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Diabetes MellitusAI-CRICNCT04185844

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

An observational study of Diabetes Mellitus and Chronic Kidney Diseases, run by University of New Mexico at 3 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial 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. Read more about this study

Who is it for?
Ages 21 to 80 years
How many people
504 participants
Where
3 sitesUnited States
Study dates
31 Aug 2020to 31 Jul 2028
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: American Indians at 3 sites.

Who may be able to join

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

Who cannot join

  • Unable or unwilling to provide informed consent
  • life expectancy <3 years;
  • institutionalized subjects;
  • End stage renal disease or renal transplant;
  • renal cancer;
  • myeloma;
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  • immunosuppression;
  • Polycystic kidney disease;
  • participation in any clinical trial,
  • current pregnancy
  • current incarceration.
  • Appears unlikely or unable to participate in the required study procedures as assessed by the investigator, study coordinator or designee.

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Mark L Unruh, MD contact

505-272-8300

MLUnruh@salud.unm.edu

United States3 sites, 3 recruiting
  • First Nations Community Health Source

    Albuquerque, New Mexico, 87108

    Recruiting
  • Zuni Health Initiative Center

    Black Rock, New Mexico, 87327

    Recruiting
  • NIDDK-Phoenix Epidemiology and Clinical Research

    Phoenix, Arizona, 85016

    Not yet recruiting

Other trials in United States

About this study

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

Medical subject headings
Diabetes Mellitus, Renal Insufficiency, Chronic, Heart Diseases, Cardiovascular Diseases

What is being measured

The primary outcome is the main question the study is designed to answer.

  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.

    Measured: 5 years

Secondary outcomes (4)
  1. Onset of End Stage Renal Disease

    The measure is reflected in decline of GFR levels

    Measured: 5 years

  2. Significant loss of renal function

    The measure is reflected in decline of GFR levels

    Measured: 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

    Measured: 5 years

  4. Slope of change in proteinuria over time

    The changes in the levels of proteinuria overtime

    Measured: 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Dec 2019
  2. Study start31 Aug 2020
  3. Primary completion31 Jul 2028 (estimated)
  4. Study completion31 Jul 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
504 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04185844
Sponsor's protocol ID
19-159
Acronym
AI-CRIC
Status last verified
Oct 2026
First submitted
22 Nov 2019
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

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