Future perspectives on treatment with erythropoiesis-stimulating agents in high-risk patients

Stefan D Anker1, Robert Toto

  • 1Division of Applied Cachexia Research, Department of Cardiology, Charité, Campus Virchow-Klinikum, Berlin , Germany.

NDT Plus
|May 23, 2009
PubMed

Insights

Anemia in chronic kidney disease (CKD) patients increases mortality and cardiovascular risks. Ongoing trials like TREAT and RED-HF aim to clarify if anemia correction improves outcomes in CKD and heart failure patients.

Area of Science:

  • Nephrology
  • Cardiology
  • Hematology

Background:

  • Chronic kidney disease (CKD) is linked to high mortality and cardiovascular disease.
  • Anemia is a common complication in CKD, potentially worsening cardiovascular outcomes.
  • Current strategies for managing anemia in CKD require further investigation.

Purpose of the Study:

  • To evaluate the impact of anemia correction on cardiovascular events and survival in CKD patients.
  • To determine if treating anemia in patients with symptomatic heart failure improves clinical outcomes.

Main Methods:

  • The Trial to Reduce cardiovascular Events with Aranesp Therapy (TREAT) investigates Aranesp's effects in CKD patients with type 2 diabetes.
  • The Reduction of Events with Darbepoetin alfa in Heart Failure (RED-HF™) trial assesses darbepoetin alfa's efficacy in heart failure patients.

Main Results:

  • Data on anemia correction in CKD have been conflicting.
  • Ongoing trials are expected to provide clarity on the benefits of anemia management.

Conclusions:

  • Further research is needed to establish optimal anemia management strategies in CKD.
  • The TREAT and RED-HF trials are crucial for addressing clinical uncertainties regarding anemia treatment in CKD and heart failure.

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