UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058175
Receipt number R000062979
Scientific Title A Randomized Clinical Trial of the Safety, Efficacy, and Prognosis of Upper Extremity Resistance Training in Hospitalized Elderly Heart Failure Patients
Date of disclosure of the study information 2025/06/28
Last modified on 2025/06/28 13:39:50

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Basic information

Public title

Safety, Efficacy, and Prognosis of Upper Extremity Resistance Training in Hospitalized Elderly Heart Failure Patients: A Randomized Clinical Trial

Acronym

Safety, Efficacy, and Prognosis of Upper Extremity Resistance Training in Hospitalized Elderly Heart Failure Patients: A Randomized Clinical Trial

Scientific Title

A Randomized Clinical Trial of the Safety, Efficacy, and Prognosis of Upper Extremity Resistance Training in Hospitalized Elderly Heart Failure Patients

Scientific Title:Acronym

ULRT-EHF Study (Upper Limb Resistance Training in Elderly Heart Failure)

Region

Japan


Condition

Condition

Heart failure in the elderly

Classification by specialty

Cardiology Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

A Study on the Safety and Effectiveness of Upper Extremity Resistance Training in Hospitalized Older Patients with Heart Failure

Basic objectives2

Others

Basic objectives -Others

To evaluate the safety and efficacy of upper limb resistance training and its impact on prognosis in elderly patients with heart failure.

Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Safety, effectiveness, quality of life, and prognosis with upper extremity resistance training

Key secondary outcomes



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


Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

Treatment Group: Group that undergoes upper limb resistance training

Interventions/Control_2

Control Group: Group that undergoes standard 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

99 years-old >=

Gender

Male and Female

Key inclusion criteria

Elderly heart failure patients aged 65 years older who are hospitalized for acute exacerbation of heart failure and for whom a rehabilitation order has been prescribed by a physician will be randomly assigned to two groups in the order of the physician's rehabilitation order. Patients assigned to the upper limbs resistance training (URT) group will be randomly assigned to the URT group, and those assigned to the ADL group will be randomly assigned to the ADL group. The following four criteria will be used as references: European Society of Cardiology statement, AHA scientific statement, Japanese Society of Cardiology guidelines, contraindications to resistance training in heart failure, and the REHAB-HF Trial. The following four conditions should be checked: controlled heart failure and NYHA classification I-III, no congestive symptoms (orthopnea, ascites, jugular venous distention, extreme edema), systolic blood pressure greater than 80 mmHg without orthostatic hypotension, ability to walk 4 m or more (regardless of whether or not a walking aid is used). The patient's condition is not a contraindication to URT, but the following 9 criteria should be confirmed. The following 9 conditions are not contraindicated for URT: NYHA classification IV, left ventricular outflow tract stenosis, noncompensated heart failure, uncontrolled arrhythmia, severe and symptomatic aortic stenosis, uncontrolled diabetes, uncontrolled hypertension (Blood pressure 180/110 mm Hg or higher), severe pulmonary hypertension (Mean pulmonary artery pressure 55 mm Hg or higher), acute myocardial infarction.

Key exclusion criteria

Patients who are scheduled to receive intravenous continuous inotropic therapy after discharge from the hospital, patients with an artificial heart or who are scheduled to receive one within the next 6 months (heart transplant candidates), patients who cannot receive URT due to severe orthopedic disease or stroke, patients with severe dementia who cannot proceed with rehabilitation, patients who need treatment in the ICU, and upper limb Patients who cannot consent to resistance training are excluded.

Target sample size

128


Research contact person

Name of lead principal investigator

1st name Masami
Middle name
Last name Inokuma

Organization

Gunma Prefectural Cardiovascular Center

Division name

Division of Rehabilitation Medicine

Zip code

371-004

Address

3-12 Kou, Kameizumi-cho, Maebashi, Gunma

TEL

0272697455

Email

inokuma-m@cvc.pref.gunma.jp


Public contact

Name of contact person

1st name Masami
Middle name
Last name Inokuma

Organization

Gunma Prefectural Cardiovascular Center

Division name

Division of Rehabilitation Medicine

Zip code

371-0004

Address

3-12 Kou, Kameizumi-cho, Maebashi, Gunma

TEL

0272697455

Homepage URL


Email

inokuma-m@cvc.pref.gunma.jp


Sponsor or person

Institute

other

Institute

Department

Personal name

Masami Inokuma


Funding Source

Organization

nothing

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Gunma Cardiovascular Center Ethics Review Committee

Address

3-12 Kou, Kameizumi-cho, Maebashi, Gunma

Tel

0272697455

Email

inokuma-m@cvc.pref.gunma.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

2025 Year 06 Month 28 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

2024 Year 07 Month 30 Day

Date of IRB

2024 Year 05 Month 17 Day

Anticipated trial start date

2024 Year 09 Month 01 Day

Last follow-up date

2025 Year 08 Month 31 Day

Date of closure to data entry

2025 Year 12 Month 31 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 06 Month 14 Day

Last modified on

2025 Year 06 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062979