UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062084
Receipt number R000071029
Scientific Title Effects of Different Exercise Doses (4 and 8 kcal/kg body weight/week) on Body Weight, JKOM, and Skeletal Muscle Mass Index in Overweight Female Patients with Knee Osteoarthritis: A Three-Arm Randomized Controlled Trial Examining Dose-Response Relationships
Date of disclosure of the study information 2026/06/28
Last modified on 2026/06/28 14:59:12

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Basic information

Public title

Effects of Different Exercise Doses on Body Weight and Patient-Reported Outcomes in Overweight Female Patients with Knee Osteoarthritis: Evaluation of Dose-Response Relationships Using a Randomized Controlled Trial

Acronym

KOA-DOSE

Scientific Title

Effects of Different Exercise Doses (4 and 8 kcal/kg body weight/week) on Body Weight, JKOM, and Skeletal Muscle Mass Index in Overweight Female Patients with Knee Osteoarthritis: A Three-Arm Randomized Controlled Trial Examining Dose-Response Relationships

Scientific Title:Acronym

KOA-DOSE

Region

Japan


Condition

Condition

Knee osteoarthritis

Classification by specialty

Orthopedics Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the effects of different exercise doses (physical therapy alone, physical therapy plus 4 kcal/kg body weight/week, and physical therapy plus 8 kcal/kg body weight/week) on body weight, the Japanese Knee Osteoarthritis Measure (JKOM), and skeletal muscle mass index (SMI) in overweight female patients with knee osteoarthritis, and to identify the optimal exercise dose.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Body weight (kg): measured using a body composition analyzer (InBody270) at baseline (week 0), week 4, week 8, and week 12

Key secondary outcomes

Japanese Knee Osteoarthritis Measure (JKOM) and Skeletal Muscle Mass Index (SMI): assessed at baseline, week 4, week 8, and week 12


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Dose comparison

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

Standardized physical therapy only: range of motion exercises for hip and knee joints, strengthening exercises mainly for quadriceps and hip abductors, balance training, basic movement training, and activities of daily living training, twice weekly for 12 weeks.

Interventions/Control_2

Standard physical therapy plus cycle ergometer exercise at 4 kcal/kg body weight/week. Exercise dose was gradually increased from 1 kcal/kg/week by 1 kcal/kg/week per week, reaching 4 kcal/kg/week at week 4 and maintained thereafter. Twice weekly for 12 weeks.

Interventions/Control_3

Standard physical therapy plus cycle ergometer exercise at 8 kcal/kg body weight/week. Exercise dose was gradually increased from 1 kcal/kg/week by 1 kcal/kg/week per week, reaching 8 kcal/kg/week at week 8 and maintained thereafter. Twice weekly for 12 weeks.

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

99 years-old >=

Gender

Female

Key inclusion criteria

Female, aged 50 years or older, medial knee osteoarthritis, BMI 24 kg/m2 or higher, Kellgren-Lawrence classification Grade 2 or 3

Key exclusion criteria

Lateral knee osteoarthritis, history of total hip or knee arthroplasty, history of myocardial infarction, angina, or arrhythmia, rheumatoid arthritis, history of knee fracture or malignancy, difficulty walking independently, dementia, history of central nervous system disease, or severe illness precluding exercise participation

Target sample size

48


Research contact person

Name of lead principal investigator

1st name Kotaro
Middle name
Last name Tamari

Organization

Teikyo Heisei University

Division name

Department of Physical Therapy, Faculty of Health and Medical Science

Zip code

170-8445

Address

2-51-4 Higashi-Ikebukuro, Toshima-ku, Tokyo

TEL

03-5843-3111

Email

123M13301@edu.thu.ac.jp


Public contact

Name of contact person

1st name Tomoki
Middle name
Last name Oka

Organization

Teikyo Heisei University

Division name

Graduate School of Health Sciences, Department of Health Sciences

Zip code

170-8445

Address

2-51-4 Higashi-Ikebukuro, Toshima-ku, Tokyo

TEL

03-5843-3111

Homepage URL


Email

123M13301@edu.thu.ac.jp


Sponsor or person

Institute

Teikyo Heisei University

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

Teikyo Heisei University Institutional Review Board

Address

2-51-4 Higashi-Ikebukuro, Toshima-ku, Tokyo 170-8445, Japan

Tel

03-5843-3111

Email

123M13301@edu.thu.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

2026 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

Enrolling by invitation

Date of protocol fixation

2024 Year 07 Month 06 Day

Date of IRB

2024 Year 08 Month 19 Day

Anticipated trial start date

2025 Year 02 Month 03 Day

Last follow-up date

2026 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

2026 Year 06 Month 28 Day

Last modified on

2026 Year 06 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000071029