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

NCT ID: NCT04185844

Last Updated: 2025-05-15

Basic Information

• Recruitment Status: RECRUITING
• Total Enrollment: 500 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2020-08-31
• Study Completion Date: 2028-06-30

Brief 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.

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

Conditions

Diabetes Mellitus; Chronic Kidney Diseases; Heart Diseases; Cardiovascular Diseases

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Eligibility Criteria

Inclusion Criteria

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

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.

• Minimum Eligible Age: 21 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of New Mexico

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Mark L Unruh, MD

Role: PRINCIPAL_INVESTIGATOR

University of New Mexico

Locations

NIDDK-Phoenix Epidemiology and Clinical Research

Phoenix, Arizona, United States

Site Status: NOT_YET_RECRUITING

First Nations Community Health Source

Albuquerque, New Mexico, United States

Site Status: RECRUITING

Zuni Health Initiative Center

Black Rock, New Mexico, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Mark L Unruh, MD

Role: CONTACT

MLUnruh@salud.unm.edu

505-272-8300

Related Links

http://www.cristudy.org/Chronic-Kidney-Disease/Chronic-Renal-Insufficiency-Cohort-Study/about

Chronic Renal Insufficiency cohort study

Other Identifiers

19-159

Identifier Type: -

Identifier Source: org_study_id