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| ID | Type | Description | Link |
|---|---|---|---|
| U54DK083912 | U.S. NIH Grant/Contract | View source | |
| R01DK141114 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) | NIH |
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NEPTUNE Match is an additional opportunity offered to NEPTUNE study participants to prospectively recruit and communicate patient-specific clinical trial matching with kidney patients and their physician investigators.
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:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NEPTUNE Match Participants | Other | 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Communication | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Matched participants with at least one clinical trial receive a MNB assessment | 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 | 0-4 weeks |
| Efficacy of communication methods at time of communication visit, measured by Teach Back 1 summary score | 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. | 12 weeks |
| Kidney health endpoints that are specific to each individual trial | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of communication methods at follow up, measured by Teach Back of key concepts | 3 defined teachback concepts will be scored to indicate the participant's understanding of strength of matching. | 14-18 weeks |
| Psychological distress measured by the STAI assessment |
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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
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hailey E Desmond, MS | Contact | 734-232-4851 | heturner@med.umich.edu | |
| Chrysta C Lienczewski, BS | Contact | 734-615-5021 | boridley@med.umich.edu |
| Name | Affiliation | Role |
|---|---|---|
| Matthias Kretzler, MD | University of Michigan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Emory University Hospital - Children's Hospital of Atlanta | Recruiting | Atlanta | Georgia | 30322 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23325076 | Background | 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. | |
| 30093081 |
| Label | URL |
|---|---|
| Redefining Nephrotic Syndrome in Molecular Terms: Outcome-associated molecular clusters and patient stratification with noninvasive surrogate biomarkers | View source |
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Potential participants are selected based on enrollment in the NEPTUNE Observational Cohort Study (NEPTUNE) and who are possibly eligible for a NEPTUNE Match sub-study partner trial. These participants will then be "Match"ed to a partner trial based on biomarker validation and this information will be communicated to the participant in a teach-back model to determine effectiveness.
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No Masking
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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 | 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 |
| John H. Stroger, Jr., Hospital of Cook County | Recruiting | Chicago | Illinois | 60612 | United States |
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| University of Kansas Medical Center | Recruiting | Kansas City | Kansas | 66160 | United States |
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| Johns Hopkins Medicine | Recruiting | Baltimore | Maryland | 21287 | United States |
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| University of Michigan | Enrolling by invitation | Ann Arbor | Michigan | 48109 | United States |
| Children's Mercy Hospital | Recruiting | Kansas City | Missouri | 64108 | United States |
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| Northwell/Cohen's Children's Hospital | Recruiting | New Hyde Park | New York | 11040 | United States |
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| Columbia University Medical Center | Recruiting | New York | New York | 10032 | United States |
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| University of North Carolina Chapel Hill | Recruiting | Chapel Hill | North Carolina | 27514 | United States |
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| Cleveland Clinic Foundation | Recruiting | Cleveland | Ohio | 44106 | United States |
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| Hospital of the University of Pennsylvania | Recruiting | Philadelphia | Pennsylvania | 19104 | United States |
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| Temple University | Recruiting | Philadelphia | Pennsylvania | 19122 | United States |
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| Medical University of South Carolina | Recruiting | Charlotte | South Carolina | 29425 | United States |
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| Seattle Children's Hospital | Recruiting | Seattle | Washington | 98105 | United States |
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| University of Washington Medical Center | Recruiting | Seattle | Washington | 98195 | United States |
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| Providence Sacred Heart Medical Center | Recruiting | Spokane | Washington | 99204 | United States |
|
| Background |
| 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. |
| 26878928 | Background | 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. |
| 1393159 | Background | 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. |
| 19902657 | Background | 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. |
| Teachback | View source |
| Are physicians and patients in agreement? Exploring dyadic concordance | View source |
| Patients' memory for medical information | View source |
| Inflammatory and JAK-STAT Pathways as Shared Molecular Targets for ANCA-Associated Vasculitis and Nephrotic Syndrome | View source |
| ID | Term |
|---|---|
| D005923 | Glomerulosclerosis, Focal Segmental |
| D009402 | Nephrosis, Lipoid |
| D015433 | Glomerulonephritis, Membranous |
| C537834 | Macular dystrophy, corneal type 1 |
| D009394 | Nephritis, Hereditary |
| D009404 | Nephrotic Syndrome |
| ID | Term |
|---|---|
| D005921 | Glomerulonephritis |
| D009393 | Nephritis |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D009401 | Nephrosis |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D014564 | Urogenital Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003095 | Collagen Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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