Multiomic Urine, Serum and Tissue Assessment of Nephrosis and Glomerulonephritis
Myda Khalid
Primary Investigator
Brief description of study
What is the purpose of this study?
There has been rapid new drug development in rare kidney diseases but current trials are in individuals ages 18 or older only. There is an urgent need to include children in the trials given the significant burden of kidney disease in the pediatric population. Identification of subgroups within affected children benefitting the most from individualized new therapies is paramount and will pave the way for high impact clinical trials in children. Biomarkers are a method of identifying subgroups within patients. We propose a single center, prospective observational study for collecting serum, urine and kidney tissue along with pertinent clinical data in children presenting to Riley Hospital for Children at Indiana University Health, age 1 yr to 21yrs with kidney disease for new biomarker discovery.
Detailed description of study
What will happen during the study?
The purpose of this study is to create a research resource for etiological studies of congenital anomalies of the kidney and urinary tract. Blood will be drawn at routine clinic visits (and left over blood from lab draw may be used) visits 5-7 ml if the subject is an infant or child. Urine will also be collected.
OBJECTIVES Aim1 a: Profile urine and serum omic (e.g., metabolomic, proteomic and lipidomic, transcriptomic, and/or cell subtype profiles in the serum and urine of children presenting with glomerulonephritis, nephrotic syndrome (nephrosis) and hemolytic uremic syndrome who are treatment naive
Aim 1b: Trend the changes in patterns omic and cell type expression profiele profiles in the serum and urine of children as they undergo treatment till disease remission or duration of follow up clinically indicated.
Aim 1c: Correlate the omic and cell type profiles in serum and urine with clinical parameters, disease flare and disease remission for duration of follow up
Aim 2: Spatial omics for kidney biopsy tissue and its correlation with metabolomic, proteomic and lipidomic profiles in affected children
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Nephrotic syndrome, Nephritis, Hemolytic uremic, Riley
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Age: 1 years - 21 years
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Gender: All
Inclusion:
- Incident and prevalent children ages 1 to 21 yrs with new onset nephrotic syndrome, nephritis, hemolytic uremic syndrome
MCD
FSGS
IgAN
IgAVN
C3GN
HUS
Exclusion:
- Children in whom nephritis is secondary to another disease including, known genetic condition resulting in nephrotic syndrome, known pregnancy, HIV, Hep B, Hep C, HIV, malignancy, medication exposure.