Multitarget approach for primary podocytopathies
Official title: Multitarget Strategy for Primary Podocytopathies
Run by Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico · NCT06718894 · Data updated 2026-11-12
This project will test whether a lab cell culture can find a factor in the blood that causes proteinuria in people with primary podocytopathies and whether a combined therapy can block that factor in vitro.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico Academic / other |
| Locations | 2 sites (Milan and 1 other locations) |
| Status | Recruiting |
| Started | June 19, 2025 |
| Main results expected | January 2032 |
| Study ends | November 2032 |
| Registry record updated | March 27, 2026 |
| Trial ID | NCT06718894 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal participants are people diagnosed with primary podocytopathies (FSGS or MCD), including those with post-transplant recurrence, active native-kidney disease, or those undergoing plasmapheresis, alongside comparator groups with other renal diseases and healthy controls.
✕Probably not a fit
Patients in sustained clinical remission or whose kidney disease is clearly secondary to another cause and not driven by circulating factors may not receive direct benefit from participating.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The trial uses a cell culture system to determine if patients' serum contains a circulating factor that injures podocytes and causes proteinuria. Samples from people with primary podocytopathies (FSGS or MCD) will be compared with samples from patients with other kidney diseases and healthy volunteers. The same cell system will be used to test the in vitro effectiveness of a combined therapeutic approach against any identified factor. Participants will provide blood and urine samples at regular visits for up to 36 months, and discarded plasmapheresis effluent will be collected if that procedure is performed.
Why it matters
Potential benefit: If successful, this work could produce a lab test to detect harmful circulating factors and guide treatments that prevent or reduce disease recurrence.
How similar studies have gone: Prior research supports the existence of circulating permeability factors and shows that plasmapheresis and some therapies can help certain patients, but clinically reliable cell-based assays to detect and guide therapy remain experimental.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Signature of informed consent for study participation * One of the following conditions: 1. Patients with primary podocytopathies (with a histological diagnosis of FSGS or MCD) showing clinical and/or histological evidence of post-transplant recurrence. 2. Patients with primary podocytopathies (with a histological diagnosis of FSGS or MCD) without clinical and/or histological evidence of post-transplant recurrence. 3. Patients with primary podocytopathies in their native kidneys in an active clinical phase of the disease. 4. Patients with podocytopathies presenting clinical features compatible with a secondary form due to another condition. 5. Patients with glomerulonephritis other than primary podocytopathies (e.g., IgA nephropathy, systemic lupus erythematosus, membranous nephropathy). 6. Patients with no history of renal diseases Exclusion Criteria: * Subjects affected by primary podocytopathies or other glomerulonephritides in clinical remission or with ESRD (eGFR \< 15 ml/min) and/or on renal replacement therapy * Individuals unable to understand and consent to the study procedures * Any clinical condition that, according to the investigator's judgment, could compromise patient safety during study participation
Where it's running
-
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, Italy Recruiting -
Fondazione IRCCS Policlinico San Matteo
Pavia, Italy Recruiting
Study contacts
- Study coordinator: Manuel A Podesta', MD, PhD
- Email: manuel.podesta@policlinico.mi.it
- Phone: 0039 0255034568
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.