Determinants of medication adherence in childhood nephrotic syndrome and associations of adherence with clinical outcomes.
Chia-Shi Wang, Jonathan P Troost, Yujie Wang...
https://pubmed.ncbi.nlm.nih.gov/34796395/Actively Recruiting
Led by University of Michigan · Updated on 2026-06-10
1200
Participants Needed
44
Research Sites
N/A
Total Duration
Nephrotic Syndrome, including Minimal Change Disease MCD, Focal Segmental Glomerulosclerosis FSGS, and Membranous Nephropathy MN, causes a significant health and financial burden, representing about 12% of end-stage renal disease cases. Current treatments often lack a clear biological basis and can be toxic, with limited effectiveness. This trial aims to better understand these rare kidney diseases by collecting long-term observational data and biological samples through the Nephrotic Syndrome Study Network, a collaborative research consortium. Participants are grouped into cohorts based on biopsy-confirmed diagnoses of FSGSMCD or MN, or other glomerulopathies, with some pediatric participants included without biopsy if meeting specific clinical criteria. Patients scheduled for clinically indicated kidney biopsies will be asked to consent to an additional biopsy sample for research. The study is observational and follows patients over time without providing experimental treatments. Throughout the study, participants undergo regular evaluations including kidney function and protein excretion measurements, quality of life assessments, and monitoring for serious health events such as infections, hospitalizations, and complications related to kidney disease. The primary outcomes focus on changes in urinary protein levels and kidney function over 60 months, with secondary outcomes tracking quality of life and other health events. Participants will be observed for up to several years to gather comprehensive data on disease progression and outcomes.
CONDITIONS
Nephrotic Syndrome Study Network
C
Chrysta C. Lienczewski, BS
A
Amanda Williams, BS
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University of Michigan
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborating Sponsor
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or remote)
Duration - Up to 60 months
Participants are followed over time with regular assessments of kidney function, urine protein levels, quality of life, and other health events. Additional kidney biopsy samples may be collected if clinically indicated.
Regular visits as scheduled by clinical care
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
4
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Chia-Shi Wang, Jonathan P Troost, Yujie Wang...
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https://pubmed.ncbi.nlm.nih.gov/34060483/University of Michigan
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborating Sponsor