Disease Directory Nephronophthisis
Renal

Nephronophthisis

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

Prevalence

Approximately 1 in 50,000–100,000; leading genetic cause of ESRD in children

Onset

Childhood to adolescence (age of ESRD varies by subtype)

Type

Rare autosomal recessive ciliopathy / tubulointerstitial nephropathy

Gene

NPHP1, NPHP3, NPHP4 (multiple)

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 failure Progressive chronic kidney disease leading to ESRD Normal or small-sized kidneys on ultrasound Medullary cysts on MRI Retinal dystrophy (in Senior-Løken syndrome) Cerebellar ataxia or vermis hypoplasia (in Joubert syndrome)

Clinical Trial Eligibility Tips

What to know before applying to Nephronophthisis trials.

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.

Patient Resources

Patient Organization

Kidney Health Initiative / NephCure Kidney International

Visit website ↗

Natural History Registry

Rare Kidney Disease Registry (RKD Registry)

Join registry ↗

Orphanet

European reference resource for rare diseases (ORPHA:655)

View on Orphanet ↗

NORD

National Organization for Rare Disorders

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Find recruiting Nephronophthisis trials

Search 500,000+ studies from ClinicalTrials.gov, filtered for Nephronophthisis. Updated daily.

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