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Nephrotic Syndrome Study Network

RecruitingObservational study

Nephrotic Syndrome Study Network Under the Rare Diseases Clinical Research Network

Who can join

Up to age 80 · All sexes

Full eligibility criteria
Cohort A (biopsy cohort) Inclusion Criteria:

Patients presenting with an incipient clinical diagnosis for FSGS/MCD or MN or pediatric participants not previously biopsied, with a clinical diagnosis for FSGS/MCD or MN meeting the following inclusion criteria:

* Documented urinary protein excretion ≥1500 mg/24 hours or spot protein: creatinine ratio equivalent at the time of diagnosis or within 3 months of the screening/eligibility visit.
* Scheduled renal biopsy

Cohort B (non-biopsy, cNEPTUNE) Inclusion Criteria:

* Age \<19 years of age
* Initial presentation with \<30 days immunosuppression therapy
* Proteinuria/nephrotic

  * UA\>2+ and edema OR
  * UA\>2+ and serum albumin \<3 OR
  * UPC \> 2g/g and serum albumin \<3

Exclusion Criteria (Cohort A\&B):

* Prior solid organ transplant
* A clinical diagnosis of glomerulopathy without diagnostic renal biopsy
* Clinical, serological or histological evidence of systemic lupus erythematosus (SLE) as defined by the ARA criteria. Patients with membranous in combination with SLE will be excluded because this entity is well defined within the International Society of Nephrology/Renal Pathology Society categories of lupus nephritis, and frequently overlaps with other classification categories of SLE nephritis (68)
* Clinical or histological evidence of other renal diseases (Alport, Nail Patella, Diabetic Nephropathy, IgA-nephritis, monoclonal gammopathy (multiple myelomas), genito-urinary malformations with vesico-urethral reflux or renal dysplasia)
* Known systemic disease diagnosis at time of enrollment with a life expectancy less than 6 months
* Unwillingness or inability to give a comprehensive informed consent
* Unwillingness to comply with study procedures and visit schedule
* Institutionalized individuals (e.g., prisoners)

About the study

Minimal change disease (MCD), focal segmental glomerulosclerosis (FSGS), and Membranous nephropathy (MN), generate an enormous individual and societal financial burden, accounting for approximately 12% of prevalent end stage renal disease (ESRD) cases (2005) at an annual cost in the US of more than $3 billion. However, the clinical classification of these diseases is widely believed to be inadequate by the scientific community. Given the poor understanding of MCD/FSGS and MN biology, it is not surprising that the available therapies are imperfect. The therapies lack a clear biological basis, and as many families have experienced, they are often not beneficial, and in fact may be significantly toxic. Given these observations, it is essential that research be conducted that address these serious obstacles to effectively caring for patients.

In response to a request for applications by the National Institutes of Health, Office of Rare Diseases (NIH, ORD) for the creation of Rare Disease Clinical Research Consortia, a number of affiliated universities joined together with The NephCure Foundation the NIDDK, the ORDR, and the University of Michigan in collaboration towards the establishment of a Nephrotic Syndrome (NS) Rare Diseases Clinical Research Consortium.

Through this consortium the investigators hope to understand the fundamental biology of these rare diseases and aim to bank long-term observational data and corresponding biological specimens for researchers to access and further enrich.

What is being tested

Sponsor: University of Michigan · Participants: 1,200 · Started: 2010-04

Contact the study team

Official record on ClinicalTrials.gov — NCT01209000

Locations in the U.S.

CaliforniaUniversity of Southern California-Children's Hospital, Los Angeles
Stanford University School of Medicine, Palo Alto
University of California San Francisco Benioff Children's Hospitals, San Francisco (Not yet recruiting)
Lundquist Biomedical Research Institute at Harbor UCLA Medical Center, Torrance
ColoradoChildren's Hospital Colorado, Aurora (Not yet recruiting)
University of Colorado Anschutz School of Medicine, Aurora (Not yet recruiting)
FloridaUniversity of Miami Miller School of Medicine, Miami
GeorgiaEmory University and Children's Healthcare of Atlanta, Atlanta
IllinoisJohn Stroger Cook County Hospital, Chicago
KansasUniversity of Kansas Medical Center, Kansas City
MarylandJohns Hopkins Medical Institute, Baltimore
MichiganCS Mott Children's Hospital, University of Michigan, Ann Arbor
University of Michigan Medical Center, Ann Arbor
MissouriChildren's Mercy Hospital, Kansas City
Washington University - St Louis, St Louis (Not yet recruiting)
New YorkCohen Children's Hospital, New Hyde Park
Bellevue Hospital, New York
Columbia University Medical Center, New York
New York University Medical Center, New York
New York University Veterans Administration, New York
Montefiore Medical Center, The Bronx
North CarolinaUniversity of North Carolina at Chapel Hill, Chapel Hill
Atrium Health Levine Children's Hospital, Charlotte
OhioCleveland Clinic, Cleveland
The Ohio State University Wexner Medical Center, Columbus
PennsylvaniaChildren's Hospital of Philadelphia, Philadelphia
Temple University, Philadelphia
University of Pennsylvania, Philadelphia
South CarolinaMedical University of South Carolina, Charleston
TexasUniversity of Texas-Southwestern, Dallas
Texas Children's Hospital - Baylor College of Medicine, Houston
WashingtonSeattle Children's Hospital, Seattle
University of Washington, Seattle
Providence Medical Research Center, Spokane

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.