- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04571658
NEPTUNE Match Study (NEPTUNE Match)
Implementing Precision Medicine for Glomerular Diseases in the Nephrotic Syndrome Study Network (NEPTUNE)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a prospective, open-label study testing the ability to effectively communicate patient-specific clinical trial matching with kidney patients and clinician investigators. The study consists of four components:
- Recruitment of participants from the NEPTUNE observational cohort study
- Generation of participant profile-trial match assessment using data from the NEPTUNE observational study and profiling units by the NEPTUNE Molecular Nephrology Board
- Establishing and testing a framework to communicate disease-trial drug mechanism matching with investigators and patients
- Retrospective comparison of kidney health outcomes in subjects enrolled in trials that aligned with their match vs. trial subjects with mis-aligned or unknown match alignment.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Hailey E Desmond, MS
- Phone Number: 734-232-4851
- Email: heturner@med.umich.edu
Study Contact Backup
- Name: Chrysta C Lienczewski, BS
- Phone Number: 734-615-5021
- Email: boridley@med.umich.edu
Study Locations
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Georgia
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Atlanta, Georgia, United States, 30322
- Recruiting
- Emory University Hospital - Children's Hospital of Atlanta
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Principal Investigator:
- Laurence Greenbaum, MD, PhD
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Contact:
- Emily Yun
- Email: emily.yun@emory.edu
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Illinois
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Chicago, Illinois, United States, 60612
- Recruiting
- John H. Stroger, Jr., Hospital of Cook County
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Contact:
- Mathew Itteera
- Email: mathew.itteera@cookcountyhhs.org
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Kansas
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Kansas City, Kansas, United States, 66160
- Recruiting
- University of Kansas Medical Center
-
Contact:
- Catherine Creed
- Email: ccreed@kumc.edu
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Principal Investigator:
- Ellen McCarthy, MD
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Maryland
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Baltimore, Maryland, United States, 21287
- Recruiting
- Johns Hopkins Medicine
-
Contact:
- MIahje Williams
- Email: mwil296@jhmi.edu
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Principal Investigator:
- Meredith Adkinson, MD
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Michigan
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Ann Arbor, Michigan, United States, 48109
- Enrolling by invitation
- University of Michigan
-
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Missouri
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Kansas City, Missouri, United States, 64108
- Recruiting
- Children's Mercy Hospital
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Principal Investigator:
- Tarak Srivastava, MD
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Contact:
- Kelsey Markus
- Email: kemarkus@cmh.edu
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New York
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New Hyde Park, New York, United States, 11040
- Recruiting
- Northwell/Cohen's Children's Hospital
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Contact:
- Suzanne Vento, BSN
- Email: svento@northwell.edu
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Principal Investigator:
- Christine Sethna, MD, MS
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New York, New York, United States, 10032
- Recruiting
- Columbia University Medical Center
-
Contact:
- Anup Pradhan
-
Principal Investigator:
- Pietro Canetta, MD
-
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North Carolina
-
Chapel Hill, North Carolina, United States, 27514
- Recruiting
- University of North Carolina Chapel Hill
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Contact:
- Anne Froment
- Email: anne_froment@med.unc.edu
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Contact:
- Maria Fernanda Ochoa Toro
- Email: ferochoc@email.unc.edu
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Principal Investigator:
- Vimal Derebail, MD, MS
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Ohio
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Cleveland, Ohio, United States, 44106
- Recruiting
- Cleveland Clinic Foundation
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Contact:
- Stefanie Larson
- Email: larsons2@ccf.org
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Principal Investigator:
- Katherine Dell, MD
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- Hospital of the University of Pennsylvania
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Contact:
- Krishna Kallem, MS
- Email: Krishna.Kallem@pennmedicine.upenn.edu
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Principal Investigator:
- Larry Holzman, MD
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Philadelphia, Pennsylvania, United States, 19122
- Recruiting
- Temple University
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Principal Investigator:
- Iris Lee, MD
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Contact:
- Zoe Pfeffer
- Email: zoe.pfeffer@tuhs.temple.edu
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South Carolina
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Charlotte, South Carolina, United States, 29425
- Recruiting
- Medical University of South Carolina
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Principal Investigator:
- David Selewski, MD, MS
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Washington
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Seattle, Washington, United States, 98195
- Recruiting
- University of Washington Medical Center
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Contact:
- Linda Manahan, BSN
- Email: lmanahan@nephrology.washington.edu
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Principal Investigator:
- Ashley Jefferson, MD
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Seattle, Washington, United States, 98105
- Recruiting
- Seattle Children's Hospital
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Contact:
- Emily Pao
- Email: emily.pao@seattlechildrens.org
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Principal Investigator:
- Sangeeta Hingorani, MD
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Spokane, Washington, United States, 99204
- Recruiting
- Providence Sacred Heart Medical Center
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Principal Investigator:
- Katherine Tuttle, MD
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Contact:
- Kelli Kuykendall
- Email: kelli.kuykendall@providence.org
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Study Population
Description
Inclusion Criteria:
- Consented and eligible participants in the biopsied or non-biopsied cohorts of the NEPTUNE observational study
Must be potentially eligible for the NEPTUNE Match partnering trials (e.g. if no trial is enrolling a participant under age 6, those under 6 are not eligible).
Note: NEPTUNE Match partnering trials and associated eligibility criteria are expected to be dynamic and change as trial protocols are developed, activated, and amended.
- Regular nephrology healthcare provided at a NEPTUNE study site.
- Willing and able to consent, and as appropriate assent, to participate in NEPTUNE Match
Exclusion Criteria:
Currently non-NEPTUNE observational study participants are not eligible to be matched to a clinical trial using these biomarker assessments.
Exclusion Criteria:
1. Non-English or non-Spanish speaking
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Other: NEPTUNE Match Participants
Approximately 375 participants will be consented from the NEPTUNE observational study with age and demographic groups representing the patient population in the NEPTUNE study site geographical areas. NEPTUNE observational cohort eligibility includes: participants in NEPTUNE observational cohort A are of any age and have a biopsy-confirmed diagnosis of Focal Segmental Glomerulosclerosis (FSGS), Minimal Change Disease (MCD), or Membranous Nephropathy (MN). Participants in NEPTUNE observational cohort B have documented NS based on proteinuria, serum albumin, and/or edema with age of onset less than 19 years. |
The NEPTUNE Match study includes an interdisciplinary Communication Team that will translate findings from the Molecular Nephrology Board (MNB) to inform patients of the matching assessment with ongoing clinical trials.
This team has considerable experience with conveying complex biomedical research information to patients and families and includes experts in precision nephrology, nephrology patient [adult and pediatric] communication, and health education.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Matched participants with at least one clinical trial receive a MNB assessment
Time Frame: 0-4 weeks
|
Proportion of NEPTUNE Match participants with at least one matching clinical trial, defined as receiving a Molecular Nephrology Board (MNB) assessment that provides a match to at least one targeted therapy in an ongoing clinical trial
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0-4 weeks
|
|
Efficacy of communication methods at time of communication visit, measured by Teach Back 1 summary score
Time Frame: 12 weeks
|
Key findings from MNB trial matching analyses and deliberations will be conveyed to study participants using a NEPTUNE Match Report that summarizes the findings.
The report indicates the strength of matching to ongoing clinical trials and the uncertainty and research origins of the information.
A sample Match Report can be found in Appendix C. The report will not contain individual data elements reviewed by the MNB.
The creation of NEPTUNE Match Reports will follow health education principles including matching of content to patients' informational needs and health literacy levels, use of visual aids to clarify meaning of information, and avoidance of information overload of the participant.
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12 weeks
|
|
Kidney health endpoints that are specific to each individual trial
Time Frame: 0-60 months
|
The analytic integration supporting the Molecular Nephrology Board (MNB) case review will be initiated and will occur.
The MNB will conduct the discussion and generate the integrated data summary and case report inclusive of clinical trial matching by webinar.
Input from the MNB will be used to generate a final version of the participant NEPTUNE Match Report.
This is a longitudinal outcome that will be assessed at the end of the study relative to endpoints specific to matched clinical trials, assessing the superiority of stratification (matching or alignment of patient molecular profiles to targeted therapies in clinical trials) to non-stratification.
|
0-60 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Efficacy of communication methods at follow up, measured by Teach Back of key concepts
Time Frame: 14-18 weeks
|
3 defined teachback concepts will be scored to indicate the participant's understanding of strength of matching.
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14-18 weeks
|
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Psychological distress measured by the STAI assessment
Time Frame: 14-18 weeks
|
State Trait Anxiety Inventory (mini-STAI) scale will be used to assess a participant's psychological distress around their participation in NEPTUNE Match at the consent visit and the follow up visit.
|
14-18 weeks
|
|
Psychological distress measured by the FACToR-NEPTUNE assessment
Time Frame: 14-18 weeks
|
FACToR-NEPTUNE is a measure that has been modified from the Feelings About genomiC Testing Results (FACToR).
FACToR-12 is used to assess the psychosocial impact of returning genomic findings to patients in research and clinical practice.
In the FACToR-NEPTUNE assessment the measure will assess the psychosocial impact after receiving the NEPTUNE Match Report.
|
14-18 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Matthias Kretzler, MD, University of Michigan
Publications and helpful links
General Publications
- Gadegbeku CA, Gipson DS, Holzman LB, Ojo AO, Song PX, Barisoni L, Sampson MG, Kopp JB, Lemley KV, Nelson PJ, Lienczewski CC, Adler SG, Appel GB, Cattran DC, Choi MJ, Contreras G, Dell KM, Fervenza FC, Gibson KL, Greenbaum LA, Hernandez JD, Hewitt SM, Hingorani SR, Hladunewich M, Hogan MC, Hogan SL, Kaskel FJ, Lieske JC, Meyers KE, Nachman PH, Nast CC, Neu AM, Reich HN, Sedor JR, Sethna CB, Trachtman H, Tuttle KR, Zhdanova O, Zilleruelo GE, Kretzler M. Design of the Nephrotic Syndrome Study Network (NEPTUNE) to evaluate primary glomerular nephropathy by a multidisciplinary approach. Kidney Int. 2013 Apr;83(4):749-56. doi: 10.1038/ki.2012.428. Epub 2013 Jan 16.
- Tao J, Mariani L, Eddy S, Maecker H, Kambham N, Mehta K, Hartman J, Wang W, Kretzler M, Lafayette RA. JAK-STAT signaling is activated in the kidney and peripheral blood cells of patients with focal segmental glomerulosclerosis. Kidney Int. 2018 Oct;94(4):795-808. doi: 10.1016/j.kint.2018.05.022. Epub 2018 Aug 6.
- Ha Dinh TT, Bonner A, Clark R, Ramsbotham J, Hines S. The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: a systematic review. JBI Database System Rev Implement Rep. 2016 Jan;14(1):210-47. doi: 10.11124/jbisrir-2016-2296.
- Tluczek A, Henriques JB, Brown RL. Support for the reliability and validity of a six-item state anxiety scale derived from the State-Trait Anxiety Inventory. J Nurs Meas. 2009;17(1):19-28. doi: 10.1891/1061-3749.17.1.19.
- Marteau TM, Bekker H. The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). Br J Clin Psychol. 1992 Sep;31(3):301-6. doi: 10.1111/j.2044-8260.1992.tb00997.x.
Helpful Links
- Redefining Nephrotic Syndrome in Molecular Terms: Outcome-associated molecular clusters and patient stratification with noninvasive surrogate biomarkers
- Teachback
- Are physicians and patients in agreement? Exploring dyadic concordance
- Patients' memory for medical information
- Inflammatory and JAK-STAT Pathways as Shared Molecular Targets for ANCA-Associated Vasculitis and Nephrotic Syndrome
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Connective Tissue Diseases
- Autoimmune Diseases
- Immune System Diseases
- Congenital Abnormalities
- Urogenital Abnormalities
- Glomerulonephritis
- Nephritis
- Collagen Diseases
- Nephrosis
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Skin and Connective Tissue Diseases
- Nephrotic Syndrome
- Glomerulonephritis, Membranous
- Glomerulosclerosis, Focal Segmental
- Nephritis, Hereditary
- Nephrosis, Lipoid
- Macular dystrophy, corneal type 1
Other Study ID Numbers
- HUM00158219-Sub
- U54DK083912 (U.S. NIH Grant/Contract)
- R01DK141114 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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