Cystinuria Clinical Trial
Official title:
Cystine Capacity Clinical Study (CysCap)
The purpose of this study is to determine whether urinary cystine capacity, an assay used to measure the amount of cystine in the urine, can be used to predict stone recurrence in patients with cystinuria.
Cystinuria is a rare genetic cause of kidney stones that leads to significant morbidity due
to the recurrent nature of the disease. Despite recent advancements in knowledge about
cystinuria, such as the discovery of the genetic defects that cause the disease, there have
been very few studies of clinical determinants of recurrent stone formation. An optimal
method of measuring cystine solubility in the urine has been lacking, and therefore response
to pharmacologic and dietary therapy is often not known. Recently, a new assay to measure the
amount of cystine in the urine was developed called Cystine Capacity, or CysCap. It is an
assay that adds a pre-formed amount of cystine crystals to urine and measures the amount of
cystine the urine can take up from the solid phase (in undersaturated urine) or gives up to
solid phase (in supersaturated urine). This study seeks to examine how well this measure of
urinary cystine predicts stone occurrence, with the ultimate goal of helping to guide therapy
and preventing kidney stones in cystinurics.
This is an observational study over 3 years. Subjects who are enrolled in the study will
perform semi-annual 24-hour urine collections. They will undergo imaging of the kidneys every
6 months to monitor kidney stone formation or growth, in order to correlate urinary
parameters with clinical events. The study will examine how well the urinary cystine capacity
predicts stone formation.
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