An expert in chronic kidney disease (CKD) discusses the importance of showing data at the 3-year mark for the DAPA-CKD study, released at AMCP.
Robert Toto, MD: What is the importance of showing the data of the savings at the 3-year mark when the model was carried out for 4 years? It’s important to show data all along the way. The average time on the study was less than 3 years because the DAPA-CKD study was stopped early by the data monitoring committee for overwhelming efficacy. The data monitoring committee monitors the safety of clinical trials, and if they see that a drug is saving lives, they recommend stopping the study. It would be unethical to continue a study if you know that you have a life-saving treatment. Adversely, if a drug is causing harm, then the data monitoring committee stops the study for that reason. The importance of looking at this at the 3-year mark is that if you look at the kidney function in patients with chronic kidney disease over time, there’s a lot of variability in the rate in which patients decline, even with patients who have the same disease with similar blood pressures. When you take a 3-year time frame, and you look at that in and of itself as a valued marker, that 3-year time frame would encompass a lot of events that you would see in the study. It would encompass a lot of the costs related to the care of patients within that 3-year time frame.
Transcript edited for clarity.
More Needs to Be Done to Reduce Racial Disparities in Home Dialysis
March 24th 2023On this episode of Managed Care Cast, we speak with Virginia Wang, PhD, and Matthew L. Maciejewski, PhD, who talk about their recent study on racial disparities in home dialysis, and what more needs to be done to increase uptake and reduce disparities in home dialysis for non-White patients.
Listen
Long-Term Benefits Show the Value of Upfront Investments in Value-Based Care
October 17th 2024Miriam Godwin, CMMI, National Kidney Foundation, touches on the gaps in kidney care that public policy can address, as well as the importance of thinking about the long-term benefits of value-based care.
Read More
Identifying Chronic Kidney Disease Stage 3 With Excess Disease Burden
June 24th 2024A high-risk cohort of beneficiaries with chronic kidney disease (CKD) stage 3 have a profile similar to patients with CKD stages 4 and 5, indicating potential benefit of earlier nephrology intervention.
Read More