UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061919
Receipt number R000070848
Scientific Title Comparison of exercise limitation factors detected by three field tests including assessment of skeletal muscle function in patients with interstitial lung disease: a comparison of the 6-minute walk test, 1-minute sit-to-stand test, and 6-minute step test
Date of disclosure of the study information 2026/06/16
Last modified on 2026/06/15 19:05:37

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Basic information

Public title

Comparison of exercise limitation factors detected by three field tests including assessment of skeletal muscle function in patients with interstitial lung disease: a comparison of the 6-minute walk test, 1-minute sit-to-stand test, and 6-minute step test

Acronym

Comparison of exercise limitation factors detected by three field tests including assessment of skeletal muscle function in patients with interstitial lung disease: a comparison of the 6-minute walk test, 1-minute sit-to-stand test, and 6-minute step test

Scientific Title

Comparison of exercise limitation factors detected by three field tests including assessment of skeletal muscle function in patients with interstitial lung disease: a comparison of the 6-minute walk test, 1-minute sit-to-stand test, and 6-minute step test

Scientific Title:Acronym

Comparison of exercise limitation factors detected by three field tests including assessment of skeletal muscle function in patients with interstitial lung disease: a comparison of the 6-minute walk test, 1-minute sit-to-stand test, and 6-minute step test

Region

Japan


Condition

Condition

Interstitial lung disease

Classification by specialty

Pneumology Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to perform the 6-minute walk test, 1-minute sit-to-stand test, and 6-minute step test in the same patients with interstitial lung disease and to clarify the following three points. First, the concurrent validity of the 1-minute sit-to-stand test and the 6-minute step test against the 6-minute walk test will be examined based on the correlations among 6-minute walk distance, the number of repetitions in the 1-minute sit-to-stand test, and the number of steps in the 6-minute step test. Second, the validity of the 1-minute sit-to-stand test and the 6-minute step test for detecting exercise-induced desaturation compared with the 6-minute walk test will be examined. Third, the agreement in exercise limitation factors related to respiratory, circulatory, and skeletal muscle function will be evaluated to determine whether the 1-minute sit-to-stand test and the 6-minute step test can detect exercise limitation factors to a similar extent as the 6-minute walk test.

Basic objectives2

Others

Basic objectives -Others

Validation of assessment methods

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1. Concurrent validity based on the correlations among the 6-minute walk distance in the 6-minute walk test, the number of repetitions in the 1-minute sit-to-stand test, and the number of steps in the 6-minute step test
2. Validity of the 1-minute sit-to-stand test and the 6-minute step test for detecting exercise-induced desaturation compared with the 6-minute walk test
3. Agreement in exercise limitation factors related to respiratory, circulatory, and skeletal muscle function, namely whether the 1-minute sit-to-stand test and the 6-minute step test can detect exercise limitation factors to a similar extent as the 6-minute walk test

Key secondary outcomes

As exploratory outcomes, the following variables will be collected or assessed:
Patient characteristics: age, sex, height, body weight, body mass index, GAP Index, smoking history, diagnosis, disease history, and medication history.
Blood tests: PaO2, PaCO2, white blood cell count, C-reactive protein, KL-6, and SP-D.
Pulmonary function: VC, %VC, FVC, %FVC, FEV1.0, %FEV1.0, DLco, %DLco, MIP, and MEP.
Dyspnea: modified Medical Research Council dyspnea scale.
Physical function: Short Physical Performance Battery.
Skeletal muscle assessment: grip strength, isometric knee extension strength, skeletal muscle mass, muscle mass, and skeletal muscle index.
Exercise tests: In the 6-minute walk test, 6-minute walk distance, modified Borg Scale scores for dyspnea and lower-limb fatigue, blood pressure, SpO2, respiratory rate, heart rate, tissue oxygen saturation (tissue saturation index: TSI, tissue oxygen saturation: StO2), oxyhemoglobin, deoxyhemoglobin, and total hemoglobin will be assessed. In the 1-minute sit-to-stand test, the number of repetitions, modified Borg Scale scores for dyspnea and lower-limb fatigue, blood pressure, SpO2, respiratory rate, heart rate, tissue oxygen saturation (TSI, StO2), oxyhemoglobin, deoxyhemoglobin, and total hemoglobin will be assessed. In the 6-minute step test, the number of steps, modified Borg Scale scores for dyspnea and lower-limb fatigue, blood pressure, SpO2, respiratory rate, heart rate, tissue oxygen saturation (TSI, StO2), oxyhemoglobin, deoxyhemoglobin, and total hemoglobin will be assessed.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

Participants will undergo the 6-minute walk test, 1-minute sit-to-stand test, and 6-minute step test. During each test, SpO2 and heart rate will be measured using a pulse oximeter, tissue saturation index (tissue oxygen saturation) of the right vastus lateralis will be assessed using near-infrared spectroscopy, and video recording will be performed to evaluate respiratory rate. Adequate rest will be provided between tests, and the procedures will be performed with priority given to safety while monitoring general condition, respiratory status, SpO2, subjective symptoms, and fatigue. For each participant, measurements will be performed over approximately 1 to 2 days for inpatients and over 2 to 3 days within approximately 1 month for outpatients. The participant's physical condition and clinical schedule will be prioritized, and the assessments may be divided into separate sessions as needed.

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

18 years-old <

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients diagnosed with interstitial lung disease
Patients aged 18 years or older
Patients judged by a physician to be able to participate in the study
Patients with stable interstitial lung disease

Key exclusion criteria

Patients immediately after acute exacerbation of interstitial lung disease
Patients with marked hypoxemia
Patients in whom pulse oximeter measurement is considered unreliable
Patients with orthopedic disease or peripheral neuropathy that prevents performance of the 6-minute walk test, 1-minute sit-to-stand test, or 6-minute step test
Patients in whom bioelectrical impedance body composition assessment may be affected by implanted metal devices, pacemakers, or similar conditions
Patients who do not provide informed consent or who withdraw consent

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Tomoya
Middle name
Last name Omura

Organization

Seirei Christopher University

Division name

Graduate School of Rehabilitation Sciences

Zip code

433-8558

Address

3453 Mikatahara-cho, Chuo-ku, Hamamatsu, Shizuoka 433-8558, Japan

TEL

053-439-1400

Email

25mr03@g.seirei.ac.jp


Public contact

Name of contact person

1st name Yuichi
Middle name
Last name Tawara

Organization

Seirei Christopher University

Division name

Faculty of Rehabilitation

Zip code

433-8558

Address

3453 Mikatahara-cho, Chuo-ku, Hamamatsu, Shizuoka 433-8558, Japan

TEL

053-439-1400

Homepage URL


Email

yuichi-t@seirei.ac.jp


Sponsor or person

Institute

Seirei Christopher University

Institute

Department

Personal name



Funding Source

Organization

Seirei Christopher University

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

Seirei Christopher University

Address

3453 Mikatahara-cho, Chuo-ku, Hamamatsu, Shizuoka 433-8558, Japan

Tel

053-439-1400

Email

yuichi-t@seirei.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

26-085

Org. issuing International ID_1

Hamamatsu University School of Medicine

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

浜松医科大学医学部附属病院(静岡県)


Other administrative information

Date of disclosure of the study information

2026 Year 06 Month 16 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

2026 Year 06 Month 05 Day

Date of IRB

2026 Year 06 Month 05 Day

Anticipated trial start date

2026 Year 06 Month 16 Day

Last follow-up date

2028 Year 12 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

2026 Year 06 Month 15 Day

Last modified on

2026 Year 06 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070848