p = 0.454).
Plan to share IPD
IPD sharing Plan description

Progress
Recruitment status Completed
Date of protocol fixation
2020 Year 08 Month 28 Day
Date of IRB
2020 Year 08 Month 30 Day
Anticipated trial start date
2020 Year 09 Month 06 Day
Last follow-up date
2020 Year 12 Month 31 Day
Date of closure to data entry
Date trial data considered complete
Date analysis concluded
2021 Year 03 Month 31 Day

Other
Other related information

Management information
Registered date
2020 Year 08 Month 31 Day
Last modified on
2022 Year 09 Month 02 Day


Link to view the page
URL(English) https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000047504