Heart Failure Clinical Trials

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Identifying Markers of Exercise Training in Heart Failure

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The heart failure syndrome that occurs when the heart is too sick to properly do its job. One of the main symptoms is difficulty with exercise. One way to improve symptoms is to start patients in a 12 week exercise program called cardiac rehabilitation. Cardiac rehabilitation been shown to improve symptoms for heart failure patients. However, the investigators do not know exactly what exercise does to the molecules that make up the human body. If the investigators could answer this question, the investigators might find a whole new way to treat the symptoms of heart failure. Therefore the investigators want to know what molecules might be responsible for the benefits of exercise. The plan for this study is to measure the levels of thousands of proteins in blood samples which come from people with heart failure and see how those levels change after 12 weeks of cardiac rehabilitation, compared to the protein levels in patients whose cardiac rehabilitation is delayed until after the study period. If the investigators know the proteins that change with exercise, the investigators can then look to see if targeting these proteins with medicines can mimic the benefits of exercise. The long term goal of our work is to identify exercise-in-a-pill medicines that will help people with heart failure.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 89
Healthy Volunteers: f
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• Provision of signed and dated informed consent form

• Stated willingness to comply with all study procedures and availability for the duration of the study

• Male or female, aged 18-89

• Patients must carry a diagnosis of heart failure with ejection fraction \< 40%

• Be willing to participate in cardiac rehabilitation, and not already done so in the last year

• Agreement to adhere to Lifestyle Considerations (see section 5.3) throughout study duration

• Must be able to exercise on a treadmill

Locations
United States
California
Stanford Health Care
RECRUITING
Stanford
Time Frame
Start Date: 2024-03-20
Estimated Completion Date: 2029-04-01
Participants
Target number of participants: 90
Treatments
Experimental: Active arm: Acute exercise
This arm includes two-thirds of enrollees and focuses on acute effects of exercise. Qualifying participants with heart failure randomized to this arm will undergo a 40 minute bout of moderate intensity exercise. Blood samples will be collected before and after the acute bout at 10, 30, and 210 minutes after exercise.
No_intervention: Control arm: No exercise (Acute Comparison)
This arm includes one-third of enrollees and serves as control. Qualifying participants with heart failure randomized to this arm will begin with a 40 minute period of rest. Blood samples will be collected before and after the the 40 minute period at 10, 30, and 210 minutes after the start.
Experimental: Active Arm: 12 weeks Cardiac Rehabilitation
This arm includes two-thirds of enrollees for the training intervention and focuses on chronic effects of exercise. Participants have a baseline blood sample and then go to cardiac rehabilitation for a 12 week period. A single blood sample will be obtained at 6 weeks. The participants will return after the 12 weeks of cardiac rehabilitation for another single blood sample.
No_intervention: Control: No Exercise (Training)
Participants receive baseline fasting blood sample and then defer cardiac rehabilitation for a 12 week period. A single blood sample will be obtained at 6 weeks of this control intervention period. 12 weeks after enrollment, patients will return for another single blood sample.
Related Therapeutic Areas
Sponsors
Leads: Stanford University
Collaborators: American Heart Association, National Heart, Lung, and Blood Institute (NHLBI)

This content was sourced from clinicaltrials.gov