About this trial
Acute kidney injury (AKI) and chronic kidney disease (CKD) impose a significant global health burden. Yet, no effective therapies currently exist for AKI, and only a few are available for CKD.
Despite significant effort from industry and academia, development of pharmacologic therapies for AKI and CKD has been hampered by:
Non-predictive animal models The inability to identify and prioritize human targets The limited availability of human kidney biopsy tissue A poor understanding of AKI and CKD heterogeneity Historically, AKI and CKD have been described as single, uniform diseases. However, growing consensus suggests that different disease pathways lead to different subgroups of AKI and CKD (AKIs and CKDs).
Access to human kidney biopsy tissue is a critical first step to define disease heterogeneity and determine the precise molecular pathways that will facilitate identification of specific drug targets and ultimately enable individualized care for people with AKI and CKD.
A number of research centers across the United States are collaborating to bring state-of-the-art technologies together to:
* Ethically obtain and evaluate kidney biopsies from participants with AKI or CKD * Define disease subgroups * Create a kidney tissue atlas * Identify critical cells, pathways, and targets for novel therapies
The KPMP is made up of three distinct, but highly interactive, activity groups:
* Recruitment Sites: The recruitment sites (RS) are responsible for recruiting participants with AKI or CKD into the longitudinal study and performing the kidney biopsy. * Tissue Interrogation Sites: The tissue interrogation sites (TIS) are responsible for developing and using innovative technologies to analyze the biopsy tissue. * Central Hub: The central hub is responsible for aggregating, analyzing, and visualizing the generated data and providing scientific, infrastructure, and administrative support for the KPMP consortium.
Eligibility criteria
Qualifiers
Use of glucose-lowering therapy (insulin or oral or other subcutaneous agents)
International Classification of Diseases (ICD) 9/10 diagnostic code for diabetes
Estimated glomerular filtration rate 30-59 mL/min/1.73m2 or
Estimated glomerular filtration rate greater than or equal to 30 mL/min/1.73m2 with urine albumin excretion greater than or equal to 30 mg/g creatinine (or mg/day) or
Disqualifiers
Under 18 years of age
Severe allergy to iodinated contrast
Pregnancy
Transplant recipient (includes solid transplant and bone marrow)
Trial design
Treatments tested in this trial
- Kidney Biopsy
- MRI
- Retina Scan
Treatment groups
Sponsors and collaborators
Icahn School of Medicine at Mount Sinai
Lead sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator
University of Washington
Collaborator
University of Michigan
Collaborator
Brigham and Women's Hospital
Collaborator
Broad Institute of MIT and Harvard
Collaborator
The Cleveland Clinic
Collaborator
Columbia University
Collaborator
Indiana University
Collaborator
Johns Hopkins University
Collaborator
Joslin Diabetes Center
Collaborator
Pacific Northwest National Laboratory
Collaborator
Princeton University
Collaborator
Ohio State University
Collaborator
University of Pittsburgh
Collaborator
The University of Texas Health Science Center at San Antonio
Collaborator
University of Texas
Collaborator
Washington University School of Medicine
Collaborator
Yale University
Collaborator
Mayo Clinic
Collaborator
University of North Carolina, Chapel Hill
Collaborator
University of Illinois at Chicago
Collaborator
Vanderbilt University
Collaborator
Providence Health & Services
Collaborator
Harvard University
Collaborator
University of Arizona
Collaborator