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Disease

Kidney Failure, Chronic

Late-stage therapeutic developmentEmerging researchSteady momentum
7
Publications
18
Clinical trials
2
Related conditions
2022
Latest publication

What's happening now

An analyst briefing on current research, clinical, regulatory and industry activity surrounding this disease.

Executive briefingUpdating summary…Momentum: Low
Key developments
  • 1 clinical trial expected to report results, the earliest in Q2 2027.
Major developments
Upcoming trial readoutHigh impact
Results expected Q2 20272026-06-04
Major clinical milestoneImportant
Primary completion2026-05-04

Therapeutic landscape

Therapies with a regulatory footing for this condition, alongside the wider set of agents co-studied with it in the literature.

Approved & established therapies

Approval — Type 2 diabetes mellitus Dapagliflozin Viatris is indicated in adults and children aged 1… (2023)

Finerenoneapproved

Approval — Kerendia is indicated for the treatment of chronic kidney disease (with albuminuria) asso… (2022)

Approval — Type 2 diabetes mellitus Jardiance is indicated in adults and children aged 10 years and… (2014)

Clinical trials

18 sponsors · 0 new · 0 completed in the last 12 months (net -1)

The current development programme across all trial phases.

Clinical programme
18
All trials
6
Active
11
Late-stage
6
Completed
Late-stage studies
Recruiting
Recently completed

Regulatory timeline

Drug regulatory events matched to this condition by indication — EMA.

First approvals
2023emaApprovalDapagliflozin· Type 2 diabetes mellitus Dapagliflozin Viatris is indicated in adults and children aged 10 years and above for the treatment of insufficiently controlled type 2 diabetes mellitus as an adjunct to diet and exercise - as monotherapy when metformin is considered inappropriate due to intolerance. - in addition to other medicinal products for the treatment of type 2 diabetes. For study results with respect to combination of therapies, effects on glycaemic control, cardiovascular and renal events, and the populations studied, see sections 4.4, 4.5 and 5.1. Heart failure Dapagliflozin Viatris is indicated in adults for the treatment of symptomatic chronic heart failure with reduced ejection fraction. Chronic kidney disease Dapagliflozin Viatris is indicated in adults for the treatment of chronic kidney disease. source ↗
2022emaApprovalFinerenone· Kerendia is indicated for the treatment of chronic kidney disease (with albuminuria) associated with type 2 diabetes in adults. For study results with respect to renal and cardiovascular events, see section 5.1. Kerendia is indicated for the treatment of symptomatic chronic heart failure with left ventricular ejection fraction (LVEF) ≥ 40% in adults. source ↗
2015emaApprovalDapagliflozin· Type 2 diabetes mellitus Edistride is indicated in adults and children aged 10 years and above for the treatment of insufficiently controlled type 2 diabetes mellitus as an adjunct to diet and exercise as monotherapy when metformin is considered inappropriate due to intolerance. in addition to other medicinal products for the treatment of type 2 diabetes. For study results with respect to combination of therapies, effects on glycaemic control, cardiovascular and renal events, and the populations studied, see sections 4.4, 4.5 and 5.1. Heart failure Edistride is indicated in adults for the treatment of symptomatic chronic heart failure. Chronic kidney disease Edistride is indicated in adults for the treatment of chronic kidney disease. source ↗
2014emaApprovalEmpagliflozin· Type 2 diabetes mellitus Jardiance is indicated in adults and children aged 10 years and above for the treatment of insufficiently controlled type 2 diabetes mellitus as an adjunct to diet and exercise as monotherapy when metformin is considered inappropriate due to intolerance in addition to other medicinal products for the treatment of diabetes For study results with respect to combination of therapies, effects on glycaemic control, cardiovascular and renal events, and the populations studied, see sections 4.4, 4.5 and 5.1. Heart failure Jardiance is indicated in adults for the treatment of symptomatic chronic heart failure.  Chronic kidney disease Jardiance is indicated in adults for the treatment of chronic kidney disease. source ↗
2012emaApprovalDapagliflozin· Type 2 diabetes mellitus Forxiga is indicated in adults and children aged 10 years and above for the treatment of insufficiently controlled type 2 diabetes mellitus as an adjunct to diet and exercise as monotherapy when metformin is considered inappropriate due to intolerance. in addition to other medicinal products for the treatment of type 2 diabetes. For study results with respect to combination of therapies, effects on glycaemic control, cardiovascular and renal events, and the populations studied, see sections 4.4, 4.5 and 5.1. Heart failure Forxiga is indicated in adults for the treatment of symptomatic chronic heart failure. Chronic kidney disease Forxiga is indicated in adults for the treatment of chronic kidney disease. source ↗

European Medicines Agency (CC BY 4.0). Events are matched to this condition by drug indication text — approvals/updates for drugs indicated for it, not disease-specific acts.

Research activity

7 papers

Key research shaping understanding of this disease, combining the latest publications with the most influential evidence.

Publications over time
20112022
Most influential
Recent publications
Major themes8
  • Cardiac Tamponade1
  • Cardiovascular Diseases1
  • Disease Progression1
  • Gastrointestinal Microbiome1
  • Kidney Failure, Chronic1
  • Metabolome1
  • Pericardial Effusion1
  • Pericarditis1
Leading journals6
  • European heart journal2
  • American journal of kidney diseases : the official journal of the National Kidney Foundation1
  • Gut1
  • International journal of molecular sciences1
  • Nature reviews. Nephrology1
  • The New England journal of medicine1
Leading researchers8
  • Adler Y1
  • Agewall S1
  • Alegria E1
  • Badano L1
  • Barón-Esquivias G1
  • Bello AK1
  • Bian W1
  • Bogaert J1
Affiliations (unnormalised)6
  • Aerospace Center Hospital1
  • Beijing Advanced Innovation Center for Food Nutrition and Human Health1
  • Beijing AnZhen Hospital1
  • Beijing Laboratory of Food Quality and Safety1
  • Centre for Kidney Disease Research1
  • Cornell University1

Related conditions

2 matches

Diseases frequently studied alongside this one. Number shows shared papers.

Disease profile

A grounded synthesis of the condition — overview, causes, mechanism, risk factors and current standard of care.

Causes

The grounding supports chronic kidney disease as a condition with various causal factors, but it does not specify the causes of chronic kidney failure itself. It does identify diabetic kidney disease/diabetic nephropathy as a leading cause of end-stage kidney disease in many settings.

Pathophysiology

The disease reflects advanced, irreversible loss of kidney function with marked reduction in filtration capacity and proteinuria. The supplied review material links CKD progression to systemic inflammation and oxidative stress, which are associated with complications such as atherosclerosis, anemia, and mineral and bone disorders.

Risk factors

The grounding supports diabetes as an important risk factor through its role in diabetic kidney disease and diabetic nephropathy, which commonly progress to end-stage kidney disease. It also identifies elevated blood pressure and dyslipidaemias as modifiable cardiovascular risk factors in the broader literature, but does not directly establish them as risk factors for chronic kidney failure in the supplied material.

Current standard of care

Patients generally require kidney replacement therapy, especially hemodialysis or kidney transplantation. In diabetic nephropathy, therapy is described as including cardiovascular risk reduction, glycemic control, blood pressure control, and inhibition of the renin-angiotensin system.

AI-generated summary grounded in MeSH and 4 peer-reviewed sources. Informational only — not medical advice. Generated 2026-07-07.

Reference

Authoritative identity, definition & identifiers.

Defined in MeSH

The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION.

References & data sources
  • Disease identity & definition — NLM Medical Subject Headings (MeSH), public domain
  • Clinical trials — ClinicalTrials.gov (U.S. National Library of Medicine)
  • Research activity — Europe PMC (EMBL-EBI) + OpenAlex-derived paper links
  • Related entities are derived from literature co-mention (studied together) — associative, not causal.