Joel M. Topf, MD FACP Profile picture
Saying the product of the kidneys is urine is like saying the product of a factory is pollution. Urine is a by-product. The product is homeostasis COI: link👇🏼

Jul 20, 2021, 12 tweets

Next up is Joshua Thurman with a lot review of GN

first study is BLISS-LN. Mentions that 2 years of infusions in 448 patients is a big lift. Points out they changed the outcome (probably listens to @NephJC_Podcast (nephjc.com/freelyfiltered…) #AspenKidney

Her is underwelmed with the magnitude of the effect size. He is not sure how to use it. #AspenKidney

Next up AURORA-1 Voclosporin. Felt it also had a marginal benefit. #AspenKidney

Next is membrnaous. Talking MENTOR. Points out that stopping the CNI means people will relapse. #AspenKidney

STARMEN Trial. He was surprised by the good showing of Modified Ponticelli Protocol. #AspenKidney

On to PEXIVAS Trial of plasmapheresis in ANCA Associated Vasculitis.

No benefit to plasma exchange
No cost to lower dose steroids

He doesn't like to change management based on one study but he is skeptical that we will ever see a better study. #AspenKidney

On to ADVOCATE Study of Avacapan in vasculitis. Avacapan is a C5 inhibitor. #AspenKidney

Next is IgA nephropathy shared long term (10 year) follow-up of STOP-IgA. Still no advantage to steroids. #AspenKidney

Finishes up with DAPA-CKD and pointing out the non-diabetic data. #AspenKidney

Good showing by #NephJC. @NephJC covered every study he highlighted except the long term follow-up of STOP-IgA. #AspenKidney

And join us tonight as we discuss LANDMARK study of lanthanum v calcium binders.

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