UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054434
Receipt number R000062138
Scientific Title Effects of Home-based Long-term Electrical Muscle Stimulation on Physical Function in Frailty Older Patients with Cardiovascular Disease: a randomized controlled trial
Date of disclosure of the study information 2024/05/19
Last modified on 2025/10/06 15:10:53

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Basic information

Public title

Effects of Home-based Long-term Electrical Muscle Stimulation on Physical Function in Frailty Older Patients with Cardiovascular Disease: a randomized controlled trial

Acronym

FITNESS trial

Scientific Title

Effects of Home-based Long-term Electrical Muscle Stimulation on Physical Function in Frailty Older Patients with Cardiovascular Disease: a randomized controlled trial

Scientific Title:Acronym

FITNESS trial

Region

Japan


Condition

Condition

Frailty older patients with cardiovascular disease

Classification by specialty

Cardiology Geriatrics Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the efficacy and safety of home-based long-term electrical muscle stimulation on physical function in frailty older patients with cardiovascular disease

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in quadriceps isometric strength (measurements at baseline and 8 weeks after hospital discharge)

Key secondary outcomes

Change in physical function, body composition, quality of life, and physical activity (measurements at baseline and 8 weeks after discharge)
Improvement in frailty at the end of follow-up
Presence or absence of sarcopenia at the end of follow-up and change in score (measurements at baseline and 8 weeks after discharge)
Change in cognitive function (measurements at baseline and 8 weeks after discharge) and presence or absence of cognitive decline
Recurrence or rehospitalization for cardiovascular disease, all-cause or cardiovascular disease-related deaths, or falls during follow-up
Adherence to intervention, adverse events associated with the intervention, and retention in outpatient rehabilitation
Subgroup analysis (statistical significance level of p-value for interaction: <0.1): age (stratified at median value), gender (male, female), quadriceps isometric strength at baseline (stratified at median value), diagnostic category (heart failure, acute coronary syndrome, other)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

1) Usual cardiac rehabilitation
2) Electrical muscle stimulation training (5 sessions per week for 8 weeks, with each session lasting 20 minutes)

Interventions/Control_2

1) Usual cardiac rehabilitation

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) Patients hospitalized for cardiovascular disease and prescribed cardiac rehabilitation
2) Patients within 7 days of admission
3) Patients aged 65 years or older
4) Patients with frailty (Short Physical Performance Battery score of 4-9)

Key exclusion criteria

1) Patients undergoing hemodialysis
2) Patients with severe aortic stenosis
3) Patients with severe left ventricular outflow tract obstruction
4) Patients with untreated exercise-induced severe arrhythmia (ventricular fibrillation, sustained ventricular tachycardia)
5) Patients with uncontrolled hypertension or diabetes mellitus
6) Peripheral arterial disease (Fontaine classification of III or higher)
7) Patients undergoing home oxygen therapy
8) Unstable angina pectoris (myocardial ischemia induced by exercise less than 3 METs)
9) Patients who have difficulty in giving consent to participate in the study due to cognitive decline
10) Patients who require help in walking before admission
11) Patients with orthopedic conditions that interfere with ambulation
12) Pregnant, lactating, or possibly pregnant patients
13) Patients with a body mass index of 30 kg/m2 or more
14) Known and documented neuromuscular disease
15) Patients with a pacemaker or implantable cardioverter defibrillator (ICD)
16) Patients who are scheduled to be hospitalized within 2 months after discharge for standby surgery, pacemaker or ICD implantation, or for close examination
17) Patients deemed inappropriate by the attending physician
18) Patients who live in a facility or transferred from other hospitals
19) Short life expectancy due to advanced disease such as malignancy other than heart failure

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Kentaro
Middle name
Last name Kamiya

Organization

Kitasato University

Division name

School of Allied Health Sciences

Zip code

252-0373

Address

1-15-1, Kitasato, Minami-ku, Sagamihara-city, Japan

TEL

042-778-9250

Email

k-kamiya@kitasato-u.ac.jp


Public contact

Name of contact person

1st name Kentaro
Middle name
Last name Kamiya

Organization

Kitasato University

Division name

School of Allied Health Sciences

Zip code

252-0373

Address

1-15-1, Kitasato, Minami-ku, Sagamihara-city, Japan

TEL

042-778-9250

Homepage URL


Email

k-kamiya@kitasato-u.ac.jp


Sponsor or person

Institute

Kitasato University School of Allied Health Sciences

Institute

Department

Personal name



Funding Source

Organization

None

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

Institutional Ethics Committee of Kitasato University Hospital

Address

1-15-1, Kitasato, Minami-ku, Sagamihara-city, Japan

Tel

042-778-7756

Email

rinri@med.kitasato-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



Other administrative information

Date of disclosure of the study information

2024 Year 05 Month 19 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

Terminated

Date of protocol fixation

2024 Year 04 Month 17 Day

Date of IRB

2024 Year 06 Month 04 Day

Anticipated trial start date

2024 Year 06 Month 19 Day

Last follow-up date

2029 Year 04 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 05 Month 18 Day

Last modified on

2025 Year 10 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062138