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Updated: Apr 24, 2026

Direct Drug Delivery to Kidney via the Renal Artery
Published on: April 17, 2021
New renal drug development to face chronic renal disease
Solange Moll1, Matthias Meier, Ivan Formentini
1University Hospital Geneva, Institute of Clinical Pathology , Geneva , Switzerland.
Insights
Renal drug development is now feasible, targeting inflammation and fibrosis pathways to combat chronic kidney diseases. New approaches and biomarkers promise to revolutionize future treatments for kidney disease.
Area of Science:
- Nephrology
- Pharmacology
- Drug Development
Background:
- Chronic kidney diseases (CKD) recognized by WHO in 2012 due to significant morbidity, mortality, and healthcare costs.
- Current CKD treatment relies on 1980s-era antihypertensive drugs, highlighting an unmet medical need.
- CKD presents a substantial market opportunity for pharmaceutical innovation.
Purpose of the Study:
- To explain the current feasibility of developing novel therapeutics for renal diseases.
- To focus on treatments targeting key pathogenic pathways in CKD.
- To review advancements enabling effective renal drug development.
Main Methods:
- Review of current scientific literature on renal drug development.
- Analysis of therapeutic strategies targeting inflammation and fibrosis in CKD.
- Examination of mechanisms driving CKD progression and organ function loss.
Main Results:
- Multiple preclinical and clinical approaches are available for developing effective renal therapeutics.
- Biomarkers are crucial for advancing drug development and understanding disease mechanisms.
- Surrogate indications for rare diseases can accelerate clinical validation of therapeutic targets.
Conclusions:
- Developing effective therapeutics for renal diseases is now plausible.
- Biomarker relevance and use of surrogate indications can expedite clinical development.
- These advancements hold the potential to revolutionize future CKD treatment paradigms.
Introduction:
For the first time in 2012, chronic kidney diseases were added to WHO disease list because of their impact on morbidity/mortality and their substantial impact on the cost to the health care system. Although representing a clear unmet medical need and a huge business case for the pharmaceutical industry, its clinical treatment still mainly relies on drugs invented in the 1980s used for controlling blood pressure.
Areas Covered:
In this review, the authors aim to elucidate why renal drug development is feasible today. The article provides a particular focus on the treatments that target the pathways involved in inflammation, fibrosis and the core mechanisms driving the vicious cycle responsible for disease progression and organ function loss.
Expert Opinion:
Currently, it is plausible to develop effective therapeutics for renal diseases with a plethora of approaches available for their development at a preclinical and clinical level. Furthermore, the relevance of biomarkers and the use of surrogate rare disease indications as proof of mechanism for faster and/or smaller clinical development are now possible; and these developments could revolutionize the way we treat renal disease in the future.
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