Therapeutic area · Chronic kidney diseaseUpdated October 19, 2026

EDC for chronic kidney disease clinical trials

CKD trials are built on repeated creatinine and urine albumin results that become eGFR slope and UACR change. Capture calculates eGFR on the lab form, holds kidney outcome events in repeating rows and keeps every correction in one audit trail. Build and test free, no credit card.

  • eGFR CKD-EPI 2021 calculated
  • UACR at every visit
  • Kidney event log

Free sandbox · No credit card · 21 CFR Part 11 aligned

Kidney function visit (demo study)
Participant 004-0021 · Visit 5 (Month 6)Draft

Central or local laboratory

Serum creatinine

CREAT
1.62mg/dL

Age at visit

AGE

From date of birth

63 Calculated

eGFR (CKD-EPI 2021)

EGFR

Derived, read-only

45 mL/min/1.73 m² Calculated

Urine albumin-to-creatinine ratio

UACR
312mg/g

Up 38% from baseline: confirm sample timing

Potassium

K
5.4mmol/L

Above upper limit: query raised

Demo data only.Save
The eGFR is derived from the creatinine, age and sex on the form and cannot be typed over.

What a CKD trial needs from its EDC

  • eGFR you do not compute in a spreadsheet: Capture can calculate eGFR with the CKD-EPI 2021 equation from creatinine, age and sex and show it read-only, so the value the statistician analyses is the value the site saw.
  • Albuminuria as its own series: UACR at every visit, with sample type and timing, because early-stage CKD trials often rely on albuminuria change alongside eGFR slope.
  • Hard events logged as events: kidney failure, sustained eGFR decline, dialysis start, transplant, cardiovascular events and death need onset dates and a source, not a line of adverse event text.
  • Safety labs with edit checks: potassium, creatinine and BP checks that raise a query when a value breaks the rule you define, for drugs that act on the renin-angiotensin or sodium-glucose pathways.
  • A long study that survives staff turnover: event-driven CKD programmes run for years, so a complete audit trail and a locked, approved form set matter more than speed of setup.

The study data

What CKD trials measure, and where the data goes wrong

Kidney disease progresses slowly, so trials look for a signal in two ways. Outcome trials follow participants until enough composite events accrue, typically kidney failure, a sustained fall in eGFR, renal or cardiovascular death. Shorter trials of earlier-stage disease use surrogates: the rate of eGFR decline (slope) and the change in urine albumin. A 2018 workshop run by the National Kidney Foundation with FDA and EMA reviewed exactly this question and concluded that early UACR change and GFR slope can serve as surrogates under certain conditions, with stronger support for GFR change, while cautioning that each is only suitable in the settings where it performs well. Your statistical analysis plan decides which applies; the data-capture job is to make both analysable.

That puts weight on the humble lab form. A slope is only as good as the dates, the assay and the units behind every point. Capture builds the laboratory form as a table with an analyte per row, unit, result and reference range, and the lab results template shows the layout. Where your protocol relies on local laboratories, a lab unit converter for SI and conventional units helps sites that report creatinine in micromoles rather than milligrams, and range checks catch a value typed in the wrong unit before it reaches the analysis.

eGFR deserves special care. Capture can calculate eGFR using the CKD-EPI 2021 equation (the race-free version) and shows it read-only during entry, next to creatinine clearance by Cockcroft-Gault where a protocol dosing rule uses it. The free eGFR CKD-EPI calculator shows the inputs and the KDIGO categories. Using derived fields means a site cannot mistype a result, and when a creatinine is corrected the eGFR updates with a full audit trail entry for the change, including who changed it and why. For eligibility, an edit check can flag a screening eGFR outside the protocol range.

Events and the event adjudication hand-off

Kidney outcome events are rarely taken at face value. Many programmes send suspected events to an independent clinical events committee, which needs a source packet. Build an event form with repeating rows for each suspected event: type, onset date, whether dialysis or transplant followed, the supporting lab dates and the investigator's assessment. Each row carries its own audit trail. Capture records and exports the data; the adjudication process itself, and the committee charter, stay with the sponsor. For the adverse event side, see the adverse event template.

CKD outcome study visits (demo design)
AssessmentScreenDay 1Wk 4Mo 3Mo 6Mo 12Every 6 mo
Creatinine, eGFR (derived)
UACR (first morning void)
Potassium and safety chemistry
Blood pressure, weight
Event review (kidney, CV)
Kidney-disease QoL questionnaire

x = form completed at this visit

Demo design only. Build yours from the protocol, or upload it and let the AI draft visits and forms for you to review.

Protocol to build

CKD protocol elements and how they map to Capture

Protocol elementWhat the data looks likeWhere it lives in Capture
EligibilityScreening eGFR and UACR ranges, diabetes status, background therapyEligibility screening template with range edit checks
Kidney function seriesCreatinine, derived eGFR, assay and date at each visitLaboratory template with calculated eGFR (CKD-EPI 2021)
AlbuminuriaUACR with sample type and collection timingNumeric lab rows plus a sample-type field
Blood pressure and weightSeated office BP, derived MAP, weightVital signs template
Concomitant medicinesRAS inhibitors, SGLT2 inhibitors, diuretics, dose changesConcomitant medications template with repeating rows
Outcome eventsSuspected kidney or CV event, dates, dialysis, source documentsRepeating event form for the adjudication hand-off
Patient-reported outcomeQuality of life, fatigueEQ-5D or FACIT-Fatigue layouts; licences stay with your study documents
Adverse eventsHyperkalaemia, acute kidney injury, genital infectionAdverse event form with seriousness and sign-off

Capture does not supply licensed instruments or verify licences. Licence controls exist only on participant questionnaires.

Test your eGFR and event logic before the first participant

Build the lab form, trigger every check with sample data and show your steering committee the working study. Free sandbox, no credit card.

Build your CKD study free

Safety and population

Safety labs, comorbidity and a participant group that is rarely just kidney

People with CKD usually also have diabetes, hypertension or heart disease, so the medicine list is long and the adverse event profile is wide. Potassium and creatinine surveillance after starting a renin-angiotensin or mineralocorticoid-receptor drug is the textbook example: a protocol may require a repeat sample within weeks and a dose rule above a threshold. Build those as visit forms with range edit checks. An edit check is a data-management prompt that makes a signal visible and raises a query; it does not replace the investigator's safety procedure, and your protocol should say so.

Blood pressure is both a safety measure and a covariate. The hypertension trial page goes deeper on office, home and ambulatory capture; for CKD, a seated office reading with derived mean arterial pressure on the vital-signs form is the usual minimum. Heart failure overlaps too, and pooled cardiorenal programmes often need a shared event dictionary across both indications.

Dialysis and transplant studies share some data but ask different questions: session-level data, access complications, graft function. The same building blocks apply, with the dialysis session or transplant as a repeating row, but the visit rhythm and endpoint differ enough that you should build them as separate studies or separate epochs rather than one form set.

Build sequence

From CKD protocol to a live study

A practical order of work for a sponsor, an investigator team or a nephrology research group.

  1. 1

    Draft visits and forms

    Upload the protocol (PDF, DOCX or DOC) and let the AI study builder propose the visit schedule and forms. Nothing is saved until a person reviews it.

  2. 2

    Fix units and assays

    Decide whether creatinine and UACR come from a central or local laboratory and set the units and reference ranges per row.

  3. 3

    Add eGFR and range checks

    Switch on the derived eGFR, set eligibility and safety ranges for creatinine, potassium and BP.

  4. 4

    Build the event form

    Create the repeating suspected-event form and agree the source-document list with your adjudication committee.

  5. 5

    Test in the sandbox

    Enter practice participants through two years of visits, break every rule, and read the audit trail of a corrected creatinine.

  6. 6

    Approve, lock and go live

    Forms move from draft to approved and approved forms lock for live use. Real participants start the paid live phase.

Before first participant

CKD study readiness checklist

eGFR equation and inputs agreed

CKD-EPI 2021 or the equation named in the protocol, with sex and age inputs confirmed.

Albuminuria collection rules

First morning void or timed sample, repeat-sample rule, and where each is recorded.

Event definitions written

Kidney failure, sustained decline and dialysis defined identically in the protocol and the form.

Unit conversion plan

Local laboratories report in the same units, or a conversion is documented.

Safety ranges set

Potassium, creatinine and BP edit checks, with a named person responsible for each query.

Export tested

CSV or Excel with the data dictionary opened in the statistics package; SDTM export checked if required.

FAQ

Questions teams ask before they switch

Something not covered here? Ask us directly.

Can Capture calculate eGFR automatically?

Yes. eGFR by the CKD-EPI 2021 equation is one of the derived fields Capture can calculate and show read-only on the form from creatinine, age and sex. Creatinine clearance by Cockcroft-Gault is also available for protocols that use it.

How do I record eGFR slope?

Capture records each eGFR value with its date, and the dated series is exported for the statistician to fit the slope. The slope model itself belongs to your analysis plan, not the EDC.

Can I capture suspected kidney events for an adjudication committee?

Yes. Build an event form with repeating rows for type, onset, dialysis or transplant and supporting dates. Each row has its own audit trail and exports with the rest of the data. Adjudication itself is a sponsor process outside Capture.

Does it import central laboratory files?

This page makes no claim about laboratory integrations. Sites or data managers enter or load results; ask about your central lab file format before you commit to a design.

Can it handle dialysis or transplant studies?

Yes, with the dialysis session or graft assessment as repeating rows. Build them as a separate study or separate epochs from an early-stage CKD design, because the visit rhythm and endpoints differ.

Is Capture suitable for Phase 3 kidney outcome trials?

Yes. Capture is suitable for Phase 1, 2 and 3 studies, with site-level numbering, a site coordinator portal, by-site filtering and exports for multi-site work.

How much does it cost?

The sandbox is free with every feature, no credit card and no time limit. You pay only once you go live with real participants. Pricing is not published on the site, so ask for terms for your study.

Start building your CKD study free

Free sandbox with every feature. No credit card, and you pay only when you go live.

Build your CKD study free