Exercise Training for Kidney Transplant Candidates

This study, called KINETIC, is looking at whether a home-based exercise program can help adults aged 60 and older who are waiting for a kidney transplant. Participants will either join a 12-week home exercise program with an online platform and activity tracker (Exercise Rehabilitation Program with Physical Activity Tracker) or continue their usual care while wearing an activity tracker (Active control). The main goal is to see if this exercise program is safe, easy to use, and if people will stick with it. This study aims to enroll 60 participants who receive transplant care at Penn Medicine, are on the kidney transplant waiting list, and can walk.

Study design
This is an interventional study, meaning participants will receive a specific intervention. It aims to enroll 60 participants.
What's involved
Participants will either take part in a 12-week home-based exercise program or continue their usual care. Both groups will wear a wrist-worn physical activity tracker.
Compensation
Not stated in the trial record.
Follow-up
The study will measure how well participants stick with the program and how acceptable it is for 12 weeks after they are randomly assigned to a group.

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NCT07446296

Kidney Transplant Improvement Through New Exercise Training to Increase Capacity

Recruiting
NAAges 60+InterventionalSupportive care
University of Pennsylvania
~60 participants
Updated 2026-05-06 on ClinicalTrials.gov
What's tested:Exercise Rehabilitation Program with Physical Activity TrackerActive control

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Enrollment efficiency and Retention
Measured over Enrollment efficiency time period is study duration (anticipate up to 20 moths) and retention is 12 weeks of intervention period
+3 more outcomes measured
Chronic Kidney Disease 5D
Chronic Kidney Disease Stage 5
Kidney Failure
Kidney Failure,Chronic
Renal Insufficiency Chronic
Chronic Kidney Disease Stage 4
Kidney Transplantation
Waiting List
Transplant Candidate
Exercise Theraphy
1 sites across 1 states
Pennsylvania1
  • Sarah Schrauben, MD, MSCE · PRINCIPAL_INVESTIGATOR · University of Pennsylvania

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Eligibility criteria

Inclusion

be at least 60 years old
receive transplant care at Penn Medicine
be on the kidney transplant waiting list
speak and comprehend English
be able to walk
have at least one physical function limitation OR at least one frailty metric
have access to a device capable of connecting to the Internet and downloading an application
be able to provide written informed consent
be cleared for participant via the Physical Activity Readiness Questionnaire (PARQ) verified against medical record or via written medical clearance from a clinician

Exclusion

Have had a myocardial infarction or a stroke in the 3 months immediately prior to enrollment
Be unable to self-monitor with study devices (i.e., have a condition such as dementia)
Not cleared by PARQ or receive written medical clearance to exercise
Participate in another physical activity study
Have any other reason they do not expect to be able to complete the study
  • Enrollment efficiency and RetentionEnrollment efficiency time period is study duration (anticipate up to 20 moths) and retention is 12 weeks of intervention period

    Feasibility will be assessed by enrollment efficiency and participant retention. Enrollment efficiency will be calculated as the percentage of participants successfully enrolled after invitation. Thresholds of success include, ≥70% of potentially eligible agree to screening and ≥40% of eligible consent and enroll Retention will be measured as the percentage of enrollment participants who complete the 12-week study period. The threshold of successful retention is ≥70%.

  • Acceptability of the Intervention12-weeks after randomization

    Acceptability will be measured using the System Usability Scale (SUS), a validated questionnaire assessing usability and satisfaction with the study system. SUS scores will be calculated using standard scoring methods. Scores of 68 or higher will be considered indicative of acceptable usability. Quantitative findings will be supplemented with qualitative feedback from participants, including themes related to acceptability identified through end-of-study exit interviews.

  • Adherence12 weeks after randomization

    Adherence will be assessed as the percentage of study days with valid step count data and, for participants in the intervention arm, the percentage of completed exercise sessions out of those recommended during the 12-week intervention period. Feasible adherence will be defined as ≥70% of study days with valid step count data and ≥70% of participants in the intervention arm completed ≥2 exercise classes per week.

  • Adverse Events Related to InterventionUp to 12 weeks after randomization

    Safety will be evaluated by documenting the number and type of adverse events occurring during the study period.