Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06260579

A Home-based Exercise and Physical Activity Intervention After Kidney Transplantation: Impact of Exercise Intensity - a Multicenter Randomized Controlled Trial

Led by KU Leuven · Updated on 2024-02-15

147

Participants Needed

2

Research Sites

217 weeks

Total Duration

On this page

Sponsors

K

KU Leuven

Lead Sponsor

U

University Ghent

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating a home-based exercise and physical activity program for adults who have recently received a kidney transplant. This study aims to understand how different exercise intensities affect physical fitness, heart health, gut microbiome characteristics, and quality of life in these patients. The trial also examines the cost-effectiveness and potential for implementing this program in everyday care. The research involves 147 new kidney transplant recipients from two Belgian transplant centers. Participants are randomly assigned to one of three groups for six months of exercise training: a low-intensity group doing flexibility and balance exercises (LIT), a moderate-intensity group performing aerobic and strength training (MIT), or a group starting with moderate intensity and moving to high-intensity aerobic training combined with moderate strength training (MHIT). After this initial phase, the MIT and MHIT groups receive a personalized physical activity program to help maintain an active lifestyle. This includes motivational support, goal-setting, and self-monitoring. The exercise begins three months post-transplant, and the maintenance program starts six months later. Throughout the study, participants will be followed for two years after their transplant. Researchers will measure changes in peak oxygen consumption (a key measure of cardiorespiratory fitness) at 6, 12, and 24 months. They will also assess muscle strength, motor fitness, body composition, cardiovascular health, gut microbiome, quality of life, safety, cost-effectiveness, and how well the program can be implemented. Evaluations will occur at multiple points up to two years after transplantation to understand both short- and long-term effects.

CONDITIONS

Brief Title

Home-based Exercise and Physical Activity Intervention After Kidney Transplantation: Impact of Exercise Intensity

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult kidney transplant recipients who are newly transplanted (de novo)
  • Age 18 years or older
  • Ability to understand Dutch
  • Access to a smartphone and/or computer with internet
Not Eligible

You will not qualify if you...

  • Presence of underlying heart disease such as abnormal cardiopulmonary exercise test, unstable angina, untreated lesions, or life-threatening arrhythmias
  • Uncontrolled high blood pressure
  • Uncontrolled diabetes with HbA1c 9% or higher
  • Musculoskeletal disorders preventing exercise on a cycle ergometer or other medical contraindications for moderate or high-intensity exercise
  • Multi-organ transplantation
  • Ongoing treatment for cancer
  • Severe lung disease defined by specific lung function tests (FVC <50%, FEV1 <50%, or DLCO <40%)

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 6 months

Participants take part in a 6-month home-based exercise training program at varying intensities depending on their assigned group, including flexibility and balance exercises or moderate to high-intensity aerobic and strength training.

Weekly remote monitoring and periodic assessments

Post-treatment Physical Activity Intervention

Duration - Up to 18 months following the initial 6-month training

Following the exercise training, participants in the moderate and moderate-high intensity groups receive a personalized physical activity intervention using motivational techniques to support long-term physical activity maintenance.

Regular follow-up contacts with decreasing frequency over time

Follow-up

Duration - Up to 2 years post-transplantation

Participants are monitored for up to 2 years after transplantation to assess physical fitness, cardiovascular health, and other outcomes.

Assessments at 3, 6, 9, 12, and 24 months post-transplant

Trial Site Locations

Total: 2 locations

1

UZ Ghent

Ghent, Belgium, 9000

Actively Recruiting

2

UZ Leuven

Leuven, Belgium, 3000

Actively Recruiting

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Research Team

A

Amaryllis Van Craenenbroeck, MD, PhD

S

Stefan De Smet, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

3

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Published Research Related To This Trial

Home-based exercise and physical activity intervention after kidney transplantation: impact of exercise intensity (PHOENIX-Kidney). Protocol for a multicentre randomized controlled trial.

Stefan De Smet, Marieke Vandecruys, Jasmine De Beir...

https://pubmed.ncbi.nlm.nih.gov/41215780