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Kidney & Renal

Polycystic Kidney Disease (PKD) Clinical Trials

Also called PKD, Adult Polycystic Kidney Disease, Autosomal Dominant Polycystic Kidney Disease, ADPKD

Polycystic Kidney Disease results from mutations in the PKD1 gene (chromosome 16, accounting for 85% of cases) or PKD2 gene (chromosome 4, accounting for 15% of cases). These genes encode proteins involved in cellular structure and communication.

In plain words, polycystic kidney disease is an inherited disorder where many sacs called cysts grow in the kidneys. Over time, the cysts crowd out healthy kidney tissue, and they can also cause high blood pressure and back pain.

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Polycystic Kidney Disease

Where treatments stand, from ClinicalTrials.gov and FDA labels

FDA review0

No decision pending. FDA calendar

FDA-approved medicines1

Jynarque

Polycystic Kidney Disease has 1 FDA-approved medicine, 47 open or active clinical trials, and no pending FDA decision.

Labels checked October 21, 2026. Corticosteroids and immune globulins count once each.Download the data

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The mutations lead to uncontrolled cyst formation and expansion within the kidney, progressively destroying normal kidney tissue. PKD1 changes usually cause faster disease than PKD2 changes. In a 2013 French study of 741 patients, kidney failure came at a median age of 58 with a PKD1 change and 79 with a PKD2 change (Cornec-Le Gall et al.).

Keep reading about Polycystic Kidney Disease

As cysts enlarge, they damage remaining functional kidney tissue through inflammation, ischemia, and fibrosis. Most patients develop hypertension even before significant loss of kidney function, which can accelerate disease progression. Patients may have numerous complications including chronic pain from cyst hemorrhage, urinary tract infections, kidney stones, and liver cysts, the most common problem outside the kidneys, which often cause no symptoms. More than half of people with ADPKD reach kidney failure by age 70, according to the NIDDK. Extrarenal manifestations include aortic root dilation, mitral valve prolapse, intracranial aneurysms, and arachnoid cysts.

Why is Polycystic Kidney Disease on Trial Friend?Polycystic kidney disease affects about 500,000 people in the United States, according to the NIH's NIDDK, nearly all with the autosomal dominant form, well above the rare disease threshold. Trial Friend includes it because it is often called the most common life-threatening genetic disease, its childhood-onset autosomal recessive form is genuinely rare, and its trial activity sits at the center of genetic kidney research.

What are the symptoms of Polycystic Kidney Disease?

These are common symptoms of Polycystic Kidney Disease, and how strong they are varies from person to person.

  • Flank or back pain from enlarged kidneys
  • Hematuria visible or microscopic blood in urine
  • High blood pressure
  • Urinary tract infections
  • Kidney stones
  • Fatigue from anemia and declining kidney function

Who gets Polycystic Kidney Disease?

Autosomal dominant PKD is usually diagnosed between ages 30 and 50, when signs start to appear, though cysts are often present from childhood (NIDDK; MedlinePlus Genetics). It affects women and men equally and occurs in people of every race and ethnicity. In about 90% of cases the changed gene is passed down from a parent, and the other 10% come from a new (de novo) change. The rarer autosomal recessive form usually shows at birth or in early infancy.

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Which medicines are FDA-approved for Polycystic Kidney Disease?

There is currently 1 FDA-approved medication for Polycystic Kidney Disease.

tolvaptan
Otsuka America Pharmaceutical (Jynarque); generics from Lupin, Teva and Ascend
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Source: openFDA drug labeling data. This list may not include all treatments. Always consult your doctor.

How to get help paying for Polycystic Kidney Disease treatment

Charity funds and drugmaker programs for Polycystic Kidney Disease, checked at the source.

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Side effects people have reported to the FDA

Side effects people have reported to the FDA

Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.

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Diagnosis and genetic testing

Genetic testing for Polycystic Kidney Disease

Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.

The PKD1 gene page lists every condition Orphanet links to the gene and the open trials that name it.

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Trusted Polycystic Kidney Disease resources

Reputable organizations and medical references for learning more about Polycystic Kidney Disease, including disease registries, foundation resources, and clinical guidelines.

Active clinical trials for Polycystic Kidney Disease

Use this Polycystic Kidney Disease clinical trial finder to see the 27 studies recruiting patients and 3 not yet recruiting in the United States and worldwide, with eligibility criteria in plain English. Of these, 18 test a treatment and 12 are observational studies or registries; each card says which. Every trial comes from ClinicalTrials.gov.

Jump to the trial list, the site map or the pipeline timeline.

Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

47 active trials worldwide
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RecruitingObservational study, no treatment givenRecently updatedNCT07260071

Hypertension in Children and Young People at Risk of Autosomal Dominant Polycystic Kidney Disease

Sponsor: King's College London

The goal of this project is to measure the prevalence of Autosomal Dominant Polycystic Kidney Disease (ADPKD) and hypertension in the general population of children and young people at risk of ADPKD, using magnetic resonance imaging (MRI) for rapid diagnosis alongside genetic tes...

Ages 12 Years to 17 Years1 location
Started Aug 2025Updated 1 week agoEst. Mar 2028 (~1y 4m)
RecruitingTreatment trialRecently updatedNCT06325644

Well-Formulated Ketogenic Diet Polycystic Kidney Disease

Intervention: Ketogenic Diet, Ketone/Glucose Monitoring, CGM/CKM, Blood Draw, Body Composition, Change in glomerular filtration rate (mg/mmol) via magnetic resonance imaging (MRI) .

Sponsor: Ohio State University

This is a prospective study to determine ketogenic diet effect on htTKV, GFR, microalbuminuria. This is a single-center study of 20 patients with ADPKD and deemed high risk for progression to ESRD. This determined by combination of features of ADPKD and htTKV as assessed by prior computed tomography (CT) or MRI.

Ages 18 Years to 65 Years1 location
Started Jun 2024Updated 1 week agoEst. Dec 2026 (17 days)
Not yet recruitingTreatment trialPhase 1Recently updatedNCT07909070

A Study to Investigate the Pharmacokinetics of JMKX003142 in Healthy Participants and Participants With Hepatic Impairment

Intervention: JMKX003142

Sponsor: Jemincare · Zhejiang Hangyu Pharmaceutical Co., Ltd.

The primary purpose of this study is to evaluate the plasma PK of JMKX003142 following a single dose in participants with mild and moderate hepatic impairment compared to matched healthy participants with normal hepatic function.

Ages 18 Years to 75 Years
Expected to start Nov 2026Updated 1 week agoEst. May 2027 (~6 months)
RecruitingTreatment trialPhase 1Recently updatedNCT07868926

Absorption, Distribution, Metabolism, and Excretion of 14C-VX-407 After a Single Oral Dose

Intervention: 14C-VX-407

Sponsor: Vertex Pharmaceuticals Incorporated

The purpose of the study is to evaluate the pharmacokinetics, safety and tolerability of VX-407 following a single oral dose.

Ages 19 Years to 55 Years1 location
Started Oct 2026Updated 2 weeks agoEst. Dec 2026 (~1 month)
RecruitingTreatment trialPhase 3Recently updatedNCT04782258

A Study to See if Tolvaptan is Safe in Infants and Children Who at Enrollment Are 28 Days to Less Than 18 Years Old With Autosomal Recessive Polycystic Kidney Disease (ARPKD)

Intervention: Tolvaptan Suspension, Tolvaptan Tablets

Sponsor: Otsuka Pharmaceutical Development & Commercialization, Inc.

To evaluate the pharmacodynamics and safety of tolvaptan in pediatric subjects with ARPKD

Ages 28 Days to 18 Years
Started Jan 2023Updated 3 weeks agoEst. Dec 2028 (~2y 1m)
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Active trial locations55 cities in the US
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Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Polycystic Kidney Disease patient communities

Facebook groups, Reddit communities and YouTube channels where Polycystic Kidney Disease patients, caregivers and advocacy groups talk.

Companies developing Polycystic Kidney Disease treatments

Drugmakers that list Polycystic Kidney Disease in their rare disease portfolio, 10 in all.

Questions people ask about Polycystic Kidney Disease