UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055351
Receipt number R000063256
Scientific Title Analysis of NMES Effects Using Urinary Exosome Protein Analysis
Date of disclosure of the study information 2024/08/28
Last modified on 2024/08/28 00:13:04

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Basic information

Public title

Analysis of NMES Effects Using Urinary Exosome Protein Analysis

Acronym

Analysis of NMES Effects Using Urinary Exosome Protein Analysis

Scientific Title

Analysis of NMES Effects Using Urinary Exosome Protein Analysis

Scientific Title:Acronym

Analysis of NMES Effects Using Urinary Exosome Protein Analysis

Region

Japan


Condition

Condition

Osteoarthritis of the Knee and Osteoarthritis of the Hip

Classification by specialty

Medicine in general Geriatrics Orthopedics
Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The decline in muscle strength is closely related to the onset of sarcopenia in the elderly, where restricted activity leads to a significant reduction in muscle strength and mass, resulting in a high prevalence of sarcopenia. Therefore, preventing muscle strength decline and treating sarcopenia are crucial challenges that contribute to improving the quality of life and prognosis in the elderly. Resistance exercise effectively maintains and increases muscle strength, but starting and continuing exercise can be challenging for older adults. As a solution, non-invasive neuromuscular electrical stimulation (NMES) has proven effective in promoting muscle hypertrophy and the secretion of myokines. However, the specific physiological and biological mechanisms of NMES and how changes in urinary exosome proteins reflect the effects of exercise intervention remain unclear. This study aims to investigate the effects of an exercise program incorporating NMES on patients undergoing outpatient exercise rehabilitation for knee or hip osteoarthritis, through the analysis of urinary exosomes.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Analysis of Urinary Exosomes: The analysis of proteins within the isolated exosomes will focus on the expression levels of Parkin, a key regulator of mitophagy; GDF-8, which functions as a negative regulator of muscle growth; and Activin II receptor, expected to be expressed on the outer membrane of exosomes and reflect the condition of skeletal muscle, both before and after NMES.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

No treatment

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Other

Interventions/Control_1

Neuromuscular electrical stimulation

Interventions/Control_2

control

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

50 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

Men and women aged 50 and above attending outpatient rehabilitation at the Owl Clinic Jiyugaoka
Patients undergoing outpatient musculoskeletal rehabilitation as a treatment for their underlying condition
Undergoing musculoskeletal rehabilitation for osteoarthritis of the knee and osteoarthritis of the hip
Started outpatient rehabilitation within the last six months

Key exclusion criteria

Patients currently undergoing treatment for malignant tumors (a history of malignancy is not an issue).
Patients with severe diabetes (complications such as retinopathy, fundus hemorrhage, dialysis, or peripheral neuropathy).
Patients with severe heart disease (e.g., in the ultra-acute phase of acute myocardial infarction, those with a pacemaker, unstable angina, poorly controlled heart failure, advanced obstructive hypertrophic cardiomyopathy, acute embolism, or acute infections such as pericarditis or myocarditis).
Patients with severe dementia who cannot follow instructions.

Target sample size

22


Research contact person

Name of lead principal investigator

1st name mitsuo
Middle name
Last name hashimoto

Organization

Nippon Sport Science University

Division name

Faculty of Sport Science, Department of Health Science

Zip code

1580081

Address

7-1-1 Fukasawa, Setagaya-ku, Tokyo

TEL

03-5706-0862

Email

mitsuo-hashimoto@nittai.ac.jp


Public contact

Name of contact person

1st name mitsuo
Middle name
Last name Hashimoto

Organization

Nippon Sport Science University

Division name

Faculty of Sport Science, Department of Health Science

Zip code

1580081

Address

7-1-1 Fukasawa, Setagaya-ku, Tokyo

TEL

03-5706-0862

Homepage URL


Email

mitsuo-hashimoto@nittai.ac.jp


Sponsor or person

Institute

Nippon Sport Science University

Institute

Department

Personal name



Funding Source

Organization

Grants-in-Aid for Scientific Research

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

Nippon Sport Science University

Address

7-1-1 Fukasawa, Setagaya-ku, Tokyo

Tel

03-5706-0900

Email

mitsuo-hashimoto@nittai.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 08 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

Preinitiation

Date of protocol fixation

2024 Year 08 Month 27 Day

Date of IRB


Anticipated trial start date

2024 Year 08 Month 27 Day

Last follow-up date

2025 Year 08 Month 31 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 08 Month 28 Day

Last modified on

2024 Year 08 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063256