About this trial
INSIGHT is a longitudinal study of childhood nephrotic syndrome to determine genetic, serologic and environmental factors contributing to nephrotic syndrome and disease progression.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
diagnosis of nephrotic syndrome
signed informed consent and assent appropriate for age
ages 6 months -18 years old and
ability to complete questionnaires
Disqualifiers
congenital nephrotic syndrome (less than age 1)
syndromic disease with multiple organ involvement
inability to provide consent by primary care providers
conditions such as systemic lupus erythematous.
Trial population
Children with nephrotic syndrome. Children are recruited from Toronto and surrounding region with additional sites added later.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Relapse (number of relapses)
After remission, an increase in the first AM morning urine protein ≥ 3+ for 3 consecutive days or increase in maintenance prednisone dose
Secondary outcomes
Frequently relapsing NS (yes or no)
4 or more relapses within any 12 month interval OR 2 or more relapses within the first 6 months since diagnosis
Steroid - dependent NS (yes or no)
2 relapses during steroid taper or a relapse within 14 days of steroid discontinuation
Initial Steroid Resistance (yes or no)
Commencing second line medication due to no response from prednisone with initial treatment
CKD (yes or no)
eGFR less than or equal to 60mg/ml/1.73m\^2 for 3 or more consecutive months
Sponsors and contacts
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