Exercise and Prediabetes After Renal Transplantation

NCT ID: NCT06576531

Last Updated: 2025-08-08

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-25

Study Completion Date

2026-07-31

Brief Summary

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The present clinical trial, EXPRED-II, is the continuation of EXPRED-I (NCT04489043).

Objective: to evaluate the feasibility of exercise in the reversibility of prediabetes after transplantation, as a first step to prevent Post-Transplant Diabetes Mellitus (PTDM).

Methodology: a total of 50 patients with prediabetes beyond 12 months after transplantation with capacity to perform exercise will be randomized to standard life-style recommendations as per clinical practice (n=25) or to a stepped ad-hoc designed training intervention (n=25). Prediabetes will be diagnosed based on fasting glucose levels and an Oral Glucose Tolerance Test (OGTT). Patients randomized to exercise will start with aerobic exercise training 5 times/week, 30 min/day for 12 months which may be gradually increased to 60 min/day or combined with strength exercise in the last increment in case of prediabetes persistence. The reversibility/persistence/relapse of prediabetes will be measured with fasting glucose and OGTT every 3 months. The study will last 12 months.

Detailed Description

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Conditions

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PreDiabetes Kidney Transplantation

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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Exercise group

The experimental group will receive an ad hoc designed stepped exercise intervention supported by adherence monitoring.

Group Type EXPERIMENTAL

Therapeutic exercise

Intervention Type OTHER

A stepped training intervention designed ad hoc based on a combination of aerobic and strength exercises.

Control group

The control group will follow standard lifestyle recommendations according to clinical practice.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Therapeutic exercise

A stepped training intervention designed ad hoc based on a combination of aerobic and strength exercises.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* ≥ 18 years
* ≥ 12 months post kidney transplant
* Stable renal function in the last 3-6 months
* Prediabetes (abnormal fasting glucose 100-125 mg/dl and/or glucose intolerance 140-199mg/dl)
* Ability to perform exercise

Exclusion Criteria

* Infection, cancer, acute cardiovascular disease, advanced kidney disease, pulmonary hypertension and uncontrolled chronic liver disease.
* Inability to understand the protocol
* Severe psychological illness
* PTDM and/or DM prior to transplantation
* Morbid obesity
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundacion Canaria Instituto de Investigacion Sanitaria de Canarias

OTHER

Sponsor Role collaborator

University of La Laguna

OTHER

Sponsor Role lead

Responsible Party

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Raúl Morales Febles

PhD-Physiotherapist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of La Laguna

San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain

Site Status

Countries

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Spain

Other Identifiers

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CHUC_2022_40

Identifier Type: -

Identifier Source: org_study_id

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