Clinical trial Recruiting at 1 site Interventional Ages 65 and up

New exercise program for older patients with heart failure

Official title: PRIME HFrEF: Novel Exercise for Older Patients With Heart Failure With Reduced Ejection Fraction

Run by University of Virginia · NCT05609097 · Data updated 2026-11-12

This study is testing a new exercise program for older patients with heart failure to see if it helps them feel better compared to a standard exercise program.

Quick facts

Study typeInterventional
Ages65 Years and up
SexAll
Enrollment92 (estimated)
SponsorUniversity of Virginia
Academic / other
Locations1 site (Charlottesville, Virginia)
StatusRecruiting
StartedApril 14, 2023
Main results expectedDecember 31, 2027
Study endsJune 30, 2028
Registry record updatedJune 6, 2025
Trial IDNCT05609097 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are individuals over 65 years old diagnosed with HFrEF and able to provide informed consent.

Probably not a fit

Patients with severe comorbidities or recent acute illnesses may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of a novel hybrid aerobic-resistance exercise program called PRIME compared to a traditional exercise program known as COMBO in older patients with heart failure with reduced ejection fraction (HFrEF). Participants aged over 65 will be randomly assigned to either the PRIME or COMBO training for four weeks, followed by eight weeks of COMBO for all participants. The goal is to determine if the PRIME program leads to better health outcomes than the standard approach. A total of 92 patients will be enrolled over a five-year period, with follow-up assessments conducted six months after the final visit.

Why it matters

Potential benefit: If successful, this study could lead to improved exercise-based rehabilitation strategies for older patients with heart failure, enhancing their overall health and quality of life.

How similar studies have gone: Other studies have shown positive outcomes with exercise interventions in heart failure patients, suggesting that this approach may be effective.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Subjects must be able to communicate meaningfully with the investigator and must be legally competent to provide written informed consent.
* Subjects may be of either sex with age \> 65 years.
* Subjects must be diagnosed with HFrEF as per established echocardiographic criteria (New York Heart Association Class II-III) with an ejection fraction \<45%.
* Cardiologist approve after thorough chart review and physical examination
* Hemoglobin of at least 10.0 g/dL

Exclusion Criteria:

* Progressive worsening of exercise tolerance or dyspnea at rest or on exertion over previous 3-5 days
* Significant ischemia at low exercise intensities (\<2 METS or \~50 W)
* Uncontrolled diabetes (HbA1c \>10%)
* Acute systemic illness of fever
* Recent embolism (in the 6 weeks)
* Deep Vein Thrombophlebitis
* Active pericarditis or myocarditis
* Severe aortic stenosis (aortic valve area \<1.0 cm2)
* Regurgitant valvular heart disease requiring surgery
* Myocardial infarction within previous 3 weeks
* New onset atrial fibrillation (in the last 4 weeks)
* Resting Heart Rate \>120bpm

Where it's running

  • University of Virginia, Department of Kinesiology
    Charlottesville, Virginia, United States
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.