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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 100 Years |
| Sex | All |
| Enrollment | 400 (estimated) |
| Sponsor | University of Pennsylvania Academic / other |
| Locations | 17 sites (Little Rock, Arkansas and 16 other locations) |
| Status | Recruiting |
| Started | December 2016 |
| Main results expected | June 2027 |
| Study ends | June 2027 |
| Registry record updated | February 27, 2026 |
| Trial ID | NCT02986984 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
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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
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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
- Principal investigator: Katalin Susztak, MD — University of Pennsylvania
- Study coordinator: Katalin Susztak, MD, PhD
- Email: ksusztak@pennmedicine.upenn.edu
- Phone: 646-541-4079
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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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.
-
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.
-
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.
-
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.
-
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.
-
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.
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.