Nephrologist @StanfordNeph, Chair @HDAE_Official, Director Social Media @HemodialysisInt, Defender of the 4 nephrons.

Palo Alto, CA
Joined March 2015
Applications for @HDAE_Official! 2/2 - 2/4/2027 Sacramento, CA Hands-on PD/HHD learning alongside faculty from @StanfordNeph @UCDNephrology @UCSFNephrology @USRenalCare @satellitehealth Fellows receive: Hotel accommodations Up to a $300 stipend hdexcellence.org/registratio…
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Graham Abra, MD retweeted
#KidneyWk Phase 3 TELIGAN trial (telitacicept APRIL/BAFF-China) What will you choose for IgAN? #NephTwitter An embarrassment of riches. Still need to figure out who, when & in what request with what combos? They all have very impressive outcomes. Coming in @TheLancet
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Not quite sure what to make of this. Can some statistical wizard explain why the prior null result is now in favor of vadadustat? @fperrywilson @eric_weinhandl
Next up back to the future HIF stabilizers: Vadadustat Three Times Weekly for the Treatment of Anemia in Patients Receiving Hemodialysis Geoff Block to speak
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Graham Abra, MD retweeted
⏩taking place now @kidneybiz presenting I CAN trial, sim publication in @NEJM ⚠️Ravulizumab treatment significantly decreased proteinuria compared with placebo at week 34 with rapid reduction as early as week 10 #kidneywk
Presented at #KidneyWk: An interim analysis of a phase 3 randomized trial involving adults with IgA nephropathy showed that ravulizumab, a terminal complement inhibitor, led to a significantly greater reduction in proteinuria than placebo. Full I CAN trial results: nej.md/4iwTFdS @ASNKidney
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The intersection of genetics, hematology and nephrology! Really interesting case of Myeloproliferative Nephropathy presented by @StanfordNeph fellow, Dr Samira Samant
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Graham Abra, MD retweeted
Live from #KidneyWk! Peritoneal dialysis (PD) patients have historically been excluded from major GLP-1 clinical trials. Today at #ASN2026, DaVita Clinical Research is sharing real-world insights on GLP-1 receptor agonist exposure in incident PD patients with Type 2 diabetes. 🧵👇
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Graham Abra, MD retweeted
⏩ Next into #kidneywk LBCT session Sefaxersen, a Novel mRNA-Targeted Therapy for IgA Nephropathy: Interim Analysis of the Phase 3 IMAgINATION Trial 🎤Presented by @IgAN_JBarratt ⚙️Mechanism: Liver-directed antisense oligonucleotide targeting factor B mRNA, reducing alternative complement pathway activity 👉Design: Double-blind, placebo-controlled RCT; 428 patients with biopsy-proven IgAN, proteinuria ≥1 g/day, eGFR ≥20, on optimized supportive care. Randomization 1:1 🎯Endpoints: Proteinuria reduction at week 37 (primary); eGFR total slope at week 105 (confirmatory).
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Graham Abra, MD retweeted
Presented at #KidneyWk: Among participants with IgA nephropathy, povetacicept, a dual inhibitor of B-cell activating factor and a proliferation-inducing ligand, led to a significantly greater reduction in proteinuria than placebo. Full phase 3 RAINIER AIS-D08 trial results: nej.md/3VWcGh6 @ASNKidney
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Important basic question. Amazing that in 2026 we still don't know which BP treat and what target to aim for to meaningfully change outcomes.
▶️ next into #KidneyWk HOME-BP trial Pre-dialysis BP has a confusing U-shaped association with mortality. Home BP may offer a better treatment target 🔀A crossover RCT comparing home versus pre-dialysis BP-guided treatment in 200 hemodialysis patients. Each strategy was tested for 5 months, with treatment adjusted every 2 weeks 🎯Primary outcome: Rate of intradialytic hypotension
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Graham Abra, MD retweeted
Original Article: Atacicept in IgA Nephropathy — Phase 3 Trial Final Efficacy Analysis (ORIGIN 3 trial) nej.md/4dJYTAo #KidneyWk | @ASNKidney
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Graham Abra, MD retweeted
Original Article: Sibeprenlimab in IgA Nephropathy — Final Phase 3 Trial Analysis (VISIONARY trial) nej.md/4z3QsZg #KidneyWk | @ASNKidney
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How are face masks used during PD exchanges? In a cross-sectional online survey of 733 PD professionals from 71 countries, 72.3% reported patients always wear masks during bag exchanges or cycler connection. #PDI #PeritonealDialysis #ISPD pubmed.ncbi.nlm.nih.gov/4289…
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#StanDOM's 2026 Annual Report, "Common Ground," is now live with 24 stories of discovery, education, care & partnership. Explore it here: stanford.io/4iahB5h #CommonGround @StanfordMed
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Graham Abra, MD retweeted
Next up phase three trial on teliracicept, a BAFF APRIL inhibitor. The Teligan trial weekly sq injection, after 39 weeks went to every other week.
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Graham Abra, MD retweeted
A #ASNJASN study published simultaneously with #KidneyWk found that mortality rates declined among patients initiating hemodialysis with a central venous catheter (CVC) over the past decade, with a reduction in absolute excess risk associated with continued CVC use. kidney.pub/JASN1293
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Graham Abra, MD retweeted
Presented at #KidneyWk: In patients with IgA nephropathy, atacicept, a human TACI–Fc fusion protein that modulates B-cell activity, slowed and stabilized the decline in the eGFR as compared with placebo. Full phase 3 ORIGIN 3 trial results: nej.md/4dJYTAo @ASNKidney
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Going to get a bit more steep on that downward trend as sibe and atacicept hit!
The most important figure in the new USRDS Annual Data Report. #KidneyWk
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Graham Abra, MD retweeted
Next to #kidneywk RENEW-HD trial Could hemodialysis become portable? 📍According to the presenter, neokidney is a 13-kg dialysis device that fits in carry-on luggage 📍It uses a sorbent cartridge to continuously regenerate dialysate, requiring only ~4.5 L of fluid per treatment and no dedicated water infrastructure 📍RENEW-HD is a multicenter, single-arm trial assessing dialysis adequacy and safety. The first two stages included 29 patients and 514 supervised dialysis sessions.
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Graham Abra, MD retweeted
Next up Dana Rizk with Sibe VISIONARY data for Sibeprelimab, April inhibitor I am a PI on this study #KidneyWk
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Graham Abra, MD retweeted
Presented at #KidneyWk: In a phase 3, double-blind, randomized trial involving patients with IgA nephropathy, sibeprenlimab stabilized the eGFR slope over 24 months, consistent with a reduced risk of kidney-function decline. Full VISIONARY trial results: nej.md/4z3QsZg @ASNKidney
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