Unique ID issued by UMIN | UMIN000041479 |
---|---|
Receipt number | R000047351 |
Scientific Title | A study of immune diversity in patients with adult-onset nephrotic syndrome (frequent relapses or steroid dependence) |
Date of disclosure of the study information | 2020/09/01 |
Last modified on | 2022/08/22 09:51:44 |
A study of immune diversity in patients with adult-onset nephrotic syndrome (frequent relapses or steroid dependence)
Repertoire study
A study of immune diversity in patients with adult-onset nephrotic syndrome (frequent relapses or steroid dependence)
Repertoire study
Japan |
Adult-onset nephrotic syndrome (frequent relapses or steroid-dependent)
Nephrology |
Others
NO
Nephrotic syndrome is a syndrome characterized by massive urinary protein leakage and hypoproteinemia (hypoalbumin) due to increased protein permeability caused by renal glomerular engagement disorders, and the cause of primary nephrotic syndrome is not known. Although steroids are the drug of choice for first-line treatment, many patients have relapsed, and the side effects of continuous steroids and concomitant use of immunosuppressive drugs are problematic. In this situation, the aim of this study is to explore and identify biomarkers for the etiology and clinical course of adult-onset nephrotic syndrome (frequent relapses or steroid-dependent) by means of immunodiversity analysis (TCR/BCR repatea analysis).Specifically, by using specimens from patients participating in a clinical trial (IDEC-C2B8-aNS1) of rituximab for the prevention of relapse in adult-onset nephrotic syndromes (frequent relapses or steroid dependence), we will search for and identify biomarkers related to the prediction of efficacy or the occurrence of adverse effects, as well as for the clinical course of the disease.
Bio-availability
Exploratory
Gene diversity of T cell receptor (TCR) and B cell receptor (BCR)at baseline or their changes during treatment.
Proportion of T cell subsets and B cell subsets at baseline or their changes during treatment.
Search for biomarkers.
Observational
18 | years-old | <= |
Not applicable |
Male and Female
Patients diagnosed with frequent relapsing type or steroid-dependent nephrotic syndrome in the past, and remission (urine protein <0.3 g/ gCr) was confirmed by urine protein quantification more than twice after the start of steroid treatment for the latest recurrence
1. Patients with secondary nephrotic syndrom
e (including suspicion)
2. Patients who have been treated with rituximab
3.Patients with eGFR of 44mL / min / 1.73m2 or less
4.Patients with an infectious disease
64
1st name | YOSHITAKA |
Middle name | |
Last name | ISAKA |
Osaka University Graduate School of Medicine
Division of Nephrology
5650871
2-2, Yamada-oka, Suita
0668793857
isaka@kid.med.osaka-u.ac.jp
1st name | YOSHITAKA |
Middle name | |
Last name | ISAKA |
Osaka University Graduate School of Medicine
Division of Nephrology
5650871
2-2, Yamada-oka, Suita
0668793857
isaka@kid.med.osaka-u.ac.jp
Osaka University Graduate School of Medicine
ZENYAKU KOGYO CO., LTD.
Profit organization
Department of Medical Innovation
2-2, Yamada-oka, Suita
0662108289
Ueshima@dmi.med.osaka-u.ac.jp
NO
2020 | Year | 09 | Month | 01 | Day |
Unpublished
72
No longer recruiting
2020 | Year | 07 | Month | 17 | Day |
2020 | Year | 07 | Month | 09 | Day |
2020 | Year | 09 | Month | 23 | Day |
2023 | Year | 08 | Month | 31 | Day |
This study will be conducted as an ancillary study to the IDEC-C2B8-aNS1 study; blood samples will be collected from subjects enrolled in the IDEC-C2B8-aNS1 study and an immunodiversity analysis (TCR/BCR repatriation analysis) will be performed in this study.
2020 | Year | 08 | Month | 20 | Day |
2022 | Year | 08 | Month | 22 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047351