Inspiratory Muscle Training in Allogeneic Hematopoietic Stem Cell Transplantation Recipients

NCT ID: NCT02270346

Last Updated: 2014-10-21

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

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-31

Study Completion Date

2013-09-30

Brief Summary

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Allogeneic hematopoietic stem cell transplantation (allo-HSCT) causes various toxic effects in many body tissues, organs and systems such as immune, cardiovascular, pulmonary, gastrointestinal, neuroendocrine and musculoskeletal systems, liver, kidneys and skin.Available limited numbers of studies showed that inspiratory muscle weakness in allo-HSCT candidates and recipients. Although meta-analysis, systematic reviews and studies demonstrated beneficial effects of inspiratory muscle training on several outcomes in different disease groups; chronic obstructive pulmonary disease, bronchiectasis and heart failure, no published paper reported the effects of IMT in allo-HSC recipients.

Detailed Description

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Thirty-eight allo-HSCT recipients (˃100 days past post-transplant status) were included. Before and after 6-week IMT, maximal and submaximal exercise capacity, respiratory and peripheral muscle strength, pulmonary functions, dyspnea and fatigue perception, depression and quality of life were evaluated. Primary outcome measurement was respiratory muscle strength, secondary outcomes were exercise capacity, dyspnea, peripheral muscle strength, quality of life, fatigue and depression.

Conditions

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Allogeneic Hematopoietic Stem Cell Transplantation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Treatment group

Intervention: Treatment group received inspiratory muscle training (IMT) using POWERbreathe Classic threshold loading device.

Group Type ACTIVE_COMPARATOR

Inspiratory muscle training

Intervention Type DEVICE

Treatment group received inspiratory muscle training using threshold loading device (POWERbreathe Classic, IMT Technologies Ltd. Birmingham, England) at 40% of maximal inspiratory pressure (MIP).

The MIP was measured at supervised session each week, and 40% of measured MIP value was the new training workload.

The treatment group trained for 30 min-per/day, 7 days/week, for 6 weeks. Six sessions at home and 1 session were performed at department.

Control group

Sham: Control group received sham inspiratory muscle training (IMT) using POWERbreathe Classic threshold loading device .

Group Type SHAM_COMPARATOR

Sham inspiratory muscle training

Intervention Type DEVICE

Control group received sham inspiratory muscle training using threshold loading device (POWERbreathe Classic IMT Technologies Ltd. Birmingham, England) at fixed workload, 5% of MIP.

The control group trained for 30 min-per/day, 7 days/week, for 6 weeks. Six sessions at home and 1 session were performed at department.

Interventions

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Inspiratory muscle training

Treatment group received inspiratory muscle training using threshold loading device (POWERbreathe Classic, IMT Technologies Ltd. Birmingham, England) at 40% of maximal inspiratory pressure (MIP).

The MIP was measured at supervised session each week, and 40% of measured MIP value was the new training workload.

The treatment group trained for 30 min-per/day, 7 days/week, for 6 weeks. Six sessions at home and 1 session were performed at department.

Intervention Type DEVICE

Sham inspiratory muscle training

Control group received sham inspiratory muscle training using threshold loading device (POWERbreathe Classic IMT Technologies Ltd. Birmingham, England) at fixed workload, 5% of MIP.

The control group trained for 30 min-per/day, 7 days/week, for 6 weeks. Six sessions at home and 1 session were performed at department.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Allo-HSC recipients (˃100 days past post-transplant status),
* 18-65 years of age,
* Under standard medications

Exclusion Criteria

* Having cognitive disorder, orthopedic problem or neurological disease that were affecting functional capacity,
* Additional heart and lung diseases such as asthma, chronic obstructive pulmonary disease, acute infections or pneumonia,
* Problems prevented performing assessment and training such as visual problems and mucositis
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gazi University

OTHER

Sponsor Role lead

Responsible Party

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Meral Boşnak Güçlü

Assoc. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gülşah Barğı, MSc.

Role: STUDY_CHAIR

Gazi University

Meral Boşnak Güçlü, PhD.

Role: STUDY_DIRECTOR

Gazi University

Zeynep Arıbaş, MSc.

Role: PRINCIPAL_INVESTIGATOR

Gazi University

Zeynep Şahika Akı, MD, PhD.

Role: PRINCIPAL_INVESTIGATOR

Gazi University

Gülsan Türköz Sucak, MD, PhD.

Role: PRINCIPAL_INVESTIGATOR

Gazi University

References

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Dimeo FC, Tilmann MH, Bertz H, Kanz L, Mertelsmann R, Keul J. Aerobic exercise in the rehabilitation of cancer patients after high dose chemotherapy and autologous peripheral stem cell transplantation. Cancer. 1997 May 1;79(9):1717-22.

Reference Type RESULT
PMID: 9128987 (View on PubMed)

Ferrell B, Grant M, Schmidt GM, Rhiner M, Whitehead C, Fonbuena P, Forman SJ. The meaning of quality of life for bone marrow transplant survivors. Part 1. The impact of bone marrow transplant on quality of life. Cancer Nurs. 1992 Jun;15(3):153-60.

Reference Type RESULT
PMID: 1611601 (View on PubMed)

White AC, Terrin N, Miller KB, Ryan HF. Impaired respiratory and skeletal muscle strength in patients prior to hematopoietic stem-cell transplantation. Chest. 2005 Jul;128(1):145-52. doi: 10.1378/chest.128.1.145.

Reference Type RESULT
PMID: 16002928 (View on PubMed)

Kovalszki A, Schumaker GL, Klein A, Terrin N, White AC. Reduced respiratory and skeletal muscle strength in survivors of sibling or unrelated donor hematopoietic stem cell transplantation. Bone Marrow Transplant. 2008 Jun;41(11):965-9. doi: 10.1038/bmt.2008.15. Epub 2008 Feb 11.

Reference Type RESULT
PMID: 18264142 (View on PubMed)

Bargi G, Guclu MB, Aribas Z, Aki SZ, Sucak GT. Inspiratory muscle training in allogeneic hematopoietic stem cell transplantation recipients: a randomized controlled trial. Support Care Cancer. 2016 Feb;24(2):647-659. doi: 10.1007/s00520-015-2825-3. Epub 2015 Jul 2.

Reference Type DERIVED
PMID: 26135532 (View on PubMed)

Other Identifiers

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GaziUniversity

Identifier Type: -

Identifier Source: org_study_id

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