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RecruitingNCT02497521AD(H)PKDUpdated Apr 30, 2026

The German ADPKD Tolvaptan Treatment Registry

An observational study in ADPKD (Autosomal Dominant Polycystic Kidney Disease), sponsored by University of Cologne. Recruiting at 12 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-30.

Sponsored by University of Cologne · Observational

From the registry’s dates

  • Started Nov 2015; still recruiting 11 years later.
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
2,000
Ages
18 Years and older
Sex
All
01

Study summary

The German ADPKD Tolvaptan Treatment Registry is a prospective, observational, multicentric study of patients suffering from ADPKD that are considered for tolvaptan treatment. All ADPKD patients that are evaluated for treatment indication, or that are planned to be treated with tolvaptan, or that are already treated with tolvaptan are eligible. This registry is designed to provide "real-world" data on treatment management of patients with ADPKD.

Read the detailed description

A substantial number of ADPKD patients treated in our center or referred to our center for counseling are considered eligible for tolvaptan treatment and, thus, will be invited to enter the registry. Furthermore, many patients with ADPKD are treated by nephrologists in practices. We operate a network with many of these practices and will expand this network. Patients can be enrolled - after having obtained approval by the local ethics committee - at external sites (expected number: about 500 patients per year). We are also closely liaised with the German self-help group PKDCure (PKD Familiaere Zystennieren e.V.), which is dedicated to ADPKD-linked research. Recruitment of patients will be facilitated by intensified interacting with these groups. Usually, patients that are referred to our institution for evaluation or counseling are regularly seen once a year. No additional trial-related visits in our institution will be required which is in line with the observational nature of the trial. However, data recording is not restricted to parameters assessed at our center but does include also parameters assessed by the treating physician.

SOPs (Standard Operating Procedures) that include further diagnostic tests like MRI are applied routinely in ADPKD patient management in our institution. The data obtained from these tests will be entered in the registry.

At enrolment, clinical, laboratory data and imaging study findings are collected after obtaining informed consent. The parameters listed below constitute the core data set, additional parameters can be included if considered essential.

Clinical data:

  • demographic data (sex, age, height, weight)
  • family history
  • genotype (if available)
  • extrarenal ADPKD manifestations
  • co-morbidities
  • medication
  • physical examination
  • blood pressure
  • no. of extrarenal and renal complications in the past 12 months (urinary tract infections, pain episodes, macrohematuria, kidney stones, hospital admissions, ...)

Laboratory parameters include primarily (but not exclusively):

  • serum sodium
  • serum potassium
  • serum osmolality
  • serum creatinine
  • estimated glomerular filtration rate (eGFR)
  • serum urea
  • serum uric acid
  • whole blood count
  • liver enzymes, bilirubin
  • urinary sodium (spot and 24h-urine)
  • urinary potassium
  • urinary osmolality
  • urinary creatinine
  • urinary urea
  • urinary uric acid
  • urinary protein

Imaging study parameters:

  • MRI - TKV (Total Kidney Volume)
  • ultrasound
  • (CT-scan if available)

Registered patients will be provided with diaries for documentation of tolvaptan dose, adverse side effects etc. These diaries are collected on a yearly basis and the data are included in the registry. Additionally the patients will be asked to fill in a questionnaire regarding the current medication, complications of ADPKD etc. once a year as well as a commercially available SF-12 (quality of life assessment) form.

Data capture will be done at yearly intervals starting at 12 months after enrolment. It includes the biochemical parameters and imaging study findings that have been obtained over the precedent 12 months.

The following additional data will be obtained:

  • prescribed tolvaptan dose within the precedent 12 months
  • maximum dose of tolvaptan given in the precedent 12 months
  • weight, blood pressure
  • urine output
  • adverse effects
  • hospital admissions
  • occurrence of kidney pain, haematuria, or urinary tract infection
  • complications associated with extrarenal manifestations of ADPKD
  • data from diaries and questionnaires as mentioned above

According to the observational character of this study, no additional blood samples, examinations or imaging studies are required per protocol.

02

Conditions studied

  • ADPKD (Autosomal Dominant Polycystic Kidney Disease)

Keywords

  • polycystic kidney disease
  • autosomal dominant polycystic kidney disease
  • ADPKD
  • Tolvaptan
  • Jinarc
03

In context

Polycystic Kidney, Autosomal Dominant

185 studies on the registry are indexed under Polycystic Kidney, Autosomal Dominant; 42 are open to participants now.

This study's planned enrollment of 2,000 is above the median of 150 across 45 observational studies indexed under Polycystic Kidney, Autosomal Dominant.

Browse Polycystic Kidney, Autosomal Dominant studies →

Lead sponsor

University of Cologne is the lead sponsor of 203 studies on the registry; 26 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients with diagnosis of ADPKD and therapy with tolvaptan

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

  • Age > 18 years
  • ADPKD proven by positive family history and evidence of renal cysts or diagnosed by treating physician
  • Presentation at our center for tolvaptan treatment indication, or tolvaptan treatment planned, or tolvaptan already started

Exclusion criteria

Exclusion Criteria:

  • Patients not capable of giving
  • End stage renal disease requiring renal replacement therapy
  • Patients receiving tolvaptan as "off-label use"
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
Case-only
Time perspective
Prospective
Enrollment
2,000 participants (estimated)
Target follow-up
10 Years
Patient registry
Yes

Groups and cohorts

  • ADPKD

    Patients with diagnosis of ADPKD, who are either evaluated for tolvaptan treatment indication, planned for tolvaptan treatment, or are already treated with tolvaptan

06

What researchers measure

Primary outcomes

  1. Drug dosing and titration as a measure of changes in real-life setting

    Drug dosing and titration as a measure of maximum dose and the final dose and how fast it is achieved

    Time frame: 10 years

  2. Urine osmolarity as a measure of appropriate dosing

    Data on urine osmolarity will be collected to measure appropriate dosing to provide the desired protective effect

    Time frame: 10 years

  3. Evaluation of rate of drug discontinuation and average Duration of therapy

    Evaluation of rate of drug discontinuation and average Duration of therapy

    Time frame: 10 years

Secondary outcomes

  1. Demographics

    Data on demographics will be collected

    Time frame: 10 years

  2. Clinical and biochemical characteristics at enrolment and treatment initiation

    Time frame: 10 years

  3. Clinical and biochemical characteristics during follow-up

    Time frame: 10 years

  4. Urinary output

    Time frame: 10 years

  5. Evolution of estimated glomerular Filtration rate (eGFR) over the Observation period

    Time frame: 10 years

  6. Evolution of TKV

    Time frame: 10 years

  7. Side effects

    Time frame: 10 years

  8. Liver enzymes

    Time frame: 10 years

07

Study locations

10 of 12 sites recruiting
  • Fachinternistische Gemeinschaftspraxis Markgraeferland
    Müllheim, Baden-Wurttemberg 79379, Germany
    Recruiting
    • Markus Cybulla, MD · Contact
    • Gudrun Tech · Contact
    • Markus Cybulla, MD · Principal investigator
  • University Hospital of Wuerzburg, ZIM
    Würzburg, Bavaria 97080, Germany
    Recruiting
    • Daniel Kraus, MD · Contact
    • Kirsten Hofmann · Contact
    • Christoph Wanner, MD · Principal investigator
    • Daniel Kraus, MD · Sub investigator
  • Medizinische Hochschule Hannover
    Hanover, Lower Saxony 30625, Germany
    Recruiting
    • Roland Schmitt, MD · Contact
    • Hermann Haller, MD · Contact
    • Roland Schmitt, MD · Principal investigator
    • Hermann Haller, MD · Sub investigator
  • University Hospital of Cologne
    Cologne, North Rhine-Westphalia 50937, Germany
    Recruiting
    • Thomas Benzing, MD · Contactthomas.benzing@uk-koeln.de · +49 221 478 97222
    • Roman-Ulrich Mueller, MD · Contactroman-ulrich.mueller@uk-koeln.de · +49 221 478 97222
    • Roman-Ulrich Mueller, MD · Sub investigator
    • Franziska Grundmann, MD · Sub investigator
    • Katharina Burkert, MD · Sub investigator
    • Polina Todorova · Sub investigator
    • Victor Suarez, MD · Sub investigator
    • Thomas Benzing, MD · Principal investigator
  • Nieren- und Diabeteszentrum Nettetal-Lobberich
    Nettetal, North Rhine-Westphalia 41334, Germany
    Active, not recruiting

    Not enrolling at this site.

  • University Hospital of Leipzig, Nephrologische Ambulanz
    Leipzig, Saxony 04103, Germany
    Recruiting
    • Jan Halbritter, MD · Contact
    • Jan Halbritter, MD · Principal investigator
  • Praxisgemeinschaft Dr. Peschel
    Leipzig, Saxony 04107, Germany
    Recruiting
    • Katrin Peschel, MD · Contact
    • Katrin Peschel, MD · Principal investigator
  • University Hospital of Schleswig-Holstein
    Lübeck, Schleswig-Holstein 23538, Germany
    Recruiting
    • Figen Cakiroglu, MD · Contact
    • Alexandra Tiedtke · Contact
    • Figen Cakiroglu, MD · Principal investigator
  • Nierenzentrum Lübeck
    Lübeck, Schleswig-Holstein 23562, Germany
    Recruiting
    • Peter Gerke, MD · Contact
    • Lutz Hennings · Contact
    • Peter Gerke, MD · Principal investigator
  • Charité Universitätsmedizin Berlin
    Berlin, State of Berlin 10117, Germany
    Active, not recruiting

    Not enrolling at this site.

  • University Hospital of Jena
    Jena, Thuringia 07747, Germany
    Recruiting
    • Martin Busch, MD · Contact
    • Martin Busch, MD · Principal investigator
  • Robert-Bosch-Krankenhaus
    Stuttgart, 70376, Germany
    Recruiting
    • Dominik Alscher, MD · Contact
    • David Callau Monje, MD · Contact
    • Dominik Alscher, MD · Principal investigator
    • David Callau Monje, MD · Sub investigator
08

References and documents

Publications

  • Woestmann F, Strubl S, Farowski F, Arjune S, Tsakmaklis A, Todorova P, Spath MR, Brodesser S, Baar T, Grundmann F, Vehreschild MJGT, Muller RU. The Gut Microbiome in Autosomal Dominant Polycystic Kidney Disease: A Cross-Sectional Study. Kidney360. 2025 Nov 1;6(11):1906-1917. doi: 10.34067/KID.0000000836. Epub 2025 Jun 3. PubMed 40459942 ↗
  • Bais T, Knol MGE, Xue L, Geertsema P, Vart P, Reichel F, Arjune S, Muller RU, Dekker SEI, Salih M, Meijer E, Gansevoort RT; DIPAK Consortium. Predicting Kidney Outcomes in Autosomal Dominant Polycystic Kidney Disease: A Comprehensive Biomarker Analysis. Clin J Am Soc Nephrol. 2025 May 1;20(5):608-618. doi: 10.2215/CJN.0000000680. Epub 2025 Mar 11. PubMed 40067938 ↗
  • Arjune S, Lettenmeier K, Todorova P, Spath MR, Majjouti M, Mahabir E, Grundmann F, Muller RU. Inflammatory Cytokine Levels in Patients with Autosomal Dominant Polycystic Kidney Disease. Kidney360. 2024 Sep 1;5(9):1289-1298. doi: 10.34067/KID.0000000000000525. Epub 2024 Jul 24. PubMed 39046800 ↗
  • van Heugten MH, Blijdorp CJ, Arjune S, van Willigenburg H, Bezstarosti K, Demmers JAA, Musterd-Bhaggoe U, Meijer E, Gansevoort RT, Zietse R, Hayat S, Kramann R, Muller RU, Salih M, Hoorn EJ; DIPAK Consortium. Matrix Metalloproteinase-7 in Urinary Extracellular Vesicles Identifies Rapid Disease Progression in Autosomal Dominant Polycystic Kidney Disease. J Am Soc Nephrol. 2024 Mar 1;35(3):321-334. doi: 10.1681/ASN.0000000000000277. Epub 2023 Dec 11. PubMed 38073039 ↗
  • Woznicki P, Siedek F, van Gastel MDA, Dos Santos DP, Arjune S, Karner LA, Meyer F, Caldeira LL, Persigehl T, Gansevoort RT, Grundmann F, Baessler B, Muller RU. Automated Kidney and Liver Segmentation in MR Images in Patients with Autosomal Dominant Polycystic Kidney Disease: A Multicenter Study. Kidney360. 2022 Dec 29;3(12):2048-2058. doi: 10.34067/KID.0003192022. eCollection 2022 Dec 29. PubMed 36591351 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2015 (actual). Primary completion is estimated for Dec 2027, 145 months after the start.

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

Registered
Jun 19, 2015
First posted
Jul 14, 2015
StartActual
Nov 2015
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
Apr 30, 2026
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 Apr 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02497521
Responsible party
Roman Müller (MD, Prof., University Hospital of Cologne) — Principal investigator
First posted
Jul 14, 2015
Start date
Nov 2015
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Apr 30, 2026

Study contacts

Roman-Ulrich Mueller, MD
Contact
roman-ulrich.mueller@uk-koeln.de
+49(0)22147897222
Cornelia Boehme
Contact
studienzentrum-medII@uk-koeln.de
+49(0)22147897222
Thomas Benzing, MD, Prof.
principal investigator · University Hospital of Cologne
Roman-Ulrich Müller, MD, Prof.
principal investigator · University Hospital Cologne

Oversight

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

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