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Brendon Neuen

@brendonneuen.bsky.social
1.2K followers 713 following 104 posts

Nephrologist; Associate Professor; Program Lead, Renal & Metabolic, George Institute; Director, Kidney Trials, Royal North Shore Hospital; Secretariat, #SMART-C; Podcast host, #KidneyCompass www.SMART-C.net

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Brendon Neuen @brendonneuen.bsky.social · 18/06/2026
PowerPoint slides for the FIND-CKD primary presentation and NOW freely available – including the glomerular disease, data and INFINITY (IPD meta-analysis). Use them, adapt them, share them as you like - All FIND-CKD program presentations and publications now live at www.find-CKD.com
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MedPage Today @medpagetoday.com · 08/06/2026
Finerenone (Kerendia) slowed the decline of kidney function in adults with CKD who did not have diabetes, the large randomized FIND-CKD trial showed. @brendonneuen.bsky.social www.medpagetoday.com/meetingcoverag…
medpagetoday.com
Finerenone Also Slows Kidney Decline in Diabetes-Free Patients
Benefits were consistent across glomerular disease subtypes, too
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 16/04/2026
Excellent podcasts From the HCP team of Shikha Wadhwani and @brendonneuen.bsky.social www.hcplive.com/podcasts/kid... on the #ISNWCN high impact trials with the PIs @theisn.org
hcplive.com
Kidney Compass: Navigating Clinical Trials | Podcasts | HCPLive
Kidney Compass: Navigating Clinical Trials | Podcasts | HCPLive is a clinical news and information portal, offering physicians specialty and disease-specific resources, conference coverage, and inter...
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Brendon Neuen @brendonneuen.bsky.social · 25/02/2026
@nephjc.bsky.social can I do a straw poll - what are you doing WRT iron when TSAT low but Hb 120 or higher for example? Ie iron deficiency and no indication to start an ESA
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 19/11/2025
In the last #KidneyKompass @brendonneuen.bsky.social chats with Sophia Zoungas podcasts.apple.com/ca/podcast/k... on the SURPASS data G-force FTW @christosargyrop.bsky.social @rnflex.bsky.social Hey @brianrifkin.bsky.social if sema is captopril what would you call dulaglutide? 😏
podcasts.apple.com
Understanding Renal Outcomes in SURPASS-CVOT, With Sophia Zoungas, MBBS, PhD
Podcast Episode · Kidney Compass: Navigating Clinical Trials · 2025-11-13 · 17m
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Nephrology Journal Club @nephjc.bsky.social · 19/11/2025
T0d: #NephJC 🛑Remission is defined an eGFR decline of ~1 ml/min/1.73 m²/year, closer to physiological rate 📉Vs 2-3 ml per year with only conservative therapy; hopefully, B-cell therapies will further flatten the slope By @brendonneuen.bsky.social &Co pubmed.ncbi.nlm.nih....
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 09/11/2025
16 is same as last year someone check if I have missed anything Read our blogs here www.nephjc.com/news/kidneyw... #NephJC #KidneyWk @nephroseeker.medsky.social @brendonneuen.bsky.social
nephjc.com
Kidney Week in Houston: Day 1 — NephJC
in this edition: Atacicept in IgAN; Albuminuria as a surrogate outcome, Renal Remission and additional CONFIDENCE analysis
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 09/11/2025
OK thread of all simulpubs at this year's #KidneyWk ORIGIN-3: Atacicept pubmed.ncbi.nlm.nih.gov/41196369/ CKD as a curable dz? www.kidney-international.org/article/S008... Albuminuria as a surrogate endpoint www.nature.com/articles/s41...
pubmed.ncbi.nlm.nih.gov
A Phase 3 Trial of Atacicept in Patients with IgA Nephropathy - PubMed
In this prespecified interim analysis, treatment with atacicept resulted in a significantly greater reduction in proteinuria than placebo at week 36 in patients with IgA nephropathy. (Funded by Vera Therapeutics; ORIGIN 3 ClinicalTrials.gov number, NCT04716231.).
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 08/11/2025
Will we get more simultaneous publications this year than last year at #KidneyWk? We had 16 last year @brendonneuen.bsky.social @nephroseeker.medsky.social Will thread all later - but the #NephJC blog will have them all
Last year tally
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 08/11/2025
And @brendonneuen.bsky.social with another simultaneous pub in @jama.com jamanetwork.com/journals/jam... Flozination by GFR/albuminuria #KidneyWk
jamanetwork.com
SGLT2 Inhibitors and Kidney Outcomes by Glomerular Filtration Rate and Albuminuria
This meta-analysis examines whether estimated glomerular filtration rate or degree of albuminuria, as measured by urinary albumin to creatinine ratio, modifies the effects of sodium-glucose cotranspor...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 07/11/2025
In the afternoon another late breaking oral session among other things at 4:30 pm @brendonneuen.bsky.social Lorundrostat A new oral GLP1 REMODEL to understand sema mechanism GBD kidney disease with @paddymark.bsky.social And @cervantes-lily1.bsky.social ! #KidneyWk
LBRO 2
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 31/10/2025
Is it not really TGF - and something else in the tubules? Fascinating Biomarker study in @ajkd.bsky.social from the EMPA-KIDNEY group www.ajkd.org/article/S027... cc @pranavgarimella.bsky.social #NephSky #RevengeOfTheTubules
Figure 1 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.
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Joel Topf @kidneyboy.bsky.social · 21/10/2025
New episode of Freely Filtered with @brendonneuen.bsky.social @hswapnil.medsky.social @captainchloride.bsky.social @sophia-kidney.bsky.social and author Muth Vaduganathan discussing the CONVINCE trial www.nephjc.com/freelyfilter... With chapters, refs, and pictures
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 17/10/2025
And three ‘late breaking research’ orals each evening Thursday - Saturday #KidneyWk
LBRO 1LBRO 2LBRO 3
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 17/10/2025
A second High Impact trial session in plenary hall on Saturday AM #KidneyWk
HICT 2
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 17/10/2025
It’s all live now! Apart from the two trials mentioned above We have 5 more sessions at #KidneyWk + posters High Impact Trials 1 on Friday AM in plenary hall
HICT 1
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 16/10/2025
The opening plenary at #KidneyWk looks phenomenal Renal RCT Renaissance is upon us (LBCT list drops tomorrow) www.asn-online.org/education/ki...
program for thursday at kidney wk

including 2 LBCTs and Vlado P talking on RCTs and curing kidney disease
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Josh Waitzman @jwaitz.bsky.social · 13/10/2025
In this house we drink liquids and support #nephjc (Maybe I should get a backpack next time) Donate at: www.nephjc.com/news/2025/9/...
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CVCT Forum @cvctforum.bsky.social · 31/07/2025
Take the ultimate deep dive in major recent clinical trials with the largest global gathering of clinical trials key stakeholders at #CVCT2025, December 8-10, 2025 in Washington DC ! Discover the scientific program here: www.globalcvctforum.com/scientific-p... #clinicaltrials #clinicalresearch #CVCT
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CVCT Forum @cvctforum.bsky.social · 02/09/2025
Join us December 8-10, Washington DC! Full programme here: www.globalcvctforum.com/scientific-p...
globalcvctforum.com
CVCT Global Forum Scientific Program 2025
Discover the unique high science & discussion program for CVCT 2025 (Global CardioVascular Trialists Forum), December 8-10, at the Mayflower Hotel, Washington DC
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Joel Topf @kidneyboy.bsky.social · 23/09/2025
Interesting slide #BucketOfColdWater
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Brendon Neuen @brendonneuen.bsky.social · 12/09/2025
📢 New in CJASN: pooled analysis of all completed phase 2/3 RCTs in #IgAN 🔹 4 drug classes (steroids, B-cell, complement, non-immunological) 🔹 All ↓ proteinuria ≥30% 🔹 All improved GFR slope 🔹 Biggest benefit: B-cell therapies journals.lww.com/cjasn/abstra...
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Nephrology Journal Club @nephjc.bsky.social · 03/09/2025
If you want to support #NephJC and get some cool merch, check out www.nephjc.com/merch...
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Nephrology Times @nephtimes.bsky.social · 22/08/2025
Attending Kidney Week 2025? Check out details about the plenaries. We'll be there, at Booth 2234! #kidneywk #nephrology #nephsky @asnkidney.bsky.social www.docwirenews.com/post/asn-rev...
docwirenews.com
ASN Reveals Kidney Week Plenary Details | Docwire News
The American Society of Nephrology announced details of the plenary sessions scheduled to take place at Kidney Week 2025, which will take place November 6-9, in Houston, Texas.
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ISNkidneycare @theisn.org · 21/08/2025
Your abstract could be next to inspire change in kidney care. When you share your research at #ISNWCN, the benefits go far beyond the presentation. • Global visibility • Peer recognition • Publication opportunity Submit your abstract today ➡️ lite.spr.ly/6...
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Nephrology Journal Club @nephjc.bsky.social · 05/08/2025
😎Check out the VA for HiLO by @sejalplakhani.bsky.social 🆒 This should be quite the discussion, don't miss it! #NephJC #NephSky www.nephjc.com/news/2025/8/4/the-hilo-trial-visual-abstract
nephjc.com
The HiLo Trial - Visual Abstract — NephJC
Is a lower versus higher phosphate target beneficial to patients undergoing hemodialysis? Check out this crisp VA by Dr Sejal Lakhani
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ISNkidneycare @theisn.org · 15/07/2025
🌏 Join us at WCN'26 in Yokohama! 🧠 Learn from global experts 📈 Share your research 👥 Connect with peers 📅 Abstracts due Oct 22 🎬 #ISNFilmEvent submissions by Nov 5 ✈️ Travel grants & registration open Sept 16 🔗 lite.spr.ly/6... #ISNWCN
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Brendon Neuen @brendonneuen.bsky.social · 15/07/2025
SGLT2i in CKD: impact beyond kidneys 🔻 15% all-cause hospitalizations ✅ Consistent regardless of eGFR, UACR & diabetes 🏥 ~36 fewer hospitalizations per 1000 pt-years Large absolute gains for patients & health systems Meta-analysis in @asnpublications.bsky.social journals.lww.com/cjasn/pages/...
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Christos Argyropoulos MD, PhD, FASN 🇺🇸 0kale/acc @christosargyrop.bsky.social · 09/07/2025
Only reason to sequence the RASi first is that they are good antihypertensives (but note the BP effect in the combo arm of #confidence) #nephjc But no matter the sequence, the goal should be to have someone on the four pillars in less than 6 months
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Brendon Neuen @brendonneuen.bsky.social · 09/07/2025
@nephjc.bsky.social joining late, hi everyone 👋 nephrologist in Sydney, exec committee member of FIND-CKD, consult to both BI and Bayer and a number of other similar companies
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 08/07/2025
Check out the Kidney Compass 🎙️ from @brendonneuen.bsky.social and Shikha Wadhwani with Rajiv Agarwal on CONFIDENCE podcasts.apple.com/ca/podcast/k... Prep for #NephJC tonight
podcasts.apple.com
CONFIDENCE Trial at ERA 2025, with Rajiv Agarwal, MD, MS
Podcast Episode · Kidney Compass: Navigating Clinical Trials · 2025-06-06 · 22m
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Kidney International @kidneyint.bsky.social · 07/07/2025
Randomized, Double-Blind, Placebo-Controlled Phase 2a Study Assessing the Efficacy and Safety of Felzartamab for IgA Nephropathy doi.org/10.1016/j.kint.2025.05.028 #OpenAccess #IgAN #felzartamab #IgANephropathy
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 07/07/2025
Following on CONFIDENCE (on #NephJC tomorrow) The design and baseline data from MIRO-CKD trial academic.oup.com/ndt/advance-... N = 614, balcinerone, dapagliflozin Urine ACR outcome #NephSky
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 02/07/2025
We don’t get to discuss every important study that comes out on #NephJC Hence #NephJCShorts www.nephjc.com/news/nephjc-...
nephjc.com
Introducing NephJC Shorts — NephJC
In just over a decade of critical appraisal on NephJC, we have done several experiments. Some of them have worked out phenomenally well, such as the Freely Filtered podcast. Others were not ready for ...
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Nephrology Journal Club @nephjc.bsky.social · 02/07/2025
The #NephJC editorial team knows that plenty of papers deserve attention between our bi-monthly, full-length discussions ✨Enter #NephJCShorts - quick hits with a critical eye 🦅 on high-impact reads www.nephjc.com/news/nephjc-... #MedSky #NephSky
nephjc.com
Introducing NephJC Shorts — NephJC
In just over a decade of critical appraisal on NephJC, we have done several experiments. Some of them have worked out phenomenally well, such as the Freely Filtered podcast. Others were not ready for ...
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Michelle Rheault, MD @rheaultm.bsky.social · 22/06/2025
From Rivka Galchen’s article in @newyorker.com: “The kidney, a tremendously under-celebrated organ, basically does four-dimensional sudoku with ions.” And that’s how I’m going to explain it from now on.
“The kidney, a tremendously under-celebrated organ, basically does four-dimensional sudoku with ions.”
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NEJM.org @nejm.org · 05/06/2025
In the CONFIDENCE trial in persons with chronic kidney disease and type 2 diabetes, combination therapy with finerenone and empagliflozin led to a greater reduction in the urinary albumin-to-creatinine ratio than either drug alone. Full trial results: nej.md/4jEVbbk #ERA25 #MedSky #Nephrology
A graph of the least-squares mean ratio of the change from baseline in the urinary albumin-to-creatinine ratio in the full analysis population.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 07/06/2025
Huge Danish trial of nudges Patient level (N 22,000) + practice level (1500 practice cluster with N 28,000 pts) To increase RASination & Flozination www.ahajournals.org/doi/abs/10.1... in @ahajournals.bsky.social at #ERA25 Absolutely null effect - is the baseline too high to improve upon?
Figure 2Figure 5
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Brendon Neuen @brendonneuen.bsky.social · 08/06/2025
Baseline use of #SGLT2i in recent trials enrolling patients with #IgAN: Listen to the full podcast discussion between me, Shikha Wadwhani and Vlado Perkovic: hcplive.com/view/kidney-... #ERA25 #kidneycompass #sibeprenlimab #VISIONARY
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Edgar V. Lerma 🇵🇭 @edgarvlermamd.medsky.network · 07/06/2025
Optimizing the timing and sequencing of guideline-directed medical therapy for T2D and CKD ca. 2024 from @brendonneuen.bsky.social #ERA25 🇦🇹 #Nephpearls #Cardiorenal #NephSky 👉 pubmed.ncbi.nlm.nih.gov/40179265/
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Brendon Neuen @brendonneuen.bsky.social · 07/06/2025
How will the #CONFIDENCE trial shape practice in #CKD + #T2D? I spoke with PI, Rajiv Agarwal, after his #ERA25 late-breaker on why a sequential approach may be doing our patients a disservice Full episode: hcplive.com/view/kidney-... #KidneyCompass #SGLT2i #finerenone
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Brendon Neuen @brendonneuen.bsky.social · 07/06/2025
Inside story from PI Rajiv Agarwal: #CONFIDENCE done in 2 parts because of early safety concerns re simultaneous SGLT2i & nsMRA 🔹 Part A: higher GFR with ABPM after first dose 🔹 Part B: Main study without ABPM after 👍 from DSMB Full episode: www.hcplive.com/view/kidney-... #KidneyCompass #ERA25
hcplive.com
Kidney Compass: CONFIDENCE Trial at ERA 2025, with Rajiv Agarwal, MD, MS
Brendon Neuen, MBBS, PhD, is joined by Rajiv Agarwal, MD, MS to explore the concept of simultaneous initiation of SGLT2i and nsMRA in CKD and T2D.
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 05/06/2025
The problem with starting one drug at a time is that the second drug never gets started Similar to the ‘time is now’ GDMT in HF, we need to overcome the therapeutic inertia and friction in the system @brendonneuen.bsky.social #NephSky #ERA25
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Izabela Zakrocka @izabelazakrocka.bsky.social · 06/06/2025
Awesome late breaking clinical trials session II session #ERA25 @brendonneuen.bsky.social
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Michael Walsh @lastwalsh.bsky.social · 05/06/2025
It's been a long journey but today we can share the methods and rationale for the #ACHIEVEtrial (Spiro vs placebo for patients with kidney failure receiving maintenance dialysis) and tomorrow we share the results at #era25 journals.sagepub.com/doi/10.1177/...
journals.sagepub.com
The Aldosterone Blockade for Health Improvement Evaluation in End-Stage Renal Disease (ACHIEVE) Trial: Rationale and Clinical Research Protocol - Michael Walsh, David Collister, Martin Gallagher, Patr...
Background: The mineralocorticoid aldosterone may contribute to the risk of cardiovascular morbidity and mortality in patients receiving maintenance dialysis. W...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 04/06/2025
By the way the #ERA25 hashtag is heating up Go check it out to get the science from Vienna and also find more fresh voices to follow! #NephSky
ERA slide
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 29/05/2025
Sibeprenlimab inches closer to approval www.hcplive.com/view/fda-acc... feat @brendonneuen.bsky.social Phase 3 RCT next week at #ERA25 (& some journal?)
hcplive.com
FDA Accepts, Grants Priority Review to Sibeprenlimab BLA for IgA Nephropathy
With the priority review acceptance of the Biologics License Application, the FDA has assigned a PDUFA target action date of November 28, 2025.
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Nephrology Journal Club @nephjc.bsky.social · 14/05/2025
📅 Get ready for the next #NephJC on May 29 🧠💊 We’ll dive into: Lorundrostat for Uncontrolled Hypertension — efficacy, safety, and what it means for the future of BP management. ⏰ #NephSky #MedSKy @nejm.org www.nejm.org/doi/ful...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 14/05/2025
If someone is close to being on dialysis, I prefer to start dialysis before biopsy FWiW #NephJC
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 23/04/2025
The ASIs have arrived www.nejm.org/doi/full/10.... Aldosterone synthase inhibitors - first one to finish the phase 3 line #Lorundrostat #Hypertension
nejm.org
Lorundrostat Efficacy and Safety in Patients with Uncontrolled Hypertension | NEJM
Aldosterone dysregulation contributes to hypertension. Lorundrostat is an aldosterone synthase inhibitor, but data on its efficacy and safety in patients with hypertension are limited. In this mult...
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