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Table 2 Primary, secondary and explorative outcome measures

From: Effects of a partially supervised conditioning programme in cystic fibrosis: an international multi-centre randomised controlled trial (ACTIVATE-CF): study protocol

Outcome

Variable

Measurement

Primary endpoint

 • Lung function

FEV1% predicted

Spirometry

Secondary endpoints

 • Exercise capacity

VO2peak % predicted

CPET

Wattmax % predicted

CPET

 • Physical activity

Steps per day

Pedometry

Exercise steps per day

Pedometry

Reported physical activity (min per day)

7-day recall questionnaire

 • Pulmonary function

FEV1% predicted

Spirometry,

Bodyplethysmography

FVC % predicted

RV/TLC %

 • Exacerbation

Time to first exacerbation

Questionnaire

(modified Fuchs criteria) and physician assessment

 • Body composition

Body fat

Skinfolds

Lean body mass

Skinfolds

 • Health-related quality of life

Scales

Questionnaire (CFQ-R)

 • Depression, anxiety and stress scales

Scales

Questionnaire (DASS)

 • Glycaemic control

Plasma glucose concentrations (fasting, 1 and 2 h after standardised glucose load)

Oral glucose tolerance testa

Explorative endpoints

 • Physical activity

Moderate and vigorous physical activity

Accelerometryb

 • Infections

Number of upper respiratory tract infections

3-months retrospective questionnaire, Interviews, Diary and telephone calls

 • Antibiotic therapy

Days on additional oral/intravenous antibiotics

3-months retrospective questionnaire, Interviews, Diary and telephone calls

 • Body composition

Body mass index

Based on measured height and weight

 • Lung function

Lung clearance index

Multiple breath washoutc

 • Mucociliary clearance

Mucociliary clearance

Scintigraphyd

Safety endpoints

 • Adverse events

Adverse events at least possibly related to exercise (e.g., sprains, fractures etc)

Judged by investigator

Others

 • Compliance with exercise

Exercise goal of 3 additional hours of vigorous activity per week

Baseline assessment and web-based diary

  1. CFQ-R Cystic Fibrosis Questionnaire-revised, CPET cardiopulmonary exercise test, FEV 1 forced expiratory volume in 1 s, FVC forced vital capacity, RV/TLC residual volume/total lung capacity, VO 2peak peak oxygen uptake, Watt max maximal aerobic power
  2. aonly in patients without cystic fibrosis related diabetes
  3. bonly in European centers
  4. cselected centers only
  5. dUS centers only