AI boosts kidney drug dosing: hope for membranous nephropathy patients
NCT ID NCT06341205
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether artificial intelligence can help doctors personalize rituximab doses for people with membranous nephropathy, an autoimmune kidney disease. About 120 adults with active disease will receive either standard rituximab or AI-guided dosing to keep drug levels high enough. The goal is to see if personalized dosing leads to more remissions after 6 months.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2025
- Expected to finish
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Sep 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years * Ongoing episode of membranous nephropathy diagnosed by the presence of anti-PLA2R1 antibodies detected by ELISA (≥ 14 RU/ml, EUROIMMUN): the result must be validated by the Coordination team before randomization. * Nephrotic syndrome defined by proteinuria \> 3.5 g/24h (or UPCR \> 3.5 g/g) and serum albumin \< 30 g/L at diagnosis * Estimated Glomerular Filtration Rate (CKD-EPI formula) \> 30 mL/min/1,73 m2 * Indication for rituximab treatment according to the KDIGO and French guidelines * Non-immunosuppressive antiproteinuric treatment at stable dose for 2 weeks according to French guidelines, including a renin angiotensin aldosterone system inhibitor, a diuretic and a low-salt diet at maximal tolerated dose (i.e., absence of orthostatic hypotension and no increase in creatinine \> 30%) Exclusion Criteria: * Secondary Membranous nephropathy related to cancer, infection, systemic lupus, drug * Diagnosis of PLA2R1-associated Membranous nephropathy not confirmed by the Coordination team (validation mandatory for randomization) * Pregnancy or breastfeeding * Immunosuppressive treatment (including rituximab) in the 6 months preceding inclusion * Presence of anti-rituximab antibodies detected by Central Lab * Cancer under treatment * Patients with active, severe infections * Hypersensitivity to the active substance or excipients * Patients severely immunocompromised * Severe heart failure or severe, uncontrolled cardiac disease
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
14 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AP-HM - Hôpital de la Conception
RECRUITINGMarseille, France
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AP-HP - Hôpital Européen Georges Pompidou
RECRUITINGParis, France
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AP-HP - Hôpital H. Mondor
RECRUITINGCréteil, France
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AP-HP - Hôpital Necker
RECRUITINGParis, France
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CH de Valenciennes
RECRUITINGValenciennes, France
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CHRU de TOURS - Hôpital Bretonneau
RECRUITINGTours, France
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CHU de BESANCON
RECRUITINGBesançon, France
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CHU de BORDEAUX - Hôpital Pellegrin
RECRUITINGBordeaux, France
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CHU de CAEN
RECRUITINGCaen, France
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CHU de NICE
RECRUITINGNice, France
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CHU de Nîmes - Hôpital CAREMEAU
RECRUITINGNîmes, France
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CHU de TOULOUSE - Hôpital Rangueil
RECRUITINGToulouse, France
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HCL - Hôpital E. Herriot
RECRUITINGLyon, France
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Hôpital Tenon
NOT_YET_RECRUITINGParis, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can AI learn to spot kidney disease in biopsy images?
- Kidney disease drug may train immune cells to calm themselves
- A new tool to predict kidney failure risk in membranous nephropathy?
- Can a smarter antibody outsmart a kidney disease that resists standard treatment?
- Can a single drug calm lupus kidney disease without a cocktail of meds?
- Immune cells may hold key to predicting kidney disease relapse