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| ID | Type | Description | Link |
|---|---|---|---|
| 271043 | Other Identifier | IRAS |
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| Name | Class |
|---|---|
| University of Nottingham | OTHER |
| Queen Elizabeth University Hospital Glasgow | UNKNOWN |
| Royal Infirmary of Edinburgh | OTHER |
| University of Edinburgh |
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Research question: Can multiparametric renal Magnetic Resonance Imaging (MRI) provide structural and functional assessment of the kidneys to deliver prognostic information and guide treatment options in chronic kidney disease (CKD)?
Aims and objectives:
The study will have three stages.
Stage 1: 45 people with CKD from nine UKRIN centres will undergo multiparametric MRI to test patient tolerance, data completeness and central data collection processes.
Stage 2: A multicentre, prospective cohort study of 450 people with CKD, collecting multiparametric renal MRI at baseline and 2 years. Long-term outcomes will be determined with efficient tracking of kidney failure events via the UK Renal Registry at 5 and 10 years.
Stage 3: A mechanistic sub-study of 45 patients (from Stage 2) who have had a routine renal biopsy. Detailed comparisons will be made between multiparametric MRI and histopathological changes. Tissue blocks will undergo quantitative analysis of fibrosis, capillary density and inflammation using immunohistochemistry techniques.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Main study cohort | Patients with CKD recruited from specialist nephrology clinics |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multiparametric renal MRI | Diagnostic Test | Localiser scans; Kidney volume; Longitudinal (T1) relaxation time mapping; Diffusion weighted imaging (DWI); Phase Contrast MRI; Arterial spin labelling (ASL); Blood Oxygen Level Dependent (BOLD) mapping |
| Measure | Description | Time Frame |
|---|---|---|
| CKD progression | kidney failure (doubling of serum creatinine, eGFR<15ml/min or RRT) OR a 40% decline in eGFR | 10 years |
| Measure | Description | Time Frame |
|---|---|---|
| Kidney failure events | Doubling of serum creatinine, eGFR<15ml/min or RRT | 10 years |
| 40% decline in eGFR from baseline | 10 years | |
| Measure | Description | Time Frame |
|---|---|---|
| Renal MRI measures | As detailed in interventions section | 2 years |
| Renal histology measures | Glomerulosclerosis score, extent of interstitial fibrosis, inflammation, peritubular capillary density, collagen accumulation, inflammatory cell subtypes |
Inclusion Criteria
Exclusion Criteria
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Chronic kidney disease
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Derby Hospital | Derby | Derbyshire | DE22 3NE | United Kingdom |
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| Label | URL |
|---|---|
| Derby Clinical Trials Support Unit | View source |
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| OTHER |
| Newcastle University | OTHER |
| Newcastle-upon-Tyne Hospitals NHS Trust | OTHER |
| University of Leeds | OTHER |
| The Leeds Teaching Hospitals NHS Trust | OTHER |
| Sheffield Teaching Hospitals NHS Foundation Trust | OTHER |
| University of Sheffield | OTHER |
| Northern Care Alliance NHS Foundation Trust | OTHER |
| University College, London | OTHER |
| University of Cambridge | OTHER |
| Cambridge University Hospitals NHS Foundation Trust | OTHER |
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Stored samples: plasma, serum, urine and DNA at study entry Multiparametric renal MRI measures at study entry and after 2 years of follow up
| eGFR trajectory |
(ml/min/yr) |
| 2 years |
| AKI events | AKI as per KDIGO serum creatinine criteria | 4 years |
| Cardiovascular events | 4 years |
| All cause mortality | 10 years |
| Baseline |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |