UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042275
Receipt number R000047976
Scientific Title Effects of remote patient management on cardiac disease: A randomized controlled trial
Date of disclosure of the study information 2020/10/29
Last modified on 2022/05/02 10:18:14

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Basic information

Public title

Effects of remote patient management on cardiac disease: A randomized controlled trial

Acronym

Remote patient management trial

Scientific Title

Effects of remote patient management on cardiac disease: A randomized controlled trial

Scientific Title:Acronym

Remote patient management trial

Region

Japan


Condition

Condition

Cardiac disease

Classification by specialty

Cardiology Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effect of remote patients management program on the prevention of physical function deterioration in patients with cardiac disease

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Changes in the five time sit to stand test, a component of the Short Physical Performance Battery (SPPB)

Key secondary outcomes

Overall satisfaction with remote patients management program


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

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

Prevention

Type of intervention

Vaccine Behavior,custom

Interventions/Control_1

"Outpatient group" continues to exercise program on an outpatient basis for a month

Interventions/Control_2

"Remote patients management group" receives one month of remote support using a telemedicine system

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

20 years-old <=

Age-upper limit

85 years-old >

Gender

Male and Female

Key inclusion criteria

(1) Age between 20 and 85 years old at the time of obtaining consent
(2) No events occur during outpatient cardiac rehabilitation
(3) Those who, after receiving a full explanation of their participation in this study, have obtained written consent of their own free will with a full understanding of the research subject.
(4) Family members who can help with remote support

Key exclusion criteria

(1) Patients with neuromuscular abnormalities that interfere with walking
(2) Those with vision problems such as not being able to see the screen of a tablet device for remote assistance
(3) Hearing problems such as inability to listen to voice during remote assistance
(4) Others who are deemed unsuitable as research subjects by the attending physician or principal investigator.

Target sample size

46


Research contact person

Name of lead principal investigator

1st name Tetsuya
Middle name
Last name Takahashi

Organization

Juntendo University

Division name

Faculty of Health Science, Department of Physical Therapy

Zip code

1130033

Address

3-2-12 Hongo Bunkyo-ku, Tokyo

TEL

03-5802-0425

Email

te-takahashi@juntendo.ac.jp


Public contact

Name of contact person

1st name Tetsuya
Middle name
Last name Takahashi

Organization

Juntendo University

Division name

Faculty of Health Science, Department of Physical Therapy

Zip code

1130033

Address

3-2-12 Hongo Bunkyo-ku, Tokyo

TEL

03-5802-0425

Homepage URL


Email

te-takahashi@juntendo.ac.jp


Sponsor or person

Institute

Faculty of Health Science
Department of Physical Therapy
Juntendo University

Institute

Department

Personal name



Funding Source

Organization

Medical Policy Bureau, Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Juntendo University Hospital Ethics Committee

Address

3-1-3 Hongo Bunkyo-ku, Tokyo

Tel

03-5802-1584

Email

kenkyu5858@juntendo.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

順天堂大学医学部附属順天堂医院(東京都)


Other administrative information

Date of disclosure of the study information

2020 Year 10 Month 29 Day


Related information

URL releasing protocol

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8827239/

Publication of results

Partially published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8827239/

Number of participants that the trial has enrolled

11

Results

All participants completed the intervention without serious adverse event in each group. After the on-site initial remote system set up, all the patients completed the Remote-CR session without on-site assistance. Patients' satisfaction with Remote-CR was generally high. Remote-CR helps to maintain healthy lifestyle behavior. In addition, Remote-CR and CB-CR seem to be equally successful in maintaining functional status and preventing cardiovascular-related hospital readmission.

Results date posted

2022 Year 05 Month 02 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Between October 2020 and February 2021, we enrolled older patients with cardiac disease after at least over 5 months of ambulatory CR program.

Participant flow

The study was conducted as a randomized controlled case series to compare Remote-CR vs. center-based CR (CB-CR) after ambulatory CR in older patients with cardiac disease.

Adverse events

Non

Outcome measures

We evaluated the satisfaction of Remote-CR, and impact of Remote-CR on adherence to exercise and physical activity management. Moreover, we assessed the change in functional status using handgrip strength, usual gait speed, short physical performance battery (SPPB), and Kihon checklist (KCL) before the intervention, at the end of the 4-week intervention, and cardiovascular-related hospital discharge within 6 months after completion of ambulatory CR.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 10 Month 28 Day

Date of IRB

2020 Year 09 Month 10 Day

Anticipated trial start date

2020 Year 10 Month 30 Day

Last follow-up date

2021 Year 03 Month 31 Day

Date of closure to data entry

2021 Year 05 Month 31 Day

Date trial data considered complete

2021 Year 05 Month 31 Day

Date analysis concluded

2021 Year 07 Month 31 Day


Other

Other related information



Management information

Registered date

2020 Year 10 Month 29 Day

Last modified on

2022 Year 05 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047976


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name