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A rare glomerular disease characterized by a pattern of glomerular injury on kidney biopsy with characteristic light microscopic changes: mesangial hypercellularity, endocapillary proliferation, and thickening of the glomerular basement membrane (GBM). On the basis of immunofluorescence (IF) the disorder is divided into C3 glomerulopathy (C3G) or immunoglobulin-mediated membranoproliferative glomerulonephritis. Through electron microscopy C3G is further divided into Dense deposit disease, with highly electrondense deposits in the glomerular basement membrane, and C3 glomerulonephritis, with mesangial, intramembranous, subendothelial and subepithelial deposits. Secondary causes (autoimmune, infectious, malignancies) are excluded.
Features include very common findings: Membranoproliferative glomerulonephritis; and common findings: Reduced kidney function (renal insufficiency), Protein in the urine (proteinuria), Nephrotic syndrome, and Hypertension and others. 16 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Kidneys and urinary system | 9 | Membranoproliferative glomerulonephritis, Reduced kidney function (renal insufficiency), Protein in the urine (proteinuria) |
Biomarker and diagnostic research for primary membranoproliferative glomerulonephritis has been reported in the published literature.
No approved treatments are currently available for primary membranoproliferative glomerulonephritis. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for primary membranoproliferative glomerulonephritis, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for primary membranoproliferative glomerulonephritis. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
Phenotype severity distribution: 1 very common feature, 9 common features.
Estimated prevalence: 1-5 in 10,000 (Uncommon).
7 clinical trials registered, 4 recruiting. Interventions under study include drug therapy, other interventions, and procedural interventions. Pipeline includes 2 PHASE3, 2 PHASE2, 2 NA. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT05809531](https://clinicaltrials.gov/study/NCT05809531) |
Data assembled from 6 of 12 sources · Last updated Sep 17, 2026, 8:25 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Heart and blood vessels | 2 | Hypertension, Myocardial infarction |
Designated
Exclusivity End |
|---|
Designation Status |
|---|
recombinant human minibody against complement component C5 | recombinant human minibody against complement component C5 | ADIENNE S.A. | 2009 | — | Withdrawn |
Gene therapy approaches for primary membranoproliferative glomerulonephritis have been reported in the published literature.
7 trials found
An Open-Label, Nonrandomized, Multicenter Extension Study to Evaluate the Long-term Safety and Efficacy of Pegcetacoplan in Participants With C3 Glomerulopathy or Immune-Complex Membranoproliferative Glomerulonephritis |
PHASE3 |
Apellis Pharmaceuticals, Inc. |
ACTIVE_NOT_RECRUITING |
[NCT06065852](https://clinicaltrials.gov/study/NCT06065852) | National Registry of Rare Kidney Diseases | — | UK Kidney Association | RECRUITING |
[NCT05996731](https://clinicaltrials.gov/study/NCT05996731) | Developing a Pipeline to Employ RNA-Seq as a Complementary Diagnostic Tool in Rare Diseases | NA | Mario Negri Institute for Pharmacological Research | RECRUITING |
[NCT05985122](https://clinicaltrials.gov/study/NCT05985122) | New Analytic Tools for aHUS and C3G Diagnosis | NA | Mario Negri Institute for Pharmacological Research | ACTIVE_NOT_RECRUITING |
[NCT04572854](https://clinicaltrials.gov/study/NCT04572854) | Study Assessing the Safety and Efficacy of Pegcetacoplan in Post-Transplant Recurrence of C3G or IC-MPGN | PHASE2 | Apellis Pharmaceuticals, Inc. | UNKNOWN |
133 publications have been identified in PubMed for primary membranoproliferative glomerulonephritis. Research spans Case Report / Case Series (46%), Review / Meta-Analysis (22%), and Epidemiology / Natural History (19%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 61 | 46% |
Research summaries | 29 | 22% |
Disease patterns and progression | 25 | 19% |
Laboratory research | 6 | 5% |
Other research | 4 | 3% |
Clinical study results | 4 | 3% |
Testing and diagnosis research | 3 | 2% |
New treatment approaches | 1 | 1% |
Prakash TS (2026). [PMID: 42246603](https://pubmed.ncbi.nlm.nih.gov/42246603/). *J Nephrol*. [Case Report / Case Series]
Kavanagh D (2026). [PMID: 41541782](https://pubmed.ncbi.nlm.nih.gov/41541782/). *Kidney Int Rep*. [Review / Meta-Analysis]
Vinogradova EV (2026). [PMID: 41589396](https://pubmed.ncbi.nlm.nih.gov/41589396/). *Animal Model Exp Med*. [Basic Science / Preclinical]
Al-Muhaiteeb A (2026). [PMID: 42039258](https://pubmed.ncbi.nlm.nih.gov/42039258/). *Glomerular Dis*. [Case Report / Case Series]
Nakao Y (2026). [PMID: 40634092](https://pubmed.ncbi.nlm.nih.gov/40634092/). *Intern Med*. [Case Report / Case Series]
Chen X (2026). [PMID: 42068364](https://pubmed.ncbi.nlm.nih.gov/42068364/). *Pediatr Nephrol*. [Basic Science / Preclinical]
Caravaca-Fontán F (2026). [PMID: 41502799](https://pubmed.ncbi.nlm.nih.gov/41502799/). *Kidney Int Rep*. [Review / Meta-Analysis]
Ruiz-Cabello JE (2026). [PMID: 41502804](https://pubmed.ncbi.nlm.nih.gov/41502804/). *Kidney Int Rep*. [Review / Meta-Analysis]
Fitchat NA (2026). [PMID: 41927893](https://pubmed.ncbi.nlm.nih.gov/41927893/). *Int Urol Nephrol*. [Epidemiology / Natural History]
Dixit S (2026). [PMID: 41208293](https://pubmed.ncbi.nlm.nih.gov/41208293/). *Curr Opin Nephrol Hypertens*. [Review / Meta-Analysis]
AI-curated news mentioning primary membranoproliferative glomerulonephritis
Updated Aug 3, 2026
A recent case report details a unique presentation of immune-complex-mediated membranoproliferative glomerulonephritis with linear IgG staining, which resembles atypical anti-glomerular basement membrane disease. This finding may provide insights into the pathophysiology and diagnosis of related kidney disorders.
A recent study analyzes initial treatment patterns for primary membranoproliferative glomerulonephritis in Japan from 2017 to 2021, utilizing nationwide clinical records. This updated analysis provides insights into evolving therapeutic approaches for this rare kidney disease.