NIH-funded research R01 grant

Comparing two strategies to prevent kidney stones

Official title: Randomized Trial of Empiric Versus Selective Preventative Strategies for Kidney Stone Disease

Funded at Vanderbilt University Medical Center · NIH-10811584 · Data updated 2026-11-12

This study is looking at two ways to help prevent kidney stones in kids and others who are at higher risk: one method uses urine tests to personalize treatment, while the other gives treatment without testing first. The goal is to find out which approach works better and is safer, so we can give clearer advice on how to manage kidney stones.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionVanderbilt University Medical Center
NIH-funded
Lab location1 site (Nashville, United States)
Project startMay 15, 2022
Project endMarch 31, 2026
Funding year2024
Award (this year)$325,819
NIH project number5R01DK129202-03
Project IDNIH-10811584 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates for this research include children and young adults who have a history of kidney stones or are at high risk for developing them.

Less likely to help

Patients who have never experienced kidney stones or those with conditions unrelated to kidney stone disease may not benefit from this research.

What this research studies

This research investigates two different approaches to prevent kidney stones: selective therapy, which involves testing urine to tailor treatments, and empiric therapy, which applies treatments without prior testing. The study aims to determine which method is more effective and safer for preventing future kidney stone episodes, particularly in children and other high-risk groups. By analyzing the outcomes of both strategies, the research seeks to provide clearer guidelines for managing kidney stone disease. Patients will be monitored for their responses to these preventative measures over time.

Why it matters

Potential benefit: If successful, this research could lead to more effective and personalized prevention strategies for kidney stones, reducing pain and improving quality of life for patients.

How similar studies have gone: While there have been studies on dietary interventions for kidney stones, this specific comparison of selective versus empiric pharmacologic strategies is novel and has not been previously tested.

Where this research is happening

  • Vanderbilt University Medical Center
    Nashville, United States
    Active

Researchers

  • Principal investigator: Hsi, Ryan — Vanderbilt University Medical Center
  • Study coordinator: Hsi, Ryan

Related research

Other NIH-funded projects on the same topics.

  • Uromodulin and peptides as new targets in kidney stone biology

    This NIH grant explores how a urine protein called uromodulin and its peptide pieces influence calcium oxalate kidney stones, using dogs and human biology to understand why stones form and how to prevent them.

    NIH research University of Minnesota · Minneapolis, United States · NIH-11433374

  • Oxalate‑eating probiotic to help prevent kidney stones

    A new probiotic strain is being developed to help prevent calcium oxalate kidney stones by breaking down oxalic acid in the gut.

    NIH research Unlocked Labs INC. · Laramie, United States · NIH-11364194

  • Oxalate and your immune system in kidney stones

    This grant looks at how oxalate in our diet affects kidney stone risk and our immune cells, especially in adults with calcium oxalate stones.

    NIH research University of Alabama at Birmingham · Birmingham, United States · NIH-11359754

  • How the kidney channel claudin‑2 affects calcium balance and calcium kidney stones

    This project looks at how a kidney channel called claudin‑2 helps keep calcium from building up and forming calcium kidney stones.

    NIH research University of Kansas Medical Center · Kansas City, United States · NIH-11296431

  • Oxalate balance in people with calcium oxalate kidney stones

    This project will find out why some adults make or absorb extra oxalate that increases the chance of calcium oxalate kidney stones.

    NIH research University of Alabama at Birmingham · Birmingham, United States · NIH-11232375

  • A Probiotic to Prevent Kidney Stones

    This project is developing a new probiotic to help people prevent kidney stones by breaking down a key substance called oxalic acid.

    NIH research Unlocked Labs INC. · Laramie, United States · NIH-11170575

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.