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ISRCTN
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ISRCTN03419655
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ClinicalTrials.gov identifier
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NCT00188357
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Public title
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Learning to live better with lupus: the Health Improvement and Prevention Program (HIPP) in systemic lupus erythematosus
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Scientific title
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Acronym
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HIPP
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Serial number at source
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MCT-82939
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Study hypothesis
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1. The Health Improvement and Prevention Program (HIPP) will improve the physical component (PCS) and mental component (MCS) summary scores of the 36-item short form (SF-36) health status survey by an average of 4 points
2. HIPP will reduce the Framingham 8-year projected risk of cardiovascular disease (CVD) in persons with systemic lupus erythematosus (SLE) by 20%
3. HIPP will improve the flow mediated dilatation (FMD) of brachial arteries significantly
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Ethics approval
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Ethics approval received from:
1. Research Ethics Board of the University Health Network, Toronto on the 13th January 2004 (ref: 03-0605-A)
2. Research Ethics Board of McGill University on the 1st December 2006 (ref: 03-034)
3. Research Ethics Board of the University of Western Ontario on the 31st January 2008 (ref: 13732)
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Study design
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Randomised, cross-over, open-label efficacy study
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Countries of recruitment
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Canada
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Disease/condition/study domain
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Systemic lupus erythematosus
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Participants - inclusion criteria
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1. Systemic Lupus Erythematosus according to American College of Rheumatology (ACR) criteria
2. 18 years or older
3. Female
4. Able to read and English or French
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Participants - exclusion criteria
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1. History of angina
2. Myocardial infarct
3. Cerebral vascular accident
4. Trans-ischaemic attack
5. Peripheral vascular disease
6. Osteoporosis with fracture confirmed by radiology
7. Pregnant or planning within two years
8. Cancer (if cancer free for five years then eligible)
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Anticipated start date
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01/08/2003
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Anticipated end date
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01/12/2010
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Status of trial
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Ongoing
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Patient information material
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Patient information material can be found at http://www.canios.ca/About_canios_studies_HIPP.aspx?AspxAutoDetectCookieSupport=1.
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Target number of participants
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310 patients to enroll (to achieve 260 completers)
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Interventions
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Experimental interventions:
1. Non-drug coronary artery risk reduction in the setting of lupus measured at three months for one year followed by every six months for one year
2. Non-drug osteoporosis risk reduction in the setting of lupus measured at three months for one year followed by every six months for one year
3. Non-drug exercise in the setting of lupus measured at three months for one year followed by every six months for one year
4. Non-drug mindfulness based stress reduction in the setting of lupus measured at three months for one year followed by every six months for one year
Control intervention:
Usual care for 12 months.
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Primary outcome measure(s)
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36-item short form health survey physical and mental component summary scale (SF-36 PCS and MCS) scores, coronary disease risk reduction profiles and flow-mediated dilatation of the brachial artery yearly for two years.
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Secondary outcome measure(s)
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1. Bone health improvement: yearly while on prednisone; every two years for all others
2. Adherence to treatment: every three months for one year and every six months for one year
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Sources of funding
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Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-82939)
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Trial website
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http://www.canios.ca/About_canios_studies_HIPP.aspx?AspxAutoDetectCookieSupport=1
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Publications
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Contact name
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Dr
Paul R.
Fortin
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Address
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UHN - TWH Research Institute
Toronto Western Hospital, MP10-304
399 Bathurst Street
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City/town
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Toronto, Ontario
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Zip/Postcode
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M5T 2S8
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Country
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Canada
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Tel
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+1 416 603 6265
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Fax
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+1 416 603 6288
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Email
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pfortin@uhnresearch.ca
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Sponsor
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University Health Network (Canada)
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Address
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200 Elizabeth Street
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City/town
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Toronto, Ontario
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Zip/Postcode
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M5G 2C4
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Country
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Canada
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Sponsor website:
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http://www.uhn.ca/index.htm
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Date applied
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16/06/2008
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Last edited
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23/06/2008
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Date ISRCTN assigned
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16/06/2008
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