UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000051365
Receipt number R000058550
Scientific Title A feasibility study on intensive cardiac rehabilitation for Japanese patients with coronary artery disease
Date of disclosure of the study information 2023/07/01
Last modified on 2023/06/17 15:39:25

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Basic information

Public title

A feasibility study on intensive cardiac rehabilitation for Japanese patients

Acronym

A feasibility study on ICR for Japanese patients

Scientific Title

A feasibility study on intensive cardiac rehabilitation for Japanese patients with coronary artery disease

Scientific Title:Acronym

A feasibility study on ICR in Japan

Region

Japan


Condition

Condition

Coronary Artery Disease

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We developed a Japanese-style Intensive Cardiac Rehabilitation (ICR) program that is compatible with cardiovascular disease patients in Japan, and conduct a pilot study to examine its adherence, safety, and feasibility.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Adherence (program participation rate, daily exercise time/amount of activity at home, stress management practice time at home)
HEI(Healthy Eating Index)-2015

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Early group: Patients in the early group (12 cases) attend the program after the week after randomization.
Attend an online Japanese-style Intensive Cardiac Rehabilitation (ICR) program.
ICR; 3 hours per session, once a week, 12 weeks, (i) exercise guidance 40 minutes, (ii) food guidance (Japan diet centered on vegetarian) 40 minutes, (iii) mindfulness 40 minutes, (iv) group support 40 minutes conduct.
Twenty-four patients will be randomized 1:1 into 12 early and 12 late groups. Patients in the early group attend the program after the week after randomization. Patients in the late group attend the program after 12-week waiting period.

Interventions/Control_2

Late group: Patients in the late group (12 cases) attend the program after 12-week waiting period.
Attend an online Japanese-style Intensive Cardiac Rehabilitation (ICR) program (same program as early group).
ICR; 3 hours per session, once a week, 12 weeks, (i) exercise guidance 40 minutes, (ii) food guidance (Japan diet centered on vegetarian) 40 minutes, (iii) mindfulness 40 minutes, (iv) group support 40 minutes conduct.

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

18 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients meet all of the following inclusion criteria.
1. Diagnosed with coronary artery disease and treated by medical or non-medical therapy. Subjective symptoms and condition are stable.
2. Details of eligibility criteria of atherosclerotic heart disease
a. History of ischemic heart disease due to coronary artery stenosis diagnosed by cardiac catheterization or coronary CT angiography.
b. History of percutaneous coronary angioplasty (PCI), coronary artery bypass graft (CABG), or myocardial infarction.
c. Diagnosed with chronic heart failure due to ischemic cardiomyopathy.
3. Understanding and motivated for patient education program and basic self-management skills.

Key exclusion criteria

Exclude if any of the following criteria.
1.Patients with unstable medical condition of other diseases who are undergoing hospitalization or equivalent treatment, or who are likely to undergo such treatment.
2.Patients with active cancer.
3.Patients with following coronary artery diseases.
a. Unstable angina.
b. Within 3 months after catheter treatment such as PCI, CABG, myocardial infarction or other invasive treatment.
c. Hemodynamics and arrhythmia control are not stable.
4.Patients who have comorbidities (Crohn's disease, etc.) that require a special therapeutic diet, or who are receiving continuous individual nutritional guidance other than cardiac rehabilitation.
5.Patients with chronic kidney disease of grade 4 or higher and on maintenance dialysis.
6.Patients who have difficulty understanding the purpose and content of the program due to dementia, mental illness, etc.
7.Patients who are outpatients due to psychiatric disease.
8.Patients who have difficulty in attending Japanese language programs in an online environment.
9.Patients who have not been able to quit smoking.
10.Patients with substance-related disorder (alcohol, drug dependence, etc.).
11.Patients who are pregnant or may become pregnant.
12.Pacemaker, ICD (implantable cardioverter defibrillator), CRT-P, CRT-D (implantable cardiac resynchronization therapy) and other devices are implanted.
13.Patients deemed inappropriate by the attending physician.

Target sample size

24


Research contact person

Name of lead principal investigator

1st name Neiko
Middle name
Last name Ozasa

Organization

Kyoto University Hospital

Division name

Cardiovascular medicine

Zip code

606-8507

Address

54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto

TEL

075-751-4255

Email

nei126@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Kazuhisa
Middle name
Last name Kaneda

Organization

Kyoto University Hospital

Division name

Cardiovascular medicine

Zip code

606-8507

Address

54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto

TEL

075-751-4255

Homepage URL


Email

kazuhisaknd@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Kyoto University Hospital

Institute

Department

Personal name

Neiko Ozasa


Funding Source

Organization

The Japanese Association of Cardiac Rehabilitation

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

Kyoto University Hospital

Address

54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto

Tel

075-751-4899

Email

trans@kuhp.kyoto-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

京都大学医学部附属病院 (京都府)


Other administrative information

Date of disclosure of the study information

2023 Year 07 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2023 Year 06 Month 06 Day

Date of IRB


Anticipated trial start date

2023 Year 07 Month 01 Day

Last follow-up date

2024 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 06 Month 16 Day

Last modified on

2023 Year 06 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000058550


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name