Clinical trial Recruiting at 13 sites Observational Ages 18 to 100

Research on kidney disease in diabetes patients

Official title: Transformative Research In DiabEtic NephropaThy

Run by University of Pennsylvania · NCT02986984 · Data updated 2026-11-12

This study is testing how kidney biopsies can help find out why some people with diabetes have faster kidney problems than others, to look for new treatment options.

More Diabetic Nephropathies trials

Quick facts

Study typeObservational
Ages18 Years to 100 Years
SexAll
Enrollment400 (estimated)
SponsorUniversity of Pennsylvania
Academic / other
Locations17 sites (Little Rock, Arkansas and 16 other locations)
StatusRecruiting
StartedDecember 2016
Main results expectedJune 2027
Study endsJune 2027
Registry record updatedFebruary 27, 2026
Trial IDNCT02986984 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults with Type 1 or Type 2 diabetes who are scheduled for a medically indicated kidney biopsy.

Probably not a fit

Patients with end-stage renal disease or those who have received dialysis for more than 30 days prior to the biopsy may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational cohort study focuses on patients with diabetes who are undergoing kidney biopsies to collect and analyze kidney tissue, blood, urine, and genetic materials. The goal is to identify molecular pathways and biomarkers that differentiate patients with rapid kidney function decline from those with slower progression. By utilizing high-throughput genomic analysis, the study aims to uncover potential therapeutic targets for diabetic kidney disease (DKD). Each clinical site will enroll participants and manage the biopsy sample collection as per the TRIDENT protocol.

Why it matters

Potential benefit: If successful, this research could lead to new therapeutic targets for treating diabetic kidney disease.

How similar studies have gone: While progress in diabetic kidney disease research has been limited, this study's approach is novel and aims to address gaps in understanding DKD.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Type 1 and 2 Diabetes by American Diabetes Association (ADA) criteria
* Willingness to comply with study requirements, including intention to fully participate in protocol-specified follow-up at a clinical study site
* Able to provide informed consent
* Adult participants
* Planned medically indicated kidney biopsy, prescribed by a practicing nephrologist

Exclusion Criteria:

* End Stage Renal Disease (ESRD), defined as chronic dialysis or kidney transplant
* History of receiving dialysis for more than 30 days prior to biopsy
* Institutionalized
* Solid organ or bone marrow transplant recipient at time of first kidney biopsy
* Less than 3-year life expectancy
* History of active alcohol and/or substance abuse that in the investigator's assessment would impair the subject's ability to comply with the protocol
* Unable to provide informed consent
* Evidence of active cancer requiring treatment, other than non-melanoma skin cancer

Where it's running

  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas, United States
    Recruiting
  • Stanford University
    Palo Alto, California, United States
    Recruiting
  • Yale University
    New Haven, Connecticut, United States
    Recruiting
  • Northwestern University
    Chicago, Illinois, United States
    Recruiting
  • University of New Mexico
    Albuquerque, New Mexico, United States
    Recruiting
  • Mount Sinai Hospital
    New York, New York, United States
    Recruiting
Show 11 more locations
  • University of North Carolina
    Chapel Hill, North Carolina, United States
    Recruiting
  • Ohio State University
    Columbus, Ohio, United States
    Recruiting
  • Oregon Health & Science University
    Portland, Oregon, United States
    Recruiting
  • Lehigh Valley Health Network
    Allentown, Pennsylvania, United States
    Recruiting
  • University of Pennsylvania
    Philadelphia, Pennsylvania, United States
    Recruiting
  • University of Texas Health Science Center at San Antonio
    San Antonio, Texas, United States
    Recruiting
  • University of Virginia
    Charlottesville, Virginia, United States
    Recruiting
  • University of Southern California
    Los Angeles, California, United States
    Active not recruiting
  • University of Michigan
    Ann Arbor, Michigan, United States
    Active not recruiting
  • Columbia University
    New York, New York, United States
    Active not recruiting
  • Albert Einstein College of Medicine
    The Bronx, New York, United States
    Active not recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Transformative 2.0 for diabetic kidney disease

    This project will try to see if adults with diabetic kidney disease who take SGLT2 diabetes medicines have different biological patterns in archived kidney tissue than similar people who do not take these medicines.

    Recruiting University of Pennsylvania · Philadelphia, Pennsylvania · NCT07444203

  • ACE Reno Pico Cell Matrix for reducing proteinuria and supporting kidney function

    This trial will test whether taking ACE Reno, a sublingual peptide solution four times daily for 12 weeks, can lower urine protein and help stabilize kidney function in adults with nephropathy or chronic kidney disease.

    Recruiting Phase 4 Ace Cells Lab Limited · Giza, GZ · NCT07187713

  • Formoterol for diabetic kidney disease

    This trial will test whether adding formoterol fumarate to usual care helps adults with type 2 diabetes who have moderate diabetic kidney disease.

    Recruiting Phase 2 Medical University of South Carolina · Charleston, South Carolina · NCT07022418

  • Epithelial Dysmetabolism and Kidney Fibrosis in ANCA Vasculitis

    This study tests whether alterations in tubulo-interstitial metabolism relate to how quickly kidney function deteriorates in people with ANCA-associated vasculitis compared to other nephropathies.

    Recruiting Assistance Publique - Hôpitaux de Paris · Paris · NCT07010250

  • Effects of low oxygen levels on kidney function in healthy individuals and diabetes patients

    This study is testing how low oxygen levels affect kidney function in healthy people and those with diabetes to see if there are different risks for kidney health.

    Recruiting Poitiers University Hospital · Poitiers · NCT06846034

  • Evaluating WAL0921 for kidney diseases

    This study is testing a new drug called WAL0921 to see if it can help people with different types of kidney diseases feel better.

    Recruiting at 25 sites Phase 2 Walden Biosciences · Los Angeles, California and 49 other locations · NCT06466135

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.