🎉EASi-KIDNEY has recruited 6000 randomised participants!
📉EASi-KIDNEY will investigate whether a novel treatment can help slow the progression of chronic kidney disease (CKD) ➡️buff.ly/qXd6j1S
Now open access in @NDTsocial
UACR and UPCR with kidney failure: a pooled analysis of clinical trials
🧐UACR and UPCR are robust predictors of kidney failure, but UACR has stronger associations, particularly in CKD diabetes.
▶️academic.oup.com/ndt/article…
Extraordinarily large effects of #SGLT2i on urinary uromodulin (unexpected & a call to reverse translational science to
understand better the mechanisms of renal benefits of SGLT2i). @grecombm@Oxford_NDPH DPhil.
#EASi-KIDNEY showing how a group of >450 amazingly motivated local clinical sites can surpass EMPA-KIDNEY (n=6609). EASi-KIDNEY has ~4850 randomized pts with #CKD & ~2000 in run-in. This forecasts overtaking EMPA-KIDNEY in late May. Deep gratitude to all from @Oxford_NDPH
CKD and HF: Conclusions from a KDIGO Controversies Conference
Unfortunately submitted before publication of presentation of DIGIT-HF and DECISION 😆
@JBauersachsMDkidney-international.org/art…
📣SGLT2 inhibition for patients with ADPKD – closing the evidence gap
👉 an @erakidney e-seminar of the ERA Journal Club
Speaker: @MuellerRom
Moderator: @willkidney , Parminder Judge
Panelist: Roslyn Simms
Error in NDT paper title IMO.😬The key conclusion from JAMA limits relevance to studied pts (ie, opposite of overgeneralisation). Worthy point is the limitation of available RCTs is lack of data on SGLT2i in pts with all of the 5x following: eGFR>45 uACR<200 no DM no HF no ASCVD!
🎦Watch Dr Mariana Murea present the NDT publication:
Meta-analyses overgeneralize SGLT2 inhibitor effectiveness in populations with low albuminuria, no diabetes, no heart failure and no atherovascular heart disease
oup.cloud.panopto.eu/Panopto…
Our latest video in our partnership with @DGlaucomflecken summarizes the POTCAST trial, which assessed a strategy of actively increasing plasma potassium levels to the high-normal range in patients at high risk for ventricular arrhythmias. Read the full study for free: nej.md/DrG35
ALT Effect of empagliflozin versus placebo on study average concentration of urine biomarkers (indexed to urine creatinine). The MMRM model was adjusted for the prognostic variables specified in the minimized randomization algorithm (i.e., age, sex, prior diabetes, eGFR, uACR, and trial site region) in the same categories used in the minimization process, initial freezer storage temperature (-20°C versus below -20°C) and baseline log2-transformed urine biomarker-creatinine ratio. A weighted average of 2- and 18- month values proportional to the amount of time between visits was used to estimate the study average log2-transformed urine biomarker-to-creatinine ratio in each arm. Absolute values indicate geometric mean (approximate SE) creatinine-indexed urine biomarker concentration in the units specified. The size of the boxes represents the amount of information estimated.
💬 Editorial: #SGLT2 inhibitor treatment benefits extend to people with CKD and low albuminuria, as well as those with advanced #KidneyDisease, supporting wider use.
ja.ma/4r2qv7Z
Meta-analysis: #SGLT2 inhibitors slow kidney decline consistently across CKD severity and albuminuria range, supporting their routine use for kidney health.
ja.ma/3YK8cZ9
ALT Four graphs display events prevented or caused per 1000 patients treated with a Sodium-Glucose Cotransporter 2 (SGLT2) Inhibitor for 1 Year by Diabetes Status and Level of Albuminuria. The graphs show variance for diabetes vs. no diabetes.
FDA is now open to Bayesian statistical approaches. A leap forward!
Bayesian statistics can help:
✅ Clinical trial design
✅ Finding the optimal dose
✅ Extrapolation to children
✅ Leveraging phase 2 results in phase 3
🎉EASi-KIDNEY has recruited 3000 randomised participants!
📉EASi-KIDNEY will investigate whether a novel treatment can help slow the progression of chronic kidney disease (CKD) ➡️buff.ly/qXd6j1S
ALT Oxford Population Health. EASi-KIDNEY 3000 participants recruited.
18/ #NephJC
EMPA individual-level meta by @willkidney , pooled data from >23,000 patients across four empagliflozin trials showed consistent reductions in AKI, CKD progression, and kidney failure across all subgroups
PMID: 41082889
nephjc.com/news/2025/10/20/e…