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Complex Congenital Heart DiseaseNCT07572435

Preliminary Efficacy of a Remote Cardiac Rehabilitation Program in Pediatric Patients With Complex Congenital Heart Disease

A study testing Community-Based Remote Cardiac Rehabilitation Program in people with Complex Congenital Heart Disease, run by Seoul National University Hospital at 1 site in South Korea.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study aims to evaluate the preliminary efficacy of a 12-week community-based remote cardiac rehabilitation program on cardiopulmonary function and quality of life in pediatric patients (aged 8 to 18 years) with complex congenital heart disease. Read more about this study

Who is it for?
Ages 8 to 18 years
Conditions the study is for
Complex Congenital Heart Disease
What is being tested?
Community-Based Remote Cardiac Rehabilitation Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
45 participants
Where
1 siteSouth Korea
Study dates
1 May 2026to 31 Dec 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

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 8 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Aged 8 to 18 years.
  • Diagnosed with complex congenital heart disease (e.g., single ventricle, transposition of the great arteries) and have a history of cardiac surgery.
  • At least 3 months post-cardiac surgery and maintaining a stable hemodynamic status.
  • Capable of utilizing remote programs (mobile apps, video platforms, etc.) in the home environment with technical support from guardians.
  • Participant or guardian has agreed to participate and signed the written informed consent form.
  • Confirmed to have decreased physical activity level and physical well-being through assessments (Must meet both):
  • KIDSCREEN-27 Parent Proxy-report 'Physical well-being' domain T-score of 40 or below.
  • Exercise Vital Sign (EVS) survey indicating moderate-to-vigorous physical activity (MVPA) time of less than 420 minutes per week.

Who cannot join

  • Ongoing cardiovascular diseases such as uncontrolled arrhythmia, acute heart failure, myocarditis, or pericarditis.
  • Neurological or musculoskeletal disorders that make independent exercise impossible.
  • Cognitive impairment that prevents understanding or following the instructions of the remote rehabilitation program.
  • Clinical levels of depression or anxiety restricting exercise participation, as determined by the attending physician (assessed via Korean Children's Depression Inventory 2: Self-Report [K-CDI-2:SR] and Revised Children's Manifest Anxiety Scale, Second Edition [RCMAS-2]).
  • Inability to cooperate with study tests, such as the Cardiopulmonary Exercise Test (CPET), Electrocardiogram (ECG), and 6-Minute Walk Test (6MWT).
  • Currently wearing an artificial pacemaker.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Sungbae Jo Research Professor, Ph.D contact

82-2-2072-4178

sungbaejo@snuh.org

South Korea1 site, 1 recruiting
  • Seoul National University Hospital

    Seoul, 03080

    Sungbae Jo Research Professor, Ph.D, 82-2-2072-4178, sungbaejo@snuh.org

    Recruiting

Other trials in South Korea

About this study

Official title: Preliminary Efficacy of a Community-Based Remote Cardiac Rehabilitation Program on Cardiopulmonary Function and Quality of Life in Pediatric Patients With Complex Congenital Heart Disease: A Single Blind, Randomized Controlled Trial

This study aims to evaluate the preliminary efficacy of a 12-week community-based remote cardiac rehabilitation program on cardiopulmonary function and quality of life in pediatric patients (aged 8 to 18 years) with complex congenital heart disease. Participants will be randomly assigned to either an experimental group receiving the remote cardiac rehabilitation program or a control group receiving the standard of care.

Being tested
Community-Based Remote Cardiac Rehabilitation Program, standard of care

What participants receive

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

  • Community-Based Remote Cardiac Rehabilitation ProgramBehavioural

    The program consists of supervised remote exercise via ZOOM once a week (approx. 60 minutes, including warm-up, aerobic, resistance, respiratory, and cool-down exercises) and self-directed exercise 3 to 7 times a week. Biological signals (ECG, heart rate, SpO2) are monitored using wearable devices (mobiCARE, pulse oximeter, and smartwatch). A respiratory muscle training device (POWERbreathe) is also utilized.

  • standard of careBehavioural

    Participants will maintain their usual outpatient care, medications, and standard physical activity guidelines for without the remote structured intervention.

Study groups in NCT07572435
Study groupRoleWhat they receive
Remote Cardiac Rehabilitation GroupExperimentalParticipants randomly assigned to this group will receive a 12-week remote cardiac rehabilitation program followed by a 12-week follow-up period (total 24 weeks).
Receives: Behavioral: Community-Based Remote Cardiac Rehabilitation Program; Behavioral: standard of care
Control GroupActive comparatorParticipants randomly assigned to this group will receive the standard of care for 24 weeks. After the 24-week evaluation, they will be offered a 1-month exercise education program opportunity.
Receives: Behavioral: standard of care

What is being measured

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

  1. Change in Maximal Oxygen Consumption (VO2 max)

    Measured by Cardiopulmonary Exercise Test (CPET) using the OSAKA protocol. It assesses the maximal amount of oxygen the body can utilize during exercise.

    Measured: Baseline (Week 0), 12 weeks

Secondary outcomes (36)
  1. Change in Pediatric Quality of Life Inventory (PedsQL) Total Score

    Health-related quality of life assessed by the PedsQL questionnaire. Total scores range from 0 to 100, where higher scores indicate a better outcome (higher health-related quality of life).

    Measured: Baseline (Week 0), 12 weeks, 24 weeks

  2. Cardiac Rehabilitation Program Attendance Rate

    Calculated as the number of participated sessions divided by the total number of provided sessions (%).

    Measured: 12 weeks, 24 weeks

  3. Drop-out Rate

    Percentage of participants who dropped out related to the intervention

    Measured: 12 weeks, 24 weeks

  4. Change in Physical Activity Level

    Measured by an accelerometer (GENEActiv) worn for 7 days and smartwatch data.

    Measured: Baseline, 12 weeks, 24 weeks

  5. Change in Global Physical Activity Questionnaire (GPAQ) Score

    Assesses levels of physical activity in three domains (activity at work/school, travel to and from places, recreational activities) and sedentary behavior. The Global Physical Activity Questionnaire (GPAQ) calculates physical activity volume in Metabolic Equivalent of Task (MET)-minutes per week, with a minimum value of 0 and no defined maximum limit, where higher values indicate a better outcome (greater physical activity).

    Measured: Baseline, 12 weeks, 24 weeks

  6. Change in Pediatric Quality of Life Inventory (PedsQL) Parent Proxy-Report Score

    Assesses health-related quality of life of the pediatric patient from the perspective of the parents or guardians. Total scores range from 0 to 100, where higher scores indicate a better outcome (higher health-related quality of life).

    Measured: Baseline, 12 weeks, 24 weeks

  7. Change in Pediatric Quality of Life Inventory (PedsQL) Cardiac Module Score

    A disease-specific module designed to measure health-related quality of life specifically in pediatric patients with heart disease. Total scores range from 0 to 100, where higher scores indicate a better outcome (better disease-specific quality of life).

    Measured: Baseline, 12 weeks, 24 weeks

  8. Change in Pediatric Quality of Life Inventory (PedsQL) Cardiac Module Parent Proxy-Report Score

    A disease-specific module designed to measure health-related quality of life specifically in parent proxy-report of pediatric patients with heart disease. Total scores range from 0 to 100, where higher scores indicate a better outcome (better disease-specific quality of life).

    Measured: Baseline, 12 weeks, 24 weeks

  9. Change in Resilience Scale for Youth (RS-Y) Score

    Assesses the level of psychological resilience in children and adolescents. Total scores range from 37 to 185 (based on 37 items), where higher scores indicate a better outcome (greater psychological resilience).

    Measured: Baseline, 12 weeks, 24 weeks

  10. Change in Child Behavior Checklist (CBCL) Score

    Evaluates behavioral and emotional problems in children and adolescents, as reported by parents or guardians. Results are reported as T-scores typically ranging from 28 to 100, where higher scores indicate a worse outcome (more severe behavioral or emotional problems).

    Measured: Baseline, 12 weeks, 24 weeks

  11. Change in Korean Children's Depression Inventory 2: Self-Report (K-CDI-2:SR) Score

    A self-report assessment to evaluate the presence and severity of depressive symptoms in children and adolescents. Scores range from 0 to 56, where higher scores indicate a worse outcome (more severe depressive symptoms).

    Measured: Baseline, 12 weeks, 24 weeks

  12. Change in Revised Children's Manifest Anxiety Scale, Second Edition (RCMAS-2) Score

    A self-report instrument designed to assess the level and nature of anxiety in children and adolescents. Results are reported as scores typically ranging from 0 to 40, where higher scores indicate a worse outcome (greater severity of anxiety).

    Measured: Baseline, 12 weeks, 24 weeks

  13. Incidence of Adverse Events (Safety)

    Proportion and rate of adverse events and serious adverse events occurring during exercise.

    Measured: 12 weeks, 24 weeks

  14. Change in Oxygen Consumption (VO2)

    The volume of oxygen consumed per minute during the cardiopulmonary exercise test. Unit: L/min.

    Measured: Baseline, 12 weeks, 24 weeks

  15. Change in Carbon Dioxide Production (VCO2)

    The volume of carbon dioxide produced per minute during the cardiopulmonary exercise test. Unit: L/min.

    Measured: Baseline, 12 weeks, 24 weeks

  16. Change in Respiratory Exchange Ratio (RER)

    The ratio of carbon dioxide production to oxygen consumption during the cardiopulmonary exercise test. Unit: Ratio

    Measured: Baseline, 12 weeks, 24 weeks

  17. Change in Minute Ventilation (VE)

    The total volume of air inhaled and exhaled per minute during the cardiopulmonary exercise test. Unit: L/min.

    Measured: Baseline, 12 weeks, 24 weeks

  18. Change in Ventilatory Equivalent for Oxygen (VE/VO2)

    The ratio of minute ventilation to oxygen consumption, reflecting ventilatory efficiency. Unit: Ratio

    Measured: Baseline, 12 weeks, 24 weeks

  19. Change in Ventilatory Equivalent for Carbon Dioxide (VE/VCO2)

    The ratio of minute ventilation to carbon dioxide production, reflecting ventilatory efficiency. Unit: Ratio

    Measured: Baseline, 12 weeks, 24 weeks

  20. Change in Oxygen Pulse (O2 Pulse)

    The amount of oxygen consumed per heart beat during the cardiopulmonary exercise test. Unit: mL/beat.

    Measured: Baseline, 12 weeks, 24 weeks

  21. Change in Peripheral Capillary Oxygen Saturation (SpO2)

    The blood oxygen saturation level measured via pulse oximetry during the cardiopulmonary exercise test. Unit: %.

    Measured: Baseline, 12 weeks, 24 weeks

  22. Change in Maximal Heart Rate (HRmax)

    The highest heart rate achieved during the cardiopulmonary exercise test. Unit: beats per minute (bpm).

    Measured: Baseline, 12 weeks, 24 weeks

  23. Change in Skeletal Muscle Mass measured by Bioelectrical Impedance Analysis (BIA)

    The total weight of skeletal muscle in the body measured by bioelectrical impedance analysis. Unit: kg.

    Measured: Baseline, 12 weeks, 24 weeks

  24. Change in Fat Mass measured by Bioelectrical Impedance Analysis (BIA)

    The total weight of fat in the body measured by bioelectrical impedance analysis. Unit: kg.

    Measured: Baseline, 12 weeks, 24 weeks

  25. Change in Percent Body Fat measured by Bioelectrical Impedance Analysis (BIA)

    The percentage of total body weight that consists of fat, measured by bioelectrical impedance analysis. Unit: %.

    Measured: Baseline, 12 weeks, 24 weeks 13.

  26. Change in Abdominal Fat Ratio measured by Bioelectrical Impedance Analysis (BIA)

    The ratio of abdominal fat, evaluated by waist-to-hip circumference ratio via bioelectrical impedance analysis. Unit: %.

    Measured: Baseline, 12 weeks, 24 weeks

  27. Change in Extracellular Water Ratio measured by Bioelectrical Impedance Analysis (BIA)

    The ratio of extracellular water to total body water, measured by bioelectrical impedance analysis. Unit: %.

    Measured: Baseline, 12 weeks, 24 weeks

  28. Change in Radial Artery Augmentation Index (AIx)

    A measure of arterial stiffness derived from the radial artery pulse wave, standardized to a heart rate of 75 bpm (AIx@75). Unit: %.

    Measured: Baseline, 12 weeks, 24 weeks

  29. Change in Carotid-femoral Pulse Wave Velocity (c-f PWV)

    The speed of the arterial pulse propagating from the carotid to the femoral artery, reflecting arterial stiffness. Unit: m/s.

    Measured: Baseline, 12 weeks, 24 weeks

  30. Change in Flow-Mediated Dilation (FMD)

    The percentage increase in brachial artery diameter following a period of ischemia, assessing endothelial function. Unit: %.

    Measured: Baseline, 12 weeks, 24 weeks

  31. Change in 6-Minute Walk Test (6MWT) Distance

    The total distance a participant can walk on a flat, hard surface in exactly 6 minutes. Unit: meters (m).

    Measured: Baseline, 12 weeks, 24 weeks

  32. Change in Lower Limb Strength measured by isokinetic dynamometer (Biodex)

    The maximum isometric knee extension peak torque measured by an isokinetic dynamometer. Unit: Newton meters (N.m).

    Measured: Baseline, 12 weeks, 24 weeks

  33. Change in Lower Limb Muscular Endurance measured by 1-minute squats

    The total number of chair stand squats completed within exactly one minute. Unit: repetitions.

    Measured: Baseline, 12 weeks, 24 weeks

  34. Change in Upper Limb Strength (Grip Strength)

    The maximum isometric handgrip strength measured using a hand dynamometer. Unit: kg.

    Measured: Baseline, 12 weeks, 24 weeks

  35. Change in Flexibility measured by sit and reach test

    The maximum distance reached forward while sitting with legs extended, assessing lower back and hamstring flexibility. Unit: cm.

    Measured: Baseline, 12 weeks, 24 weeks

  36. Change in Maximal Inspiratory Pressure (MIP)

    The maximum pressure generated during inspiration against an occluded airway, assessing respiratory muscle strength. Unit: mmH2O.

    Measured: Baseline, 12 weeks, 24 weeks

Timeline

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

  1. First posted7 May 2026
  2. Study start1 May 2026 (estimated)
  3. Primary completion31 Oct 2029 (estimated)
  4. Study completion31 Dec 2029 (estimated)

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
45 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07572435
Sponsor's protocol ID
2511-022-1690
Status last verified
Apr 2026
First submitted
23 Apr 2026
Last updated
7 May 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A study testing Community-Based Remote Cardiac Rehabilitation Program in people with Complex Congenital Heart Disease, run by Seoul National University Hospital at 1 site in South Korea.

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 8 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: looking for participants now, as of the sponsor's last update on 7 May 2026. 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 South Korea. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Sungbae Jo Research Professor, Ph.D (82-2-2072-4178, sungbaejo@snuh.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Maximal Oxygen Consumption (VO2 max) (time frame: Baseline (Week 0), 12 weeks). 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 7 May 2026.

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