Hemodialysis-based Interventions to Preserve Cognitive Function

NCT ID: NCT02697942

Last Updated: 2018-04-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2017-11-20

Brief Summary

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This will be a pilot, single center, randomized, controlled trial to slow cognitive decline in adults undergoing hemodialysis (HD). The investigators will test two interventions (cognitive training and exercise training) against the standard of care.

Detailed Description

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This will be a pilot, single center, randomized, controlled trial to slow cognitive decline in adults undergoing hemodialysis (HD). The investigators primary objective is to demonstrate feasibility for the interventions (cognitive training and exercise training) in Aim 1. The investigators will formally test whether whether cognitive training (tablet-based brain games) and exercise training (stationary foot pedal) administered during HD slow cognitive decline as well as improve secondary outcomes (physical function, frailty, and health-related quality of life (HRQOL) as part of Aim 2. The investigators will compare these two interventions against the standard of care. Pre- and post-intervention assessments will be conducted at the dialysis unit by a study coordinator and by research assistants. Participants will be followed for 6 months to assess cognitive decline.

Conditions

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Kidney Failure, Chronic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Standard of care

Participants randomized to the standard of care arm will not receive any intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Cognitive training (CT)

Participants randomized to the CT arm will be given a tablet with connection to Lumosity®, which is a web-based "brain game". Participants will use the tablets to play brain games at each dialysis session.

Group Type EXPERIMENTAL

cognitive training

Intervention Type OTHER

The investigators will provide participants with tablets to play brain games through Lumosity.

Exercise training (ET)

Participants randomized to ET arm will be given a stationary foot peddler. This foot peddler will be situated at a comfortable distance from the dialysis chair so that the patient can comfortably reach the peddler. Participants will use the foot peddlers at each dialysis session.

Group Type ACTIVE_COMPARATOR

exercise training

Intervention Type OTHER

The investigators will provide participants with foot peddlers.

Interventions

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cognitive training

The investigators will provide participants with tablets to play brain games through Lumosity.

Intervention Type OTHER

exercise training

The investigators will provide participants with foot peddlers.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Men and women with end stage renal disease and receiving hemodialysis at the DaVita Dialysis Centers located at 409 N. Caroline St., Baltimore, MD will be approached by our study coordinator to determine eligibility.

* Must be at least 18 years or older at enrollment
* Must be English speaking
* Must be willing to participate in research and able to give informed consent

Exclusion Criteria

* Chronic lung disease requiring oxygen
* Cerebrovascular disease
* Musculoskeletal conditions that limit mobility
* Lower or upper extremity amputation
* Orthopedic disorders exacerbated by physical activity
* Decreased mental capacity
* Dementia (diagnosed)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Johns Hopkins Bloomberg School of Public Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mara McAdams DeMarco, PhD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins Bloomberg School of Public Health

Locations

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Bond St DaVita Dialysis Center

Baltimore, Maryland, United States

Site Status

Countries

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United States

References

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Bernier-Jean A, Beruni NA, Bondonno NP, Williams G, Teixeira-Pinto A, Craig JC, Wong G. Exercise training for adults undergoing maintenance dialysis. Cochrane Database Syst Rev. 2022 Jan 12;1(1):CD014653. doi: 10.1002/14651858.CD014653.

Reference Type DERIVED
PMID: 35018639 (View on PubMed)

Other Identifiers

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IRB00006466

Identifier Type: -

Identifier Source: org_study_id

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