Sparsentan Failed to Preserve Kidney Function Over Time in FSGS

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— However, more patients on the drug achieved partial remission of proteinuria vs irbesartan

By Kristen Monaco

PHILADELPHIA — Treatment with sparsentan (Filspari) led to no significant differences in estimated glomerular filtration rate (eGFR) slope compared with irbesartan among patients with focal segmental glomerulosclerosis (FSGS), the phase III DUPLEX trial showed.
Read the full article in MedPage Today.

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Race-Free eGFR Validated for Kidney Transplant Patients

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By Mitchel L. Zoler, PhD

French researchers have developed and validated a creatinine-based, race-free equation for calculating estimated glomerular filtration rate (eGFR) in people who have received a kidney transplant. It performed as well, or better, than three established eGFR equations, including the 2021 race-free equation now widely used in US practice.

“The new equation provides a more accurate estimation of kidney function” in kidney transplant recipients compared with prior equations, said Marc Raynaud, PhD, lead author of the report, which was recently published in BMJ. Read more in Medscape.

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Could Nixing Race-Adjustments for eGFR Harm Black Cancer Patients?

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“Removing race from estimated glomerular filtration rate (eGFR) equations would result in fewer Black patients being eligible for certain anticancer drugs, researchers have demonstrated.

Their analysis showed that for Black patients, removing race from the Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) equation reduced median eGFR from 103 mL/min to 89 mL/min. In addition, removing the race factor doubled the percentage of black patients with an eGFR under 60 mL/min — a clinically relevant cut-off below which many drugs have recommended changes to dosage and eligibility, reported Thomas D. Nolin, PharmD, PhD, of the University of Pittsburgh School of Pharmacy, and colleagues.”

Learn more here.

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