New AMPK-activating medicine for X-linked nephrogenic diabetes insipidus in children

Novel AMPK activator for treatment of congenital X-linked nephrogenic diabetes insipidus in pediatric patients

NIH-funded research Nephrodi Therapeutics, INC. · NIH-11183830

A new drug called NDI-5001 that activates AMPK is being developed to help children with X-linked nephrogenic diabetes insipidus produce less urine and avoid dehydration.

Quick facts

Grant typeSbir 2 grant
Study typeNIH-funded research
Funding institutionNephrodi Therapeutics, INC. NIH-funded
Lab location1 site (Seattle, UNITED STATES)
Project IDNIH-11183830 on NIH RePORTER

What this research studies

This program is developing NDI-5001, a first-in-class medicine designed to bypass the faulty V2 vasopressin receptor by activating AMPK and downstream signaling. The company completed extensive lab and animal studies, formulation work, and IND-enabling toxicology to characterize safety and dosing. The plan is to move into human testing in pediatric patients with genetically confirmed X-linked NDI, with careful monitoring of urine output, hydration, and safety. If trials proceed, participants will have regular clinic visits for dosing, labs, and follow-up.

Who could benefit from this research

Good fit: Ideal candidates are children (typically boys) with genetically confirmed X-linked nephrogenic diabetes insipidus due to AVPR2 mutations.

Not a fit: Patients whose diabetes insipidus is due to central (pituitary) causes, non-AVPR2 genetic forms, adults outside the pediatric age range, or those with severe kidney failure may not benefit.

Why it matters

Potential benefit: If successful, NDI-5001 could meaningfully reduce excessive urine output, lower dehydration risk, and improve growth, development, and daily life for affected children.

How similar studies have performed: This is a novel, first-in-class approach; current care uses fluids, salt restriction, and off-label diuretics or NSAIDs to manage symptoms, and there is limited clinical precedent for an AMPK activator in this condition.

Where this research is happening

Seattle, UNITED STATES

Researchers

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 below.
Last reviewed 2026-06-13 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.