AzTrials
AzTrials

Post-COVID-19 Related FatigueFatignalsNCT05853055

Disease-related Fatigue Monitoring Based on Body Signals Measured on the Skin

A study testing Respiratory training in people with Post-COVID-19 Related Fatigue, run by Simon Annaheim at 1 site in Switzerland.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study investigates the use of physiological parameters as predictors of disease-related fatigue. For that purpose, wearable devices are used to monitor post-COVID-19 patients during their stay in a rehabilitation clinic. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Post-COVID-19 Related Fatigue
What is being tested?
Respiratory training
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
33 participants
Where
1 siteSwitzerland
Study dates
9 Feb 2023to 12 Jul 2024
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

  • Adults (≥18 years old)
  • suffering from post-COVID-19 fatigue (i.e., score equal or higher than 5 on the single-item fatigue [SIF] or the Fatigue Severity Scale [FSS])
  • admitted to Gais rehabilitation clinic
  • able to use a mobile phone
  • able to wear and handle the monitoring devices

Who cannot join

  • Patients suffering from a relevant comorbidity (i.e., comorbidity resulting in significant distortion of physiological signals [e.g., moderate to severe chronic obstructive pulmonary disease or persistent atrial fibrillation])
  • pregnancy
  • unable to use, wear or handle the monitoring systems

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • Klinik Gais

    Gais, 9056

Other trials in Switzerland

About this study

This study investigates the use of physiological parameters as predictors of disease-related fatigue. For that purpose, wearable devices are used to monitor post-COVID-19 patients during their stay in a rehabilitation clinic. Besides, the effectiveness of respiratory training in reducing breathlessness and improving exercise breathing patterns in patients suffering from post-COVID-19 will be explored.

Being tested
Respiratory training
Keywords
Self-reported fatigue, Fatigue questionnaires, Continous monitoring of physiological signals, Predictive model for fatigue condition, Respiratory training

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Respiratory trainingProcedure or surgery

    Respiratory training will be included in the rehabilitation program of a subgroup of post-COVID-19 patients. The intervention group will train twice daily for the length of their rehabilitation stay using an incentive spirometer (Voldyne 5000 R, Sherwood Medical, St. Louis, USA). Subjects will be instructed to first completely exhale slowly. Then inspire slowly up to 70% of their vital capacity, producing a constant flow controlled via feedback from the device. This procedure will be repeated every 30 s (paced by a metronome) for 15 min. The training will be conducted twice a day, resulting in a total of 60 inspirations per day.

Study groups in NCT05853055
Study groupRoleWhat they receive
Post-COVID-19 (respiratory training and monitoring)ExperimentalPost-COVID-19 patients allocated to this arm get an additional respiratory training added to their conventional rehabilitation program. Patients will train twice daily for the length of their rehabilitation stay. An incentive spirometer (Voldyne 5000 R, Sherwood Medical, St. Louis, USA) will be used to complete training sessions of 15 mins each.
Receives: Procedure: Respiratory training
Post-COVID-19 (control and monitoring)No interventionPatients receive the same therapeutical interventions as the Post-COVID19 respiratory training arm excluding respiratory training.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Quantification of fatigue based on self-reported fatigue by means of single item fatigue questionnaire

    The single item fatigue (SIF) questionnaire is a multidimensional questionnaire developed for use in daily clinical practice. It has 5-items covering global fatigue, cognitive fatigue, emotional fatigue, physical fatigue, fatigue relief by sleep), each consisting of an 11-point likert scale (0 [no fatigue] to 10 [severe fatigue]), . Perceived fatigue was asked for the past 24 hours.

    Measured: baseline

  2. Quantification of fatigue based on self-reported fatigue by means of single item fatigue questionnaire

    The single item fatigue (SIF) questionnaire is a multidimensional questionnaire developed for use in daily clinical practice. It has 5-items covering global fatigue, cognitive fatigue, emotional fatigue, physical fatigue, fatigue relief by sleep), each consisting of an 11-point likert scale (0 [no fatigue] to 10 [severe fatigue]), . Perceived fatigue was asked for the past 24 hours.

    Measured: after 12 weeks of rehabilitation

  3. Heart rate

    Heart rate (in beats per minute) will be obtained from ECG signals monitored continuously by the eqO2+ LifeMonitor (Equivital Inc, New York, USA)

    Measured: baseline

  4. Heart rate

    Heart rate (in beats per minute) will be obtained from ECG signals monitored continuously by the eqO2+ LifeMonitor (Equivital Inc, New York, USA)

    Measured: after 12 weeks of rehabilitation

  5. Heart rate variability

    Heart rate variability (in milliseconds) will be obtained from ECG signals monitored continuously by the eqO2+ LifeMonitor (Equivital Inc, New York, USA)

    Measured: baseline

  6. Heart rate variability

    Heart rate variability (in milliseconds) will be obtained from ECG signals monitored continuously by the eqO2+ LifeMonitor (Equivital Inc, New York, USA)

    Measured: after 12 weeks of rehabilitation

  7. Breathing rate

    Breathing rate (in breaths per minute) will be obtained from breathing waveform signals monitored continuously by the eqO2+ LifeMonitor (Equivital Inc, New York, USA)

    Measured: baseline

  8. Breathing rate

    Breathing rate (in breaths per minute) will be obtained from breathing waveform signals monitored continuously by the eqO2+ LifeMonitor (Equivital Inc, New York, USA)

    Measured: after 12 weeks of rehabilitation

  9. Physical activity intensity

    The mean amplitude observed for the resultant acceleration (based on 3D acceleration measurements in g) is considered to be representative for the physical activity intensity. It will be obtained from acceleration measurements monitored continuously by the eqO2+ LifeMonitor (Equivital Inc, New York, USA)

    Measured: baseline

  10. Physical activity intensity

    The mean amplitude observed for the resultant acceleration (based on 3D acceleration measurements in g) is considered to be representative for the physical activity intensity. It will be obtained from acceleration measurements monitored continuously by the eqO2+ LifeMonitor (Equivital Inc, New York, USA)

    Measured: after 12 weeks of rehabilitation

  11. Nocturnal blood oxygen saturation

    Nocturnal blood oxygen saturation (in %) will be monitored continuously during night by Nonin Wristox2 3150 (Nonin Medical Inc., Minnesota, USA)

    Measured: baseline

  12. Nocturnal blood oxygen saturation

    Nocturnal blood oxygen saturation (in %) will be monitored continuously during night by Nonin Wristox2 3150 (Nonin Medical Inc., Minnesota, USA)

    Measured: after 12 weeks of rehabilitation

  13. Breathing frequency at anaerobic threshold

    Breathing frequency (in breaths per minute) obtained during ergospirometer test using Cortex Metalyzer 3B (Cortex Biophysik GmbH, Leipzig, Germany) during a ramp protocol (starting work load of 5 Watts, increase in work load by 12.5 Watts/min).

    Measured: baseline

  14. Breathing frequency at anaerobic threshold

    Breathing frequency (in breaths per minute) obtained during ergospirometer test using Cortex Metalyzer 3B (Cortex Biophysik GmbH, Leipzig, Germany) during a ramp protocol (starting work load of 5 Watts, increase in work load by 12.5 Watts/min).

    Measured: after 12 weeks of rehabilitation

  15. Tidal volume at anaerobic threshold

    Tidal volume (in ml) obtained during ergospirometer test using Cortex Metalyzer 3B (Cortex Biophysik GmbH, Leipzig, Germany) during a ramp protocol (starting work load of 5 Watts, increase in work load by 12.5 Watts/min).

    Measured: baseline

  16. Tidal volume at anaerobic threshold

    Tidal volume (in ml) obtained during ergospirometer test using Cortex Metalyzer 3B (Cortex Biophysik GmbH, Leipzig, Germany) during a ramp protocol (starting work load of 5 Watts, increase in work load by 12.5 Watts/min).

    Measured: after 12 weeks of rehabilitation

  17. Respiratory exchange ratio at anaerobic threshold

    Respiratory exchange ratio obtained during ergospirometer test using Cortex Metalyzer 3B (Cortex Biophysik GmbH, Leipzig, Germany) during a ramp protocol (starting work load of 5 Watts, increase in work load by 12.5 Watts/min).

    Measured: baseline

  18. Respiratory exchange ratio at anaerobic threshold

    Respiratory exchange ratio obtained during ergospirometer test using Cortex Metalyzer 3B (Cortex Biophysik GmbH, Leipzig, Germany) during a ramp protocol (starting work load of 5 Watts, increase in work load by 12.5 Watts/min).

    Measured: after 12 weeks of rehabilitation

Secondary outcomes (18)
  1. Functional assessment by means of the hand grip test

    Measurement of mean strength (in kg) by pulling a dynamometer handle with maximum force for 3 seconds using the dominant hand followed by 5 seconds of relaxation. Sequence in conducted 10 times.

    Measured: baseline

  2. Functional assessment by means of the hand grip test

    Measurement of mean strength (in kg) by pulling a dynamometer handle with maximum force for 3 seconds using the dominant hand followed by 5 seconds of relaxation. Sequence in conducted 10 times.

    Measured: after 12 weeks of rehabilitation

  3. Functional assessment by means of the time up and go test

    Measures the time (in s) required to rise from a standard armchair, walk to a marker 3 m away, turn, walk back, and sit down again; assesses the dynamic balance and functional mobility.

    Measured: baseline

  4. Functional assessment by means of the time up and go test

    Measures the time (in s) required to rise from a standard armchair, walk to a marker 3 m away, turn, walk back, and sit down again; assesses the dynamic balance and functional mobility.

    Measured: after 12 weeks of rehabilitation

  5. Functional assessment by means of the 6 min walking test

    Measurement of distance covered (in m) during 6 minutes of walking.

    Measured: baseline

  6. Functional assessment by means of the 6 min walking test

    Measurement of distance covered (in m) during 6 minutes of walking.

    Measured: after 12 weeks of rehabilitation

  7. Fatigue severity scale

    Questionnaire to evaluate the impact of fatigue with a minimum value of 9 (not suffering from fatigue at all) and a maximum value of 63 (highly affected by fatigue)

    Measured: baseline

  8. Fatigue severity scale

    Questionnaire to evaluate the impact of fatigue with a minimum value of 9 (not suffering from fatigue at all) and a maximum value of 63 (highly affected by fatigue)

    Measured: after 12 weeks of rehabilitation

  9. Health-related quality of life assessment by means of short form health survey (SF-36)

    Questionnaire for the assessment of health-related quality of life (minimum value = 0, low quality of life; maximum value = 100, high quality of life)

    Measured: baseline

  10. Health-related quality of life assessment by means of short form health survey (SF-36)

    Questionnaire for the assessment of health-related quality of life (minimum value = 0, low quality of life; maximum value = 100, high quality of life)

    Measured: after 12 weeks of rehabilitation

  11. Hospital Anxiety and Depression Scale

    Questionnaire for the assessment of anxiety and depression (minimum value = 0, no signs of anxiety and depression; maximum value = 10, highest levels of anxiety and depression)

    Measured: baseline

  12. Hospital Anxiety and Depression Scale

    Questionnaire for the assessment of anxiety and depression (minimum value = 0, no signs of anxiety and depression; maximum value = 10, highest levels of anxiety and depression)

    Measured: after 12 weeks of rehabilitation

  13. Bell Disability Scale

    Questionnaire for the assessment of the patient's overall functioning (minimum value = 0, worst functioning; maximum value = 100, best functioning)

    Measured: baseline

  14. Bell Disability Scale

    Questionnaire for the assessment of the patient's overall functioning (minimum value = 0, worst functioning; maximum value = 100, best functioning)

    Measured: after 12 weeks of rehabilitation

  15. Chronic Respiratory Disease Questionnaire

    Questionnaire for the assessment of dyspnoea (in post-COVID-10 patients) consisting of 5 items covering a range of 0 (worst condition) and 8 (best condition)

    Measured: baseline

  16. Chronic Respiratory Disease Questionnaire

    Questionnaire for the assessment of dyspnoea (in post-COVID-10 patients) consisting of 5 items covering a range of 0 (worst condition) and 8 (best condition)

    Measured: after 12 weeks of rehabilitation

  17. Edmonton Symptom Assessment System

    Questionnaire for the assessment of cancer symptoms consisting of 10 items covering a range of 0 (no symptoms) and 10 (worst symptoms)

    Measured: baseline

  18. Edmonton Symptom Assessment System

    Questionnaire for the assessment of cancer symptoms consisting of 10 items covering a range of 0 (no symptoms) and 10 (worst symptoms)

    Measured: after 12 weeks of rehabilitation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 May 2023
  2. Study start9 Feb 2023
  3. Primary completion12 Jul 2024
  4. Study completion12 Jul 2024

Resources

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
The study population comprises 20 patients suffering from post-COVID-19, since fatigue is a major complaint in this condition. Since abnormal breathing patterns during exertion occur mainly in post-COVID-19 patients, only these will participate in the respiratory training intervention. Half of the post-COVID-19 patients will be the control, and the other half the intervention group.
Masking
None (open label)
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05853055
Sponsor's protocol ID
5213.00284
Acronym
Fatignals
Status last verified
Jan 2025
First submitted
22 Mar 2023
Last updated
13 Jan 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: It is intended to publish the study in an open-access journal by December 2024. With this, the raw data of the physiological parameters measured and the self-reported data about fatigue symptoms (questionnaires) will be made available upon request and fulfilling the access criteria as indicated below.

Questions about this trial

What is this clinical trial studying?

A study testing Respiratory training in people with Post-COVID-19 Related Fatigue, run by Simon Annaheim at 1 site in Switzerland.

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 5 inclusion and 3 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 13 Jan 2025. 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 Switzerland. 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. 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?

Quantification of fatigue based on self-reported fatigue by means of single item fatigue questionnaire (time frame: baseline). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 13 Jan 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in