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Learning to live better with lupus: the Health Improvement and Prevention Program (HIPP) in systemic lupus erythematosus
ISRCTN ISRCTN03419655
ClinicalTrials.gov identifier NCT00188357
Public title Learning to live better with lupus: the Health Improvement and Prevention Program (HIPP) in systemic lupus erythematosus
Scientific title
Acronym HIPP
Serial number at source MCT-82939
Study hypothesis 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
Ethics approval 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)
Study design Randomised, cross-over, open-label efficacy study
Countries of recruitment Canada
Disease/condition/study domain Systemic lupus erythematosus
Participants - inclusion criteria 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
Participants - exclusion criteria 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)
Anticipated start date 01/08/2003
Anticipated end date 01/12/2010
Status of trial Ongoing
Patient information material Patient information material can be found at http://www.canios.ca/About_canios_studies_HIPP.aspx?AspxAutoDetectCookieSupport=1.
Target number of participants 310 patients to enroll (to achieve 260 completers)
Interventions 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.
Primary outcome measure(s) 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.
Secondary outcome measure(s) 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
Sources of funding Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-82939)
Trial website http://www.canios.ca/About_canios_studies_HIPP.aspx?AspxAutoDetectCookieSupport=1
Publications
Contact name Dr  Paul R.  Fortin
  Address UHN - TWH Research Institute
Toronto Western Hospital, MP10-304
399 Bathurst Street
  City/town Toronto, Ontario
  Zip/Postcode M5T 2S8
  Country Canada
  Tel +1 416 603 6265
  Fax +1 416 603 6288
  Email pfortin@uhnresearch.ca
Sponsor University Health Network (Canada)
  Address 200 Elizabeth Street
  City/town Toronto, Ontario
  Zip/Postcode M5G 2C4
  Country Canada
  Sponsor website: http://www.uhn.ca/index.htm
Date applied 16/06/2008
Last edited 23/06/2008
Date ISRCTN assigned 16/06/2008
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