Transformative Research in Diabetic Nephropathy
Lay Description
This is a prospective, observational, cohort study of patients with a clinical diagnosis of diabetes who are undergoing clinically indicated kidney biopsy. The intent is to collect, process, and study kidney tissue and to harvest blood, urine and genetic materials to elucidate molecular pathways and link them to biomarkers that characterize those patients have a rapid decline in kidney function (> 5 mL/min/1.73m2/year) from those with lesser degrees of kidney function change over the period of observation. High through-put genomic analysis associated with genetic and biomarker testing will serve to identify key potential therapeutic targets for DKD by comparing patients with rapid and slow progression patterns. Each participating clinical site will search for, consent, harvest the biopsy sample, and enroll the participants as required for the TRIDENT protocol.
Category
- Diabetes
- Urinary Tract and Kidney
- IRB Number
- 20170372HU
- NCT Number
- NCT02986984
- Open to Enrollment
- Yes
Eligibility
- Eligible Ages
- Between 18 Years and 100 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Type 1 and 2 Diabetes by American Diabetes Association (ADA) criteria
- Willingness to comply with study requirements, including intention to fully participate in protocol-specified follow-up at a clinical study site
- Able to provide informed consent
- Adult participants
- Planned medically indicated kidney biopsy, prescribed by a practicing nephrologist
Exclusion Criteria
- End Stage Renal Disease (ESRD), defined as chronic dialysis or kidney transplant
- History of receiving dialysis for more than 30 days prior to biopsy
- Institutionalized
- Solid organ or bone marrow transplant recipient at time of first kidney biopsy
- Less than 3-year life expectancy
- History of active alcohol and/or substance abuse that in the investigator's assessment would impair the subject's ability to comply with the protocol
- Unable to provide informed consent
- Evidence of active cancer requiring treatment, other than non-melanoma skin cancer
Study Design
Arm Groups
Study Contact
Shweta Bansal
2100-567-5338
bansals3@uthscsa.edu
Aliseiya Garza
(210) 567-4700
garzaa35@uthscsa.edu
Subrata Debnath
(210) 508-2889
nath@uthscsa.edu
Chakradhar Velagapudi
(210) 567-4698
velagapudi@uthscsa.edu
Aliseiya Garza
(210) 567-4700
garzaa35@uthscsa.edu
Subrata Debnath
(210) 508-2889
nath@uthscsa.edu
Chakradhar Velagapudi
(210) 567-4698
velagapudi@uthscsa.edu
Principal Investigator
Shweta Bansal