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Study and Management of Cystic Complications in Autosomal Dominant Polycystic Kidney Disease (COMPLIK)

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ClinicalTrials.gov Identifier: NCT06036992
Recruitment Status : Not yet recruiting
First Posted : September 14, 2023
Last Update Posted : September 14, 2023
Sponsor:
Information provided by (Responsible Party):
University Hospital, Brest

Brief Summary:
Autosomal dominant polycystic kidney disease is characterised by the development of renal and hepatic cysts. While the main complication is chronic end-stage renal failure, specific cyst-related complications are common: intracystic haemorrhage, renal or hepatic cyst infections, cyst-related mechanical complications and lithiasis. To date, there is no reliable epidemiological data on the frequency and clinical impact of these complications. Diagnosis of these complications is often complicated, and their management has not been codified. The latest international recommendations (KDIGO) provide only low-level recommendations. For the most complex cases (recurrent cystic infections, resistant pain, mechanical complications and malnutrition, need for pre-transplant nephrectomy, etc.), practitioners are often at a loss and management varies greatly from one centre to another.

Condition or disease
Polycystic Kidney Diseases

Detailed Description:
Autosomal dominant polycystic kidney disease is characterised by the development of renal and hepatic cysts. While the main complication is chronic end-stage renal failure, specific cyst-related complications are common: intracystic haemorrhage, renal or hepatic cyst infections, cyst-related mechanical complications and lithiasis. To date, there is no reliable epidemiological data on the frequency and clinical impact of these complications. Diagnosis of these complications is often complicated, and their management has not been codified. The latest international recommendations (KDIGO) provide only low-level recommendations. For the most complex cases (recurrent cystic infections, resistant pain, mechanical complications and malnutrition, need for pre-transplant nephrectomy, etc.), practitioners are often at a loss and management varies greatly from one centre to another.

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Study Type : Observational
Estimated Enrollment : 600 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Study and Management of Cystic Complications in Autosomal Dominant Polycystic Kidney Disease
Estimated Study Start Date : October 1, 2023
Estimated Primary Completion Date : August 1, 2027
Estimated Study Completion Date : August 1, 2027

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Kidney Diseases




Primary Outcome Measures :
  1. To improve knowledge of the epidemiology of cystic complications within the Genkyst network [ Time Frame: 12 months ]
    number of cases of cystic complications per year per complication


Secondary Outcome Measures :
  1. Creation of a specific multidisciplinary consultation meeting [ Time Frame: 12 months ]
    Meetings and exchanges between different health professionals: interventional radiologists, surgeons, infectiologists, hepatologists, pain specialists and nephrologists to discuss the best possible management for patients with complex cystic complications.

  2. Creation of an image bank [ Time Frame: 12 months ]
    consulting images to recalculate and improve diagnostic scores

  3. Creation of a group of control patients [ Time Frame: 12 months ]
    the change from baseline in quality of life scores at 1 year.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Patients with autosomal dominant polycystic kidney disease included in Genkyst who present at least one cystic complication.
Criteria

Inclusion Criteria:

  • Patient with autosomal dominant polycystic kidney disease (APKD) participating in the Genkyst study
  • Patient with at least one cystic complication. The cystic complications retained are the following:

    • Acute or chronic cyst-related pain requiring analgesic treatments
    • Cyst infection
    • Intracystic haemorrhage
    • Urinary lithiasis
    • Functional complaints related to the cystic mass: digestive disorders with eating disorders, undernutrition, diaphragmatic compression phenomena, portal hypertension, umbilical or linea alba hernias, ventrations
    • Need for a cystic reduction procedure: puncture, marsupialization, open surgery (including preparation for grafting)

Exclusion Criteria:

  • Patients who have expressed their opposition to taking part in the study
  • Patient under legal protection (guardianship, curatorship, etc.)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06036992


Contacts
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Contact: Yannick LE MEUR 02 98 34 70 74 ext +33 yannick.lemeur@chu-brest.fr
Contact: Christelle GUILLERM-REGOST 02 98 34 78 90 ext +33 christelle.guillerm-regost@chu-brest.fr

Sponsors and Collaborators
University Hospital, Brest
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Responsible Party: University Hospital, Brest
ClinicalTrials.gov Identifier: NCT06036992    
Other Study ID Numbers: 29BRC22.0232 - COMPLIK
First Posted: September 14, 2023    Key Record Dates
Last Update Posted: September 14, 2023
Last Verified: February 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: All collected data that underlie results in a publication
Supporting Materials: Study Protocol
Time Frame: Data will be available beginning three years and ending fifteen years following the final study report completion
Access Criteria: Data access requests will be reviewed by the internal committee of Brest UH. Requestors will be required to sign and complete a data access agreement.

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Kidney Diseases
Polycystic Kidney Diseases
Polycystic Kidney, Autosomal Dominant
Urologic Diseases
Female Urogenital Diseases
Female Urogenital Diseases and Pregnancy Complications
Urogenital Diseases
Male Urogenital Diseases
Kidney Diseases, Cystic
Abnormalities, Multiple
Congenital Abnormalities
Ciliopathies
Genetic Diseases, Inborn