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N/A N=136 Randomized Triple-blind Supportive Care

Study of Exercise Training in Hypertrophic Cardiomyopathy

Cardiomyopathy, Hypertrophic

Enrolled (actual)
136
Serious AEs
0.0%
Results posted
Feb 2019
Primary outcome: Primary: Change in Peak Oxygen Consumption (Peak VO2) — 1.35; 0.08 mL/kg/min

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Exercise training (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Michigan
Primary completion
Sep 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Peak Oxygen Consumption (Peak VO2)
1.35; 0.08

Summary

The investigators propose a pilot randomized controlled trial to determine the safety and potential benefits of moderate intensity exercise in patients with hypertrophic cardiomyopathy. The investigators hypotheses are that exercise parameters derived from a baseline cardiopulmonary exercise test will target an appropriately safe level of exercise intensity that will not cause significant arrhythmias or exacerbate symptoms and that exercise training for 4 months will result in significant improvements in peak oxygen consumption (peak VO2) and quality of life, with neutral effects on the clinical characteristics.

Eligibility Criteria

Inclusion Criteria

  • Age ≥ 18 years and ≤ 80.
  • Diagnosis of HCM, defined by the presence of unexplained left-ventricular hypertrophy > 13 mm in any wall segment.
  • Agreement to be a participant in the study protocol and willing/able to return for follow-up.

Exclusion Criteria

  • History of exercise-induced syncope or arrhythmias (ventricular tachycardia or non-sustained ventricular tachycardia).
  • Medically refractory left ventricular outflow tract obstruction being evaluated for septal reduction therapy.
  • Less than 3 months post septal reduction therapy (surgery or catheter based intervention).
  • Hypotensive response to exercise (> 20 mm Hg drop in systolic blood pressure from peak blood pressure to post exercise blood pressure).
  • Pregnancy.
  • Implantable Cardioverter-Defibrillator (ICD) placement in last 3 months or scheduled.
  • Left ventricular systolic dysfunction (left ventricular ejection fraction < 55% by echocardiography).
  • Worsening clinical status in the last 3 months, advanced heart failure (New York Heart Association class IV symptoms) or angina (Canadian Cardiovascular Society class IV symptoms).
  • Life expectancy less than 12 months.
  • Inability to exercise due to orthopedic or other non-cardiovascular limitations.
  • Unwillingness to refrain from competitive sports, burst activity, or heavy isometric exercise for the duration of the study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01127061). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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