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A study of genetic and environmental factors associated with kidney disease in people of African ancestry living in the UK

APolipoprotein L1 in People of African ancestry Living in the UK: Exploration of genetic and environmental factors associated with Chronic Kidney Disease (APPLE-CKD)

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN17433656
Enrollment
240
Registered
2022-05-05
Start date
2022-06-01
Completion date
Unknown
Last updated
2026-01-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Exploration of genetic and environmental factors associated with chronic kidney disease in patients of African ancestry Urological and Genital Diseases

Interventions

In the study, plasma, serum, urine, pre-existing renal tissue and peripheral blood mononuclear cells (PBMC) will be collected from patients. These will be sent for further analyses for: 1. Genotyping

Sponsors

King's College Hospital NHS Foundation Trust
Lead Sponsor
King's College London
Collaborator

Eligibility

Sex/Gender
All
Age
18 Years to 100 Years

Inclusion criteria

Inclusion criteria: CKD cases: 1. Self-reported African ancestry 2. Aged =18 years 3. Willing and able to provide written informed consent 4. Chronic kidney disease (KDIGO Criteria) 5. Group 1: Without diabetic nephropathy or serological or biopsy-proven evidence of immune-mediated kidney disease 6. Group 2: With diabetic nephropathy or serological or biopsy-proven evidence of immune-mediated kidney disease Controls: 1. Self-reported African ancestry 2. Aged =18 years 3. Willing and able to provide written informed consent 4. No CKD (estimated GFR >60 ml/min/1.73m² and urinary protein: creatinine <15mg /mol or albumin: creatinine ratio <3 mg/mmol or negative urine dip for protein).

Exclusion criteria

Exclusion criteria: For both CKD cases and controls: 1. Unable to provide informed consent 2. Pregnancy

Design outcomes

Primary

MeasureTime frame
At a single time point: 1. APOL1 promoter DNA methylation patterns in renal tissue and PBMC (spleen) and urine (Cases only) measured using standard laboratory analysis 2. CKD disease phenotype measured using standard laboratory analysis

Secondary

MeasureTime frame
At a single time point: Clinical characteristics from patient notes and laboratory records, inflammatory markers measured using novel proteomic methods

Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026