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Systemic Lupus ErthematosusMIGHT-SLENCT07716462

Home-Based High-Intensity Interval Training in Systemic Lupus Erythematosus

A study testing Personalized Home-Based High-Intensity Interval Training in people with Systemic Lupus Erthematosus and Fatigue, run by University of Alabama at Birmingham at 1 site in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Systemic lupus erythematosus, or SLE, is a chronic autoimmune disease that can cause persistent fatigue, muscle pain, reduced physical function, and impaired quality of life, even when the disease is otherwise clinically stable. The biological mechanisms contributing to these symptoms are not fully understood. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Personalized Home-Based High-Intensity Interval Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteUnited States
Study dates
Dec 2026to Sep 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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18 to 65 years.
  • Diagnosis of systemic lupus erythematosus according to the 2019 European Alliance of Associations for Rheumatology/American College of Rheumatology classification criteria.
  • Stable, non-organ-threatening systemic lupus erythematosus, defined as a Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score of 6 or less at screening, with no active renal or central nervous system involvement.
  • Stable background lupus therapy, defined as no initiation of a new disease-modifying antirheumatic drug or biologic therapy and no change in the dose of immunosuppressive therapy within 8 weeks before enrollment.
  • Persistent fatigue and/or muscle pain, with a PROMIS Fatigue T-score of 55 or greater.
  • Stable prednisone dose, or equivalent glucocorticoid dose, of 5 mg per day or less for at least 12 weeks before enrollment.
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  • Able to safely participate in a moderate-intensity exercise program.
  • Able and willing to provide informed consent.
  • Able and willing to comply with the home-based exercise protocol and study procedures.

Who cannot join

  • Prednisone dose greater than 5 mg per day, or receipt of a glucocorticoid burst within 8 weeks before enrollment.
  • Pregnancy.
  • Severe anemia, defined as hemoglobin less than 10 g/dL.
  • Uncontrolled hypothyroidism.
  • Severe systemic lupus erythematosus disease activity, defined as a SLEDAI-2K score greater than 8.
  • End-stage kidney disease requiring renal replacement therapy or estimated glomerular filtration rate less than 30 mL/min/1.73 m².
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  • Uncontrolled hypertension, defined as blood pressure greater than 160/100 mmHg.
  • Decompensated heart failure.
  • Unstable pulmonary disease.
  • Neurologic condition that limits exercise performance.
  • Uncontrolled diabetes mellitus.
  • Severe osteoarthritis that limits safe participation in the exercise intervention.
  • Overlap autoimmune disease, including inflammatory myopathy, mixed connective tissue disease, or systemic sclerosis.
  • History of solid-organ or bone marrow transplantation.
  • Any contraindication to magnetic resonance imaging.
  • Inability to fit safely on the magnetic resonance imaging scanner bed.
  • Myocardial infarction or cerebrovascular event within the previous 3 months.
  • Serious hemorrhage, including cerebral hemorrhage, within the previous 12 months.
  • Acute infectious illness within 1 month before enrollment.
  • Inability to provide informed consent.
  • Inability to adhere to the home-based exercise protocol.
  • Current participation in a structured exercise program.

Trial locations and contacts

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

Leslie Johnson contact

205-996-9784

lmroop@uabmc.edu

United States1 site
  • The Kirklin Clinic of UAB Hospital

    Birmingham, Alabama, 35233

    JOSE E RUBIO MOSQUERA, MD, 781-392-7670, JERUBIOMOSQUERA@UABMC.EDU

    Leslie Johnson, 205-996-9784, lmroop@uabmc.edu

Other trials in United States

About this study

Official title: Exercise and Muscle Biology in Systemic Lupus Erythematosus

Systemic lupus erythematosus, or SLE, is a chronic autoimmune disease that can cause persistent fatigue, muscle pain, reduced physical function, and impaired quality of life, even when the disease is otherwise clinically stable. The biological mechanisms contributing to these symptoms are not fully understood. Abnormal energy production within skeletal muscle and increased fat accumulation within the muscle may contribute to fatigue and reduced physical performance in people with SLE.

This pilot study will evaluate the effects of a 16-week personalized, home-based exercise program in 20 adults with stable SLE and clinically significant fatigue. The program will include three exercise sessions per week: bodyweight high-intensity interval training, strength training, and walking-based interval training. Sessions will be adapted to each participant's fitness, mobility, symptoms, and exercise tolerance. Some sessions will be supervised remotely by video, while others will be completed independently using personalized recorded instructions.

Read more

Participants will undergo assessments before and after the 16-week program. These assessments will examine skeletal muscle mitochondrial function, fat accumulation within the thigh muscles, physical performance, fatigue, quality of life, and blood-based markers of mitochondrial function and inflammation.

The study will help determine whether a personalized home-based exercise program can improve muscle health and physical function in people with SLE and will provide information needed to design larger future studies.

Read the detailed description

This is a single-arm, pilot, proof-of-concept study evaluating the clinical and biological effects of a 16-week personalized, home-based high-intensity interval training program in 20 adults with stable systemic lupus erythematosus and persistent fatigue and/or muscle pain.

SLE-related fatigue is common and may persist despite adequate control of inflammatory disease activity. Skeletal muscle mitochondrial dysfunction may impair cellular energy production and contribute to fatigability and exercise intolerance. In addition, intermuscular adipose tissue, defined as fat located within the muscle compartment, is increased in some people with SLE and may be associated with systemic inflammation, fatigue, and reduced physical function.

The exercise intervention will include three sessions per week:

One bodyweight high-intensity interval training session One strength-training session One walking-based high-intensity interval training session

Exercise duration and intensity will increase gradually during the 16-week intervention. The program will be personalized according to each participant's baseline fitness, mobility, exercise preferences, SLE manifestations, pain, and exercise tolerance. Exercise sessions will alternate between remotely supervised video sessions and self-directed sessions using individualized prerecorded videos. Participants will use a heart-rate monitor during exercise, and the study team will conduct regular check-ins to support adherence and safety. Exercise intensity may be reduced or modified if a participant develops increased pain, joint symptoms, or an SLE flare.

Participants will complete study assessments at baseline and after the 16-week intervention. Skeletal muscle mitochondrial function will be assessed noninvasively using phosphorus-31 magnetic resonance spectroscopy. The primary measure of mitochondrial function will be phosphocreatine recovery following a brief standardized muscle exercise.

Magnetic resonance imaging of the thigh will be used to quantify intermuscular adipose tissue and muscle composition. Additional imaging may assess abdominal and liver fat.

Physical performance will be evaluated using the six-minute walk test and the 30-second sit-to-stand test. Participants will also complete questionnaires assessing fatigue, fatigability, mobility, overall health, cognitive function, and SLE-related quality of life.

Blood and other biological samples will be collected before and after the intervention. Laboratory analyses will evaluate circulating markers of mitochondrial function, inflammation, and inflammasome activation. Exploratory analyses may include gene expression, proteomic, genetic, urine, and microbiome studies for participants who provide the required consent.

The study will compare each participant's measurements before and after the exercise intervention. The primary outcomes will evaluate changes in skeletal muscle mitochondrial function and intermuscular adipose tissue. Secondary and exploratory analyses will evaluate changes in physical performance, fatigue, quality of life, inflammatory markers, and other biological measures.

Because this is a small, uncontrolled pilot study, it is intended to identify preliminary signals of biological and clinical benefit rather than establish definitive efficacy. Results will inform the feasibility, outcome selection, and sample-size planning of future controlled trials of personalized exercise interventions in SLE.

Being tested
Personalized Home-Based High-Intensity Interval Training
Keywords
SLE, Fatigue, Exercise
Medical subject headings
Fatigue, Motor Activity

What participants receive

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

  • Personalized Home-Based High-Intensity Interval TrainingBehavioural

    Also called HB-HIIT

    Participants will complete a 16-week personalized, home-based, moderate- to high-intensity exercise program. The program includes three sessions per week: bodyweight high-intensity interval training, strength training using bodyweight, light weights, or resistance bands, and walking-based high-intensity interval training. Exercise intensity and duration will progress gradually and will be individualized according to baseline fitness, mobility, disease manifestations, pain, and exercise tolerance.

    Video-supervised sessions with an exercise trainer will alternate with self-directed sessions using personalized prerecorded videos. Participants will use a heart-rate monitor during exercise and will record perceived exertion. The study team will monitor adherence and safety and will conduct regular telephone or text check-ins. Exercise intensity and activities may be modified during increased joint symptoms or an SLE flare.

Study groups in NCT07716462
Study groupRoleWhat they receive
Personalized Home-Based HIITExperimentalParticipants will complete a 16-week personalized, home-based exercise program consisting of three sessions per week: one bodyweight high-intensity interval training session, one strength-training session, and one walking-based high-intensity interval training session. The program will be tailored to each participant's physical fitness, mobility, symptoms, and exercise tolerance. Sessions will alternate between remotely video-supervised and self-directed personalized sessions. Heart rate, perceived exertion, adherence, and safety will be monitored throughout the intervention.
Receives: Behavioral: Personalized Home-Based High-Intensity Interval Training

What is being measured

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

  1. Change From Baseline in Phosphocreatine Recovery Half-Time at Week 16

    Skeletal muscle mitochondrial oxidative capacity will be assessed using phosphorus-31 magnetic resonance spectroscopy (31P-MRS) of the thigh. Following a standardized knee-extension exercise, the phosphocreatine recovery half-time will be calculated in seconds. The recovery half-time is the time required to restore one-half of the phosphocreatine depleted during exercise. A shorter recovery half-time indicates faster recovery and greater skeletal muscle mitochondrial oxidative capacity.

    Measured: Baseline and Week 16

  2. Change From Baseline in Thigh Intermuscular Adipose Tissue at Week 16

    Intermuscular adipose tissue will be quantified from magnetic resonance imaging of the thigh. Intermuscular adipose tissue will be expressed as the percentage of adipose tissue located within the muscle compartment relative to the total muscle compartment. A lower percentage indicates less intermuscular adipose tissue accumulation.

    Measured: Baseline and Week 16

Timeline

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

  1. First posted21 Jul 2026
  2. Study startDec 2026 (estimated)
  3. Primary completionNov 2027 (estimated)
  4. Study completionSep 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
Basic science
Allocation
Not applicable
Intervention model
Single group
Model description
This is a single-arm, before-and-after pilot study. All enrolled participants will receive the same 16-week personalized, home-based, video-supervised high-intensity interval training program. Study outcomes will be assessed at baseline and after completion of the intervention. There is no comparator or control arm.
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07716462
Sponsor's protocol ID
IRB-300016132
Other IDs
2026MCA-1496
Acronym
MIGHT-SLE
Status last verified
Oct 2026
First submitted
16 Jul 2026
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data underlying the results reported in publications from this study may be shared with qualified researchers. Shared data may include relevant clinical, patient-reported, physical performance, imaging-derived, and laboratory outcome data, together with the study protocol, statistical analysis plan, and data dictionary, as applicable. Data sharing will be conducted in accordance with the final IRB-approved protocol, informed consent, Lupus Research Alliance Data Management and Sharing Plan, institutional policies, and applicable privacy regulations. Requests will be reviewed by the study investigators and the University of Alabama at Birmingham. Access may require an approved research proposal, institutional review, and execution of a data use agreement. Direct identifiers will not be shared.

Publications

  • Frade S, O'Neill S, Greene D, Nutter E, Cameron M. Exercise as adjunctive therapy for systemic lupus erythematosus. Cochrane Database Syst Rev. 2023 Apr 19;4(4):CD014816. doi: 10.1002/14651858.CD014816.pub2.

    PubMed 37073886
  • Blaess J, Geneton S, Goepfert T, Appenzeller S, Bordier G, Davergne T, Fuentes Y, Haglo H, Hambly K, Kinnett-Hopkins D, Su KY, Legge A, Li L, Mak A, Padjen I, Sciascia S, Sheikh SZ, Soriano-Maldonado A, Ugarte-Gil MF, Md Yusof MY, Parodis I, Arnaud L. Recommendations for physical activity and exercise in persons living with Systemic Lupus Erythematosus (SLE): consensus by an international task force. RMD Open. 2024 Apr 4;10(2):e004171. doi: 10.1136/rmdopen-2024-004171.

    PubMed 38580348

Questions about this trial

What is this clinical trial studying?

A study testing Personalized Home-Based High-Intensity Interval Training in people with Systemic Lupus Erthematosus and Fatigue, run by University of Alabama at Birmingham at 1 site in United States.

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 9 inclusion and 22 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: opening soon, as of the sponsor's last update on 13 Oct 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 United States. 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 Jose E Rubio, MD (781-392-7670, JERUBIOMOSQUERA@UABMC.EDU), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Phosphocreatine Recovery Half-Time at Week 16 (time frame: Baseline and Week 16). The study lists 2 primary outcomes in all. 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 NCT07716462, which also lists 2 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 13 Oct 2026.

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MIGHT-SLE Clinical Trial NCT07716462 | AzTrials