Hypoxic Exercise in Lower Extremity Artery Disease

NCT ID: NCT03506607

Last Updated: 2020-11-24

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-23

Study Completion Date

2022-12-31

Brief Summary

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The aim of this randomized controlled trial is to:

Phase I: To explore, in a first pilot phase, the adequate combination of hypoxia severity and exercise intensity in patients with symptomatic lower extremity artery disease (LEAD). Acute walking performances and physiological responses (vascular and muscular) to a normobaric hypoxic exercise performed will be assessed at two different altitudes (1500 m and 2500 m).

Detailed Description

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The results of this first phase will then be used to determine the optimal hypoxic level for the exercise training program which will be assessed during the Phase II.

Conditions

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Peripheral Arterial Disease

Keywords

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exercise cardiovascular normobaric hypoxia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Participants

Study Groups

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Exercise in hypoxia 1500m

During this visit, subjects will perform a 6-min treadmill exercise wearing an oronasal mask connected (through a hose) with a three-way valve to an altitude simulation device (Altitrainer; SMTech, Nyon, Switzerland). The ambient air will be mixed with nitrogen and inspired oxygen fraction will be reduced to 16%.

Group Type EXPERIMENTAL

Exercise in hypoxia 1500m

Intervention Type OTHER

Subjects will perform a 6-min treadmill exercise wearing an oronasal mask connected (through a hose) with a three-way valve to an altitude simulation device (Altitrainer; SMTech, Nyon, Switzerland). The ambient air will be mixed with nitrogen and inspired oxygen fraction will be reduced to 16%. The first 3 min will be performed at 70% of the mean speed calculated during a previous visit, and the last 3 min at an intensity between 12-14 on the Borg's scale.

Exercise in hypoxia 2500m

During this visit, subjects will perform a 6-min treadmill exercise wearing an oronasal mask connected (through a hose) with a three-way valve to an altitude simulation device (Altitrainer; SMTech, Nyon, Switzerland). The ambient air will be mixed with nitrogen and inspired oxygen fraction will be reduced to 14%.

Group Type EXPERIMENTAL

Exercise in hypoxia 2500m

Intervention Type OTHER

Subjects will perform a 6-min treadmill exercise wearing an oronasal mask connected (through a hose) with a three-way valve to an altitude simulation device (Altitrainer; SMTech, Nyon, Switzerland). The ambient air will be mixed with nitrogen and inspired oxygen fraction will be reduced to 14%. The first 3 min will be performed at 70% of the mean speed calculated during a previous visit, and the last 3 min at an intensity between 12-14 on the Borg's scale.

Exercise in normoxia

During this visit, subjects will perform a 6-min treadmill exercise wearing an oronasal mask connected (through a hose) with a three-way valve to an altitude simulation device (Altitrainer; SMTech, Nyon, Switzerland). For the exercise performed in normoxia conditions, subjects will breathe room air.

Group Type PLACEBO_COMPARATOR

Exercise in normoxia

Intervention Type OTHER

Subjects will perform a 6-min treadmill exercise wearing an oronasal mask connected (through a hose) with a three-way valve to an altitude simulation device (Altitrainer; SMTech, Nyon, Switzerland). For the exercise performed in normoxia conditions, subjects will breathe room air. The first 3 min will be performed at 70% of the mean speed calculated during a previous visit, and the last 3 min at an intensity between 12-14 on the Borg's scale.

Interventions

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Exercise in hypoxia 1500m

Subjects will perform a 6-min treadmill exercise wearing an oronasal mask connected (through a hose) with a three-way valve to an altitude simulation device (Altitrainer; SMTech, Nyon, Switzerland). The ambient air will be mixed with nitrogen and inspired oxygen fraction will be reduced to 16%. The first 3 min will be performed at 70% of the mean speed calculated during a previous visit, and the last 3 min at an intensity between 12-14 on the Borg's scale.

Intervention Type OTHER

Exercise in hypoxia 2500m

Subjects will perform a 6-min treadmill exercise wearing an oronasal mask connected (through a hose) with a three-way valve to an altitude simulation device (Altitrainer; SMTech, Nyon, Switzerland). The ambient air will be mixed with nitrogen and inspired oxygen fraction will be reduced to 14%. The first 3 min will be performed at 70% of the mean speed calculated during a previous visit, and the last 3 min at an intensity between 12-14 on the Borg's scale.

Intervention Type OTHER

Exercise in normoxia

Subjects will perform a 6-min treadmill exercise wearing an oronasal mask connected (through a hose) with a three-way valve to an altitude simulation device (Altitrainer; SMTech, Nyon, Switzerland). For the exercise performed in normoxia conditions, subjects will breathe room air. The first 3 min will be performed at 70% of the mean speed calculated during a previous visit, and the last 3 min at an intensity between 12-14 on the Borg's scale.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with symptomatic LEAD (Fontaine stage ≥ IIa)
* ABI ≤ 0.9
* TBI ≤ 0.6 if incompressible arteries (diabetes and renal insufficiency)
* Signed written informed consent form

Exclusion Criteria

* Neurological and neuromuscular disorders which can limit balance and walking
* Any history of altitude-related sickness
* Any health risks (assessed during clinical history) linked to hypoxia exposure
* Acclimatization or exposure to hypoxia of more than 2000 m for more than 48 h during a period of 6 months before the study
* Medication required for the treatment of migraines, claustrophobia that may interfere with the interpretation of the results
* Obstructive sleep apnea (\> 25 Apnea-Hypopnea Index)
* Prior leg/foot amputation
* Pregnant women
* Cardiac contraindication to exercise
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire Vaudois

OTHER

Sponsor Role lead

Responsible Party

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Lucia Mazzolai

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lucia Mazzolai, Prof

Role: PRINCIPAL_INVESTIGATOR

Division of angiology, Lausanne University Hospital

Locations

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CHUV

Lausanne, Canton of Vaud, Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Lucia Mazzolai, Prof

Role: CONTACT

Phone: +41 (0)79 556 56 61

Email: [email protected]

Facility Contacts

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Lucia Mazzolai, Prof

Role: primary

Stefano Lanzi, PhD

Role: backup

Other Identifiers

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2017_00397_Phase1

Identifier Type: -

Identifier Source: org_study_id