Autosomal Dominant Polycystic Kidney Disease Clinical Trial
Official title:
The Autosomal Dominant Polycystic Kidney Disease (ADPKD) Cohort Study
The purpose of this study is to find out if radiology tests of the kidneys as opposed to
glomerular filtration (GFR) tests (GFR test - a lab test that measures kidney function)
follow progression of polycystic kidney disease (PKD) the best. PKD patients at risk for
progression to renal failure (dialysis or transplantation) have been identified and include
those who have been diagnosed with high blood pressure early, the presence of the PKD1 gene
(the inherited abnormality responsible for the majority of PKD), men as opposed to women,
those with episodes of visible blood or increased protein in their urine, and women who have
experience more than three pregnancies. Individuals who are diagnosed with PKD in the first
year of life or in utero (before birth) are also at high risk for progression to renal
failure.
This study will also facilitate understanding of human diseases at the cellular and
molecular level. We will be identifying genetic factors that may influence the severity of
polycystic kidney disease (PKD). You are being asked to provide a sample of blood for the
purpose of DNA or other biochemical analyses.
Status | Completed |
Enrollment | 624 |
Est. completion date | May 2015 |
Est. primary completion date | May 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A to 60 Years |
Eligibility |
Inclusion Criteria: Group 1 - Hypertension diagnosed early in the course of the disease (less than 25 years for men; less than 30 years for women) - ADPKD diagnosed in utero or in the first year of life - The presence of proteinuria (between 180 mg and 1 gm/day) without evidence of a second renal disorder - A history of more than 3 pregnancies and hypertension - A history of gross hematuria - A serum creatinine concentration less than 1.4 mg/dl - ADPKD diagnosed in childhood with more than 10 cysts Group 2 - Serum creatinine concentration >1.4 and - Renal length greater than 15 cm and - Age less than 60 years of age - Severe pain or discomfort as assessed by the primary care physician related to ADPKD Exclusion Criteria: - Subjects, who in the assessment of the principal investigator cannot provide reliable follow-up - Subjects who cannot be exposed to iothalamate - Subjects who cannot undergo MRI due to the presence of a pacemaker or surgical clip in the abdomen - Subjects who are not anticipated to survive during the duration of the study (e.g. underlying malignancy) - Subjects who cannot provide informed consent - Women who are pregnant or who have undergone a pregnancy in the last 6 months or who are presently breastfeeding |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
United States | Emory University | Atlanta | Georgia |
Lead Sponsor | Collaborator |
---|---|
Emory University | PKD Foundation |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in GFR as compared to change in renal volume over time | Three years | No | |
Secondary | Differences in the ability to determine change in renal volume over time between MRI and ultrasound | Three years | No |
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