Summary
Physical Training Program is tracked by OSMF as an investigational option for ME/CFS; no regulator has approved it for this indication, and most post-viral conditions have no approved disease-modifying therapy at all. ClinicalTrials.gov lists 1 registered trial linking Physical Training Program to ME/CFS: 1 is currently recruiting. None of the registered studies carries a drug-development phase label, which is typical for behavioural, device and supplement protocols. It plans or enrolled 75 participants. Registered activity dates to 2025. The literature layer holds 45 publications for this pair: 45 PubMed search records. Publication years run from 2025 to 2026. Items here are search-derived or curated references rather than classified trial reports; treat them as leads to read, not as graded evidence.
Myalgic Encephalomyelitis / Chronic Fatigue Syndrome is tracked on the OSMF post-viral programme alongside ME/CFS, Long COVID, POTS and MCAS. Across the programme, 191 candidate agents are logged for ME/CFS, most of them preliminary; this page isolates the record for one of them.
Evidence table
| Evidence tier | C · Preliminary |
|---|---|
| Evidence score | 38.0 (trials 3.0, literature 30.0, tier 5, approved bonus 0.0) |
| Registered trials | 1 total: 1 recruiting, 0 active / not yet recruiting, 0 completed, 0 other |
| Linked publications | 45 (45 PubMed search records) |
| Agent type | Behavioural (Behavioral / Protocol / Exercise) |
| Development stage (any indication) | Investigational |
| Mechanism / class | Not recorded |
| Data sources | OSMF therapeutic agent database, ClinicalTrials.gov, PubMed |
How the evidence score is calculated
- Each registered trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5). The trial component is capped at 30.
- Each literature item scores by design (Cochrane review 5, meta-analysis 4, systematic review 3, RCT 3, clinical trial publication 2, curated reference 1.5, other PubMed record 1). The literature component is capped at 30.
- The existing evidence tier adds 15 (A / Strong), 10 (B / Moderate), 5 (C / Preliminary) or 0 (D / Anecdotal).
- Agents approved for any indication (max clinical phase 4) add 5, because an approved agent has an established safety profile that lowers the barrier to repurposing trials.
- The score ranks what has been studied, not what works. It does not read effect sizes or directions of effect.
Registered clinical trials
| NCT ID | Title | Status | Phase | Enrolment |
|---|---|---|---|---|
| NCT07242573 | Effect of Physical Exercise and Neuromodulation on Pain, Sleep and Fatigue in Patients With Fibromyalgia National Institute of Geriatrics, Rheumatology and Rehabilitation, Poland · 2025 | recruiting | Not applicable | 75 |
Published literature
- PubMed record (biomarker-intervention search) Concurrent improvement of cardiorespiratory fitness and modulation of inflammatory markers via 12-week high-intensity interval nordic walking in postmenopausal women with overweight or obesity: a quasi-experimental study.BMC sports science, medicine & rehabilitation · 2026 · PMID 42265787
- PubMed record (biomarker-intervention search) Severity-adapted graded exercise rehabilitation reduces systemic inflammation and improves functional capacity in hospitalized AECOPD: an assessor-blinded randomized controlled trial.Frontiers in physiology · 2026 · PMID 42078204
- PubMed record (biomarker-intervention search) Exercise effects on cognitive function and molecular markers in post-stroke patients with cognitive impairment: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026 · PMID 42201410
- PubMed record (biomarker-intervention search) Effect of exercise therapy and self-management support on multimorbidity: Secondary analysis of the MOBILIZE trial.Communications medicine · 2026 · PMID 41792245
- PubMed record (biomarker-intervention search) Interventions for Persistent Pain Despite Low Inflammatory Activity in Rheumatoid Arthritis: A Systematic Review.Cureus · 2026 · PMID 41728538
- PubMed record (biomarker-intervention search) Tai Chi rehabilitation program enhances blood pressure control and modulates inflammatory and Brain-Gut peptides in hypertension.BMC complementary medicine and therapies · 2026 · PMID 41634677
- PubMed record (biomarker-intervention search) Management of pericarditis: recent advances.Polish archives of internal medicine · 2026 · PMID 42376745
- PubMed record (biomarker-intervention search) Time-Course of Physiological Adaptations to High-Intensity Interval Training-Based Cardiac Rehabilitation After Myocardial Infarction.Journal of clinical medicine · 2026 · PMID 42355713
- PubMed record (biomarker-intervention search) Endocrine and Metabolic Consequences of Off-Season Exercise Cessation versus Reduction in Highly Trained Division I Female Basketball Players: A Randomized Controlled Parallel-Group Study.Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme · 2026 · PMID 42348927
- PubMed record (biomarker-intervention search) Early Cardiac Responses to Half-Marathon Running in Amateur Athletes: Implications for Cardiovascular Health and Safe Exercise Participation.Journal of functional morphology and kinesiology · 2026 · PMID 42346740
- PubMed record (biomarker-intervention search) Semaglutide for the Silent Phenotype: A Translational Signal in Obesity-Driven HFpEF.The American journal of cardiology · 2026 · PMID 42342009
- PubMed record (biomarker-intervention search) Effects and mechanisms of different exercise modalities on inflammation in older adults, particularly with sarcopenia: a narrative review.Frontiers in medicine · 2026 · PMID 42338952
- PubMed record (biomarker-intervention search) Sit-to-stand test as a complementary assessment in patients with cardiovascular disease.Revista Cuidarte · 2026 · PMID 42282077
- PubMed record (biomarker-intervention search) The effect of a cardiac rehabilitation program including moderate-intensity continuous exercise training and high-intensity interval exercise training on sarcopenia and myokines in patients with heart failure.Acta cardiologica · 2026 · PMID 42200871
- PubMed record (biomarker-intervention search) Effectiveness of tele-rehabilitation using AI-guided exercise and pain neuroscience education for fibromyalgia (FIBROIA): Protocol for a randomized controlled trial.PloS one · 2026 · PMID 42172217
- PubMed record (biomarker-intervention search) Efficacy of Active Exercises to Improve Range of Motion in Knee Joint After Total Knee Arthroplasty. A Randomized Controlled Trial.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026 · PMID 42125998
- PubMed record (biomarker-intervention search) The effect of Baduanjin on pain, balance, function and kinesiophobia in individuals with knee osteoarthritis: A randomized controlled trial.Journal of back and musculoskeletal rehabilitation · 2026 · PMID 42095605
- PubMed record (biomarker-intervention search) The Association Between Patient Characteristics and Pain, Physical Function, and Quality of Life Among Patients with Hip Osteoarthritis: Explorative Study with Data from a Randomized Controlled Trial.International journal of sports physical therapy · 2026 · PMID 42083621
- PubMed record (biomarker-intervention search) Dance Movement Therapy Reduces Stress-Related Physiological Markers and Improves Life Satisfaction in Adults.Journal of dance medicine & science : official publication of the International Association for Dance Medicine & Science · 2026 · PMID 42374983
- PubMed record (biomarker-intervention search) Steroid hormone responses to three exercise modalities assessed by liquid chromatography tandem mass spectrometry in a randomized crossover trial.Scientific reports · 2026 · PMID 42373698
- PubMed record (biomarker-intervention search) Endocrine and neuromodulatory regulation during prolonged maximal 6000-m rowing in male athletes.European journal of applied physiology · 2026 · PMID 42371078
- PubMed record (biomarker-intervention search) Pre-exercise mood, sex-specific hormonal and neuromodulatory responses to maximal exertion in elite rowers.Frontiers in physiology · 2026 · PMID 42369609
- PubMed record (biomarker-intervention search) Psychophysiological restoration in nature: a randomized controlled trial investigating the cognitive, affective, and physiological benefits of green exercise.Scientific reports · 2026 · PMID 42365096
- PubMed record (biomarker-intervention search) Effects of a 4-Week Pilates Program on Cardiovascular, Metabolic, and Neuroendocrine Responses in Previously Sedentary Adult Women: An Age-Stratified Longitudinal Study.Life (Basel, Switzerland) · 2026 · PMID 42355472
- PubMed record (biomarker-intervention search) Predictive Equation for Peak Heart Rate and First Ventilatory Threshold Heart Rate in Patients With Coronary Heart Disease.Cardiology research and practice · 2026 · PMID 42344553
- PubMed record (biomarker-intervention search) Strong Adherence to Cardiac Rehabilitation Program Improves Exercise Tolerance in Outpatients With Cardiovascular Disease.Cardiology research · 2026 · PMID 42326987
- PubMed record (biomarker-intervention search) Assessing the Exercise Intensity of Patients With Cardiovascular Disease: DEVELOPMENT AND VALIDATION OF A TREADMILL TALK TEST PROTOCOL.Journal of cardiopulmonary rehabilitation and prevention · 2026 · PMID 42262355
- PubMed record (biomarker-intervention search) Safety analysis and parameters of cardiopulmonary exercise test in patients with ventricular aneurysm after myocardial infarction.Journal of sports sciences · 2026 · PMID 42148510
- PubMed record (biomarker-intervention search) Effects of physical rehabilitation interventions on pulmonary hypertension: an overview of systematic reviews of randomized controlled trials.Expert review of respiratory medicine · 2026 · PMID 42138156
- PubMed record (biomarker-intervention search) Effects of Telerehabilitation Based on Motion Recognition Technology on Exercise Endurance of Patients With Non-Small Cell Lung Cancer After Surgery: Single-Center, Prospective, Open-Label, Randomized Controlled Trial.JMIR mHealth and uHealth · 2026 · PMID 42373087
- PubMed record (biomarker-intervention search) Optimal exercise prescription for patients with coronary heart disease across cardiac rehabilitation phases: a systematic review and network meta-analysis.Frontiers in sports and active living · 2026 · PMID 42367338
- PubMed record (biomarker-intervention search) Integrating metabolic rehabilitation with incretin-based anti-obesity therapy: a narrative review of a multimodal strategy for sustainable weight loss.International journal of obesity (2005) · 2026 · PMID 42365122
- PubMed record (biomarker-intervention search) Multimodal Exercise and Nutritional Interventions in Pediatric Cancer: Effects on Physical Function, Body Composition, and Metabolic Health-A Narrative Review.Children (Basel, Switzerland) · 2026 · PMID 42353899
- PubMed record (biomarker-intervention search) H(2)O(2) and NO(2)(-) in Exhaled Breath Condensate Increase After a Wheelchair Rugby Match in Paralympic Athletes: A Possible Effect of Functional Classification.Antioxidants (Basel, Switzerland) · 2026 · PMID 42352011
- PubMed record (biomarker-intervention search) Prehabilitation for patients undergoing pelvic exenteration.Surgical oncology · 2026 · PMID 42348948
- PubMed record (biomarker-intervention search) Effects of Strengthening-Based Home Exercise Program on Pain and Function in Knee Osteoarthritis: Phase I Results of a Two-Phase Randomized Controlled Trial.Health science reports · 2026 · PMID 42376359
- PubMed record (biomarker-intervention search) Association of an app-based intervention with improvements in mobility, trunk muscle strength and patient-reported disease activity in axial spondyloarthritis: a 24-week pre-post study.Therapeutic advances in musculoskeletal disease · 2026 · PMID 42367698
- PubMed record (biomarker-intervention search) A Non-Pharmacological Approach to Hip Osteoarthritis-Related Pain: A Case Report.Cureus · 2026 · PMID 42367430
- PubMed record (biomarker-intervention search) A multi-center cross-sectional study to explore cancer patients' views on facilitators and barriers for the implementation of oncological exercise therapy.Frontiers in oncology · 2026 · PMID 42358533
- PubMed record (biomarker-intervention search) Advances in Clinical Management Strategies for Sarcopenia: From Exercise and Nutrition to Pharmacotherapy and Comprehensive Interventions.Molecular neurobiology · 2026 · PMID 42348067
- PubMed record (biomarker-intervention search) Effects of Aquatic Therapy on Fatigue, Mobility, Physical Function, and Quality of Life in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis.Journal of functional morphology and kinesiology · 2026 · PMID 42346748
- PubMed record (biomarker-intervention search) Therapeutic exercise in multiple sclerosis: Mechanisms of neuroprotection, modality-specific benefits, and technology-enhanced delivery frameworks.Multiple sclerosis and related disorders · 2025 · PMID 41192213
- PubMed record (biomarker-intervention search) Anti-Inflammatory and Antioxidant Effects of HIIT in Individuals with Long COVID: Insights into the Potential Role of Triphala.International journal of molecular sciences · 2025 · PMID 40943540
- PubMed record (biomarker-intervention search) Sternal interferential current stimulation after sternotomy: A randomized, sham-controlled trial on pain and wound healing.Journal of rehabilitation medicine · 2025 · PMID 40833250
- PubMed record (biomarker-intervention search) Impact of 3-dimensional myofascial release on tumor necrosis factor (TNF) alpha biomarker in nonspecific low back pain: a randomised controlled trial.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025 · PMID 40853451
Mechanism and notes
This is a behavioural, rehabilitation or protocol-based intervention rather than a molecule, so no pharmacological mechanism is recorded.
Clinical notes: Investigational for listed conditions. 1 associated trial(s) and 0 study reference(s) in current data. Review primary sources and consult specialists before use.
Safety: Limited specific safety data in these populations. Review full prescribing information and consult specialist. Many agents used off-label or investigational.
Dosing in studies: See linked studies/trials for reported doses and durations; typical protocols vary widely.
Frequently asked questions
Is Physical Training Program approved for ME/CFS?
Physical Training Program is tracked by OSMF as an investigational option for ME/CFS; no regulator has approved it for this indication, and most post-viral conditions have no approved disease-modifying therapy at all. Approval status for the specific indication should always be confirmed with the relevant regulator and prescribing information.
Is Physical Training Program in clinical trials for ME/CFS?
ClinicalTrials.gov lists 1 registered trial linking Physical Training Program to ME/CFS: 1 is currently recruiting. None of the registered studies carries a drug-development phase label, which is typical for behavioural, device and supplement protocols. It plans or enrolled 75 participants. Registered activity dates to 2025.
What does the evidence show for Physical Training Program in ME/CFS?
Trials of Physical Training Program in ME/CFS are registered but none has completed, so there is no outcome evidence from those studies yet; the record is a signal of research interest. OSMF's existing evidence tier for this pair is C (Preliminary), taken from the OSMF therapeutic agent database, which grades agents by the volume and design of condition-specific evidence rather than by effect size.
Cite this page
Data: ClinicalTrials.gov, PubMed, Open Targets, ChEMBL, DGIdb and the OSMF therapeutic agent database. Last updated 2026-10-07. Page built 2026-10-07.