Angina, StableNCT03923153
Effectiveness of Inspiratory Muscle Training in Patient With Stable Angina
A study testing Inspiratory muscle training with PowerBreathe (IMT Technologies Ltd., Birmingham,England) in people with Angina, Stable, run by Mustafa Kemal University at 1 site in Turkey (Türkiye).
Trial summary
Stable angina is a cardiac pathology that adversely affects the quality of life of the patient, which develops as a result of narrowing of the coronary vessels developing in atherosclerotic ground and / or impaired oxygen supply-need balance. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Angina, Stable
- What is being tested?
- Inspiratory muscle training with PowerBreathe (IMT Technologies Ltd., Birmingham,England)
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 40 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 15 Apr 2019to 30 Aug 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- No contraindication for pulmonary physiotherapy
- Anjina patients who are clinically stable
- have no other disease that may affect respiratory function
- Individuals who have the good cooperation
Who cannot join
- Patients under the age of 18
- Pregnancy
- Active infection
- Patients with known malignancies
- patients without consent
- known arrhythmia, dilated or hypertrophic cardiomyopathy, heart failure (EF <40%)
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Hatay Mustafa Kemal University
Hatay, Merkez, 31010
About this study
Stable angina is a cardiac pathology that adversely affects the quality of life of the patient, which develops as a result of narrowing of the coronary vessels developing in atherosclerotic ground and / or impaired oxygen supply-need balance. Studies widely investigated the effects of exercise training in patients with stable angina. No study investigated the effects of inspiratory muscle training in patients with stable angina.Investigators aimed to investigate the effects of inspiratory muscle training on aerobic exercise capacity, quality of life, depression, peripheral and respiratory (MIP, MEP) muscle strength, pulmonary function, dyspnea, fatigue in stable angina patients.
Read the detailed description
Patients with stable angina will be included. Primary outcome measurement is inspiratory muscle strength, secondary outcomes are functional exercise capacity, peripheral muscle strength, pulmonary functions, maximal exercise capacity, fatigue, quality of life, depression.
- Conditions
- Angina, Stable
- Being tested
- Inspiratory muscle training with PowerBreathe (IMT Technologies Ltd., Birmingham,England), Sham group with PowerBreathe (IMT Technologies Ltd., Birmingham, England)
- Keywords
- inspiratory muscle trainig, quality of life, aerobic capacity, depression, fatique
- Medical subject headings
- Angina, Stable, Depression
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Inspiratory muscle training with PowerBreathe (IMT Technologies Ltd., Birmingham,England)Device
Treatment group II will receive inspiratory muscle endurance training (IMT) using threshold loading device (POWERbreathe Classic, IMT Technologies Ltd. Birmingham, England) at 30% of maximal inspiratory pressure (MIP).
The MIP will be measured at supervised session each week, and 30% of measured MIP value will be the new training workload.
The treatment group will train for 30 min-per/day, 7 days/week, for 8 weeks. Six sessions at home and 1 session will be performed at department.
Sham group with PowerBreathe (IMT Technologies Ltd., Birmingham, England)Device
Treatment group II will receive inspiratory muscle endurance training (IMT) using threshold loading device (POWERbreathe Classic, IMT Technologies Ltd. Birmingham, England) at 10% of maximal inspiratory pressure (MIP).
The MIP will be measured at supervised session each week, and 30% of measured MIP value will be the new training workload.
The treatment group will train for 30 min-per/day, 7 days/week, for 8 weeks. Six sessions at home and 1 session will be performed at department.
| Study group | Role | What they receive |
|---|---|---|
| Inspiratory muscle training group | Active comparator | Inspiratory muscle training group received inspiratory muscle training (IMT) using POWERbreathe Classic threshold loading device Receives: Device: Inspiratory muscle training with PowerBreathe (IMT Technologies Ltd., Birmingham,England) |
| Sham group | Sham comparator | Sham group received inspiratory muscle training (IMT) using POWERbreathe Classic threshold loading device Receives: Device: Sham group with PowerBreathe (IMT Technologies Ltd., Birmingham, England) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change of the Inspiratory and expiratory muscle strength (MIP, MEP) from baseline to 8 week
Mouth pressure device( MicroRPM, Micro Medical England)
Measured: Baseline, after 8 week
Secondary outcomes (4)
Change from Baseline Functional exercise capacity at 8 week
6 minute walking test
Measured: Baseline, after 8 week
Change from Pulmonary functions at 8 week
Spirometry
Measured: Baseline, after 8 week
Fatigue
Change from baseline Fatigue Severity Scale (FSS) (Turkish version of scale) at 8 weeek.
Patient choose a number from 1 to 7 that indicates how much the patient agrees with each statement, where 1 indicates strong disagreement and 7 indicates strong agreement. A score of 4 or higher generally indicates severe fatigue
Measured: Baseline, after 8 week
Depression
Change from baseline Montgomery Asberg Depression Rating Scale (MADRS) (Turkish version of scale) at 8 week.
This assessment tool contains 10 items with a score from 0 to 6, thus the maximum score is 60. A higher score indicates a more severe depression.
Measured: Baseline,after 8 week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Apr 2019
- Study start15 Apr 2019
- Primary completion30 Aug 2020
- Study completion30 Aug 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Angina, StableStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mustafa Kemal University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Irem Hüzmeli, Mustafa Kemal University
- Investigators
- Aysel yıldız, assoc prof, Study director, Marmara University Faculty of Health SciencesIrem Hüzmeli, Msc, Study chair, Mustafa Kemal UniversityOğuz Akkuş, assist prof, Principal investigator, Mustafa Kemal UniversityFatih Yalçın, Prof., Study chair, Mustafa Kemal University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03923153
- Sponsor's protocol ID
- MustafaKU 2
- Status last verified
- May 2021
- First submitted
- 17 Apr 2019
- Last updated
- 6 May 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Kellens I, Cannizzaro F, Gouilly P, Crielaard JM. [Inspiratory muscles strength training in recreational athletes]. Rev Mal Respir. 2011 May;28(5):602-8. doi: 10.1016/j.rmr.2011.01.008. Epub 2011 Apr 19. French.
PubMed 21645830Long L, Anderson L, Dewhirst AM, He J, Bridges C, Gandhi M, Taylor RS. Exercise-based cardiac rehabilitation for adults with stable angina. Cochrane Database Syst Rev. 2018 Feb 2;2(2):CD012786. doi: 10.1002/14651858.CD012786.pub2.
PubMed 29394453American Thoracic Society/European Respiratory Society. ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002 Aug 15;166(4):518-624. doi: 10.1164/rccm.166.4.518. No abstract available.
PubMed 12186831
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Inspiratory Muscle Training in Patient With Stable Angina
- ClinicalTrials.gov ID
- NCT03923153
- Acronym / sponsor ID
- MustafaKU 2
- Conditions
- Angina, Stable
- Keywords
- inspiratory muscle trainig, quality of life, aerobic capacity, depression, fatique
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- Mustafa Kemal UniversityUniversity, hospital or other
- Study start
- 15 Apr 2019 (actual)
- Primary completion
- 30 Aug 2020 (actual)
- Study completion
- 30 Aug 2020 (actual)
- First posted
- 22 Apr 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Stable angina is a cardiac pathology that adversely affects the quality of life of the patient, which develops as a result of narrowing of the coronary vessels developing in atherosclerotic ground and / or impaired oxygen supply-need balance. Studies widely investigated the effects of exercise training in patients with stable angina. No study investigated the effects of inspiratory muscle training in patients with stable angina.Investigators aimed to investigate the effects of inspiratory muscle training on aerobic exercise capacity, quality of life, depression, peripheral and respiratory (MIP, MEP) muscle strength, pulmonary function, dyspnea, fatigue in stable angina patients.
Detailed description
Patients with stable angina will be included. Primary outcome measurement is inspiratory muscle strength, secondary outcomes are functional exercise capacity, peripheral muscle strength, pulmonary functions, maximal exercise capacity, fatigue, quality of life, depression.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Inspiratory muscle training group | Active comparator | Device: Inspiratory muscle training with PowerBreathe (IMT Technologies Ltd., Birmingham,England)Inspiratory muscle training group received inspiratory muscle training (IMT) using POWERbreathe Classic threshold loading device |
| Sham group | Sham comparator | Device: Sham group with PowerBreathe (IMT Technologies Ltd., Birmingham, England)Sham group received inspiratory muscle training (IMT) using POWERbreathe Classic threshold loading device |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- No contraindication for pulmonary physiotherapy
- Anjina patients who are clinically stable
- have no other disease that may affect respiratory function
- Individuals who have the good cooperation
Key exclusion criteria (6 listed)
- Patients under the age of 18
- Pregnancy
- Active infection
- Patients with known malignancies
- patients without consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Inspiratory muscle training with PowerBreathe (IMT Technologies Ltd., Birmingham,England)Treatment group II will receive inspiratory muscle endurance training (IMT) using threshold loading device (POWERbreathe Classic, IMT Technologies Ltd. Birmingham, England) at 30% of maximal inspiratory pressure (MIP). The MIP will be measured at supervised session each week, and 30% of measured MIP value will be the new training workload. The treatment group will train for 30 min-per/day, 7 days/week, for 8 weeks. Six sessions at home and 1 session will be performed at department. | Device | Inspiratory muscle training group |
| Sham group with PowerBreathe (IMT Technologies Ltd., Birmingham, England)Treatment group II will receive inspiratory muscle endurance training (IMT) using threshold loading device (POWERbreathe Classic, IMT Technologies Ltd. Birmingham, England) at 10% of maximal inspiratory pressure (MIP). The MIP will be measured at supervised session each week, and 30% of measured MIP value will be the new training workload. The treatment group will train for 30 min-per/day, 7 days/week, for 8 weeks. Six sessions at home and 1 session will be performed at department. | Device | Sham group |
Primary outcome
Change of the Inspiratory and expiratory muscle strength (MIP, MEP) from baseline to 8 week
Time frame: Baseline, after 8 week
Mouth pressure device( MicroRPM, Micro Medical England)
4 secondary outcomes
Change from Baseline Functional exercise capacity at 8 week
Time frame: Baseline, after 8 week
Change from Pulmonary functions at 8 week
Time frame: Baseline, after 8 week
Fatigue
Time frame: Baseline, after 8 week
Depression
Time frame: Baseline,after 8 week
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 May 2021.
- Background: PubMed 21645830Kellens I, Cannizzaro F, Gouilly P, Crielaard JM. [Inspiratory muscles strength training in recreational athletes]. Rev Mal Respir. 2011 May;28(5):602-8. doi: 10.1016/j.rmr.2011.01.008. Epub 2011 Apr 19. French.
- Background: PubMed 29394453Long L, Anderson L, Dewhirst AM, He J, Bridges C, Gandhi M, Taylor RS. Exercise-based cardiac rehabilitation for adults with stable angina. Cochrane Database Syst Rev. 2018 Feb 2;2(2):CD012786. doi: 10.1002/14651858.CD012786.pub2.
- Background: PubMed 12186831American Thoracic Society/European Respiratory Society. ATS/ERS Statement on respiratory muscle testing. Am J Respir Crit Care Med. 2002 Aug 15;166(4):518-624. doi: 10.1164/rccm.166.4.518. No abstract available.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Aysel yıldız, assoc prof study director
Marmara University Faculty of Health Sciences
Irem Hüzmeli, Msc study chair
Mustafa Kemal University
Oğuz Akkuş, assist prof principal investigator
Mustafa Kemal University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Inspiratory muscle training with PowerBreathe (IMT Technologies Ltd., Birmingham,England) in people with Angina, Stable, run by Mustafa Kemal University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 May 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change of the Inspiratory and expiratory muscle strength (MIP, MEP) from baseline to 8 week (time frame: Baseline, after 8 week). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03923153, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 May 2021.