Building on the concepts introduced in the previous episode Rethinking the Design and Conduct of Kidney Trials, this episode explores how innovative ideas in nephrology research can be translated into practical trial strategies. Experts discuss novel approaches to trial design, evolving endpoint selection, and the importance of engaging patients, clinicians, regulators, and other stakeholders throughout the research process. Drawing on insights from the ISN Consensus Meeting on Changing Paradigms of Studies in CKD (Vancouver, Nov 22-23, 2024), the discussion highlights how more pragmatic and implementation-focused trials can help generate evidence that is meaningful for clinical practice and patient care worldwide.

Speakers

Adeera Levin
Professor of Medicine, University of British Columbia, Canada, and Past-President of the International Society of Nephrology (ISN). Dr. Levin is a global leader in kidney health research, with extensive experience in chronic kidney disease (CKD) management, clinical trials, and international health system strengthening.

David Wheeler
Professor of Kidney Medicine at University College London, UK and Honorary Consultant Nephrologist at the Royal Free Hospital. His research focuses on the management of chronic kidney disease and the evaluation of therapies through large-scale clinical trials. He was co-principal investigator of the landmark DAPA-CKD trial and served as Co-Chair of KDIGO from 2012–2019.

Kevin Weinfurt
Professor and Vice Chair of Faculty, Department of Population Health Sciences, Duke University School of Medicine, USA. Dr. Weinfurt is a behavioural scientist specializing in patient-reported outcomes (PROMs), ethical aspects of research participation, and improving the relevance of clinical trials to patients lived experiences.

Hiddo J. Lambers Heerspink
Professor of Clinical Trials and Personalized Medicine, University Medical Center Groningen, The Netherlands. Dr. Heerspink’s work bridges pharmacology, nephrology, and precision medicine, focusing on optimizing kidney and cardiovascular outcomes through innovative clinical trial design and biomarker discovery.

To read more, explore the related paper Changing Paradigms of Studies in Kidney Diseases published in Kidney International.

This session will discuss the rising demand for kidney care, key causes of workforce gaps, and the impact on patient outcomes. It would also highlight practical solutions to strengthen the nephrology nursing workforce.

Moderator: Ana Figueiredo

Speakers:

Rachael Walker

Marques Shek Nam Ng

Ginger Chu

Laura Lunardi

This ISN i3C podcast brings together leading ISN experts to unpack a new paper tackling one of nephrology’s biggest mysteries: chronic kidney disease of unknown origin (CKDu). The discussion explores why identifying the causes of CKDu has been so challenging—highlighting gaps in terminology, study design, and data collection—while questioning whether current research approaches are asking the right questions. Through expert insights and debate, the podcast emphasizes the need for standardized methods, stronger global collaboration, and a shift toward translating research into prevention, especially in low- and middle-income countries. The podcast closes by looking ahead to priority research areas and how the global community can get involved in advancing solutions. Listeners will come away with a deeper, more nuanced understanding of CKDu.

Participants:

• Ben Caplin (UK), ISN i3C Working Group Chair
• Magdalena Madero (Mexico), ISN i3C Working Group Deputy Chair
• Eranga Wijewickrama (Sri Lanka)
• Shuchi Anand (United States)