Using wearable activity trackers and a mobile app to help people with peripheral artery disease walk better
Official title: Impact of Wearable Activity Linked Kinetic Therapy on the Walking Performance and Vascular Health in Patients With Peripheral Artery Disease: A Randomized Clinical Trial (the WALK-PAD Trial)
Run by Chinese University of Hong Kong · NCT07012070 · Data updated 2026-11-12
This project will test whether a personalized home walking program guided by wearable activity trackers and automatic feedback can help people with peripheral artery disease walk as well as supervised exercise sessions.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | All |
| Enrollment | 70 (estimated) |
| Sponsor | Chinese University of Hong Kong Academic / other |
| Locations | 2 sites (Hong Kong, Hong Kong and 1 other locations) |
| Status | Recruiting |
| Started | June 1, 2025 |
| Main results expected | December 31, 2027 |
| Study ends | February 29, 2028 |
| Registry record updated | June 10, 2025 |
| Trial ID | NCT07012070 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with symptomatic claudication and ABI <0.9 who can ambulate without walking aids, understand exercise instructions, and have mobile network access and basic device skills.
✕Probably not a fit
Patients with critical limb ischemia, prior lower-limb revascularization or major amputation, severe heart failure or other conditions that limit walking, inability to operate electronic devices, or no mobile network access are unlikely to benefit from the home-based wearable approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a non-inferiority interventional comparison of supervised exercise therapy (SET) versus a personalized home-based exercise program (HBET) enhanced with wearable activity monitors (WAM) and a mobile application that provides automated feedback. Participants are adults with newly diagnosed symptomatic claudication, primarily those with ankle-brachial index (ABI) <0.9, who can walk without aids and operate simple electronic devices. The HBET arm uses WAM data and app-driven feedback to guide self-directed exercise, while the SET arm receives center-based supervised sessions. Key exclusions include prior lower-limb revascularization, critical limb ischemia, major amputation, severe heart failure, or inability to access mobile network services.
Why it matters
Potential benefit: If successful, this approach could allow many patients to improve walking ability at home using affordable wearables and reduce the need to travel for supervised sessions.
How similar studies have gone: Supervised exercise therapy is a proven treatment for PAD, while prior home-based programs and wearable-assisted interventions have shown mixed results and this specific automated-feedback, WAM-enhanced HBET has not been directly compared to SET.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients who are newly diagnosed with symptomatic claudication as defined by the presence of claudication symptoms elicited by the single claudication question 2. Patients who ABI \<0.9 are the primary target population Exclusion Criteria: 1. Patients is inability to ambulate without walking aids or understand the instruction of exercise 2. Patients have history of previous percutaneous or surgical revascularization of lower limb 3. Patients is presence of critical limb ischemia or gangrene 4. Patients has history of major amputation of the lower limb 5. Patients is presence of other co-morbidities which limit walking ability 6. Patients is presence of cardiovascular instability which includes unstable angina or acute coronary syndrome 7. Patients diagnosed active class III/IV heart failure 8. Patients is inability to operate simple electronic devices 9. Patients is inaccessibility of a mobile network service in the place of residence 10. Patients is unwillingness in sharing individual data to study team 11. Patients is life-expectance less than 6 months
Where it's running
-
Prince of Wales Hospital
Hong Kong, Hong Kong, Hong Kong Recruiting -
Prince of Wales Hospital
Hong Kong, Shatin, Hong Kong Recruiting
Study contacts
- Principal investigator: GuangMing Tan — Chinese University of Hong Kong
- Study coordinator: Daniel Xu
- Email: danielxu@cuhk.edu.hk
- Phone: 97645701
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Antiplatelet-Only versus Antiplatelet plus Low-Dose Rivaroxaban after Heart Events
In adults 65 or older with prior heart events and certain arterial diseases, this study tests whether continuing clopidogrel alone is no worse than adding low-dose rivaroxaban to aspirin-based therapy.
-
Home-based Pedal Exerise Therapy for Moderate-to-Severe PAD
This pilot study tests whether a 12-week home-based pedal exerciser program, guided remotely, can help adults with moderate-to-severe PAD improve walking and function.
-
Super-resolution ultrasound imaging for peripheral artery disease
This project will test whether super-resolution contrast ultrasound can reveal small-vessel problems in adults with or without peripheral artery disease.
-
Obstructive sleep apnea prevalence in people with peripheral artery disease
This project will test how common obstructive sleep apnea is in adults with peripheral artery disease by using sleep polygraphy during routine care.
-
Evaluating a Paclitaxel Coated Balloon for Treating Atherosclerosis in Leg Arteries
This study is testing a special balloon treatment to see if it can safely improve blood flow and reduce symptoms in people with blocked leg arteries due to peripheral artery disease.
-
Helping people walk better after leg revascularization for peripheral artery disease
This project will see if adding a home-based walking program or taking nitrate-rich beetroot juice after leg revascularization helps people with peripheral artery disease walk farther and faster.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.