CTRI Number |
CTRI/2018/08/015397 [Registered on: 20/08/2018] Trial Registered Prospectively |
Last Modified On: |
24/08/2018 |
Post Graduate Thesis |
No |
Type of Trial |
Interventional |
Type of Study
|
Yoga & Naturopathy |
Study Design |
Randomized, Parallel Group Trial |
Public Title of Study
|
Yoga for patients with Implantable Cardiac Devices |
Scientific Title of Study
|
A Randomized controlled trial to evaluate the efficacy of Yoga on Psychological and Arrhythmic outcomes of patients implanted with Implantable Cardioverter Defibrillator |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Nitish Naik |
Designation |
PROFESSOR |
Affiliation |
All india institute of medical sciences |
Address |
Room No-25, 7th Floor, CN centre
All India Institute of Medical Sciences
New Delhi DELHI 110029 India |
Phone |
01126593218 |
Fax |
|
Email |
nitishnaik@yahoo.co.in |
|
Details of Contact Person Scientific Query
|
Name |
Dr Nitish Naik |
Designation |
PROFESSOR |
Affiliation |
All india institute of medical sciences |
Address |
Room No-25, 7th Floor, CN centre
All India Institute of Medical Sciences
New Delhi DELHI 110029 India |
Phone |
01126593218 |
Fax |
|
Email |
nitishnaik@yahoo.co.in |
|
Details of Contact Person Public Query
|
Name |
Dr Nitish Naik |
Designation |
PROFESSOR |
Affiliation |
All india institute of medical sciences |
Address |
Room No-25, 7th Floor, CN centre
All India Institute of Medical Sciences
New Delhi DELHI 110029 India |
Phone |
01126593218 |
Fax |
|
Email |
nitishnaik@yahoo.co.in |
|
Source of Monetary or Material Support
|
AYUSH BHAWAN, B Block, GPO Complex, INA Colony, New Delhi, Delhi 110023 |
|
Primary Sponsor
|
Name |
MINISTRY OF AYUSH |
Address |
AYUSH BHAWAN, B Block, GPO Complex, INA Colony, New Delhi, Delhi 110023 |
Type of Sponsor |
Government funding agency |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Nitish Naik |
ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI |
Centre for Integrative Medicine and Research, AIIMS Convergence block, 7th Floor, Ansari Nagar, New Delhi New Delhi DELHI |
01126593218
nitishnaik@yahoo.co.in |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Institutional Ethics Committee, AIIMS |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
Patients implanted with Implantable Cardioverter Defibrillator (ICD), |
|
Intervention / Comparator Agent
Modification(s)
|
Type |
Name |
Details |
Comparator Agent |
nil |
Not Applicable |
Intervention |
YOGA |
Yoga intervention will be performed at the Centre for Integrative Medicine and Research (CIMR) at AIIMS, New Delhi. Along with the standard medical therapy, patients assigned to the yoga group shall undergo the yoga intervention, which comprises of physical postures, pranayama (controlled breathing), and meditation.
There will be 5 supervised sessions in first week followed by 3 supervised sessions per month in the first three months till the first follow-up period. Each session will have a pre-planned curriculum that will progressively made more challenging which will facilitate adherence and secure repeatability of the intervention. Subsequently patients will perform home based Yoga (every day or with a frequency of at least 5 sessions per week). |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
60.00 Year(s) |
Gender |
Both |
Details |
1. Patients between 18to 60 years of age
2. ICD implanted at least 8 weeks prior
3. Willing to participate in Yoga
4. NYHA Class I or II symptoms
5. Deemed ready to participate by their physician.
|
|
ExclusionCriteria |
Details |
1. Contraindications to Yoga
2. Advanced heart failure (NYHA Class III/IV)
3. Pregnancy
4. Patients already practicing regular Yoga or receiving any other alternative medicine for the same desired effect
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Not Applicable |
Primary Outcome
|
Outcome |
TimePoints |
1. ICDs/ CRT-Ds burden of ventricular arrhythmia will be assessed from device interrogation.
2. Florida Shock Anxiety Scale (FSAS) will be used to access the shock anxiety
3. Zung self-assessment anxiety score (SAS)
4. Zung self-assessment depression score (SDS)
5. Quality of Life outcomes will be measured using the WHO QoL BREF questionnaire.
|
Data collection will be done at baseline, 12 weeks & 6 months in person at the hospital. |
|
Secondary Outcome
|
Outcome |
TimePoints |
1. Florida Patient Acceptance Survey (FPAS) will be used to access the acceptance of the ICD device by the patient
2. Mental stress will be assessed using the Perceived Stress Scale (PSS)
3. A log book will be used to evaluate the frequency of hospital visit and need of drug regimen modification
|
6 months |
|
Target Sample Size
|
Total Sample Size="100" Sample Size from India="100"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
Phase of Trial
|
Phase 2 |
Date of First Enrollment (India)
|
01/09/2018 |
Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
Estimated Duration of Trial
|
Years="3" Months="0" Days="0" |
Recruitment Status of Trial (Global)
|
Not Applicable |
Recruitment Status of Trial (India) |
Not Yet Recruiting |
Publication Details
|
Not yet Published |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
|
Ventricular arrhythmias are an important cause of morbidity, mortality and sudden death. There is a direct co-relationship between burden of ventricular arrhythmias and total mortality. Autonomic tone plays a central role in occurrence of ventricular arrhythmias with Yoga having a profound influence on cardiovascular physiology through its effects on central neural outflow and autonomic tone. It also improves mental and psychological wellbeing through central effects on mood and emotion. This is a prospective, randomized, controlled study designed to test the effects of yoga on psychological and arrhythmic outcomes in patients with structural heart disease. Patients with structural heart disease who have an implantable cardioverter defibrillator or a cardiac resynchronization device with defibrillator will be randomized to either Yoga Intervention (with usual care) or usual care. Patients will have periodic assessment of clinical characteristics, arrhythmia burden, psychological and quality of life parameters at baseline, 12 weeks and at end of study. |