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👇🏼

Apr 7, 2022, 9 tweets

Next up is Kirsten Johansen from U of Minnesota on Emerging therapies for CKD-related anemia. She starts with a question. This is a nightmare question and will not be participating. She mocks the audience for answering wrong. #NKFClinicals

Big list of trials so you can keep the trials straight #NKFClinicals

After showing data that the HIF stabilizers raise the hemoglobin she gets to the MACE data. First up Roxa. (Emoji, my addition) #NKFClinicals

Non-inferiority was not achieved with vadadustat but was achieved with daprodustat in non-dialysis patients #NKFClinicals

Onward to dialysis dependent. Once again the efficacy at raising the hemoglobin is clear and not in question….but MACE (major adverse cardiovascular events) is what we are interested in. #NKFClinicals

All three agents have demonstrated non-inferiority, but no signal for improved outcomes. #NKFClinicals

Interesting data looking at the + correlation between rate of Hgb rise and the risk of thromboembolic events. Hmmm. #NKFClinicals

HIF stabilizers may kill you but they sure improve the iron metabolism parameters #NKFClinicals

Summary slide #NKFClinicals

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