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Cardiovascular Analysis of PEM

Cardiovascular Analysis of Post-exertional Malaise

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04740736
Enrollment
106
Registered
2021-02-05
Start date
2021-08-31
Completion date
2025-07-11
Last updated
2025-12-18

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

Conditions

Chronic Fatigue Syndrome, Myalgic Encephalomyelitis

Brief summary

The purpose of this study is to examine cardiopulmonary function in Chronic Fatigue Syndrome (CFS) patients and determine how it relates to the common symptom of Post-exertional malaise (PEM). Subjects will complete a maximal exercise test on 2 subsequent days. Total blood volume will be measured prior to each exercise test, and patient with hypovolemia on day 1, will be randomized to either a saline or sham infusion prior to the 2nd exercise test. A total of 80 CFS patients will be enrolled.

Interventions

PROCEDURESaline Infusion

Patient with hypovolemia on day 1 will be randomized to a saline or sham infusion prior to the Day 2 exercise test.

Sponsors

National Institute of Neurological Disorders and Stroke (NINDS)
CollaboratorNIH
Icahn School of Medicine at Mount Sinai
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
25 Years to 60 Years
Healthy volunteers
Yes

Inclusion criteria

* Ages 25 to 60 * Meet the 2015 IOM case definition for ME/CFS

Exclusion criteria

* Patients with a medical cause for their fatigue * Patients taking medications that would dampen cardiac response to exercise * Patients with psychotic illness, bipolar disorder, or current major depressive disorder * Patients with a history of anorexia or bulimia within 5 years of intake * Patients with a history of alcohol or drug abuse within 2 years of intake

Design outcomes

Primary

MeasureTime frameDescription
CPET testing2 daysTo assess VO2VT and peak VO2
Total Blood Volume2 daysTo measure Total Blood Volume (TBV) before each exercise test
Hypovolemia1 dayPatients with reduced Total Blood Volume on day #1 CPET will be randomized in a 1:1 fashion to either a one hour infusion of a liter of isotonic saline prior to day #2 CPET or a sham infusion

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026