UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000053060
Receipt number R000060529
Scientific Title Supervised Cardiac Rehabilitation of Patients with Angina, Nonobstructive Coronary Artery Disease, and Impaired Myocardial Flow Reserve: Quantification of Clinical Effects by 13N-Ammonia Positron Emission Tomography
Date of disclosure of the study information 2024/10/27
Last modified on 2023/12/11 16:45:10

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Basic information

Public title

Supervised Cardiac Rehabilitation of Patients with Angina, Nonobstructive Coronary Artery Disease, and Impaired Myocardial Flow Reserve: Quantification of Clinical Effects by 13N-Ammonia Positron Emission Tomography

Acronym

Effects of Supervised Cardiac Rehabilitation

Scientific Title

Supervised Cardiac Rehabilitation of Patients with Angina, Nonobstructive Coronary Artery Disease, and Impaired Myocardial Flow Reserve: Quantification of Clinical Effects by 13N-Ammonia Positron Emission Tomography

Scientific Title:Acronym

Effects of Supervised Cardiac Rehabilitation

Region

Japan


Condition

Condition

Patients with angina and nonobstructive coronary artery disease associated with coronary microvascular dysfunction

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Exercise-based cardiac rehabilitation (CR) improves health-related quality of life and exercise capacity in patients with cardiovascular diseases. However, CR efficacy in patients with angina and nonobstructive coronary artery disease (ANOCA) associated with coronary microvascular dysfunction (CMD) remains unclear. We aimed to examine whether the multidisciplinary CR program is associated with improvements in CMD, symptomatic status, and exercise capacity.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Effect of 5-month exercise-based cardiac rehabilitation on PET-derived MFR, symptomatic status, and exercise capacity in patients with ANOCA.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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

95 years-old >=

Gender

Male and Female

Key inclusion criteria

We included 32 consecutive patients with ANOCA and impaired MFR, assessed using 13N-ammonia myocardial perfusion PET at our heart center, between November 2018 and November 2022.

Key exclusion criteria

The myocardial perfusion PET examinations, assessments of symptomatic status using the Seattle Angina Questionnaire (SAQ)-77 and exercise capacity using cardiopulmonary exercise testing (CPX), were conducted at baseline and 5-month follow-up for all study patients. Three patients refused these follow-up visits and were excluded.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Shiro
Middle name
Last name Miura

Organization

Sapporo Kojinkai Memorial Hospital

Division name

Department of Cardiology

Zip code

0630052

Address

2-1-16-1 Miyanosawa, Nishi-ku, Sapporo 063-0052, Japan

TEL

011-665-0020

Email

s.miura@sap-kojk.jp


Public contact

Name of contact person

1st name Shiro
Middle name
Last name Miura

Organization

Sapporo Kojinkai Memorial Hospital

Division name

Department of Cardiology,

Zip code

0630052

Address

2-1-16-1 Miyanosawa, Nishi-ku, Sapporo 063-0052, Japan

TEL

011-665-0020

Homepage URL


Email

s.miura@sap-kojk.jp


Sponsor or person

Institute

Department of Cardiology, Sapporo Kojinkai Memorial Hospital

Institute

Department

Personal name

Shiro Miura


Funding Source

Organization

No funding source.

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB in Sapporo Kojinkai Memorial Hospital

Address

2-1-16-1 Miyanosawa, Nishi-ku, Sapporo 063-0052, Japan

Tel

00810116650020

Email

t_yamashita@cvc-ohno.or.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



Other administrative information

Date of disclosure of the study information

2024 Year 10 Month 27 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

Open public recruiting

Date of protocol fixation

2018 Year 10 Month 01 Day

Date of IRB

2023 Year 01 Month 12 Day

Anticipated trial start date

2018 Year 11 Month 01 Day

Last follow-up date

2028 Year 02 Month 28 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We included 32 consecutive patients with ANOCA and impaired MFR, assessed using 13N-ammonia myocardial perfusion PET at our heart center, between November 2018 and November 2022. A 5-month exercise-based CR program, along with appropriate medical interventions, including comprehensive patient education, lifestyle modifications, and management of cardiovascular risk factors, was proposed to them in our outpatient department at the first diagnosis. The myocardial perfusion PET examinations, assessments of symptomatic status using the Seattle Angina Questionnaire (SAQ)-77 and exercise capacity using cardiopulmonary exercise testing (CPX), were conducted at baseline and 5-month follow-up for all study patients. Three patients refused these follow-up visits and were excluded.


Management information

Registered date

2023 Year 12 Month 11 Day

Last modified on

2023 Year 12 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060529