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Lipoid nephrosis, also known as minimal change disease or minimal change nephropathy, is a glomerular disorder characterized by the electron microscopic finding of podocyte foot process effacement — the loss of specialized filtration projections from kidney glomerular cells (MONDO Ontology). Light microscopic examination does not reveal prominent glomerular structural changes, distinguishing the condition from other nephropathies. Patients present with proteinuria, hypoalbuminemia, edema, and hyperlipidemia consistent with nephrotic syndrome.
The hallmark clinical presentation includes significant proteinuria, low serum albumin (hypoalbuminemia), and peripheral edema. Hyperlipidemia is a commonly associated feature. The condition has been documented across age groups, with a recognized occurrence in both pediatric and adult populations.
The underlying etiology of lipoid nephrosis is not fully established. The condition is generally classified as idiopathic in the absence of identified genetic or secondary causes. No causative genes are documented in this packet.
Diagnosis is established through kidney biopsy interpreted with electron microscopy, which demonstrates diffuse podocyte foot process effacement without significant light microscopic or immunofluorescence abnormalities. The clinical presentation of nephrotic-range proteinuria in conjunction with biopsy findings is the basis for diagnosis (MONDO Ontology).
Cyclophosphamide, an alkylating agent, is documented in this packet as an active treatment (MONDO Ontology). Active clinical investigation is ongoing, with trials evaluating biologic and immunomodulatory agents including obinutuzumab and EVER001 for proteinuric glomerular disease (ClinicalTrials.gov).
23 trials found
Prognosis and natural history data are not available in this packet. No outcome or disease course information is documented at the level of detail available in the current data sources.
Active clinical trials are investigating treatment approaches for lipoid nephrosis, spanning drug therapy, procedural interventions, and medical devices (ClinicalTrials.gov). Published scientific literature includes over 130 classified articles, with reviews, biomarker research, and clinical trial publications represented, reflecting ongoing investigation into the condition's pathophysiology and management.
Data assembled from 4 of 12 sources · Last updated Sep 19, 2026, 2:09 PM UTC