Clinical trial Recruiting at 1 site Interventional Ages 18 and up

High-intensity aerobic and strength exercise for adults with chronic kidney disease on dialysis or conservative care

Official title: Effect of Exercise in Patients With Chronic Kidney Disease: TONE Trial

Run by Casa di Cura Dott. Pederzoli · NCT07438002 · Data updated 2026-11-12

This study tests whether a combined high-intensity aerobic and strength training program improves fitness and health in adults with chronic kidney disease who are on dialysis or receiving conservative treatment.

More Chronic Kidney Disease trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment50 (estimated)
SponsorCasa di Cura Dott. Pederzoli
Academic / other
Locations1 site (Peschiera del Garda, Verona)
StatusRecruiting
StartedSeptember 2, 2025
Main results expectedSeptember 2026
Study endsSeptember 2026
Registry record updatedFebruary 27, 2026
Trial IDNCT07438002 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (age ≥18) with CKD stage 1–5 who are either on conservative treatment or have been on chronic hemodialysis for at least three months and who can safely perform high-intensity exercise and provide informed consent.

Probably not a fit

Patients with severe cardiovascular disease (NYHA class IV or uncontrolled class III hypertension), recent TIA or myocardial ischemia, anatomical limitations, or who fail the exercise stress test are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults with CKD (stages 1–5) who are either under conservative care or on chronic hemodialysis for at least three months will be randomized to a combined high-intensity aerobic plus resistance training program or to a control group receiving usual care. The intervention involves supervised high-intensity aerobic and strength sessions, while the control group continues standard management without the exercise program. Participants undergo a cardiopulmonary exercise test for safety screening, and those with severe cardiovascular disease, recent ischemic events, or anatomical limitations are excluded. The trial is run at a single private clinic in Peschiera del Garda, Verona, Italy.

Why it matters

Potential benefit: If successful, the program could improve physical fitness, muscle strength, and quality of life for people living with CKD.

How similar studies have gone: Previous aerobic and resistance exercise studies in CKD and dialysis populations have shown improvements in fitness, strength, and quality of life, though combined high-intensity programs are less commonly tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Signature of the informed consent
* Patients with CKD stage 1 to 5 under conservative treatment
* Patients undergoing chronic hemodialysis for at least 3 months
* Age ≥ 18

Exclusion Criteria:

* Severe cardiovascular disease (NYHA class IV or hypertension class III)
* TIA or myocardial ischemia within the last three months
* Anatomical limitations
* Health conditions detected during the stress test (CPET)

Where it's running

  • Ospedale P. Pederzoli Casa di Cura Privata S.p.A.
    Peschiera del Garda, Verona, Italy
    Recruiting

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.