About this trial
The primary objectives of this study are to: (1) determine the impact of glomerular disease on bone strength and (2) investigate the pathophysiologic underpinnings of impaired bone strength in glomerular disease.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
CureGN participant or CureGN Eligible
First diagnostic kidney biopsy within 5 years of CureGN study enrollment
Access to first kidney biopsy report and/or slides or not being interested in study participation.
Males or females 5 to 55 years (premenopausal for women)
Disqualifiers
Chronic Dialysis
Solid organ transplantation
Lower extremity amputations or non-ambulatory
Malignancy requiring chemotherapy or metastatic to bone
Trial population
Prospective cohort study of 150 CureGN participants (100 adults/50 children) will be evaluated at baseline and 12 months. The CureGN DCC at Arbor Research will identify CureGN participants eligible for inclusion. Recruitment of healthy participants will also occur by leveraging the services of the CHOP Recruitment Enhancement Core (REC), Pediatric Research Consortium (PeRC) and the RecruitMe tool provided by the Clinical Trials Office at CUMC. Healthy adult controls will be recruited from patients who receive outpatient care within the Penn Primary Care Networks, Penn employees and students, an extensive database of individuals who have participated in prior research studies at Penn and through local advertising on the Penn campus.
Trial design
Case-control
Prospective
Treatments tested in this trial
Dual-energy X-ray absorptiometry
RadiationDXA whole body, hip, spine, and radius at baseline, and 12-month visit.
High Resolution Peripheral Quantitative Computed Tomography (HR-pQCT)
RadiationHR-pQCT of the radius and tibia at baseline, and 12-month visit.
Blood draw and Urine collection
Other interventionThe blood draw can be completed +/- 3 weeks from baseline or 12-month visit.
Questionnaires
Other interventionQuestionnaires regarding fracture history, physical activity and dietary intake at baseline, and 12-month visit.
Treatment groups
Trial outcomes
Primary outcomes
Change in radius bone strength (failure load)
HR-pQCT will be used to assess bone microarchitecture and generate micro-finite element analysis (µFEA)-based estimates of bone strength.
Change in tibia bone strength (failure load)
HR-pQCT will be used to assess bone microarchitecture and generate micro-finite element analysis (µFEA)-based estimates of bone strength.
Secondary outcomes
Radius mid-shaft failure load
Measured with HR-pQCT
Tibia mid-shaft failure load
Measured with HR-pQCT
Cortical density of radius
Measured with HR-pQCT
Cortical density of tibia
Measured with HR-pQCT
Sponsors and contacts
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Columbia University
Lead sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator