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NCT01929018

Collaborative-care Rehabilitation After Dysvascular Amputation

Completed NA Results posted Last updated 14 August 2019
What this trial tests

NA trial testing Exercise in Diabetes Complications in 38 participants. Completed in 29 June 2017.

Timeline
9 October 2013
Primary endpoint
27 March 2017
29 June 2017

Quick facts

Lead sponsorUniversity of Colorado, Denver
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment38
Start date9 October 2013
Primary completion27 March 2017
Estimated completion29 June 2017
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Colorado, Denver

Who can join

Adults 50 to 85, any sex, with Diabetes Complications or Peripheral Arterial Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Timed Up-and-Go Test Primary · Baseline, 12-weeks, and 24 weeks

Performance-based physical function test able to predict falls for people with lower limb amputation. The TUG test time is taken from rising from a chair, walking 3 meters, turning, walking back and sitting down. Continuous scale; higher time indicates lower physical function, higher likelihood of falls.

Baseline
GroupValue95% CI
Exercise, Activity, and Self-management19.414.8 – 23.9
Home and Phone Visit20.715.6 – 25.7
12-Week
GroupValue95% CI
Exercise, Activity, and Self-management18.213.4 – 22.9
Home and Phone Visit18.813.6 – 24.1
24-week
GroupValue95% CI
Exercise, Activity, and Self-management16.712.1 – 21.3
Home and Phone Visit21.316.0 – 26.7
Two-Minute Walk Test Secondary · Baseline, 12 weeks, and 24 weeks

Performance-based physical function test measures total number of meters walked in two minutes on a level walkway.

Baseline
GroupValue95% CI
Exercise, Activity, and Self-management86.976.9 – 96.9
Home and Phone Visit84.473.2 – 95.6
12-Week
GroupValue95% CI
Exercise, Activity, and Self-management88.577.6 – 99.3
Home and Phone Visit83.371.3 – 95.3
24-Week
GroupValue95% CI
Exercise, Activity, and Self-management99.889.6 – 110.0
Home and Phone Visit84.072.0 – 96.1
Five Meter Walk Test Secondary · Baseline, 12 weeks, and 24 weeks

Performance-based physical function test measures the time to walk 5 meters at the participant's "normal, everyday pace".

Baseline
GroupValue95% CI
Exercise, Activity, and Self-management0.780.69 – 0.88
Home and Phone Visit0.760.66 – 0.87
12-Week
GroupValue95% CI
Exercise, Activity, and Self-management0.960.86 – 1.06
Home and Phone Visit0.830.71 – 0.94
24-Week
GroupValue95% CI
Exercise, Activity, and Self-management0.970.87 – 1.06
Home and Phone Visit0.860.75 – 0.98
Prosthesis Evaluation Questionnaire - Mobility Section Secondary · Baseline, 12 weeks, and 24 weeks

Self-report physical function questionnaire measures capacity to perform a list of specific functional tasks (e.g., walking upstairs, getting in and out of a vehicle. Scores range from being unable or hardly able (0) to having no problems (4). An average score across the 12-item questionnaire was used in the analysis. Lower numbers indicate less difficulty.

Baseline
GroupValue95% CI
Exercise, Activity, and Self-management2.21.7 – 2.8
Home and Phone Visit2.11.5 – 2.8
12-Week
GroupValue95% CI
Exercise, Activity, and Self-management2.62.0 – 3.2
Home and Phone Visit2.01.3 – 2.6
24-Week
GroupValue95% CI
Exercise, Activity, and Self-management2.72.1 – 3.3
Home and Phone Visit2.41.7 – 3.0
Houghton Scale Secondary · Baseline, 12 weeks, and 24 weeks

Self-report physical function questionnaire. The outcome is the sum of scores from each item (min 0, max 12). A higher score indicates higher self-report of physical function with the prosthesis.

Baseline
GroupValue95% CI
Exercise, Activity, and Self-management0.64± 0.15
Home and Phone Visit0.62± 0.23
12-Week
GroupValue95% CI
Exercise, Activity, and Self-management0.69± 0.28
Home and Phone Visit0.69± 0.24
24-Week
GroupValue95% CI
Exercise, Activity, and Self-management0.77± 0.18
Home and Phone Visit0.65± 0.27
Patient-Specific Function Scale Secondary · Baseline, 12 weeks, and 24 weeks

Self-report physical function questionnaire. The outcome is the average score for up to five participant-identified activities on a scale from 0-10 (min 0, max 10). Higher score indicates greater ability to perform functional activities.

Baseline
GroupValue95% CI
Exercise, Activity, and Self-management3.3± 1.8
Home and Phone Visit3.5± 1.9
12 weeks
GroupValue95% CI
Exercise, Activity, and Self-management5.7± 2.6
Home and Phone Visit5.1± 2.3
24 weeks
GroupValue95% CI
Exercise, Activity, and Self-management6.9± 2.3
Home and Phone Visit5.3± 2.3
Physical Activity Step Counts Secondary · Baseline, 12 weeks, and 24 weeks

Instrumented physical activity measure, average step counts per day

Baseline
GroupValue95% CI
Exercise, Activity, and Self-management1305726 – 1883
Home and Phone Visit1369724 – 2014
12-Week
GroupValue95% CI
Exercise, Activity, and Self-management24391844 – 3035
Home and Phone Visit1512849 – 2175
24-Week
GroupValue95% CI
Exercise, Activity, and Self-management22941716 – 2873
Home and Phone Visit1510840 – 2180
Self-Efficacy in Managing Chronic Disease Questionnaire Secondary · Baseline, 12 weeks, and 24 weeks

Scale range is 1-10. The score for the scale is the mean of the six items, using a ten point scale. Higher number indicates higher self-efficacy.

Baseline
GroupValue95% CI
Exercise, Activity, and Self-management7.67.1 – 8.3
Home and Phone Visit7.56.8 – 8.2
12-Week
GroupValue95% CI
Exercise, Activity, and Self-management7.87.2 – 8.4
Home and Phone Visit7.97.2 – 8.6
24-Week
GroupValue95% CI
Exercise, Activity, and Self-management8.17.5 – 8.7
Home and Phone Visit7.56.8 – 8.2
World Health Organization Disability Assessment Scale Secondary · Baseline, 12 weeks, and 24 weeks

Scores ranging from 1 (no difficulty) to 5 (extreme difficulty/cannot do). Overall disability was calculated by summing the scores for the 12 items; higher scores indicated greater disability (score range: 12-60).

Baseline
GroupValue95% CI
Exercise, Activity, and Self-management26.222.9 – 29.6
Home and Phone Visit27.523.7 – 31.3
12-Week
GroupValue95% CI
Exercise, Activity, and Self-management24.220.9 – 27.6
Home and Phone Visit25.321.5 – 29.2
24-Week
GroupValue95% CI
Exercise, Activity, and Self-management21.618.2 – 25.0
Home and Phone Visit25.321.4 – 29.1

Adverse events — posted to ClinicalTrials.gov

Time frame: 24 weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Exercise, Activity, and Self-management
Serious: 4/19 (21%)
Deaths: 0/19
Home and Phone Visit
Serious: 9/19 (47%)
Deaths: 0/19

Serious adverse events (8 terms)

ReactionSystemExercise, Activity, and Se…Home and Phone Visit
HospitalizationInfections and infestations
HospitalizationRespiratory, thoracic and mediastinal disorders
HospitalizationCardiac disorders
HospitalizationEndocrine disorders
HospitalizationPsychiatric disorders
HospitalizationGeneral disorders
HospitalizationGeneral disorders
HospitalizationGeneral disorders
Other adverse events (5 terms — click to expand)

ReactionSystemExercise, Activity, and Se…Home and Phone Visit
FallGeneral disorders
Wound InfectionSkin and subcutaneous tissue disorders
BlisterSkin and subcutaneous tissue disorders
Foot UlcerSkin and subcutaneous tissue disorders
Urinary Tract InfectionRenal and urinary disorders

Most-reported serious reactions: Hospitalization, Hospitalization, Hospitalization, Hospitalization, Hospitalization, Hospitalization, Hospitalization, Hospitalization.

Data from ClinicalTrials.gov NCT01929018 adverse events section.

Sponsor's own description

The objective of this study is to examine the feasibility of using a collaborative-care, home-based rehabilitation program to improve functional outcomes for people recovering from lower limb amputation caused by vascular problems and/or diabetes complications. The primary hypothesis is that the rehabilitation program will result in greater improvements in performance-based and participant-reported measures of physical function, compared to standard of care after outpatient rehabilitation.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of Exercise

Trials testing the same drug.

Other recruiting trials for Diabetes Complications

Currently open trials in the same condition.

Other University of Colorado, Denver trials

Trials by the same sponsor.

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