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End Stage Renal Disease on DialysisVRINCT04046042

Virtual Reality Intradialysis: Last vs. First Part of the Session

A study testing Conventional exercise and Exercise during the last two hours of the hemodialysis session in people with End Stage Renal Disease on Dialysis and Hemodialysis Complication, run by Cardenal Herrera University at 1 site in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The main objective of this investigation is to assess if an intradialysis virtual reality exercise program during the last two hours of the hemodialysis session results in greater hemodynamic stability than exercise performed during the first two hours of the hemodialysis session. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Conventional exercise and Exercise during the last two hours of the hemodialysis session
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteSpain
Study dates
2 Sep 2019to 30 Aug 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • At least 3 months in hemodialysis treatment
  • Clinically stable

Who cannot join

  • Recent cardiac events (less than 3 months)
  • Unable to exercise

Trial locations and contacts

1 site in 1 country.

Eva Segura-Ortí, PhD contact

00 34 671580094

eva.segura@gmail.com

Alicia García-Testal, PhD contact

00 34 637519626

Agtestal@gmail.com

Spain1 site, 1 recruiting
  • Hospital de Manises

    Manises, Valencia, 46940

    EVA SEGURA-ORTÍ, PhD, 00 34 671580094, eva.segura@gmail.com

    Recruiting

Other trials in Spain

About this study

Official title: Virtual Reality Exercise Intradialysis: Tolerance and Dialysis Dose Effects During the Last vs. First Part of the Hemodialysis Session

The main objective of this investigation is to assess if an intradialysis virtual reality exercise program during the last two hours of the hemodialysis session results in greater hemodynamic stability than exercise performed during the first two hours of the hemodialysis session.

The secondary aims are to assess the impact of intradialysis virtual reality exercise during the last two hours of the hemodialysis session on dialysis efficacy, postdialysis molecules rebound, adherence to exercise, functional capacity, physical activity level, health-related quality of life, cognitive function, morbidity, frailty and dependency. We will also analyze the reliability of muscle strength assessment of lower limb muscles with a handheld dynamometer during hemodialysis.

Read the detailed description

Participants will be randomized into one of two groups. The first group will perform a virtual reality exercise during the first two hours of the hemodialysis session. The second group will perform a virtual reality exercise during the last two hours of the hemodialysis session. The exercise program will last for 9 months.

The virtual reality exercise will undertake up to 30 minutes of exercise. After warming up, participants will play to an adapted 'treasure hunt' game. Their legs movements will be the players projected into an individual tv that will give them feedback regarding their achievements. The aim of the game will be to achieve the higher possible score. They will move their legs to pick up coins and to avoid bombs. An adapted Kinect technology will be used for game development. The exercise session will end-up with a cool-down period that will include simple lower limb stretching exercises. Two more games will be introduced progressively for patients not to get bored, 'Air Hockey' and 'Simon'.

Being tested
Conventional exercise, Exercise during the last two hours of the hemodialysis session
Keywords
Exercise, Virtual reality, physical function, health-related quality of life, hemodynamic instability
Medical subject headings
Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Conventional exerciseOther

    Virtual reality exercise performed during the first two hours of the hemodialysis session

  • Exercise during the last two hours of the hemodialysis sessionOther

    Virtual reality exercise performed during the last two hours of the hemodialysis session

Study groups in NCT04046042
Study groupRoleWhat they receive
Conventional exercise timeActive comparatorDuring 12 months subjects will exercise during the first two hours of the hemodialysis session. A virtual reality exercise program will be implemented
Receives: Other: Conventional exercise
Experimental groupExperimentalDuring 12 months subjects will exercise during the last two hours of the hemodialysis session. A virtual reality exercise program will be implemented
Receives: Other: Exercise during the last two hours of the hemodialysis session

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of hypotension episodes

    Number of hypotension episodes, including hypotension that requires treatment, hypertensive crisis and acute arrhythmias

    Measured: 3 Months

  2. Number of hypotension episodes

    Number of hypotension episodes, including hypotension that requires treatment, hypertensive crisis and acute arrhythmias

    Measured: 6 Months

  3. Number of hypotension episodes

    Number of hypotension episodes, including hypotension that requires treatment, hypertensive crisis and acute arrhythmias

    Measured: 12 Months

Secondary outcomes (18)
  1. Change from baseline postdialysis rebound urea, creatinine, phosphorus and potassium at 3 months

    Postdialysis rebound urea, creatinine, phosphorus and potassium. All measurements presented as a percentage.

    Measured: Baseline and 3 months

  2. Change from baseline dialysis dose at 3 months, 6 months, and 12 months

    Dialysis dose, measured through Kt/V

    Measured: Baseline, 3 Months, 6 months and 12 months

  3. Adherence, as number of sessions performed /number of sessions offered

    Sessions performed/sessions offered

    Measured: Baseline, 3 Months, 6 months and 12 months

  4. Change from baseline short physical performance battery at 3 months, 6 months, and 12 months

    Score achieved at the battery that includes balance tests (4 points), sit to stand to sit 5 (4 points) and and gait speed (4 points). The total score is calculated , from 1 to 12, being 12 the highest functional score

    Measured: Baseline, 3 Months, 6 months and 12 months

  5. Change from baseline gait speed at 3 months, 6 months, and 12 months

    Speed to cover 4 meters, in meters/second

    Measured: Baseline, 3 Months, 6 months and 12 months

  6. Change from baseline handgrip at 3 months, 6 months, and 12 months

    Bilateral handgrip strength

    Measured: Baseline, 3 Months, 6 months and 12 months

  7. Change from baseline lower limb muscle strength at 3 months, 6 months, and 12 months

    Muscle strength measured with a handheld dynamometer on the main muscle groups during hemodialysis

    Measured: Baseline, 3 Months, 6 months and 12 months

  8. Change from baseline one-leg standing test at 3 months, 6 months, and 12 months

    Time achieved while standing on one leg

    Measured: Baseline, 3 Months, 6 months and 12 months

  9. Change from baseline sit to stand 10 test at 3 months, 6 months, and 12 months

    Time to perform 10 repetitions sit to stand

    Measured: Baseline, 3 Months, 6 months and 12 months

  10. Change from baseline sit to stand 60 at 3 months, 6 months, and 12 months

    Sit to stand repetitions performed in 60 seconds

    Measured: Baseline, 3 Months, 6 months and 12 months

  11. Change from baseline timed up and go at 3 months, 6 months, and 12 months

    Time to stand up, walk 3 meters, come back and sit down again

    Measured: Baseline, 3 Months, 6 months and 12 months

  12. Change from baseline one-leg heel rise test at 3 months, 6 months, and 12 months

    Number of heel rise repetitions achieved

    Measured: Baseline, 3 Months, 6 months and 12 months

  13. Change from baseline 6 minutes walk test at 3 months, 6 months, and 12 months

    Number of meters walked in 6 minutes

    Measured: Baseline, 3 Months, 6 months and 12 months

  14. Change from baseline Physical activity level at 3 months, 6 months, and 12 months

    Physical activity questionnaires

    Measured: Baseline, 3 Months, 6 months and 12 months

  15. Change from baseline Health related quality of life at 3 months, 6 months, and 12 months

    Medical outcomes survey Short Form 36 questionnaire to measure health-related quality of life, rated from 0 to 100, being the highest score the better the quality of life

    Measured: Baseline, 3 Months, 6 months and 12 months

  16. Change from baseline Cognitive function at 3 months, 6 months, and 12 months

    Mini-mental State Examination questionnaire, score ranges from 0 to 30, higher scores indicates higher cognitive function

    Measured: Baseline, 3 Months, 6 months and 12 months

  17. Change from baseline disability by Barthel Index at 3 months, 6 months, and 12 months

    Functional evaluation by Barthel Index, to evaluate capacity to perform daily tasks without assistance. Score ranges from 0 to 100. Higher scores indicates higher capacity to perform activities.

    Measured: Baseline, 3 Months, 6 months and 12 months

  18. Change from baseline frailty (slowness; weakness; weight loss/malnutrition;low physical activity; exhaustion) at 3 months, 6 months, and 12 months

    Frailty will be measured from 0 to 5, depending on how many of the 5 components are present in each subject, being 5 the highest frailty score

    Measured: Baseline, 3 Months, 6 months and 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Aug 2019
  2. Study start2 Sep 2019
  3. Primary completion29 Aug 2024 (estimated)
  4. Study completion30 Aug 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomized into one of two exercise groups, during the first two hours of hemodialysis or during the last two hours of hemodialysis
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04046042
Sponsor's protocol ID
ReVID
Acronym
VRI
Status last verified
Jun 2024
First submitted
1 Aug 2019
Last updated
14 Jun 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Segura-Orti E, Perez-Dominguez B, Ortega-Perez de Villar L, Melendez-Oliva E, Martinez-Gramage J, Garcia-Maset R, Gil-Gomez JA. Virtual reality exercise intradialysis to improve physical function: A feasibility randomized trial. Scand J Med Sci Sports. 2019 Jan;29(1):89-94. doi: 10.1111/sms.13304. Epub 2018 Oct 7.

    PubMed 30230041
  • Segura-Orti E, Garcia-Testal A. Intradialytic virtual reality exercise: Increasing physical activity through technology. Semin Dial. 2019 Jul;32(4):331-335. doi: 10.1111/sdi.12788. Epub 2019 Mar 27.

    PubMed 30916415
  • Segura-Orti E, Martinez-Olmos FJ. Test-retest reliability and minimal detectable change scores for sit-to-stand-to-sit tests, the six-minute walk test, the one-leg heel-rise test, and handgrip strength in people undergoing hemodialysis. Phys Ther. 2011 Aug;91(8):1244-52. doi: 10.2522/ptj.20100141. Epub 2011 Jun 30.

    PubMed 21719637
  • Segura-Orti E, Johansen KL. Exercise in end-stage renal disease. Semin Dial. 2010 Jul-Aug;23(4):422-30. doi: 10.1111/j.1525-139X.2010.00766.x.

    PubMed 20701722
  • Segura-Orti E. [Exercise in haemodyalisis patients: a literature systematic review]. Nefrologia. 2010;30(2):236-46. doi: 10.3265/Nefrologia.pre2010.Jan.10229. Epub 2010 Jan 21. Spanish.

    PubMed 20098466
  • Garcia Testal A, Garcia Maset R, Hervas Marin D, Perez-Dominguez B, Royo Maicas P, Rico Salvador IS, Melendez-Oliva E, Molina Aracil J, Murgui Chiva M, Del Pozo Blanco O, Olague Diaz P, Fernandez Najera JE, Torregrosa De Juan E, Benedito Carrera C, Segura-Orti E. Influence of Physical Exercise on the Dialytic Adequacy Parameters of Patients on Hemodialysis. Ther Apher Dial. 2019 Apr;23(2):160-166. doi: 10.1111/1744-9987.12762. Epub 2018 Oct 19.

    PubMed 30226299
  • Ortega-Perez de Villar L, Martinez-Olmos FJ, Junque-Jimenez A, Amer-Cuenca JJ, Martinez-Gramage J, Mercer T, Segura-Orti E. Test-retest reliability and minimal detectable change scores for the short physical performance battery, one-legged standing test and timed up and go test in patients undergoing hemodialysis. PLoS One. 2018 Aug 22;13(8):e0201035. doi: 10.1371/journal.pone.0201035. eCollection 2018.

    PubMed 30133445
  • Segura-Orti E, Kouidi E, Lison JF. Effect of resistance exercise during hemodialysis on physical function and quality of life: randomized controlled trial. Clin Nephrol. 2009 May;71(5):527-37. doi: 10.5414/cnp71527.

    PubMed 19473613
  • Segura-Orti E, Rodilla-Alama V, Lison JF. [Physiotherapy during hemodialysis: results of a progressive resistance-training programme]. Nefrologia. 2008;28(1):67-72. Spanish.

    PubMed 18336134

Questions about this trial

What is this clinical trial studying?

A study testing Conventional exercise and Exercise during the last two hours of the hemodialysis session in people with End Stage Renal Disease on Dialysis and Hemodialysis Complication, run by Cardenal Herrera University at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 14 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Eva Segura-Ortí, PhD (00 34 671580094, eva.segura@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of hypotension episodes (time frame: 3 Months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04046042, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jun 2024.

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