ClinicalTrials.gg
RecruitingNCT01605266INSIGHTUpdated Oct 25, 2022

INSIGHT (Insight Into Nephrotic Syndrome)

An observational study in Nephrotic Syndrome, sponsored by The Hospital for Sick Children. Recruiting at 4 sites in Canada. Open to participants aged 6 Months to 18 Years. Per ClinicalTrials.gov, last updated 2022-10-25.

Sponsored by The Hospital for Sick Children · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,000
Ages
6 Months to 18 Years
Sex
All
01

Study summary

INSIGHT is a longitudinal study of childhood nephrotic syndrome to determine genetic, serologic and environmental factors contributing to nephrotic syndrome and disease progression.

Read the detailed description

INSIGHT is a longitudinal observational study of childhood nephrotic syndrome to determine genetic, serologic and environmental factors contributing to nephrotic syndrome and disease progression. This is a large multiethnic cohort to test hypotheses of gene and environmental risk factors and disease progression. Participants are recruited from Toronto, Ontario and surrounding regions. Additional sites will be added on in the future.

02

Conditions studied

  • Nephrotic Syndrome

Keywords

  • pediatric
  • kidney disease
  • minimal change disease
  • focal segmental glomerulosclerosis
  • nephrotic syndrome
03

In context

Nephrotic Syndrome

191 studies on the registry are indexed under Nephrotic Syndrome; 65 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 125 across 59 observational studies indexed under Nephrotic Syndrome.

Browse Nephrotic Syndrome studies →

Lead sponsor

The Hospital for Sick Children is the lead sponsor of 578 studies on the registry; 83 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 1 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Months to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Children with nephrotic syndrome. Children are recruited from Toronto and surrounding region with additional sites added later.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. diagnosis of nephrotic syndrome
  2. signed and assent appropriate for age
  3. ages 6 months -18 years old and
  4. ability to complete questionnaires

Exclusion criteria

Exclusion Criteria:

  1. congenital nephrotic syndrome (less than age 1)
  2. syndromic disease with multiple organ involvement
  3. inability to provide consent by primary care providers
  4. conditions such as systemic lupus erythematous.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,000 participants (estimated)
Biospecimen retention
Samples with dna

Groups and cohorts

  • Nephrotic Syndrome

    The cohort includes all children diagnosed with nephrotic syndrome between ages 1-18. Children and their caregiver must be willing to provide informed consent, complete questionnaires, and provide biospecimens of the child. Those with secondary causes of nephrotic syndrome and/or systemic disease are excluded.

06

What researchers measure

Primary outcomes

  1. Relapse (number of relapses)

    After remission, an increase in the first AM morning urine protein ≥ 3+ for 3 consecutive days or increase in maintenance prednisone dose

    Time frame: Entire follow-up

Secondary outcomes

  1. Frequently relapsing NS (yes or no)

    4 or more relapses within any 12 month interval OR 2 or more relapses within the first 6 months since diagnosis

    Time frame: 6, 12, 18 and 24 months

  2. Steroid - dependent NS (yes or no)

    2 relapses during steroid taper or a relapse within 14 days of steroid discontinuation

    Time frame: 6, 12, 18 and 24 months

  3. Initial Steroid Resistance (yes or no)

    Commencing second line medication due to no response from prednisone with initial treatment

    Time frame: Up to 16 weeks

  4. CKD (yes or no)

    eGFR less than or equal to 60mg/ml/1.73m\^2 for 3 or more consecutive months

    Time frame: Entire follow-up

  5. ESRD (yes or no)

    eGFR less than or equal to 15 mg/ml/1.73m\^2, or initiation of dialysis or receiving a transplant.

    Time frame: Entire follow-up

07

Study locations

4 of 4 sites recruiting
  • William Osler Health System, Brampton Civic Hospital and Peel Memorial Centre for Integrated Health and Wellness
    Brampton, Ontario L6R 3J7, Canada
    Recruiting
    • Rachel J Pearl, MD · Principal investigator
    • Rulan Parekh, MD · Sub investigator
    • Diane Hebert, MD · Sub investigator
    • Christoph Licht, MD · Sub investigator
  • Hamilton Health Sciences Corporation - McMaster University Medical Centre
    Hamilton, Ontario L8L 8E7, Canada
    Recruiting
    • Rahul Chanchlani, MD · Contact
    • Rahul Chanchlani, MD, MSc · Principal investigator
  • Rouge Valley Health System, Rouge Valley Centenary
    Scarborough, Ontario M1E 4B9, Canada
    Recruiting
    • Hubert Wong, MD · Principal investigator
    • Rulan Parekh, MD · Sub investigator
    • Diane Hebert, MD · Sub investigator
    • Lisa Strug, MD · Sub investigator
    • Christoph Licht, MD · Sub investigator
  • The Hospital for Sick Children
    Toronto, Ontario M5G 1X8, Canada
    Recruiting
    • Rulan Parekh, MD · Principal investigator
    • Diane Hebert, MD · Sub investigator
    • Lisa Strug, MD · Sub investigator
    • Christoph Licht, MD · Sub investigator
    • Valerie Langlois, MD · Sub investigator
    • Damien Noone, MD · Sub investigator
    • Chia Wei Teoh, MD · Sub investigator
    • Seetha Radhakrishnan, MD · Sub investigator
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References and documents

Publications

  • Hussain N, Zello JA, Vasilevska-Ristovska J, Banh TM, Patel VP, Patel P, Battiston CD, Hebert D, Licht CP, Piscione TD, Parekh RS. The rationale and design of Insight into Nephrotic Syndrome: Investigating Genes, Health and Therapeutics (INSIGHT): a prospective cohort study of childhood nephrotic syndrome. BMC Nephrol. 2013 Jan 26;14:25. doi: 10.1186/1471-2369-14-25. PubMed 23351121 ↗
  • Borges K, Vasilevska-Ristovska J, Hussain-Shamsy N, Patel V, Banh T, Hebert D, Pearl RJ, Radhakrishnan S, Piscione TD, Licht CP, Langlois V, Levin L, Strug L, Parekh RS. Parental attitudes to genetic testing differ by ethnicity and immigration in childhood nephrotic syndrome: a cross-sectional study. Can J Kidney Health Dis. 2016 Mar 17;3:16. doi: 10.1186/s40697-016-0104-y. eCollection 2016. PubMed 26998310 ↗
  • Banh THM, Hussain-Shamsy N, Patel V, Vasilevska-Ristovska J, Borges K, Sibbald C, Lipszyc D, Brooke J, Geary D, Langlois V, Reddon M, Pearl R, Levin L, Piekut M, Licht CPB, Radhakrishnan S, Aitken-Menezes K, Harvey E, Hebert D, Piscione TD, Parekh RS. Ethnic Differences in Incidence and Outcomes of Childhood Nephrotic Syndrome. Clin J Am Soc Nephrol. 2016 Oct 7;11(10):1760-1768. doi: 10.2215/CJN.00380116. Epub 2016 Jul 21. PubMed 27445165 ↗
  • Borges K, Sibbald C, Hussain-Shamsy N, Vasilevska-Ristovska J, Banh T, Patel V, Brooke J, Piekut M, Reddon M, Aitken-Menezes K, McNaughton A, Pearl RJ, Langlois V, Radhakrishnan S, Licht CPB, Piscione TD, Levin L, Noone D, Hebert D, Parekh RS. Parental Health Literacy and Outcomes of Childhood Nephrotic Syndrome. Pediatrics. 2017 Mar;139(3):e20161961. doi: 10.1542/peds.2016-1961. Epub 2017 Feb 17. PubMed 28213606 ↗
  • Konstantelos N, Banh T, Patel V, Vasilevska-Ristovska J, Borges K, Hussain-Shamsy N, Noone D, Hebert D, Radhakrishnan S, Licht CPB, Langlois V, Pearl RJ, Parekh RS. Association of low birth weight and prematurity with clinical outcomes of childhood nephrotic syndrome: a prospective cohort study. Pediatr Nephrol. 2019 Sep;34(9):1599-1605. doi: 10.1007/s00467-019-04255-1. Epub 2019 Apr 11. PubMed 30976899 ↗
  • Riar SS, Banh THM, Borges K, Subbarao P, Patel V, Vasilevska-Ristovska J, Chanchlani R, Hussain-Shamsy N, Noone D, Hebert D, Licht CPB, Langlois V, Pearl RJ, Parekh RS. Prevalence of Asthma and Allergies and Risk of Relapse in Childhood Nephrotic Syndrome: Insight into Nephrotic Syndrome Cohort. J Pediatr. 2019 May;208:251-257.e1. doi: 10.1016/j.jpeds.2018.12.048. Epub 2019 Feb 4. PubMed 30732999 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2011, a primary completion of Jan 2032 and a completion of Jan 2032. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 20, 2012
First posted
May 24, 2012
Start
Jan 2011
Primary completionEst.
Jan 2032
CompletionEst.
Jan 2032
Last update
Oct 25, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 25, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01605266
Responsible party
Rulan Parekh (Staff Physician, The Hospital for Sick Children) — Principal investigator
First posted
May 24, 2012
Start date
Jan 2011
Primary completion
Jan 2032 (estimated)
Completion
Jan 2032 (estimated)
Last update
Oct 25, 2022

Study contacts

Rulan Parekh, MD
Contact
rulan.parekh@sickkids.ca
416-813-7654 ext. 306459
Rulan Parekh, MD
principal investigator · The Hospital for Sick Children

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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