NCT04458727: EPICURE

Evaluation of Multi-modal Supportive Actions in Outpatient Cardiac Rehabilitation in Subjects With Cardiovascular Disease

Status unknown Last updated 7 July 2020

What this trial tests

trial in Evaluation of Multi-modal Supportive Actions in Outpatient Cardiac Rehabilitation in Subjects With Cardiovascular Disease in 150 participants. Status unknown.

Timeline

10 December 2019

Primary endpoint
9 September 2020

9 September 2020

Quick facts

Lead sponsor	AIT Austrian Institute of Technology GmbH
Status	Status unknown
Study type	OBSERVATIONAL
Enrollment	150
Start date	10 December 2019
Primary completion	9 September 2020
Estimated completion	9 September 2020
Sites	1 location across Austria

Conditions studied

• Evaluation of Multi-modal Supportive Actions in Outpatient Cardiac Rehabilitation in Subjects With Cardiovascular Disease — all drugs for Evaluation of Multi-modal Supportive Actions in Outpatient Cardiac Rehabilitation in Subjects With Cardiovascular Disease →

Sponsor

AIT Austrian Institute of Technology GmbH

Who can join

Adults 18 to 99, any sex, with Evaluation of Multi-modal Supportive Actions in Outpatient Cardiac Rehabilitation in Subjects With Cardiovascular Disease. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Cariovascular diseases (CVD) are the most common cause of death worldwide with high micro- as well as macro-economic burden. Several modifiable risk factors increase the probability of contracting a CVE. These risk factors can be positively influenced by a cardiac rehabilitation measure (CR), which has been shown to reduce mortality in CVD patients and to reduce the economic burden. An increase in physical activity and performance are central goals in CR, as they have a positive effect on several cardiovascular risk factors and correlate strongly with a reduction in mortality in CVD patients. These goals can be achieved in most CVD patients but can only be achieved by a modification of lifestyle.

In order to positively influence this lifestyle modification beyond the duration of the CR measure and thus in the long term, CR Phase II should begin as soon as the patient fulfils one of the well-defined inclusion criteria. CR Phase II can be carried out as an inpatient or outpatient procedure and depends on the patient's state of health, personal preference and availability of an outpatient CR facility in the vicinity of the patient. In the Austrian healthcare system, inpatient CR and thus differs from other European countries. After completion of phase II, the patient is offered an outpatient phase III with weekly visits to the outpatient CR facility, so that lifestyle changes achieved at short notice can be sustainably maintained.

For the secondary prevention of the CVD beyond the CR measure recommend international guidelines a physical activity of ≥ 150 min with moderate intensity or ≥ 60 to 75 min high intensity per week. The current study situation allows the statement that a greater benefit can be expected from more physical activity and that the training should be personalized and highly titrated. Patients in advanced stages of CVD and very inactive patients, defined as \<14 mets h/week, achieve the greatest health benefit from increased physical activity. Despite the well-studied benefits, even adherence to the above minimum recommendations for CVD patients after completion of CR is low. This deficit has been addressed in the latest European prevention guideline and recommended that patients i) set clearly defined goals, ii) exercise in the iii) Identify obstacles on the way to achieving the goals so that lifestyle changes are effective and sustainable and the benefits of physical activity can be achieved and maintained.

The planned study will investigate the effect of multi-modal support measures to help patients during the home training phase and their influence on the patients' lifestyle.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

1. Effect of digital tools in outpatient cardiac rehabilitation including home training-results of the EPICURE study.
   Hayn D, Sareban M, Höfer S, Wiesmüller F, et al · · 2023 · cited 4× · PMID 37519897 · DOI 10.3389/fdgth.2023.1150444
2. Clinical, Psychological, Physiological, and Technical Parameters and Their Relationship With Digital Tool Use During Cardiac Rehabilitation: Comparison and Correlation Study.
   Wiesmüller F, Haag D, Sareban M, Mayr K, et al · · 2025 · PMID 40198893 · DOI 10.2196/57413