Actively Recruiting
Kidney Precision Medicine Project
Led by Icahn School of Medicine at Mount Sinai · Updated on 2026-04-14
1000
Participants Needed
13
Research Sites
408 weeks
Total Duration
On this page
Sponsors
I
Icahn School of Medicine at Mount Sinai
Lead Sponsor
N
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborating Sponsor
AI-Summary
What this Trial Is About
Acute kidney injury (AKI) and chronic kidney disease (CKD) impose a significant global health burden. Yet, no effective therapies currently exist for AKI, and only a few are available for CKD. Despite significant effort from industry and academia, development of pharmacologic therapies for AKI and CKD has been hampered by: Non-predictive animal models The inability to identify and prioritize human targets The limited availability of human kidney biopsy tissue A poor understanding of AKI and CKD heterogeneity Historically, AKI and CKD have been described as single, uniform diseases. However, growing consensus suggests that different disease pathways lead to different subgroups of AKI and CKD (AKIs and CKDs). Access to human kidney biopsy tissue is a critical first step to define disease heterogeneity and determine the precise molecular pathways that will facilitate identification of specific drug targets and ultimately enable individualized care for people with AKI and CKD. A number of research centers across the United States are collaborating to bring state-of-the-art technologies together to: * Ethically obtain and evaluate kidney biopsies from participants with AKI or CKD * Define disease subgroups * Create a kidney tissue atlas * Identify critical cells, pathways, and targets for novel therapies The KPMP is made up of three distinct, but highly interactive, activity groups: * Recruitment Sites: The recruitment sites (RS) are responsible for recruiting participants with AKI or CKD into the longitudinal study and performing the kidney biopsy. * Tissue Interrogation Sites: The tissue interrogation sites (TIS) are responsible for developing and using innovative technologies to analyze the biopsy tissue. * Central Hub: The central hub is responsible for aggregating, analyzing, and visualizing the generated data and providing scientific, infrastructure, and administrative support for the KPMP consortium.
CONDITIONS
Official Title
Kidney Precision Medicine Project
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adults aged 18 years or older
- Diagnosis of diabetes mellitus (type 1 or 2) confirmed by hemoglobin A1C �36.5% or fasting blood sugar �3126 mg/dL, or use of glucose-lowering therapy, or diagnostic code for diabetes
- Evidence of persistent kidney damage with eGFR 30-59 mL/min/1.73m2 or eGFR �30 mL/min/1.73m2 with urine albumin �30 mg/g creatinine or urine protein �150 mg/g creatinine
- Diagnosis of hypertension established by blood pressure readings greater than 140/90 mmHg on three occasions or use of antihypertensive medication or diagnostic code
- For acute kidney injury, baseline eGFR greater than 45 mL/min/1.73m2 with urine output drop or serum creatinine rise or positive kidney injury biomarkers
- Clinical diagnosis of type 1 diabetes supported by antibodies or low C-peptide, insulin use for over 1 year, and kidney damage or risk factors
- Individuals with type 1 diabetes over 25 years duration with normal kidney function and low urine albumin (DM-resistant)
You will not qualify if you...
- Under 18 years of age
- Severe allergy to iodinated contrast
- Pregnancy
- Transplant recipient including solid organ and bone marrow
- Incarcerated, institutionalized, or unable to participate
- Unable to provide informed consent
- Diagnosis of kidney disease from autoimmune, viral, dysproteinemia, or other non-DKD/H-CKD causes
- Unwilling to receive blood transfusion if needed
- High risk for kidney biopsy as judged by clinicians
- Kidney depth over 13 cm, size less than 8 cm, solitary kidney, obstruction, cysts, infection, or other imaging abnormalities preventing safe biopsy
- Bleeding risks including INR >1.4, low platelets, low hemoglobin, chronic anticoagulation, inability to stop certain medications
- Blood pressure over 160/100 mmHg or unstable peri-procedure blood pressure
- Ventilator-dependent or requiring pressor support
- Any other condition preventing safe biopsy as judged by the operator
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 13 locations
1
University of Arizona
Tucson, Arizona, United States, 85721
Actively Recruiting
2
Yale University
New Haven, Connecticut, United States, 06520
Actively Recruiting
3
University of Illinois Chicago
Chicago, Illinois, United States, 60607
Actively Recruiting
4
Johns Hopkins University
Baltimore, Maryland, United States, 21287
Actively Recruiting
5
Boston Medical Center
Boston, Massachusetts, United States, 02115
Actively Recruiting
6
Joslin Diabetes Center
Boston, Massachusetts, United States, 48374
Actively Recruiting
7
University of Minnesota
Minneapolis, Minnesota, United States, 55455
Actively Recruiting
8
Mayo Clinic, Rochester
Rochester, Minnesota, United States, 55905
Actively Recruiting
9
Mount Sinai
New York, New York, United States, 10029
Actively Recruiting
10
University of North Carolina
Chapel Hill, North Carolina, United States, 27599
Actively Recruiting
11
Cleveland Clinic
Cleveland, Ohio, United States, 44195
Actively Recruiting
12
University of Texas at Southwestern
Dallas, Texas, United States, 75390
Actively Recruiting
13
University of Washington
Seattle, Washington, United States, 98195
Actively Recruiting
Research Team
A
Ashveena Dighe, MS, MPH
CONTACT
K
Kristina Blank, MPH
CONTACT
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
4
Not the Right Trial for You?
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here