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[Nephrology : what's new in 2025].

Rev Med Suisse · 2026

Last updated 2026-05-28

In 2025, new treatments for kidney disease include semaglutide, which helps prevent chronic kidney disease in people with type 2 diabetes, and retatrutide, which reduces a key kidney damage marker in those with diabetes and existing kidney disease. A higher dose of icodextrin did not improve survival or hospital stays in peritoneal dialysis patients but increased fluid removal. A dialysate with a moderate potassium level, combined with a potassium binder, may help stabilize potassium levels and reduce heart rhythm issues in hemodialysis patients.

AI summary of the abstract below.

JournalRev Med Suisse, 2026
Citations0
Molecules
Conditions studied Chronic Kidney Disease

Abstract

Complement inhibitors are expanding their indications in nephrology. In patients with type 2 diabetes, semaglutide prevents chronic kidney disease (CKD), while retatrutide reduces albuminuria in patients with diabetes and established CKD. Obinutuzumab improves the renal response in patients with lupus nephropathy. A double dose of icodextrin did not reduce mortality, peritonitis, or hospitalization rates compared to standard peritoneal dialysis treatment, though it increased ultrafiltration. In patients on hemodialysis, using a dialysate with an intermediate potassium concentration combined with a potassium chelator appears to stabilize serum potassium levels and reduce the occurrence of arrhythmias. Xenotransplantation and ex vivo perfusion techniques are being perfected in the search for a solution to organ shortage.

Verbatim abstract via PubMed 41540866 ↗