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| ID | Type | Description | Link |
|---|---|---|---|
| AOM 11002 | Other Identifier | Assistance Publique |
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The primary purpose of the study is to identify the factors of steroid dependency in childhood idiopathic nephrotic syndrome. The steroid dependency is defined by a relapse of nephrotic syndrome within the 3 weeks that follow the withdrawal of steroid therapy after the first manifestation. Different clinical and biological factors will be analyzed: age of first manifestation, delay of remission, ethnicity, and preceding viral infection, geolocalization in the Parisian area, genoprevalence of herpes viruses and polymorphisms in the genes involved in the response to steroid therapy.
Patients with a steroid dependent nephrotic syndrome will be compared to those with a non steroid dependent form of nephrotic syndrome at the end of the first manifestation. An additional blood volume will be sampled in patients and controls during a scheduled biological check-up for the initial disease. Genetics factors will be checked using a DNA chips devoted to the response to steroid therapy and viral genome of EBV, CMV, HHV7 will be searched for using PCR reaction in total blood DNA extract.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| children with idiopathic nephrotic syndrome | children below 16 years of age with a steroid dependent nephrotic syndrome |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DNA chip dedicated to the pharmacogenetic of steroids | Genetic | direct DNA extraction from peripheral blood cells |
|
| Measure | Description | Time Frame |
|---|---|---|
| define pharmacogenetic factors of steroid dependency | 28.5 months |
| Measure | Description | Time Frame |
|---|---|---|
| parameters of the immune response against herpesvirus, specially the cellular production of interferon induced by specific viral peptides | 28.5 months | |
| Dynamic of the epidemiology of idiopathic nephrotic syndrome in the Paris Area | Number of participants with idiopathic nephrotic syndrome in Paris Area to determinate if clusters cases exist. |
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Inclusion Criteria:
Exclusion Criteria:
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Any children below 16 years of age with a first manifestation of idiopathic nephrotic syndrome commencing or having commenced in the Paris area
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| Name | Affiliation | Role |
|---|---|---|
| Georges DeschĂȘnes, MD-PhD | Assistance Publique | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| APHP Robert-Debré, Department of Pediatric Nephrology | Paris | 75020 | France |
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| ID | Term |
|---|---|
| D009402 | Nephrosis, Lipoid |
| D011507 | Proteinuria |
| D009404 | Nephrotic Syndrome |
| D006561 | Herpes Simplex |
| ID | Term |
|---|---|
| D009401 | Nephrosis |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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DNA Peripheral Blood Mononuclear Cells Plasma
| 28.5 months |
| Analysis of cortico-dependence factors | Comparison of polymorphisms of cortico-dependent patients with non- cortico-dependent patients | Day 1 |
| Analysis of susceptibility factors that generate the appearance of the Idiopathic Nephrotic Syndrome | Comparison of polymorphisms of all patients suffering from the Idiopathic Nephrotic Syndrome, with general population | Day 1 |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D014555 | Urination Disorders |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
| D017193 | Skin Diseases, Viral |
| D012874 | Skin Diseases, Infectious |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |