Optimizing Exercise Training in Prevention and Treatment of Diastolic Heart Failure

NCT ID: NCT02078947

Last Updated: 2021-11-12

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

NA

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-28

Study Completion Date

2018-06-27

Brief Summary

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Aim of the clinical multicenter study (OptimEx-CLIN) is to assess the optimal exercise intervention in patients with Heart Failure with preserved Ejection Fraction (HFpEF; also termed diastolic heart failure) that will best improve peak oxygen uptake (Peak Vo2) and additionally diastolic function (assessed echocardiographically). The investigators hypothesize that exercise training reverses HFpEF and that intensity of exercise training is more important than duration.

Detailed Description

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Conditions

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Heart Failure With Preserved Ejection Fraction

Keywords

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Diastolic heart failure, Heart failure with preserved ejection fraction, exercise

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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High Intensity Exercise

Patients perform interval- type endurance exercise at high intensity

Group Type EXPERIMENTAL

High Intensity Exercise

Intervention Type BEHAVIORAL

Moderate Continuous Exercise

Patients perform endurance exercise at moderate intensity

Group Type ACTIVE_COMPARATOR

Moderate Continuous Exercise

Intervention Type BEHAVIORAL

Usual Care

Patients receive advice on being physically active as well as usual care

Group Type SHAM_COMPARATOR

Usual Care

Intervention Type BEHAVIORAL

Interventions

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High Intensity Exercise

Intervention Type BEHAVIORAL

Moderate Continuous Exercise

Intervention Type BEHAVIORAL

Usual Care

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Sedentary (structured exercise \< 2x 30 min/wk)
* At least 40 years old
* Preserved systolic function LVEF \> 50%
* Signs and symptoms of heart failure class NYHA II or III
* Diastolic dysfunction (E/é \> 15 or E/é 8-15 and NT-proBNP \> 220 pg/ml)
* Clinically stable for \>= 6 weeks
* Optimal medical treatment for \>= 6 weeks
* Written informed consent

Exclusion Criteria

* Non- HFpEF causes for HF symptoms (significant valvular or coronary disease, uncontrolled hypertension or arrhythmias, primary cardiomyopathies)
* Significant pulmonary disease (FEV1 \< 50% predicted, COPD GOLD III-IV)
* Inability to exercise or conditions that may interfere with exercise intervention
* Myocardial infarction in the previous three months
* Signs of ischemia during exercise testing
* Comorbidity that may influence one- year prognosis
* Participation in another clinical trial
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Commission

OTHER

Sponsor Role collaborator

University of Leipzig

OTHER

Sponsor Role collaborator

University Hospital, Antwerp

OTHER

Sponsor Role collaborator

Medical University of Graz

OTHER

Sponsor Role collaborator

Norwegian University of Science and Technology

OTHER

Sponsor Role collaborator

Charite University, Berlin, Germany

OTHER

Sponsor Role collaborator

Technical University of Munich

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martin Halle, M.D.

Role: STUDY_DIRECTOR

Technische Universität München, Munich, Germany

Martin Halle, M.D.

Role: PRINCIPAL_INVESTIGATOR

Technische Universität München, Munich, Germany

Burkert Pieske, M.D.

Role: PRINCIPAL_INVESTIGATOR

Charite University, Berlin, Germany

Christiaan Vrints, M.D.

Role: PRINCIPAL_INVESTIGATOR

Antwerp University Hospital, Belgium

Volker Adams, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Heart Center Leipzig, Leipzig, Germany

Ulrik Wisløff, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Norwegian University of Science and Technology, Trondheim, Norway

Axel Linke, M.D.

Role: PRINCIPAL_INVESTIGATOR

Heart Center Leipzig, Leipzig, Germany

Frank Edelmann, M.D.

Role: PRINCIPAL_INVESTIGATOR

Charite University, Berlin, Germany

Locations

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Department of Cardiology, Antwerp University Hospital

Edegem, , Belgium

Site Status

Charité - Universitätsmedizin Berlin

Berlin, , Germany

Site Status

Klinik für Innere Medizin/ Kardiologie, Herzzentrum Leipzig- Universitätsklinik

Leipzig, , Germany

Site Status

Department of Prevention, Rehabilitation and Sports Medicine, Technische Universität München

Munich, , Germany

Site Status

Countries

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Austria Norway Belgium Germany

References

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Gevaert AB, Witvrouwen I, Van Craenenbroeck AH, Van Laere SJ, Boen JRA, Van de Heyning CM, Belyavskiy E, Mueller S, Winzer E, Duvinage A, Edelmann F, Beckers PJ, Heidbuchel H, Wisloff U, Pieske B, Adams V, Halle M, Van Craenenbroeck EM; OptimEx-Clin Study Group. miR-181c level predicts response to exercise training in patients with heart failure and preserved ejection fraction: an analysis of the OptimEx-Clin trial. Eur J Prev Cardiol. 2021 Dec 29;28(15):1722-1733. doi: 10.1093/eurjpc/zwab151.

Reference Type RESULT
PMID: 34508569 (View on PubMed)

Mueller S, Haller B, Halle M; OptimEx-Clin Study Group. Effect of Training on Peak Oxygen Consumption in Patients With Heart Failure With Preserved Ejection Fraction-Reply. JAMA. 2021 Aug 24;326(8):772-773. doi: 10.1001/jama.2021.10061. No abstract available.

Reference Type RESULT
PMID: 34427605 (View on PubMed)

Gevaert AB, Bohm B, Hartmann H, Goovaerts I, Stoop T, Van De Heyning CM, Beckers PJ, Baldassarri F, Mueller S, Oberhoffer R, Duvinage A, Haykowsky MJ, Wisloff U, Adams V, Pieske B, Halle M, Van Craenenbroeck EM. Effect of Training on Vascular Function and Repair in Heart Failure With Preserved Ejection Fraction. JACC Heart Fail. 2023 Apr;11(4):454-464. doi: 10.1016/j.jchf.2022.12.011. Epub 2023 Mar 1.

Reference Type DERIVED
PMID: 36892488 (View on PubMed)

Winzer EB, Augstein A, Schauer A, Mueller S, Fischer-Schaepmann T, Goto K, Hommel J, van Craenenbroeck EM, Wisloff U, Pieske B, Halle M, Linke A, Adams V. Impact of Different Training Modalities on Molecular Alterations in Skeletal Muscle of Patients With Heart Failure With Preserved Ejection Fraction: A Substudy of the OptimEx Trial. Circ Heart Fail. 2022 Oct;15(10):e009124. doi: 10.1161/CIRCHEARTFAILURE.121.009124. Epub 2022 Oct 6.

Reference Type DERIVED
PMID: 36200450 (View on PubMed)

Gevaert AB, Mueller S, Winzer EB, Duvinage A, Van de Heyning CM, Pieske-Kraigher E, Beckers PJ, Edelmann F, Wisloff U, Pieske B, Adams V, Halle M, Van Craenenbroeck EM; OptimEx-Clin Study Group. Iron Deficiency Impacts Diastolic Function, Aerobic Exercise Capacity, and Patient Phenotyping in Heart Failure With Preserved Ejection Fraction: A Subanalysis of the OptimEx-Clin Study. Front Physiol. 2022 Feb 10;12:757268. doi: 10.3389/fphys.2021.757268. eCollection 2021.

Reference Type DERIVED
PMID: 35222057 (View on PubMed)

Mueller S, Winzer EB, Duvinage A, Gevaert AB, Edelmann F, Haller B, Pieske-Kraigher E, Beckers P, Bobenko A, Hommel J, Van de Heyning CM, Esefeld K, von Korn P, Christle JW, Haykowsky MJ, Linke A, Wisloff U, Adams V, Pieske B, van Craenenbroeck EM, Halle M; OptimEx-Clin Study Group. Effect of High-Intensity Interval Training, Moderate Continuous Training, or Guideline-Based Physical Activity Advice on Peak Oxygen Consumption in Patients With Heart Failure With Preserved Ejection Fraction: A Randomized Clinical Trial. JAMA. 2021 Feb 9;325(6):542-551. doi: 10.1001/jama.2020.26812.

Reference Type DERIVED
PMID: 33560320 (View on PubMed)

Suchy C, Massen L, Rognmo O, Van Craenenbroeck EM, Beckers P, Kraigher-Krainer E, Linke A, Adams V, Wisloff U, Pieske B, Halle M. Optimising exercise training in prevention and treatment of diastolic heart failure (OptimEx-CLIN): rationale and design of a prospective, randomised, controlled trial. Eur J Prev Cardiol. 2014 Nov;21(2 Suppl):18-25. doi: 10.1177/2047487314552764.

Reference Type DERIVED
PMID: 25354950 (View on PubMed)

Related Links

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Other Identifiers

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EU 602405-2

Identifier Type: -

Identifier Source: org_study_id