Benefits and Tolerance of Exercise in Patients With Generalized and Stabilized Myasthenia Gravis
Last updated on April 2022Recruitment
- Recruitment Status
- Completed
- Estimated Enrollment
- 44
Inclusion Criteria
- If absent, myasthenic symptoms decrement> 10% in EMNG and test the positive prostigmine
- Patient ≥ 18 and ≤ 70 years old
- Patient having an health insurance
- ...
- If absent, myasthenic symptoms decrement> 10% in EMNG and test the positive prostigmine
- Patient ≥ 18 and ≤ 70 years old
- Patient having an health insurance
- Informed written consent
- positive dosage of ant-RACh or MuSK auto-antibodies;
Exclusion Criteria
- Stroke
- Heart failure with systolic ejection fraction < 50 %
- Patients under particular protection
- ...
- Stroke
- Heart failure with systolic ejection fraction < 50 %
- Patients under particular protection
- Respiratory failure defined by a vital capacity (CV) < 70 %
- Unstable coronary Syndrome or myocardial infarction within the past 3 months
- Enrolment in another biomedical research in the last 3 months;
- Disabling Rheumatologic disease (> 80 % disability according to the Barthel scale)
- Chronic Pain or disabling orthopaedic conditions
- MGFA grade I, grade IV or V
- Severe cognitive impairment
- Other neuromuscular pathology
- Hospitalization in the last 3 months for a serious medical or surgical condition
- MGQOL-15 below 15/60
- Anemia (hematocrit < 30%)
Summary
- Conditions
- Myasthenia Gravis
- Type
- Interventional
- Design
- Allocation: Randomized
- Intervention Model: Parallel Assignment
- Masking: Single (Outcomes Assessor)
- Primary Purpose: Treatment
Participation Requirements
- Age
- Between 18 years and 70 years
- Gender
- Both males and females
Description
Three centers randomized simple blind clinical trial whose objective is to assess the efficacy on QoL improvement, and the tolerance of physical exercise over a period of 3 months in patients with generalized MG who have been stabilized since at least 6 months. During the 3 months pre-inclusion phas...
Three centers randomized simple blind clinical trial whose objective is to assess the efficacy on QoL improvement, and the tolerance of physical exercise over a period of 3 months in patients with generalized MG who have been stabilized since at least 6 months. During the 3 months pre-inclusion phase, the characteristics of MG will be collected. Physical activity and performance will be assessed monthly. MGQOL15 will be assessed at inclusion. Patients will be randomized in either intervention arm or control arm. The intervention arm will consist of three sessions exercise per week during three months. The daily exercise will be performed on a rowing machine that will be adapted to the patient's own physical ability. Physical activity will be measured with the help of an actimeter. Once a month, MG evolution and tolerance to exercise will be assessed and MG treatment dose will be collected. Exercise will be interrupted in case of MG exacerbation. Quality of life and psychological status will be assessed at 3, 6 and 9 months. Plasma levels of pro and anti-inflammatory cytokines will be measured at 3, 6 and 9 months in order to assess the effects of exercise on immune response. Patients enrolled in the control arm will benefit from the same follow-up but will not have exercise.
Inclusion Criteria
- If absent, myasthenic symptoms decrement> 10% in EMNG and test the positive prostigmine
- Patient ≥ 18 and ≤ 70 years old
- Patient having an health insurance
- ...
- If absent, myasthenic symptoms decrement> 10% in EMNG and test the positive prostigmine
- Patient ≥ 18 and ≤ 70 years old
- Patient having an health insurance
- Informed written consent
- positive dosage of ant-RACh or MuSK auto-antibodies;
Exclusion Criteria
- Stroke
- Heart failure with systolic ejection fraction < 50 %
- Patients under particular protection
- ...
- Stroke
- Heart failure with systolic ejection fraction < 50 %
- Patients under particular protection
- Respiratory failure defined by a vital capacity (CV) < 70 %
- Unstable coronary Syndrome or myocardial infarction within the past 3 months
- Enrolment in another biomedical research in the last 3 months;
- Disabling Rheumatologic disease (> 80 % disability according to the Barthel scale)
- Chronic Pain or disabling orthopaedic conditions
- MGFA grade I, grade IV or V
- Severe cognitive impairment
- Other neuromuscular pathology
- Hospitalization in the last 3 months for a serious medical or surgical condition
- MGQOL-15 below 15/60
- Anemia (hematocrit < 30%)
Tracking Information
- NCT #
- NCT02066519
- Collaborators
- Not Provided
- Investigators
- Principal Investigator: Tarek SHARSHAR, MD, PhD ICU and medical surgery Service, Raymond Poincaré Hospital, 92380 Garches, France
- Tarek SHARSHAR, MD, PhD ICU and medical surgery Service, Raymond Poincaré Hospital, 92380 Garches, France