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Effect of high-intensity endurance training on bone marrow edema in individuals with axial spondyloarthritis (axSpA): a randomized controlled trial (ECHO).

Effect of high-intensity endurance training on bone marrow edema in individuals with axial spondyloarthritis (axSpA): a randomized controlled trial (ECHO). - ECHO

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00032901
Enrollment
125
Registered
2024-01-04
Start date
2023-12-01
Completion date
Unknown
Last updated
2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

M45

Interventions

Group 1: axSpA abbreviation group with high-intensity endurance training (HIIT). The supervised HIIT training on the cycle ergometer takes place three times a week for 12 weeks. Group 2: axSpA contro

Sponsors

Rheumazentrum Ruhrgbiet
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: - Confirmed clinical diagnosis of axSpA - axSpA patients with stable bionaive medication - axSpA patients with stable TNFi (b-DMARD) Medication - age > 18 years - Eligibility for participation in performance diagnostics and in the high-intensity interval training on the cycle ergometer

Exclusion criteria

Exclusion criteria: - axSpA patients* with other b- or ts-DMARDs. Medication - Individuals with significant limitations in physical functioning due to a concomitant concomitant disease - Patients who are not scheduled for MRI as part of routine treatment no MRI examination is planned - Pregnant/breastfeeding women - Unstable CVD - Angina pectoris CCS class = I - Signs of heart failure - Acute hypertensive derangement or Inadequately controlled arterial hypertension

Design outcomes

Primary

MeasureTime frame
Amount of BME lesions in the spine and sacroiliac (calculated with the Berlin Score) which occurred in the last 3 months have occurred

Secondary

MeasureTime frame
- Amount of bone marrow edema (BME) lesions in the spine and sacroiliac joint (calculated with the Berlin Score) that have resolved in the last have resolved in the last 3 months - Amount of subjects who had no positive imaging during the 3 positive imaging (calculated with the Berlin Score) in the course of the 3 months - Change in disease activity (ASDAS) after 3 months of HIIT - Change in physical performance - Change in physical functioning (BASFI) after 3 months of HIIT - Change in the mSAQUASH/ or other arc for recording physical activity - Change in the number of pressure painful tendon insertions (enthesitis score SPARCC) - Change in ASAS-NSAIDs score over 3 months - Change in pain on the numeric Rating Scale (NRS) 0 - 10 over 3 months. - Change in ASAS health index, - Change in BASDAI, - Change in Patient Global, - Change in modified Squash Questionnaire, - Change in SF-36, - change in EQ-5D - Change in BASMI

Countries

Germany

Contacts

Public ContactXenofon Baraliakos

Rheumazentrum Ruhrgbiet

Xenofon.Baraliakos@elisabethgruppe.de+49 2325592131

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026