ORPHA:656
Hereditary steroid-resistant nephrotic syndrome
Also known as: Familial idiopathic steroid-resistant nephrotic syndrome · Genetic FSGS · Genetic SRNS · Hereditary SRNS · Isolated SRNS · Monogenic SRNS
Publications
446
80.1th percentile
Trials
0
Interventional, condition-specific
Researchers
1,362
Distinct authors in sample
Gene link
—
Readiness
4/6
Stages with a signal
Clinical definition (Orphanet)
A rare, nephrotic syndrome characterized by proteinuria, hypoalbuminemia, edema, and hyperlipidemia, with an absence of response to an initial trial of corticosteroids (i.e. steroid-resistant nephrotic syndrome; SRNS) and a generally complicated course.
How rare: How common this is has not been clearly measured.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0019006
- UMLS:C4273714
Additional Mondo synonyms (1)
familial idiopathic nephrotic syndrome
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
4/6 stages with a signal
No specific-condition interventional trial, but broader-category trials exist — discuss eligibility with a clinician.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
446 matched papers (373 in last 10 years) Source
- Phenotype characterisedPresent
116 HPO annotations (e.g. Irritability; Chronic kidney disease; Fever) Source
- Animal modelPresent
1 genotype model (Mus musculus) Source
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- Interventional trialPartial
None under the specific name; 6 for broader category steroid-resistant nephrotic syndrome
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
116
Associated phenotypes · MONDO:0019006
- Irritability
- Chronic kidney disease
- Fever
- Proteinuria
- Edema
Showing 5 of 116 — open Monarch for the full list.
Animal models (Monarch / Alliance)
1
Model associations linked to this Mondo ID
- Actn4tm1Mrpk/Actn4tm1Mrpk [background:] involves: 129 * C57BL/6·MGI:2669775·Mus musculus
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.
Open Targets candidates
No drugs or clinical candidates returned for this Mondo ID on Open Targets.
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
446
446 papers have ever been published on this condition (under this name). For scale, breast cancer has over 700,000. Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
446 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
373 in the last 10 years · high confidence · 80.1th percentile (publications denominator)
Phrase hits: 446 · MeSH hits: 0
Who's working on it?
1,362
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
No interventional trial matched this name; these authors publish on it in the sampled literature — a practical starting point for contact.
- 01Boyer O9 papers · 2025
Laboratoire des Maladies Rénales Héréditaires, Inserm UMR 1163, Imagine Institute for Genetic Diseases, Université Paris Cité, Paris, France.
Papers in Europe PMC - 02Hildebrandt F8 papers · 2026
Division of Nephrology, Department of Pediatrics, Boston Children's Hospital and Harvard University Medical School, Boston, Massachusetts.
Papers in Europe PMC - 03Morello W8 papers · 2025
Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, via della Commenda 9, 20122, Milano, Italy. williammorello82@gmail.com.
Papers in Europe PMC - 04Nozu K8 papers · 2026
Department of Pediatrics, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo-Ku, Kobe, 650-0017, Japan.
Papers in Europe PMC - 05Schaefer F8 papers · 2025
Department of Pediatric Nephrology, Center for Pediatric and Adolescent Medicine, University of Heidelberg, Germany.
Papers in Europe PMC - 06Fervenza FC7 papers · 2026
Division of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota.
Papers in Europe PMC - 07Montini G7 papers · 2025
Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, via della Commenda 9, 20122, Milano, Italy.
Papers in Europe PMC - 08Nagano C6 papers · 2026
Department of Pediatrics, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo-Ku, Kobe, 650-0017, Japan. china@med.kobe-u.ac.jp.
Papers in Europe PMC - 09Saleem MA6 papers · 2024
Department of Pediatric Nephrology, Bristol Royal Hospital for Children, University of Bristol, Bristol, UK.
Papers in Europe PMC - 10Shril S6 papers · 2026
Division of Nephrology, Department of Pediatrics, Boston Children's Hospital and Harvard University Medical School, Boston, Massachusetts.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
0
interventional trials for this specific condition
No interventional trial testing a treatment matched this specific condition name on ClinicalTrials.gov (observational studies and pan-disease registries are listed separately when present). 6 trials are registered for steroid-resistant nephrotic syndrome, the broader category — shown separately because they may or may not enrol this specific subtype.
Data as of 11 September 2026 · last trial check 11 September 2026
No matched interventional trials. This is true for 77.2% of diseases in the trials denominator (5501 of 7126). Here are the researchers publishing on it.
high confidence · 38.6th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
No interventional trial testing a treatment was found for this specific condition name on ClinicalTrials.gov.
6 interventional trials matched steroid-resistant nephrotic syndrome, the broader category — listed below. Those studies are not counted in the condition-specific total.
Broader category: steroid-resistant nephrotic syndrome
6
Interventional trials for the parent category, exclusive of NCT IDs already counted above. Eligibility for this subtype is not guaranteed.
Worth raising with a clinician. How we count trials.
Recruiting under the broader category
- NCT06622915·RECRUITING·Cardiac Performance Evaluation in Children With Steroid Dependent vs Steroid Resistant Nephrotic Syndrome
Conditions: Nephrotic Syndrome·Matched via name phrase
- NCT07003438·NOT YET RECRUITING·Study on the Efficacy and Safety of Fecal Microbiota Transplantation in the Treatment of Steroid - Dependent /Steroid-resistant Nephrotic Syndrome in Children
Conditions: Steroid-Resistant Nephrotic Syndrome · Steroid-Dependent Nephrotic Syndrome·Matched via name phrase
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 5 · after dedupe 5 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 5 · dropped 0 · fetched 2026-07-29
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (5)
- ctis·2025-522191-86-00·Authorised, recruiting·A multicentre, randomised, double-blind, parallel group, placebo-controlled trial to assess the effects of oral TRPC6 inhibitor BI 764198 taken over a 104 week treatment period in adult and adolescent participants with primary focal segmental glomerulosclerosis (pFSGS) or genetic FSGS related to TRPC6 gene variants
skipped — LLM skipped (--skip-llm)
- ctis·2023-505494-32-00·Cancelled·A Randomized, Multicenter, Double-blind, Parallel, Active-control Study of the Effects of Sparsentan, a Dual Endothelin Receptor and Angiotensin Receptor Blocker, on Renal Outcomes in Patients with Primary Focal Segmental Glomerulosclerosis (FSGS)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN72772236·Recruiting·Efficacy and safety of DMX-200 in patients with focal segmental glomerulosclerosis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17433656·Recruiting·A study of genetic and environmental factors associated with kidney disease in people of African ancestry living in the UK
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16948923·No longer recruiting·The use of rituximab in the treatment of nephrotic glomerulonephritis
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for Hereditary steroid-resistant nephrotic syndrome — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Hereditary steroid-resistant nephrotic syndrome" OR "Familial idiopathic steroid-resistant nephrotic syndrome" OR "Genetic FSGS" OR "Genetic SRNS" OR "Hereditary SRNS" OR "Isolated SRNS" OR "Monogenic SRNS" OR "familial idiopathic nephrotic syndrome"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Hereditary steroid-resistant nephrotic syndrome" OR "Familial idiopathic steroid-resistant nephrotic syndrome" OR "Genetic FSGS" OR "Genetic SRNS" OR "Hereditary SRNS" OR "Isolated SRNS" OR "Monogenic SRNS" OR "familial idiopathic nephrotic syndrome"
Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.
Parent-category trials query:
"steroid-resistant nephrotic syndrome"
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Confidence reasoning
- Preferred label is multi-word and distinctive
- No synonyms dropped by stoplist
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-26T14:47:43.074Z
