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| ID | Type | Description | Link |
|---|---|---|---|
| 2025-A00051-48 | Other Identifier | ANSM |
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| Name | Class |
|---|---|
| Université Savoie Mont Blanc | OTHER |
| Laboratoire de Psychologie et NeuroCognition (LPNC), Université Grenoble Alpes | UNKNOWN |
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The goal of this clinical trial is to compare physical ability of patients with transfusion-dependent β-thalassemia to control subjects. The main question it aims to answer is:
is there a difference in power output at first lactate threshold between patients with transfusion-dependent β-thalassemia and control subjects during maximal incremental exercise test.
Participants will have to realise differents exams including measurement of body compposition, maximal incremental exercise test, vertical jump, vasoreactivity test, blood sampling, quality of life questionnaires and neuromuscular assessments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Other | control participant without Beta thalassemia |
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| Beta thalassemia transfusion dependent | Experimental | same intervention than control group |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Maximal incremental exercise test | Other | Participants will perform a symptom-limited maximal incremental exercise test on a cycle ergometer. |
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| Measure | Description | Time Frame |
|---|---|---|
| Power at the first lactate threshold (PSL1) collected during the maximal incremental exercise test, compared between the two groups | Participants perform a maximal incremental exercise test on a cycle ergometer. The protocol includes one-minute intervals, with increments and initial power varying according to the subject's age and gender. The exercise continues until the subject is unable to maintain the power imposed by the current level. A drop of blood sample is taken from the earlobe and immediately analyzed to measure blood lactate concentration and determine first lactate threshold. | 7 days after a transfusion for patient |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of power values at lactate threshold 2 between βTTD patients and control subjects. | During the exercise test, a drop of blood is taken from the earlobe and immediately analyzed to measure blood lactate concentration and determine secondlactate threshold (LT2). | 7 days after a transfusion for patients |
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Inclusion Criteria:
Patients aged 18 years or older
Control subjects must meet all of the following criteria to participate in the study:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Charlene DUPRE | Contact | +33479965910 | charlene.dupre@ch-metropole-savoie.fr | |
| Leo BLERVAQUE | Contact | +33479965910 | leo.blervaque@ch-metropole-savoie.fr |
| Name | Affiliation | Role |
|---|---|---|
| Laurent MESSONNIER | Université Savoie Mont Blanc | Study Chair |
| Pierre FAURIE | CH Metropole Savoie | Principal Investigator |
| Mathilde NOGUER |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CH Métropole Savoie | Recruiting | Chambéry | 73000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39562756 | Background | Noguer M, Berthon P, Makowski C, Messonnier LA. Impaired physical ability in patients with transfusion-dependent beta-thalassaemia: Can regular physical activity be a countermeasure? Br J Haematol. 2025 Jan;206(1):86-93. doi: 10.1111/bjh.19847. Epub 2024 Nov 19. |
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| Comparison between βTTD patients and control subjects of oxygen consumption efficiency slope values (OUES for Oxygen Uptake Efficiency Slope) |
Cardio-pulmonary parameters are measured continuously throughout the maximum incremental exercise test and are used to calculate, among other things, the oxygen uptake efficiency slope (OUES), an indicator of the subject's ability to transport and use oxygen. |
| 7 days after a transfusion for patients |
| Comparison between βTTD patients and control subjects of cardiac output values combining heart rate and systolic ejection volume values during maximal exercise. | Values will be recorder during maximal incremental exercise test. Heart rate and systolic ejection volume values is continuously recorded by bioimpedance measurement. | 7 days after a transfusion for patients |
| Comparison of muscle mass values between βTTD patients and control subjects | A body composition measurement will be performed using bioimpedance analysis. | 7 days after a transfusion for patients |
| Comparison between βTTD patients and control subjects of first-second expiratory flow values (FEV1, L) | A spirometry test will be performed. After taking a deep breath, the participant will be asked to exhale as quickly as possible into the spirometer. | 7 days after a transfusion for patients |
| Comparison between βTTD patients and control subjects of maximum grip strength, jump height and reactive strength index values | Jump height will be evaluate using video analysis. | 7 days after a transfusion for patients |
| Compare neuromuscular function between βTTD patients and control subjects | Nerve conduction will be assessed by electroneuromyography (ENMG). Muscle electrical activity will be measured by ENMG following low-intensity electrical stimulation to collect the F wave. This test will measure: nerve conduction velocity, latency between nerve stimulation and response, response amplitude, and response duration. | 7 days after a transfusion for patients |
| Compare the level of physical activity between βTTD patients and control subjects | Level of activvity will be assessed with of International Physical Activity Questionnaire | During inclusion visit, at day 1 |
| Compare anxiety levels between βTTD patients and control subjects. | score to HADS questionnaire | During second visit, occuring during a transfusion visit and no longer than 3 months after the inclusion. |
| Comparison between βTTD patients and control subjects of muscle reoxygenation slope values upon removal of arterial occlusion | A vasoreactivity test will then be performed at rest following venous occlusion, in order to measure the ability to reoxygenate the tissue. | 7 days after a transfusion for patients |
| Correlation within the βTTD group between physical ability and cardiac iron load, hepatic iron load and EPO | Correlation within the βTTD group between power at lactate threshold 1 (see primary outcome) and cardiac T2* , hepatic iron concentration and EPO level wich will be taken in patient medical file | 7 days after a transfusion for patients |
| Correlation within the βTTD group between testosterone (men) or oestrogen (women) levels and muscle mass in kg | data collected in patient medical file | 7 days after a transfusion for patients |
| Correlation within the βTTD group between quality of life and physical ability | SF36 questionnaire will be done and scoore will be correlated to power at first lactic threshold | During second visit, occuring during a transfusion visit and no longer than 3 months after the inclusion. |
| Assessing the link between perceived fatigue and physical activity levels in βTTD patients | Correlation between the score at FACIT-F questionnaires compared to scores at IPAQ questionnaires | During second visit, occuring during a transfusion visit and no longer than 3 months after the inclusion. |
| Assessing the link between physical fitness and fatigue/pain experienced by βTTD patients | Correlation within the βTTD group between power at lactate threshold 1 and FACIT-F and BPI scores (multivariate analysis). | During second visit, occuring during a transfusion visit and no longer than 3 months after the inclusion. |
| Assessing the link between microvascular vasoreactivity, inflammation and haemolysis in βTTD patients | Correlation within the βTTD group between the reoxygenation slope and blood concentrations of CRP, LDH, and indirect bilirubin | 7 days after transfusion for patients |
| Assessing motivation for physical activity in βTTD patients | Description of the EMAPS score | During second visit, occuring during a transfusion visit and no longer than 3 months after the inclusion. |
| Comparison between βTTD patients and control subjects of vital capacity (VC, L) | A spirometry test will be performed. After taking a deep breath, the participant will be asked to exhale as quickly as possible into the spirometer. | 7 days after a transfusion for patients |
| Comparison between βTTD patients and control subjects of maximum exercise ventilation (VE, L.min-1) | The ventilation rate will be continuously monitored during CPET. The ventilation rate value corresponding to the time of maximal exercise based on oxygen consumption will be used. | 7 days after a transfusion for patients |
| Comparison between βTTD patients and control subjects of maximum grip strength (kg) | Maximum grip strength will be assessed with a hand dynamometer. | 7 days after a transfusion for patients |
| Comparison between βTTD patients and control subjects of reactive strength index values | Reactive strength index values will be calculated based on jump height divided by the time to take-off | 7 days after a transfusion for patients |
| Université Savoie Mont Blanc |
| Study Chair |