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RecruitingNCT04185844AI-CRICUpdated May 20, 2026

American Indian Chronic Renal Insufficiency Cohort Study (AI-CRIC Study)

An observational study in Diabetes Mellitus, Chronic Kidney Diseases and Heart Diseases, sponsored by University of New Mexico. Recruiting at 3 sites in United States. Open to participants aged 21 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-05-20.

Sponsored by University of New Mexico · Observational

From the registry’s dates

  • Started Aug 2020; still recruiting 6 years 1 month later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
Ages
21 Years to 80 Years
Sex
All
01

Study summary

Despite many advances in our understanding of the natural history and progression of chronic kidney disease (CKD) and cardio vascular disease (CVD) in the parent CRIC study over the past 15 years, important questions about key risk factors for these diseases remain unanswered in the AI population. To address this burden of CKD in AI communities Investigators formed a consortium of investigators with extensive experience in conducting research of chronic diseases including diabetes, cardiovascular and kidney disease in AIs of Southwestern US. The proposed CRIC ancillary cohort study of 500 AIs (AI-CRIC) will rapidly improve our understanding of both potential risk factors for CKD progression, as well as the scope of this disease among AIs. This study leverages the current CRIC study and incorporates the planned activities of the next phase of the study - "CRIC 2018" - by implementing contemporary CRIC protocols for kidney and cardiovascular measurement and outcomes.

Read the detailed description

Investigators will conduct a longitudinal study of a CKD cohort of Southwest AIs to identify unique risk factors for CKD and CVD progression and compare CKD and CVD event rates and risk factors between AI and the populations represented in CRIC. Investigators will establish a specimen bank to support future ancillary studies designed to identify and examine biomarkers associated with the progression of CKD in AIs.

At the Clinic Visit the following will occur:

  • weight is measured
  • blood pressure and heart rate are recorded
  • information about medical history and medication used recently
  • blood draw (about ½ cup) for the following tests: CBC (Complete Blood Count), tests of metabolism, and several other heart and kidney tests
  • blood pressure in the leg and arm calculated as the Ankle Brachial Index (ABI)
  • urine sample collection for kidney function testing
  • complete questionnaires about quality of life, diet, mood, thought processes and physical activity.

This visit takes about 1 to 2 hours. Participants will be contacted by telephone six months after the Baseline Visit to ask about recent medical events and medications.

Participants will be asked to return to the center for annual visits during which many but not all of the procedures described above will be conducted.

Additionally, participants will be asked to participate in one of two substudies using remote data collection techniques to identify trajectories of kidney function and cardiovascular risk sub-phenotypes

02

Conditions studied

  • Diabetes Mellitus
  • Chronic Kidney Diseases
  • Heart Diseases
  • Cardiovascular Diseases
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,318 are open to participants now.

This study's planned enrollment of 500 is above the median of 233 across 2,218 observational studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

University of New Mexico is the lead sponsor of 306 studies on the registry; 28 are open to participants now.

Of its 25 completed or terminated interventional studies of FDA-regulated products, 23 (92%) have results posted.

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

04

Who can participate

Ages eligible
21 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

American Indians at 3 sites.

Inclusion criteria

  • Glomerular Filtration Rate (GFR): eGFR of =>61\<80 and microalbuminuria > 30 or eGRF of =\<60 (no microalbuminuria required).

Exclusion criteria

Exclusion Criteria:

  1. Unable or unwilling to provide informed consent
  2. life expectancy \<3 years;
  3. institutionalized subjects;
  4. End stage renal disease or renal transplant;
  5. renal cancer;
  6. myeloma;
  7. immunosuppression;
  8. Polycystic kidney disease;
  9. participation in any clinical trial,
  10. current pregnancy
  11. current incarceration.
  12. Appears unlikely or unable to participate in the required study procedures as assessed by the investigator, study coordinator or designee.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. Slope of the GFR

    Primary outcomes regarding Cardio vascular disease will focus on clinical events indicative of ischemic heart disease, CHF, stroke, and peripheral vascular disease supplemented by radiographic evidence of progressive CVD.

    Time frame: 5 years

Secondary outcomes

  1. Onset of End Stage Renal Disease

    The measure is reflected in decline of GFR levels

    Time frame: 5 years

  2. Significant loss of renal function

    The measure is reflected in decline of GFR levels

    Time frame: 5 years

  3. Composite clinical outcome defined by the occurrence of either 50% decline, or 25 l/min/1.73 m2 decline in GFR from baseline, or onset of ESRD

    The composite clinical outcome includes onset of End Stage Renal Disease, Significant loss of renal function or changes in proteinuria over time from baseline

    Time frame: 5 years

  4. Slope of change in proteinuria over time

    The changes in the levels of proteinuria overtime

    Time frame: 5 years

07

Study locations

2 of 3 sites recruiting
  • NIDDK-Phoenix Epidemiology and Clinical Research
    Phoenix, Arizona 85016, United States
    Not yet recruiting
  • First Nations Community Health Source
    Albuquerque, New Mexico 87108, United States
    Recruiting
  • Zuni Health Initiative Center
    Black Rock, New Mexico 87327, United States
    Recruiting
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04185844
Lead sponsor
University of New Mexico
Responsible party
Sponsor
First posted
Dec 4, 2019
Start date
Aug 31, 2020
Primary completion
Jun 30, 2028 (estimated)
Completion
Jun 30, 2028 (estimated)
Last update
May 20, 2026

Study contacts

Mark L Unruh, MD
Contact
MLUnruh@salud.unm.edu
505-272-8300
Mark L Unruh, MD
principal investigator · University of New Mexico

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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