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NCT04042311: INITIATE

High Intensity Interval Training In pATiEnts With Intermittent Claudication

Completed NA Results posted Last updated 14 November 2024
What this trial tests

NA trial testing High-intensity interval training in Peripheral Arterial Disease in 70 participants. Completed in 4 July 2022.

Timeline
15 June 2018
Primary endpoint
4 April 2022
4 July 2022

Quick facts

Lead sponsorHull University Teaching Hospitals NHS Trust
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment70
Start date15 June 2018
Primary completion4 April 2022
Estimated completion4 July 2022
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Hull University Teaching Hospitals NHS Trust

Who can join

18 and older, any sex, with Peripheral Arterial Disease or Intermittent Claudication. 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.

Tolerability Test - Related Withdrawals Primary · From the first to last exercise session, i.e. from week 0 to week 6.

Defined by examining the number of withdrawals related to the intervention or study procedures (i.e. patients unable to tolerate).

Workstream 1 - unable to tolerate HIIT or CPEX
GroupValue95% CI
High-Intensity Interval Training1
Workstream 2 - unable to tolerate HIIT or CPEX
GroupValue95% CI
High-Intensity Interval Training3
Feasibility Test Primary · From study opening to completion/withdrawal of the last patient

Feasibility measures included the number of patients screened vs. the number eligible, the number of patients eligible vs. the number recruited and the number recruited vs. the number completed.

Workstream 1 - screened
GroupValue95% CI
High-Intensity Interval Training144
Workstream 1 - eligible
GroupValue95% CI
High-Intensity Interval Training95
Workstream 1 - recruited
GroupValue95% CI
High-Intensity Interval Training30
Workstream 1 - completed
GroupValue95% CI
High-Intensity Interval Training15
Workstream 2 - screened
GroupValue95% CI
High-Intensity Interval Training280
Workstream 2 - eligible
GroupValue95% CI
High-Intensity Interval Training165
Workstream 2 - recruited
GroupValue95% CI
High-Intensity Interval Training40
Workstream 2 - completed
GroupValue95% CI
High-Intensity Interval Training31
Tolerability Test - Achieving the Required Intensity Primary · From the first to last exercise session, i.e. from week 0 to week 6.

Considers the patients ability to achieve and maintain exercise at the appropriate intensity for the duration of each session

Workstream 1 - intervals at the required intensity
GroupValue95% CI
High-Intensity Interval Training2210
Workstream 2 - intervals at the required intensity
GroupValue95% CI
High-Intensity Interval Training4546
Tolerability Test - Number of Sessions Completed Primary · From the first to last exercise session, i.e. from week 0 to week 6.

Considers the number of sessions completed compared to the theoretical number.

Workstream 1 - HIIT sessions completed
GroupValue95% CI
High-Intensity Interval Training270
Workstream 2 - HIIT sessions completed
GroupValue95% CI
High-Intensity Interval Training551
Tolerability Test - Number of HIIT Intervals Completed Primary · From the first to last exercise session, i.e. from week 0 to week 6.

Considers the number of HIIT intervals completed compared to the theoretical number.

Workstream 1 - HIIT intervals completed
GroupValue95% CI
High-Intensity Interval Training234
Workstream 2 - HIIT intervals completed
GroupValue95% CI
High-Intensity Interval Training475
Safety Events Recorded Secondary · From enrolment to completion of 12-week follow-up

Defined as the occurrence of any adverse or serious adverse events related to the intervention.

Workstream 1
GroupValue95% CI
High-Intensity Interval Training3
Workstream 2
GroupValue95% CI
High-Intensity Interval Training9
Acceptability Testing Secondary · post-intervention follow-up, i.e. week 6.

An evaluation of the acceptability of the exercise intervention assessed by patient feedback, using semi-structured interviews.

GroupValue95% CI
High-Intensity Interval Training23
Maximum Walking Distance Secondary · Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.

assessment of the distance that the patient can currently walk before having to stop due to claudication pain.

Workstream 1 baseline
GroupValue95% CI
High-Intensity Interval Training243.8± 102.2
Workstream 1 Post-intervention follow-up
GroupValue95% CI
High-Intensity Interval Training365.2± 153.6
Workstream 1 - 4-week post intervention follow-up
GroupValue95% CI
High-Intensity Interval Training365.4± 172.3
Workstream 1 - 12-week post intervention follow-up
GroupValue95% CI
High-Intensity Interval Training374.2± 233.4
Workstream 2 baseline
GroupValue95% CI
High-Intensity Interval Training366.5± 201.0
Workstream 2 Post-intervention follow-up
GroupValue95% CI
High-Intensity Interval Training455.0± 220.8
Workstream 2 - 4-week post intervention follow-up
GroupValue95% CI
High-Intensity Interval Training450.7± 242.8
Workstream 2 - 12-week post intervention follow-up
GroupValue95% CI
High-Intensity Interval Training448.1± 240.9
Peak Oxygen Uptake Secondary · Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.

Peak oxygen uptake assessed via cardiopulmonary exercise testing

Workstream 1 - baseline VO2Peak
GroupValue95% CI
High-Intensity Interval Training15.4± 2.8
Workstream 1 - post-intervention follow-up VO2Peak
GroupValue95% CI
High-Intensity Interval Training15.9± 3.0
Workstream 1 - 4-week post-intervention follow-up VO2Peak
GroupValue95% CI
High-Intensity Interval Training15.8± 2.3
Workstream 1 - 12-week post-intervention follow-up VO2Peak
GroupValue95% CI
High-Intensity Interval Training15.3± 3.1
Workstream 2 - baseline VO2Peak
GroupValue95% CI
High-Intensity Interval Training16.4± 3.9
Workstream 2 - post-intervention follow-up VO2Peak
GroupValue95% CI
High-Intensity Interval Training17.1± 4.3
Workstream 2 - 4-week post-intervention follow-up VO2Peak
GroupValue95% CI
High-Intensity Interval Training16.9± 4.6
Workstream 2 - 12-week post-intervention follow-up VO2Peak
GroupValue95% CI
High-Intensity Interval Training17.8± 4.1
Quality of Life Questionnaire Short-form-36 (SF-36) Secondary · Baseline and post-intervention (week 6)

Patient reported quality of life using the SF-36 SF-36 is a 36-Item Short Form Health Survey questionnaire. It consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability.

Workstream 1 baseline physical functioning
GroupValue95% CI
High-Intensity Interval Training50.1± 18.2
Workstream 1 follow-up physical functioning
GroupValue95% CI
High-Intensity Interval Training54.7± 20.2
Workstream 1 baseline role physical
GroupValue95% CI
High-Intensity Interval Training52.5± 26.9
Workstream 1 follow-up role physical
GroupValue95% CI
High-Intensity Interval Training55.4± 27.7
Workstream 1 baseline pain
GroupValue95% CI
High-Intensity Interval Training47.9± 13.9
Workstream 1 follow-up pain
GroupValue95% CI
High-Intensity Interval Training50.0± 22.6
Workstream 1 baseline general health
GroupValue95% CI
High-Intensity Interval Training46.6± 19.9
Workstream 1 follow-up general health
GroupValue95% CI
High-Intensity Interval Training52.7± 20.8
Vascular Quality of Life Questionnaire - (VascuQol) Secondary · Baseline and post-intervention (week 6) follow-up

VascuQoL includes 25 items subdivided into 5 domains and a sum score is also calculated by dividing the total score by 25. Each domain and the total score range from 1 to 7 with 1 representing the worst score and 7 the best.

Workstream 1 baseline pain score
GroupValue95% CI
High-Intensity Interval Training4.2± 1.3
Workstream 1 follow-up pain score
GroupValue95% CI
High-Intensity Interval Training4.4± 1.5
Workstream 1 baseline social score
GroupValue95% CI
High-Intensity Interval Training5.5± 1.7
Workstream 1 follow-up social score
GroupValue95% CI
High-Intensity Interval Training5.7± 1.0
Workstream 1 baseline activities score
GroupValue95% CI
High-Intensity Interval Training4.4± 1.2
Workstream 1 follow-up activities score
GroupValue95% CI
High-Intensity Interval Training4.6± 1.0
Workstream 1 baseline symptom score
GroupValue95% CI
High-Intensity Interval Training5.5± 0.6
Workstream 1 follow-up symptom score
GroupValue95% CI
High-Intensity Interval Training5.8± 0.6
Ankle-Brachial Pressure Index Secondary · Baseline, post-intervention (week 6), then 4 weeks (week 10) and 12 weeks (week 18) post-intervention.

The index or ratio of the pressure in the ankle compared with the arm.

Workstream 1 baseline
GroupValue95% CI
High-Intensity Interval Training0.76± 0.22
Workstream 1 post- intervention follow-up
GroupValue95% CI
High-Intensity Interval Training0.78± 0.19
Workstream 1 - 4-week post-intervention follow-up
GroupValue95% CI
High-Intensity Interval Training0.74± 0.20
Workstream 1 - 12-week post-intervention follow-up
GroupValue95% CI
High-Intensity Interval Training0.80± 0.20
Workstream 2 baseline
GroupValue95% CI
High-Intensity Interval Training0.74± 0.19
Workstream 2 post-intervention follow-up
GroupValue95% CI
High-Intensity Interval Training0.76± 0.14
Workstream 2 - 4-week post-intervention follow-up
GroupValue95% CI
High-Intensity Interval Training0.78± 0.12
Workstream 2 - 12-week post-intervention follow-up
GroupValue95% CI
High-Intensity Interval Training0.74± 0.14

Adverse events — posted to ClinicalTrials.gov

Time frame: From enrollment to 18 weeks later for each patient.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

High-Intensity Interval Training
Serious: 1/70 (1%)
Deaths: 0/70

Serious adverse events (1 terms)

ReactionSystemHigh-Intensity Interval Tr…
Thrombosed popliteal aneurysmVascular disorders
Other adverse events (5 terms — click to expand)

ReactionSystemHigh-Intensity Interval Tr…
Post-exercise dizzinesGeneral disorders
Dull chest acheCardiac disorders
Back spasmMusculoskeletal and connective tissue disorders
HeadacheGeneral disorders
Hypertensive CPET responseCardiac disorders

Most-reported serious reactions: Thrombosed popliteal aneurysm.

Data from ClinicalTrials.gov NCT04042311 adverse events section.

Sponsor's own description

This INITIATE study evaluates the use of high-intensity interval training as a treatment modality for patients with intermittent claudication - an ambulatory leg pain caused by narrowed arteries that supply the lower limbs. It is an observational cohort study considering high-intensity interval training (HIIT) as a treatment for intermittent claudication, consisting of two workstreams. Workstream 1: an initial observational cohort study to consider the feasibility of the intervention and exclusion criteria. Workstream 2: a proof of concept study utilising the altered intervention and exclusion criteria following recommendations highlighted during workstream 1.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. High INtensity Interval Training In pATiEnts with intermittent claudication (INITIATE): protocol for a multicentre, proof-of-concept, prospective interventional study.
    Pymer S, Harwood A, Ibeggazene S, McGregor G, et al · · 2020 · cited 7× · PMID 32636290 · DOI 10.1136/bmjopen-2020-038825

Verify or expand the search:

Other trials of High-intensity interval training

Trials testing the same drug.

Other recruiting trials for Peripheral Arterial Disease

Currently open trials in the same condition.

Other Hull University Teaching Hospitals NHS Trust trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04042311.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing