RESOLVE: Recurrence Posttransplant Observational Study in Focal Segmental Glomerulosclerosis and Minimal Change Disease

Introduction: The morbidity of recurrent focal segmental glomerulosclerosis (FSGS) and minimal change disease (MCD) after transplant is well recognized. Additional collaborative research is necessary to advance understanding of recurrence epidemiology, mechanisms, interventions, and outco...

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Main Authors: Eloise C. Salmon, Ashley E. Rahimi, Hailey E. Desmond, Nathaniel M. Putnam, Elena Martinelli, Elizabeth M. Hendren, Susan F. Massengill, Priya S. Verghese, Simone Sanna-Cherchi, Matthias Kretzler, Abhijit S. Naik, Howard Trachtman, Zubin J. Modi
Format: Article
Language:English
Published: Karger Publishers 2024-12-01
Series:Glomerular Diseases
Online Access:https://karger.com/article/doi/10.1159/000542839
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author Eloise C. Salmon
Ashley E. Rahimi
Hailey E. Desmond
Nathaniel M. Putnam
Elena Martinelli
Elizabeth M. Hendren
Susan F. Massengill
Priya S. Verghese
Simone Sanna-Cherchi
Matthias Kretzler
Abhijit S. Naik
Howard Trachtman
Zubin J. Modi
author_facet Eloise C. Salmon
Ashley E. Rahimi
Hailey E. Desmond
Nathaniel M. Putnam
Elena Martinelli
Elizabeth M. Hendren
Susan F. Massengill
Priya S. Verghese
Simone Sanna-Cherchi
Matthias Kretzler
Abhijit S. Naik
Howard Trachtman
Zubin J. Modi
author_sort Eloise C. Salmon
collection DOAJ
description Introduction: The morbidity of recurrent focal segmental glomerulosclerosis (FSGS) and minimal change disease (MCD) after transplant is well recognized. Additional collaborative research is necessary to advance understanding of recurrence epidemiology, mechanisms, interventions, and outcomes, particularly in children. Methods: RESOLVE is a multicenter, observational cohort study examining the posttransplant course of patients with FSGS and MCD across the lifespan. Multiple enrollment options will facilitate both retrospective and prospective collection of biospecimens, self-report items, and electronic health record data across pediatric and adult participants. The study offers a unique mobile health option for participants to enroll and engage with the study remotely. Logistic regression using a log link function will evaluate recurrence risk within 3 months of transplant based on clinical characteristics and assess the impact of social determinants of health on time to graft failure, following adjustment. Cox proportional hazards models with primary outcome of graft failure with competing risk of death will evaluate the impact of recurrence therapy and access to preventative versus reactive recurrence therapy. Independent logistic regression will evaluate the impact of recurrence therapy and endophenotypes on proteinuric outcomes. Conclusion: Multiple enrollment approaches and tailored site participation are needed while studying recurrent FSGS (rFSGS) due to its rarity and phenotypic variability. RESOLVE provides a framework for international collaboration to unravel the course of rFSGS through a biospecimen and data repository. It also explores the potential for mobile health tools to enhance recruitment of participants and to promote cooperation among researchers to advance understanding of recurrence mechanisms and treatments.
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spelling doaj-art-2ed008e51a6f4a6a8fc1a8d0e1861b9b2025-08-20T03:09:47ZengKarger PublishersGlomerular Diseases2673-36332024-12-0151606710.1159/000542839RESOLVE: Recurrence Posttransplant Observational Study in Focal Segmental Glomerulosclerosis and Minimal Change DiseaseEloise C. SalmonAshley E. RahimiHailey E. DesmondNathaniel M. PutnamElena MartinelliElizabeth M. HendrenSusan F. Massengillhttps://orcid.org/0000-0002-3048-6983Priya S. VergheseSimone Sanna-CherchiMatthias KretzlerAbhijit S. NaikHoward TrachtmanZubin J. Modi Introduction: The morbidity of recurrent focal segmental glomerulosclerosis (FSGS) and minimal change disease (MCD) after transplant is well recognized. Additional collaborative research is necessary to advance understanding of recurrence epidemiology, mechanisms, interventions, and outcomes, particularly in children. Methods: RESOLVE is a multicenter, observational cohort study examining the posttransplant course of patients with FSGS and MCD across the lifespan. Multiple enrollment options will facilitate both retrospective and prospective collection of biospecimens, self-report items, and electronic health record data across pediatric and adult participants. The study offers a unique mobile health option for participants to enroll and engage with the study remotely. Logistic regression using a log link function will evaluate recurrence risk within 3 months of transplant based on clinical characteristics and assess the impact of social determinants of health on time to graft failure, following adjustment. Cox proportional hazards models with primary outcome of graft failure with competing risk of death will evaluate the impact of recurrence therapy and access to preventative versus reactive recurrence therapy. Independent logistic regression will evaluate the impact of recurrence therapy and endophenotypes on proteinuric outcomes. Conclusion: Multiple enrollment approaches and tailored site participation are needed while studying recurrent FSGS (rFSGS) due to its rarity and phenotypic variability. RESOLVE provides a framework for international collaboration to unravel the course of rFSGS through a biospecimen and data repository. It also explores the potential for mobile health tools to enhance recruitment of participants and to promote cooperation among researchers to advance understanding of recurrence mechanisms and treatments. https://karger.com/article/doi/10.1159/000542839
spellingShingle Eloise C. Salmon
Ashley E. Rahimi
Hailey E. Desmond
Nathaniel M. Putnam
Elena Martinelli
Elizabeth M. Hendren
Susan F. Massengill
Priya S. Verghese
Simone Sanna-Cherchi
Matthias Kretzler
Abhijit S. Naik
Howard Trachtman
Zubin J. Modi
RESOLVE: Recurrence Posttransplant Observational Study in Focal Segmental Glomerulosclerosis and Minimal Change Disease
Glomerular Diseases
title RESOLVE: Recurrence Posttransplant Observational Study in Focal Segmental Glomerulosclerosis and Minimal Change Disease
title_full RESOLVE: Recurrence Posttransplant Observational Study in Focal Segmental Glomerulosclerosis and Minimal Change Disease
title_fullStr RESOLVE: Recurrence Posttransplant Observational Study in Focal Segmental Glomerulosclerosis and Minimal Change Disease
title_full_unstemmed RESOLVE: Recurrence Posttransplant Observational Study in Focal Segmental Glomerulosclerosis and Minimal Change Disease
title_short RESOLVE: Recurrence Posttransplant Observational Study in Focal Segmental Glomerulosclerosis and Minimal Change Disease
title_sort resolve recurrence posttransplant observational study in focal segmental glomerulosclerosis and minimal change disease
url https://karger.com/article/doi/10.1159/000542839
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