BREAKING: The FDA has approved Travere Therapeutics Filspari (sparsentan) to treat adults and children ages 8+ with focal segmental glomerulosclerosis (FSGS), reducing proteinuria. As the first and only FDA-approved treatment for #FSGS, it offers new hope for patients: https://bit.ly/481S6iA
Posts by Shweta Shah
The #Effluent8 of #NephMadness are live!
ajkdblog.org/2026/04/02/n...
Dogs 🐶win? That seems like a #BlueRibbonFail 😏
The rest seem solid choices IMO!
#NephMadness party was a huge success!
Awesome presentations by both peds and IM team!
@nephmadness.bsky.social
This year we are hosting a combined Med-Peds Nephrology. Yay!! Finally getting together
#NephMadness party!
Kidney Heroes Of Houston!
We are comically neon!!!
@nephmadness.bsky.social
Something has to change! We need more of us!
#NephSky @nefronica-2rair.bsky.social @aspneph.bsky.social @rheaultm.bsky.social @akcanarikan.bsky.social @jostflynnmd.bsky.social @sugarkro.bsky.social @drm-sudha.bsky.social @and
An announcement
www.nephjc.com/news/2025/11...
#NephJC
@kidneyboy.bsky.social and moi hand over the @nephjc.bsky.social reigns to @nephroseeker.medsky.social & @brianrifkin.bsky.social
These are not FDA approved yet - this trial + VISIONARY for Sibeprenlimab will lead to approval soon
Approved =
Nefecon
Atrasentan
Sparsentan
Iptacopan
(I think)
#Nephjc
Excellent comparison of completed IgAN studies from today's @CSNSCN webinar from Kevin Yau
#NephSky
Late breakers that included children:
✅Setanaxib in Alport (12+)
Late breakers that did NOT include children:
🚫Atacicept in IgAN
🚫CONFIDENCE
🚫PISCES: Fish oil in Dialysis
🚫LIBERATE-D
🚫balcinrenone + dapa
🚫Obintuzumab in lupus nephritis
🚫Sibeprenlimab in IgA
🚫MIL62 in membranous
+more
#KidneyWk
Peds nephrons at #ASN2025 #KidneyWk , participate in @aspneph.bsky.social scavenger hunt and win prizes!
Download ASPNGo App!!
@nefronica-2rair.bsky.social @coleaugust.bsky.social
Clinical importance of prediction tools: 🔬
The prediction tool was developed with the data from 4000 people in multinational and multiracial cohorts and can be generalized to all.
Do you routinely use prediction tools with IgAN patients? #NephJC
Treatment in children: 👶💉
Management is based on RAS blockade, salt restriction, and blood pressure control. Glucocorticoids are used in those with persistent proteinuria or high-risk features, sometimes combined with cyclophosphamide in severe cases.
#NephJC
Off label use tried in small studies, awaiting Double PROTECT study
Noted
🤔 How often is end-stage kidney disease in patients with MCD/ FSGS? #NephSky #MedSky
@brianrifkin.bsky.social dissected the conclusions from the RaDar study in this #NephJCshorts
*the original article from @asnpublications.bsky.social
www.nephjc.com/news/nephjc-...
Everything said and done - although eGFR diff may signal ominous outcomes - practically speaking following one eGFR over time and seeing the eGFR fall predicts outcomes better than anything else ! And that’s what would be feasible across economies ! #NephJC
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
“The kidney, a tremendously under-celebrated organ, basically does four-dimensional sudoku with ions.”
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.
Missed the #NephJC yesterday, but increasingly using Ritux for SDNS and even redosing at 6mo-1yr. Some stay in remission longer with add MmF
I do the same with any agent. Treat for 2 years then try off. If relapse, then another 2 years. #NephJc I don’t think there’s great data. Just seems a good balance of risk.
award winner list
Congrats to all the @asnkidney.bsky.social lifetime and mid-career awardees!
@ksusztak.bsky.social @genetickidneydoc.bsky.social @shinamenon.bsky.social @michellejtx.bsky.social and everyone else!
No, as someone who has used it before and now no longer using #NephJC
DDAvP will increase VWF levels but in an uremic mileu does it really help towards platelets adhesion?
#NephJC
Short window to work with!
#NephJC
Would make sense to check VWF otherwise hard to prove anything unless they compare with their previous institutional cohort
# NephJC
T0c
So how does DDAVP skip the bleeding drama? 🩸
🧬 Desmopressin → triggers cAMP → exocytosis of vWF & FVIII from endothelium
➡️ Boosts platelet adhesion in uremic dysfunction
⏱️ Onset: 30–90 min ⏳ Duration: 4–8 h
#NephJC
Due to cost and other logistics we stopped PFA, haven’t used desmo preemptively
#NePhJC
We used to do pre procedure DDAVP for abnormal PFA’s, mostly in CKD/ uremic kids
# NephJC
Peds Nephrologist @texaschildrens.bsky.social
No COI
#NephJC