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Gregor Bond

@gregorbond.bsky.social

transplant nephrologist and psychotherapy student in Vienna (Austria)

636 Followers  |  586 Following  |  96 Posts  |  Joined: 14.11.2024  |  1.6804

Latest posts by gregorbond.bsky.social on Bluesky

It seems to be a recurring problem, though. As you can see from the link above, Science's team found that several of these clinical centers have previously fouled up trial data for other companies and other drugs, and that alone should make any responsible CRO avoid them like radioactive waste zones. But the problems are even deeper. It appears that many of these Miami-area centers are cheerfully enrolling "professional patients" who are signing up for as many trials as possible to collect the payments and benefits, and who are likely as not throwing the pills themselves away. By this point in the article, my head was in my hands, and I'm sure that's a common reaction. This sort of idiotic fraud is the exact opposite of medical research.

It seems to be a recurring problem, though. As you can see from the link above, Science's team found that several of these clinical centers have previously fouled up trial data for other companies and other drugs, and that alone should make any responsible CRO avoid them like radioactive waste zones. But the problems are even deeper. It appears that many of these Miami-area centers are cheerfully enrolling "professional patients" who are signing up for as many trials as possible to collect the payments and benefits, and who are likely as not throwing the pills themselves away. By this point in the article, my head was in my hands, and I'm sure that's a common reaction. This sort of idiotic fraud is the exact opposite of medical research.

Remember the TOPCAT story of what happened in Russia and Georgia?

This is worse: www.science.org/content/blog...

And in South Florida.

From @dereklowe.bsky.social

12.01.2026 19:12 โ€” ๐Ÿ‘ 18    ๐Ÿ” 10    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
A Man with Asymptomatic Hypertension
Sarah Gorey, M.B.
You are the intern on call for the night shift. You are paged to come to the surgical ward to assess a patient. A 63-year-old man with uncomplicated diverticulitis was admitted earlier in the day for antimicrobial and conservative treatment. He rarely visits his family doctor, is not aware of having high blood pressure, and does not take regular medications. You have been called because on a routine check of vital signs, the patientโ€™s blood pressure was 185/115 mm Hg. All other vital signs were within normal limits. The patient has no symptoms; he has no headache, dyspnea, or chest or abdominal pain. He reports feeling slightly stressed at being admitted to the hospital today, which he was not anticipating, but had been sleeping comfortably before the nurse checked his vital signs.
On examination, he appears to be comfortable, and there is no clinical evidence of withdrawal from alcohol or other substances. His abdomen is soft and nontender, and on auscultation, no bruits are heard over the aorta or renal arteries. His pulses are 2+ and symmetric in all anatomical distributions. You note that his blood pressure was also high (166/97 mm Hg) at admission 4 hours earlier and had not been measured again until now. Routine laboratory test results from blood samples obtained at the time of admission show increased levels of leukocytes and inflammatory markers but normal kidney and liver profiles. The nurse manager confirms that the blood-pressure monitors on this ward have been calibrated recently. A repeat blood-pressure measurement obtained after the patient has rested quietly for 10 minutes is still elevated, at 182/103 mm Hg.
You must decide whether the patientโ€™s blood pressure should be monitored over time on an outpatient basis (a โ€œwatchful waitingโ€ approach) or whether he should begin receiving antihypertensive medications during this hospitalization.

A Man with Asymptomatic Hypertension Sarah Gorey, M.B. You are the intern on call for the night shift. You are paged to come to the surgical ward to assess a patient. A 63-year-old man with uncomplicated diverticulitis was admitted earlier in the day for antimicrobial and conservative treatment. He rarely visits his family doctor, is not aware of having high blood pressure, and does not take regular medications. You have been called because on a routine check of vital signs, the patientโ€™s blood pressure was 185/115 mm Hg. All other vital signs were within normal limits. The patient has no symptoms; he has no headache, dyspnea, or chest or abdominal pain. He reports feeling slightly stressed at being admitted to the hospital today, which he was not anticipating, but had been sleeping comfortably before the nurse checked his vital signs. On examination, he appears to be comfortable, and there is no clinical evidence of withdrawal from alcohol or other substances. His abdomen is soft and nontender, and on auscultation, no bruits are heard over the aorta or renal arteries. His pulses are 2+ and symmetric in all anatomical distributions. You note that his blood pressure was also high (166/97 mm Hg) at admission 4 hours earlier and had not been measured again until now. Routine laboratory test results from blood samples obtained at the time of admission show increased levels of leukocytes and inflammatory markers but normal kidney and liver profiles. The nurse manager confirms that the blood-pressure monitors on this ward have been calibrated recently. A repeat blood-pressure measurement obtained after the patient has rested quietly for 10 minutes is still elevated, at 182/103 mm Hg. You must decide whether the patientโ€™s blood pressure should be monitored over time on an outpatient basis (a โ€œwatchful waitingโ€ approach) or whether he should begin receiving antihypertensive medications during this hospitalization.

Should we be treating inpatient hypertension?

Interesting case with two discussants (Michael Rothberg vs Tara Chang)

www.nejm.org/doi/full/10....

I have to confess despite being a nihilist for treating inpatient BP I am tempted to do something in this setting.

09.01.2026 13:52 โ€” ๐Ÿ‘ 11    ๐Ÿ” 4    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

our dietitian mentioned that the oil of the control group is proinflammatory which might explain the difference

what do you and @freelyfiltered.bsky.social think? ๐Ÿ™

15.12.2025 09:28 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

so whats the fup study?
-> repeat in >70a old immunosuppressed patients?
total n=1000

12.12.2025 14:22 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

no screening in Austria ๐Ÿ‡ฆ๐Ÿ‡น ๐Ÿ˜ฅ

28.11.2025 12:08 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
Predictive Value of TTV Viral Load for BKPyV DNAemia Depends on BKPyV-Specific Humoral Immunity in KTRs Neutralizing antibodies (NAbs) have been proposed as biomarkers for stratifying BKPyV replication risk, while TTV viral load is recognized as a globalโ€ฆ

Torque Teno Virus ๐Ÿฆ 
ads to SOC to predict BK viraemia

๐Ÿฆ  can be ๐Ÿฆธโ€โ™€๏ธ #ttvguide

www.sciencedirect.com/science/arti...

20.11.2025 07:08 โ€” ๐Ÿ‘ 4    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
BTS Autumn Symposium - British Transplantation Society The Fundamentals of Transplantation: A Joint Educational Event by The Herrick Society of Trainees in Transplant Surgery & The British Transplant Physician Trainees

thanks ๐Ÿ™ BTS for the invitation!
what a warm welcome to london ๐Ÿ‡ฌ๐Ÿ‡ง

I guess DSA, GEP, ddcfDNA and TTV will nicely come together as comprehensive immune monitoring post SOT

bts.org.uk/bts-autumn-s...

#TTVguide

14.11.2025 17:11 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Post image

Immune Monitoring Goes Viral ๐Ÿฆ  Torque Teno Virus
for Immunologic Risk Stratification After Kidney Transplantation

โฉ๏ธ new review in TI ๐Ÿ”ฅ

doi.org/10.3389/ti.2...
#ttvguide

14.11.2025 07:15 โ€” ๐Ÿ‘ 4    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
Kidney Week in Houston: Day 1 โ€” NephJC in this edition: Atacicept in IgAN; Albuminuria as a surrogate outcome, Renal Remission and additional CONFIDENCE analysis

the cure for kidney week FOMO ๐Ÿ˜€

www.nephjc.com/news/kidneyw...

12.11.2025 08:44 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Sibeprenlimab in IgA Nephropathy โ€” Interim Analysis of a Phase 3 Trial | NEJM The cytokine A proliferation-inducing ligand (APRIL) is considered a key driver of the pathogenesis of IgA nephropathy. Sibeprenlimab, a humanized IgG2 monoclonal antibody, selectively binds to and...

The second sibeprenlimab paper in @nejm.org

(At least we gave it an oral at #KidneyWk unlike the poster for the phase 2 data in 2023!)

www.nejm.org/doi/full/10....

08.11.2025 17:03 โ€” ๐Ÿ‘ 12    ๐Ÿ” 5    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Preview
Balcinrenone in combination with dapagliflozin compared with dapagliflozin alone in patients with chronic kidney disease and albuminuria: a randomised, active-controlled double-blind, phase 2b clinica... In participants with chronic kidney disease at increased risk of disease progression, a fixed dose combination of balcinrenone and dapagliflozin was superior to dapagliflozin alone in reducing albumin...

And another ns-MRA

Balcinrenone added to Dapa in proteinuric CKD

#KidneyWK

@thelancet.com

www.thelancet.com/journals/lan...

08.11.2025 18:18 โ€” ๐Ÿ‘ 13    ๐Ÿ” 8    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
American Society of Nephrology Kidney Week 2025 
Original Article | Nov. 6, 2025 | NEJM.org 
A Phase 3 Trial of Atacicept in Patients  with IgA Nephropathy 

Figure 2A. Change from Baseline in 24-Hr Urinary Protein-to-Creatinine Ratio through Week 36. 

The NEJM identity sits at the bottom.

American Society of Nephrology Kidney Week 2025 Original Article | Nov. 6, 2025 | NEJM.org A Phase 3 Trial of Atacicept in Patients with IgA Nephropathy Figure 2A. Change from Baseline in 24-Hr Urinary Protein-to-Creatinine Ratio through Week 36. The NEJM identity sits at the bottom.

ORIGIN phase 3 trial: In an interim analysis of a clinical trial, atacicept, a fusion protein that binds and inhibits two cytokines thought to be central to the pathophysiology of IgA nephropathy, significantly reduced proteinuria. nej.md/3JEq8QL

@asnkidney.bsky.social | #KidneyWk

06.11.2025 14:55 โ€” ๐Ÿ‘ 18    ๐Ÿ” 10    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Figure 2. Change in bodyweight
(A) Mean percent change in bodyweight from baseline to week 48, shown as observed means and bars indicating SEs. The model-based estimates of the mean percent change in bodyweight and differences among treatment groups at week 48 with the corresponding p values (efficacy estimand only) and 95% CIs are shown in (B) (efficacy estimand) and (D) (treatment-regimen estimand); bars indicate SEs. Multiplicity adjustment was not performed, and p values should be interpreted as exploratory. (C) shows the percentage of participants with bodyweight reductions of at least 5%, 10%, 15%, 20%, 25%, and 30% from baseline to week 48. The percentage of participants is annotated above each bar, calculated with the use of Rubin's rules by combining the percentages of participants who met the thresholds in imputed datasets. *The model-based estimates and 95% CIs from a mixed model repeated measures analysis for the efficacy estimand are shown on the right, denoted by 48.

Figure 2. Change in bodyweight (A) Mean percent change in bodyweight from baseline to week 48, shown as observed means and bars indicating SEs. The model-based estimates of the mean percent change in bodyweight and differences among treatment groups at week 48 with the corresponding p values (efficacy estimand only) and 95% CIs are shown in (B) (efficacy estimand) and (D) (treatment-regimen estimand); bars indicate SEs. Multiplicity adjustment was not performed, and p values should be interpreted as exploratory. (C) shows the percentage of participants with bodyweight reductions of at least 5%, 10%, 15%, 20%, 25%, and 30% from baseline to week 48. The percentage of participants is annotated above each bar, calculated with the use of Rubin's rules by combining the percentages of participants who met the thresholds in imputed datasets. *The model-based estimates and 95% CIs from a mixed model repeated measures analysis for the efficacy estimand are shown on the right, denoted by 48.

Eli Lilly continuing to hit it out the park

Selective amylin agonist as an alternative to GLP1RAs? #eloralintide

www.thelancet.com/journals/lan... in @thelancet.com

(Yeah I know itโ€™s #KidneyWk but what do we do till Houston wakes up!)

cc @rnflex.bsky.social

06.11.2025 13:54 โ€” ๐Ÿ‘ 10    ๐Ÿ” 4    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Preview
A meta-analysis of albuminuria as a surrogate endpoint for kidney failure - Nature Medicine In a meta-analysis of 48 randomized trials of chronic kidney disease progression, reduction in the 6-month urinary albumin:creatinine ratio was associated with lower hazard ratios of established kidne...

Another simultaneous publication from the afternoon session

Albuminuria as an acceptable surrogate outcome (per our discussion earlier today)

www.nature.com/articles/s41... in @naturemedicine.bsky.social @nature.com sadly paywalled

#KidneyWk

06.11.2025 22:49 โ€” ๐Ÿ‘ 8    ๐Ÿ” 4    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
A Conservative Dialysis Strategy and Kidney Function Recovery in Dialysis-Requiring Acute Kidney Injury This trial examines whether a conservative dialysis strategy can improve recovery of kidney function for patients with acute kidney injury who require dialysis.

a conservative dialysis strategy in possibly recovering AKI helps people recover faster!

jamanetwork.com/journals/jam...

in @jama.com from #KidneyWk

Like STARRT-AKi et al, at the other end? Small trial - needs replication or this is common sense?

07.11.2025 18:50 โ€” ๐Ÿ‘ 9    ๐Ÿ” 4    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

low dose Tac + Everolimus is not superior to Tac + MMF in older transplant recipients

in @asnpublications.bsky.social

another LBCT from #KidneyWk published

journals.lww.com/jasn/fulltex...

07.11.2025 18:53 โ€” ๐Ÿ‘ 5    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
My Hot Take on PISCES, the New Fish Oil in Hemodialysis Study I love when a new study challenges what we think we know.

jamesstein18.substack.com/p/my-hot-tak...

12.11.2025 08:20 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
Fish-Oil Supplementation and Cardiovascular Events in Patients Receiving Hemodialysis | NEJM Cardiovascular disease is the leading cause of death in patients receiving hemodialysis, yet effective preventive therapies remain limited. Supplementation with nโˆ’3 polyunsaturated fatty acids, esp...

๐Ÿ˜ฒ too good to be true?

nothing except tx reduces death on hd
and nowโ€ฆ.

something safe, cheep and with more effect than tx (and more effect than in non hd)

waiting for the @freelyfiltered.bsky.social podcast covering this paper

www.nejm.org/doi/full/10....

12.11.2025 08:12 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
 Visual abstract 
Sad story reflecting that most people start with HD and most of them die

Visual abstract Sad story reflecting that most people start with HD and most of them die

Natural history of RRT from the ERA registry

The visual abstract in this case tells a lot

academic.oup.com/ndt/advance-...

@ndt-era.bsky.social #NephSky

04.11.2025 01:39 โ€” ๐Ÿ‘ 9    ๐Ÿ” 2    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

>50% hd to death ๐Ÿ˜ฅ

04.11.2025 07:13 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Urine screening to early diagnose young individuals with CKD: a call for action Alport syndrome is an inherited disorder of basement membranes leading to progressive chronic kidney disease, hearing loss, and ocular abnormalities in many affected patients. When the authors started...

Should we be screening every young childโ€™s urine (as is done in some countries!)

@rheaultm.bsky.social and Oliver Gross make the case in @kireports.bsky.social

www.kireports.org/article/S246...

Main issue: we have therapeutic options!

#NephSky

25.10.2025 01:05 โ€” ๐Ÿ‘ 15    ๐Ÿ” 5    ๐Ÿ’ฌ 4    ๐Ÿ“Œ 0
Preview
Statistical analysis plan for TTVguideITโ€”a multicentre, patient- and assessor-blinded, non-inferiority, randomised and controlled phase II trial to compare standard and Torque Teno virus-guided immuno... Background Non-interventional studies indicate an association between Torque Teno Virus (TTV) load in peripheral blood and immunosuppression related outcomes in kidney transplant recipients. This make...

can viruses ๐Ÿฆ  be superheroes ๐Ÿฆธโ€โ™‚๏ธ ?

PhD student Felix Herkner just published the statistical analysis plan
of the TTVguideIT trial ๐Ÿ’ช๐Ÿ‘

Torque Teno virus guided immunosuppression #TTVguide

data cleaning until Q1/26
analysis Q2/26

trialsjournal.biomedcentral.com/articles/10....

23.10.2025 17:39 โ€” ๐Ÿ‘ 3    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Preview
Novartis Fabhaltaยฎ (iptacopan) meets Phase III primary endpoint, slows kidney function decline in patients with IgA nephropathy (IgAN)

As expected, Iptacopan phase 3 in IgA nephropathy slows GFR decline

APPLAUSE-IgA

Adding another new medication we wonโ€™t be able to access or afford to our IgA armamentarium

#NephSky

www.novartis.com/news/media-r...

16.10.2025 11:28 โ€” ๐Ÿ‘ 21    ๐Ÿ” 7    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 0
Preview
A Phase 3 Trial of Telitacicept for Systemic Lupus Erythematosus | NEJM Telitacicept, a new dual inhibitor of the cytokines B-lymphocyte stimulator (BLyS) and APRIL (a proliferation-inducing ligand), showed efficacy in adults with active systemic lupus erythematosus (S...

Big win for telitacicept in SLE (not lupus nephritis, yet)

www.nejm.org/doi/full/10....

BAFF + APRIL FTW

#nephSky #Lupus

16.10.2025 01:04 โ€” ๐Ÿ‘ 10    ๐Ÿ” 3    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Post image

congrats to the poster price ๐Ÿฅณ

16.10.2025 20:32 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Post image Post image

viruses ๐Ÿฆ  can be superheroes ๐Ÿฆธโ€โ™€๏ธ

Felix Herkner present
the statistical analysis plan
of the TTVguideIT trial
at the Austrian Transplant Congress

Torque Teni Virus guided immunosuppression #TTVguide

16.10.2025 18:47 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

ah grad auf pubmed gefundenโ€ฆ und sie plant eine randomisiert kontrollierte studie zum thema aphereseโ€ฆ find ich superโ€ฆ genau so eine studie fehlt

11.10.2025 09:09 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

und wieso reicht sie nicht einfach einen antrag ein zur finanzierung ihrer wissenschaft bei drittmittelgebern, so wie alle anderen das machen, die auch forschung in der medizin machen und 0 oeffentlich gelder bekommen?

11.10.2025 09:03 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

wo ist die studie zur โ€žautoantikoerper entfernungโ€œ publiziert?

11.10.2025 08:58 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

@gregorbond is following 18 prominent accounts