Renal

Nephronophthisis

Also known as NPHP, juvenile nephronophthisis, medullary cystic kidney disease type 2

Nephronophthisis is an autosomal recessive cystic kidney disease and the most common monogenic cause of end-stage renal disease in the first three decades of life, characterised by tubulointerstitial nephritis, tubular basement membrane dis

ORPHA:655 ↗Gene NPHP1Gene NPHP3Gene NPHP4 (multiple)Prevalence Approximately 1 in 50,000–100,000; leading genetic cause of ESRD in childrenOnset Childhood to adolescence (age of ESRD varies by subtype)

4

studies recruiting now

as of 7 Sept 2026

25

studies registered in total

as of 7 Sept 2026

5

countries with a recruiting site

as of 7 Sept 2026

10 Sept 2025

most recent study posted

among recruiting studies

Recruiting trials

Showing the 4 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

Search all Nephronophthisis studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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Patient organisations

Kidney Health Initiative / NephCure Kidney InternationalPatient association
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About Nephronophthisis

Nephronophthisis is an autosomal recessive cystic kidney disease and the most common monogenic cause of end-stage renal disease in the first three decades of life, characterised by tubulointerstitial nephritis, tubular basement membrane disruption, and medullary cysts. It is a ciliopathy with variable extrarenal features including retinal dystrophy (Senior-Løken syndrome), cerebellar vermis aplasia (Joubert syndrome), and liver fibrosis depending on the mutated gene. The kidneys are typically normal or small in size, distinguishing NPHP from ADPKD.

Common clinical features

Polyuria and polydipsia (tubular concentrating defect)Anaemia disproportionate to degree of renal failureProgressive chronic kidney disease leading to ESRDNormal or small-sized kidneys on ultrasoundMedullary cysts on MRIRetinal dystrophy (in Senior-Løken syndrome)Cerebellar ataxia or vermis hypoplasia (in Joubert syndrome)

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Before you apply

Things trial teams commonly ask about for Nephronophthisis. Not eligibility rules; those are set by each study.

  • NPHP gene identification is essential for syndrome classification and trial stratification; comprehensive NPHP panel testing covering all known NPHP genes (NPHP1–NPHP20+) is recommended.
  • Renal function at the time of screening (eGFR) is a key eligibility variable; many trials target early to moderate CKD stages before ESRD to assess disease-modifying potential.
  • Extrarenal features should be systematically documented as they may open eligibility for ciliopathy-wide trials in addition to kidney-specific studies.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).