RecruitingPhase 2NCT05173714

Sit Less, Interact and Move More (SLIMM) 2 Study


Sponsor

Srinvasan Beddhu

Enrollment

156 participants

Start Date

Dec 1, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

* Prolonged sitting (sedentary behavior) is a risk factor for decreased kidney function, obesity, diabetes and mortality. Prolonged sitting is associated with decreased kidney function and increased risk of diabetes, heart disease and death. * In a previous pilot study funded by NIH, it was shown that a Sit Less, Interact and Move More (SLIMM) intervention targeting sedentary behavior in people with kidney disease was able to decrease prolonged sitting but that effect was not sustained. * Therefore, the researchers are currently conducting a follow-up study named Sit Less, Interact and Move More (SLIMM) 2. * This NIH funded study is conducted at the University of Utah and Stanford University. * The purpose of this study is to see if guided resistance training (to improve muscle strength) and semaglutide (FDA approved diabetes and weight loss medication that might also improve physical function) can boost adherence to the SLIMM Intervention and reduce sedentary behavior.


Eligibility

Min Age: 20 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether a combination of a medication (semaglutide), a wearable activity tracker, and coaching can help people with moderate kidney disease sit less and move more throughout the day. **You may be eligible if:** - You have moderate chronic kidney disease (your kidneys are working at 20–60% of normal capacity) - You are physically able to do resistance exercises - You have a smartphone, tablet, or computer with internet access **You may NOT be eligible if:** - You have Type 1 diabetes - You have a history of pancreatitis or a family history of a rare thyroid cancer (medullary type) - You have had bariatric (weight loss) surgery - You are expected to start dialysis or need a kidney transplant within 6 months - You are currently pregnant or incarcerated - You have been prescribed supplemental oxygen during the day - You are currently using or recently used a GLP-1 medication (like Ozempic or Victoza) - You have severe heart failure (Class IV) Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALSLIMM

Increase in light walking activity, replacing 1 hour/day of sedentary duration with casual walking duration. Increase in sedentary breaks, from sitting/lying position to standing position, at least once every hour as independent of the total time spent on sedentary activities.

BEHAVIORALStandard Resistance Training

Participants will be provided a standard resistance training regimen to follow during the course of the study. Participants will not receive individualized instruction, guidance or modification to the resistance training regimen.

BEHAVIORALGuided Resistance Training

Supervised resistance training sessions are individualized for a low-resistance, high-repetition regimen of lower body major muscle groups with established guidelines. Instructions and resistance training bands will be provided for home use. Study participants will record compliance to the resistance training regimen for further guidance and potential modification.

DRUGPlacebo

Oral placebo tablets (matching the experimental semaglutide) will be administered from the first through ninth months of the drug intervention period.

DRUGSemaglutide

Oral semaglutide 3 mg/day will be administered for the first month of study drug intervention period, if tolerated, the dose will increase to 7 mg/day for the second month and to a maximum dose of 14 mg/day from the third through ninth months of the drug intervention period.


Locations(2)

Stanford University

Stanford, California, United States

University of Utah

Salt Lake City, Utah, United States

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NCT05173714


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