Physical Activities in Daily Life After Lung Transplantation

NCT ID: NCT00395889

Last Updated: 2011-02-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-11-30

Study Completion Date

2010-11-30

Brief Summary

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The purpose of this study is to compare participation in physical activities in daily life and functional outcomes of lung transplant recipients attending a six-month multicomponent rehabilitation program including exercise training against others receiving only instructions on how to increase their participation in physical activities in daily life.

Detailed Description

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At present it is not clear whether it is necessary for lung transplant recipients to participate in a rehabilitation program including structured exercise training. Observations from available studies suggest that exercise capacity and health status improve following transplantation but remain impaired when compared with values of age-matched reference groups. No differences were found between participants of rehabilitation programs and patients engaging in usual daily activities. One should be cautious however to draw definite conclusions from these findings since they rest solely on results of cross-sectional investigations or single group studies. No information on functional outcomes such as participation in physical activities in daily life is currently available in lung transplant recipients. In order to answer the question if it is necessary for lung transplant recipients to participate in an outpatient rehabilitation program including structured exercise training it is our purpose to conduct a randomized clinical trial to investigate the effects of pulmonary rehabilitation after transplantation.

* Interventions: Both groups will receive counseling to engage in regular physical activity. Patients in the intervention group will additionally follow a standardized outpatient pulmonary rehabilitation program for 6 months starting immediately after discharge from hospital.
* Hypothesis: Our alternative hypothesis is that intensive post transplant rehabilitation does enhance improvements in functional status and participation in physical activities in daily life after transplantation.
* Outcomes: Participation in physical activities in daily life will be the primary outcome. Physical component summary scale of the SF-36, exercise capacity and peripheral muscle function will be secondary outcomes. Outcomes will be assessed on discharge from the hospital and again three, six and twelve months after discharge.
* Treatment failure: Patients in the control group receiving only counseling will be allowed to discontinue the assigned treatment and will receive respiratory rehabilitation including exercise training if functional outcomes do not improve or participation in physical activities in daily life does not increase within the first three months of the intervention period. The treatment groups will be compared both as randomized (according to intention to treat) and with crossover cases excluded.

Conditions

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Lung Transplantation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Rehabilitation + Lifestyle Counseling

Multicomponent Pulmonary Rehabilitation Program including structured exercise training

Group Type EXPERIMENTAL

Rehabilitation including structured exercise training

Intervention Type PROCEDURE

Rehabilitation of at least 8 weeks, for at least twice/week. This group will also receive the exercise counseling as a part of the rehabilitation program.

Lifestyle Counseling

Group Type ACTIVE_COMPARATOR

Physical Activity Counseling

Intervention Type PROCEDURE

Six exercise counseling sessions will be carried out during a 6-month period. This group will only receive the counseling and no formal structured exercise training sessions.

Interventions

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Rehabilitation including structured exercise training

Rehabilitation of at least 8 weeks, for at least twice/week. This group will also receive the exercise counseling as a part of the rehabilitation program.

Intervention Type PROCEDURE

Physical Activity Counseling

Six exercise counseling sessions will be carried out during a 6-month period. This group will only receive the counseling and no formal structured exercise training sessions.

Intervention Type PROCEDURE

Other Intervention Names

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Physical Activity Counseling Pulmonary Rehabilitation

Eligibility Criteria

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Inclusion Criteria

* Recipients of single or double lung transplants

Exclusion Criteria

* Recipients of multiple organ transplants
* Patients scheduled for retransplantation
* Patients not leaving hospital within 6 weeks after surgery
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fund for Scientific Research, Flanders, Belgium

OTHER

Sponsor Role collaborator

International Society for Heart and Lung Transplantation

OTHER

Sponsor Role collaborator

KU Leuven

OTHER

Sponsor Role lead

Responsible Party

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KU Leuven

Principal Investigators

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Daniel Langer, MSc

Role: PRINCIPAL_INVESTIGATOR

KU-Leuven, Faculty of Movement and Rehabilitation Sciences

Rik Gosselink, PhD

Role: STUDY_CHAIR

KU-Leuven, Faculty of Movement and Rehabilitation Sciences

Thierry Troosters, PhD

Role: STUDY_CHAIR

KU-Leuven, Faculty of Movement and Rehabilitation Sciences

Marc Decramer, PhD

Role: STUDY_CHAIR

University Hospital Leuven, Respiratory Division

Geert Verleden, PhD

Role: STUDY_CHAIR

University Hospital Leuven, Respiratory Division

Lieven Dupont, PhD

Role: STUDY_CHAIR

University Hospital Leuven, Respiratory Division

Locations

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University Hospital Leuven

Leuven, , Belgium

Site Status

Countries

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Belgium

References

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Gutierrez-Arias R, Martinez-Zapata MJ, Gaete-Mahn MC, Osorio D, Bustos L, Melo Tanner J, Hidalgo R, Seron P. Exercise training for adult lung transplant recipients. Cochrane Database Syst Rev. 2021 Jul 20;7(7):CD012307. doi: 10.1002/14651858.CD012307.pub2.

Reference Type DERIVED
PMID: 34282853 (View on PubMed)

Other Identifiers

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ML3782

Identifier Type: -

Identifier Source: org_study_id

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