Trial Outcomes & Findings for Exercise as a Treatment for Substance Use Disorders Protocol (NCT NCT01141608)

NCT ID: NCT01141608

Last Updated: 2020-09-03

Results Overview

Percent days of abstinence based on stimulant (i.e., cocaine, methamphetamine, amphetamine, or other stimulant, excluding caffeine and nicotine) use during the 12-week acute phase. Days of abstinence will be measured during days 22-84, since it is anticipated that most individuals will be in a highly structured environment during the first 21 days of the study, and therefore would have little opportunity to use substances (i.e., the groups are not likely to differ during this time period). Measured by the Timeline Follow Back (TLFB) and aided by urine drug screen collected three times/week.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

302 participants

Primary outcome timeframe

single value calculated based on TLFB data during days 22-84

Results posted on

2020-09-03

Participant Flow

Participant milestones

Participant milestones
Measure
Vigorous Intensity High Dose Exercise
Usual Care Augmented with Vigorous Intensity High Dose Exercise Vigorous Intensity High Dose Exercise: Participants randomized to the exercise condition will begin with supervised exercise sessions 3 times per week during the 12-week acute phase of the study. Supervised sessions will be conducted as one-on-one (i.e., individual) sessions. Vigorous intensity high dose exercise will be prescribed at a dose of 12 kcal/kg/week (KKW), with intensity ranging from 70-85% maximal heart rate.
Health Education Intervention
Health Education Intervention Health Education Intervention: Participants randomized to the health education condition will also begin with visits 3 times per week during the 12-week acute phase. The health education sessions will be conducted as one-on-one (i.e., individual) sessions. Health education sessions will consist of information on health-related topics distributed via methods such as didactics, audio and video materials, and written materials.
Overall Study
STARTED
152
150
Overall Study
COMPLETED
152
150
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Exercise as a Treatment for Substance Use Disorders Protocol

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vigorous Intensity High Dose Exercise
n=152 Participants
Usual Care Augmented with Vigorous Intensity High Dose Exercise Vigorous Intensity High Dose Exercise: Participants randomized to the exercise condition will begin with supervised exercise sessions 3 times per week during the 12-week acute phase of the study. Supervised sessions will be conducted as one-on-one (i.e., individual) sessions. Vigorous intensity high dose exercise will be prescribed at a dose of 12 kcal/kg/week (KKW), with intensity ranging from 70-85% maximal heart rate.
Health Education Intervention
n=150 Participants
Health Education Intervention Health Education Intervention: Participants randomized to the health education condition will also begin with visits 3 times per week during the 12-week acute phase. The health education sessions will be conducted as one-on-one (i.e., individual) sessions. Health education sessions will consist of information on health-related topics distributed via methods such as didactics, audio and video materials, and written materials.
Total
n=302 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
152 Participants
n=5 Participants
150 Participants
n=7 Participants
302 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
38.5 years
STANDARD_DEVIATION 10 • n=5 Participants
39.5 years
STANDARD_DEVIATION 11 • n=7 Participants
39 years
STANDARD_DEVIATION 10.5 • n=5 Participants
Sex: Female, Male
Female
63 Participants
n=5 Participants
58 Participants
n=7 Participants
121 Participants
n=5 Participants
Sex: Female, Male
Male
89 Participants
n=5 Participants
92 Participants
n=7 Participants
181 Participants
n=5 Participants
Region of Enrollment
United States
152 Participants
n=5 Participants
150 Participants
n=7 Participants
302 Participants
n=5 Participants

PRIMARY outcome

Timeframe: single value calculated based on TLFB data during days 22-84

Population: Mean percent stimulant abstinence days based on Timeline Follow back and Eliminate Contradiction (ELCON) algorithm adjustment.

Percent days of abstinence based on stimulant (i.e., cocaine, methamphetamine, amphetamine, or other stimulant, excluding caffeine and nicotine) use during the 12-week acute phase. Days of abstinence will be measured during days 22-84, since it is anticipated that most individuals will be in a highly structured environment during the first 21 days of the study, and therefore would have little opportunity to use substances (i.e., the groups are not likely to differ during this time period). Measured by the Timeline Follow Back (TLFB) and aided by urine drug screen collected three times/week.

Outcome measures

Outcome measures
Measure
Vigorous Intensity High Dose Exercise
n=152 Participants
Participants randomized to Exercise completed supervised exercise sessions 3 times per week during the 12-week acute phase. Exercise was prescribed at a dose of 12 kcal/kg/week (KKW), with intensity ranging from 70-85% of maximal heart rate (HRmax).
Health Education Intervention
n=150 Participants
Participants randomized to Health Education also completed 3 visits per week during the 12-week acute phase. Health Education consisted of one-on-one sessions in which information on health-related topics (e.g., cancer, heart disease, mental health) was distributed via didactics, websites, audio, video, and written materials.
Percent Days Abstinent
Timeline Follow Back (TLFB)
90.8 Percentage of Days
Standard Deviation 16.4
91.6 Percentage of Days
Standard Deviation 14.7
Percent Days Abstinent
ELCON algorithm
75.5 Percentage of Days
Standard Deviation 27.4
77.2 Percentage of Days
Standard Deviation 25.1

SECONDARY outcome

Timeframe: 12 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 weeks

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 9 months

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 9 months

Outcome measures

Outcome data not reported

Adverse Events

Vigorous Intensity High Dose Exercise

Serious events: 19 serious events
Other events: 79 other events
Deaths: 0 deaths

Health Education Intervention

Serious events: 21 serious events
Other events: 28 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Vigorous Intensity High Dose Exercise
n=152 participants at risk
Usual Care Augmented with Vigorous Intensity High Dose Exercise Vigorous Intensity High Dose Exercise: Participants randomized to the exercise condition will begin with supervised exercise sessions 3 times per week during the 12-week acute phase of the study. Supervised sessions will be conducted as one-on-one (i.e., individual) sessions. Vigorous intensity high dose exercise will be prescribed at a dose of 12 kcal/kg/week (KKW), with intensity ranging from 70-85% maximal heart rate.
Health Education Intervention
n=150 participants at risk
Health Education Intervention Health Education Intervention: Participants randomized to the health education condition will also begin with visits 3 times per week during the 12-week acute phase. The health education sessions will be conducted as one-on-one (i.e., individual) sessions. Health education sessions will consist of information on health-related topics distributed via methods such as didactics, audio and video materials, and written materials.
Surgical and medical procedures
Medical condition
12.5%
19/152 • Number of events 26
14.0%
21/150 • Number of events 24

Other adverse events

Other adverse events
Measure
Vigorous Intensity High Dose Exercise
n=152 participants at risk
Usual Care Augmented with Vigorous Intensity High Dose Exercise Vigorous Intensity High Dose Exercise: Participants randomized to the exercise condition will begin with supervised exercise sessions 3 times per week during the 12-week acute phase of the study. Supervised sessions will be conducted as one-on-one (i.e., individual) sessions. Vigorous intensity high dose exercise will be prescribed at a dose of 12 kcal/kg/week (KKW), with intensity ranging from 70-85% maximal heart rate.
Health Education Intervention
n=150 participants at risk
Health Education Intervention Health Education Intervention: Participants randomized to the health education condition will also begin with visits 3 times per week during the 12-week acute phase. The health education sessions will be conducted as one-on-one (i.e., individual) sessions. Health education sessions will consist of information on health-related topics distributed via methods such as didactics, audio and video materials, and written materials.
Blood and lymphatic system disorders
Febrile Neutropenia
0.00%
0/152
0.67%
1/150 • Number of events 1
Cardiac disorders
Arrythmia
1.3%
2/152 • Number of events 2
0.00%
0/150
Ear and labyrinth disorders
Hearing impaired
0.66%
1/152 • Number of events 1
0.00%
0/150
Gastrointestinal disorders
Abdominal pain lower
0.66%
1/152 • Number of events 1
0.00%
0/150
Gastrointestinal disorders
Gastric ulcer haemorrhage
0.66%
1/152 • Number of events 1
0.00%
0/150
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.66%
1/152 • Number of events 1
0.00%
0/150
Gastrointestinal disorders
Inguinal hernia
0.66%
1/152 • Number of events 1
0.00%
0/150
Gastrointestinal disorders
Nausea
0.66%
1/152 • Number of events 1
0.00%
0/150
Gastrointestinal disorders
Pancreatitis
0.66%
1/152 • Number of events 1
0.00%
0/150
General disorders
chest discomfort
2.0%
3/152 • Number of events 3
0.00%
0/150
General disorders
chest pain
2.0%
3/152 • Number of events 3
0.67%
1/150 • Number of events 1
General disorders
Fatigue
1.3%
2/152 • Number of events 2
0.00%
0/150
General disorders
Non-cardiac chest apin
0.00%
0/152
0.67%
1/150 • Number of events 1
General disorders
oedema peripheral
0.66%
1/152 • Number of events 1
0.00%
0/150
Hepatobiliary disorders
Cholelithiasis
0.66%
1/152 • Number of events 1
0.00%
0/150
Infections and infestations
Abcess
0.00%
0/152
0.67%
1/150 • Number of events 1
Infections and infestations
Brochitis
0.00%
0/152
0.67%
1/150 • Number of events 1
Infections and infestations
Cellulitis
0.00%
0/152
0.67%
1/150 • Number of events 1
Infections and infestations
Diverticulus
0.66%
1/152 • Number of events 1
0.00%
0/150
Infections and infestations
Gastroenteritis
0.66%
1/152 • Number of events 1
0.00%
0/150
Infections and infestations
Gastroenteritis cryptosporidial
0.00%
0/152
0.67%
1/150 • Number of events 1
Infections and infestations
Hepatitis C
0.66%
1/152 • Number of events 1
0.00%
0/150
Infections and infestations
Influenza
0.00%
0/152
0.67%
1/150 • Number of events 1
Infections and infestations
Kidney infection
1.3%
2/152 • Number of events 2
0.00%
0/150
Infections and infestations
Pneumonia
0.00%
0/152
0.67%
1/150 • Number of events 1
Infections and infestations
Tooth abcess
0.00%
0/152
0.67%
1/150 • Number of events 1
Injury, poisoning and procedural complications
Accidental overdose
0.00%
0/152
0.67%
1/150 • Number of events 1
Injury, poisoning and procedural complications
Concussion
0.66%
1/152 • Number of events 1
0.00%
0/150
Injury, poisoning and procedural complications
Craniocerebral injury
0.66%
1/152 • Number of events 1
0.00%
0/150
Injury, poisoning and procedural complications
Hand fracture
0.66%
1/152 • Number of events 1
0.67%
1/150 • Number of events 1
Injury, poisoning and procedural complications
Heat exhaustion
0.66%
1/152 • Number of events 1
0.00%
0/150
Injury, poisoning and procedural complications
Heat Stroke
0.00%
0/152
0.67%
1/150 • Number of events 1
Injury, poisoning and procedural complications
Laceration
0.66%
1/152 • Number of events 1
0.00%
0/150
Injury, poisoning and procedural complications
Ligament rupture
0.66%
1/152 • Number of events 1
0.00%
0/150
Injury, poisoning and procedural complications
Ligament Sprain
0.00%
0/152
0.67%
1/150 • Number of events 1
Injury, poisoning and procedural complications
Muscle strain
1.3%
2/152 • Number of events 2
0.00%
0/150
Injury, poisoning and procedural complications
Post lumbar puncture syndrome
0.66%
1/152 • Number of events 1
0.00%
0/150
Injury, poisoning and procedural complications
Road Traffic accident
0.66%
1/152 • Number of events 1
0.00%
0/150
Injury, poisoning and procedural complications
Subdural haematoma
0.66%
1/152 • Number of events 1
0.00%
0/150
Injury, poisoning and procedural complications
Toxicity to various agents
0.00%
0/152
0.67%
1/150 • Number of events 1
Injury, poisoning and procedural complications
Wrist fracture
0.00%
0/152
0.67%
1/150 • Number of events 1
Investigations
Blood iron decreased
0.66%
1/152 • Number of events 1
0.00%
0/150
Investigations
Blood pressure abnormal
0.00%
0/152
0.67%
1/150 • Number of events 1
Investigations
Blood pressure diastolic decreased
0.66%
1/152 • Number of events 1
0.00%
0/150
Investigations
Blood pressure diastolic increased
0.66%
1/152 • Number of events 1
0.00%
0/150
Metabolism and nutrition disorders
Hyperglycemia
0.00%
0/152
0.67%
1/150 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
11.2%
17/152 • Number of events 17
0.67%
1/150 • Number of events 1
Musculoskeletal and connective tissue disorders
Back pain
6.6%
10/152 • Number of events 10
0.00%
0/150
Musculoskeletal and connective tissue disorders
Joint crepitation
0.66%
1/152 • Number of events 1
0.00%
0/150
Musculoskeletal and connective tissue disorders
Joint swelling
0.66%
1/152 • Number of events 1
0.00%
0/150
Musculoskeletal and connective tissue disorders
Medial tibial stress syndrome
1.3%
2/152 • Number of events 2
0.00%
0/150
Musculoskeletal and connective tissue disorders
Muscle spasms
5.3%
8/152 • Number of events 8
0.00%
0/150
Musculoskeletal and connective tissue disorders
Muscle tightness
2.0%
3/152 • Number of events 3
0.00%
0/150
Musculoskeletal and connective tissue disorders
Musculo skeleton pain
0.66%
1/152 • Number of events 1
0.00%
0/150
Musculoskeletal and connective tissue disorders
Myalgia
7.2%
11/152 • Number of events 11
0.00%
0/150
Musculoskeletal and connective tissue disorders
Pain in extremity
8.6%
13/152 • Number of events 13
0.00%
0/150
Nervous system disorders
Burning sensation
0.66%
1/152 • Number of events 1
0.00%
0/150
Nervous system disorders
Dizziness
5.3%
8/152 • Number of events 8
0.00%
0/150
Nervous system disorders
Headache
0.00%
0/152
0.67%
1/150 • Number of events 1
Nervous system disorders
Hypoaesthesia
0.66%
1/152 • Number of events 1
0.00%
0/150
Nervous system disorders
Intracranial aneurysm
0.00%
0/152
0.67%
1/150 • Number of events 1
Nervous system disorders
Migraine
0.66%
1/152 • Number of events 1
0.00%
0/150
Nervous system disorders
Paraesthesia
0.66%
1/152 • Number of events 1
0.00%
0/150
Nervous system disorders
Sciatica
0.66%
1/152 • Number of events 1
0.00%
0/150
Psychiatric disorders
Abnormal behaviour
0.00%
0/152
0.67%
1/150 • Number of events 1
Psychiatric disorders
Alcohol abuse
0.00%
0/152
0.67%
1/150 • Number of events 1
Psychiatric disorders
depression
1.3%
2/152 • Number of events 2
0.00%
0/150
Psychiatric disorders
Depression suicidal
0.00%
0/152
0.67%
1/150 • Number of events 1
Psychiatric disorders
Mental Status Changes
0.00%
0/152
0.67%
1/150 • Number of events 1
Psychiatric disorders
Post Traumatic stress Disorder
0.00%
0/152
0.67%
1/150 • Number of events 1
Psychiatric disorders
Suicidal Behavior
0.66%
1/152 • Number of events 1
0.00%
0/150
Psychiatric disorders
Suicidal Ideation
2.6%
4/152 • Number of events 4
2.0%
3/150 • Number of events 3
Psychiatric disorders
Suicide Attempt
0.66%
1/152 • Number of events 1
2.0%
3/150 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Asthma
2.0%
3/152 • Number of events 3
0.00%
0/150
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.3%
2/152 • Number of events 2
0.67%
1/150 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
0.66%
1/152 • Number of events 1
0.00%
0/150
Skin and subcutaneous tissue disorders
Blister
1.3%
2/152 • Number of events 2
0.00%
0/150
Skin and subcutaneous tissue disorders
skin irritation
0.66%
1/152 • Number of events 1
0.00%
0/150
Social circumstances
Victim of Crime
0.66%
1/152 • Number of events 1
0.00%
0/150
Skin and subcutaneous tissue disorders
Victim of homicide
0.66%
1/152 • Number of events 1
0.00%
0/150
Social circumstances
victim of sexual abuse
0.66%
1/152 • Number of events 1
0.00%
0/150
Surgical and medical procedures
Sinus Operation
0.00%
0/152
0.67%
1/150 • Number of events 1
Vascular disorders
Hypertension
0.00%
0/152
0.67%
1/150 • Number of events 1
Vascular disorders
Hypertensive crisis
0.00%
0/152
0.67%
1/150 • Number of events 1

Additional Information

Dr. Madhukar H Trivedi

UT Southwestern Medical Center

Phone: 214-648-0188

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place