The underlying conditions that cause the initial damage and start the vicious cycle leading to kidney failure include diabetes, hypertension, and/or auto-immune diseases.
Despite the differences in aetiology, glomerular inflammation is the driving factor behind progression in each of these diseases. Therefore, the major component of CKD treatment consists of immune-suppressive drugs, and has been for the last 50 years.
The systemic nature of these drugs is the reason for the frequently reported side-effects including fatigue, infections, infertility and even cancer. These side-effects are often so severe that they become dose-limiting, thereby leading to insufficient treatment of the disease. As a result, patients often still progress towards end-stage kidney disease and associated kidney replacement therapy. Thus, there is a great need for new medication for CKD.