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Expert Interview

Slingshot members are talking to an expert! The topic is:

Examining Updated Phase 1/2 RUBY-3 Data for Povetacicept and Late-Breaking DUPLEX Findings for FILSPARI Across IgA Nephropathy, Primary Membranous Nephropathy, and FSGS

Ticker(s): VRTX, TVTX

Who's the expert?

A nephrologist specializing in immune-mediated and proteinuric kidney diseases, with clinical and research experience in IgA nephropathy, primary membranous nephropathy, and focal segmental glomerulosclerosis. The expert should be familiar with BAFF/APRIL biology, endothelin receptor antagonism, proteinuria-based surrogate endpoints, and long-term eGFR slope interpretation. Experience in designing or running clinical trials involving B-cell–targeting agents or dual-mechanism kidney therapeutics is preferred, as well as familiarity with registries like RaDaR and KDIGO’s evolving guidance on remission definitions.

Interview Goal
The interview aims to explore the significance of new clinical data for two complementary mechanisms in immune-mediated kidney diseases: Vertex’s BAFF+APRIL inhibitor povetacicept (IgAN and pMN, RUBY-3 study) and Travere’s endothelin receptor–targeting FILSPARI (FSGS, DUPLEX study). The discussion will focus on the magnitude and durability of proteinuria reduction, eGFR stabilization, remission rates, long-term kidney failure risk modeling, and how emerging thresholds such as UPCR <0.7 g/g may redefine therapeutic targets across glomerular diseases. The conversation will also address regulatory pathways, comparative disease biology, and implications for real-world treatment sequencing once both therapies potentially reach the market.

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