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Kidney Transplant Improvement Through New Exercise Training to Increase Capacity

Recruiting

KINETIC -- Kidney Transplant Improvement Through New Exercise Training to Increase Capacity

Who can join

Ages 60 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* 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 Criteria:

* 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

About the study

The goal of this clinical trial is to learn if a home-based exercise program can be safely and feasibly used to improve physical activity and physical function in adults waiting for a kidney transplant. The study will also learn how acceptable and useful this program is for participants.

The main questions it aims to answer are:

* Can a remote exercise program be delivered successfully to people on the kidney transplant waiting list? * Do participants follow the exercise program and wear a physical activity tracker as asked? * Is the program safe and well tolerated?

Researchers will compare two groups to see if the exercise program leads to higher physical activity and better physical function:

* Usual pre-transplant care with a physical activity tracker * Usual pre-transplant care plus an online exercise program

Participants will:

* Wear a wrist activity tracker to measure daily physical activity * Complete a one-week baseline period before being assigned to a study group * Be randomly assigned (like flipping a coin) to one of two groups * If assigned to the exercise group, take part in online exercise classes at home for 12 weeks with reminders and feedback, and then another 12 weeks without reminders and feedback * Answer questionnaires about their health, activity, and experience in the study

This study may help researchers learn how to better support people waiting for kidney transplant through safe, home-based exercise programs.

What is being tested

Sponsor: University of Pennsylvania · Participants: 60 · Started: Mar 24, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07446296

Locations in the U.S.

PennsylvaniaPerelman Center for Advanced Medicine, Philadelphia

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.