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Global Kidney Dialysis Equipment Market: China and India are expected fastest ... - Industry Today (press release) PDF Print
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Persistence Market Research Pvt. Ltd is released new forthcoming report on title "Kidney Dialysis Equipment Market: Global Industry Analysis and Forecast 2014 - 2020".

Posted via Industry Today. Are you into it? Follow us on Twitter @IndustryToday

The dialysis industry is growing at a significant rate due to increase in the prevalence of organ failure, growing awareness in the field, and rise in adoption rate of dialysis. The dialysis industry encompasses various other industries, including medical devices and health care services. Medical devices include dialysis products and supplies, whereas health care services include dialysis services, which require skilled professionals to execute the process successfully. Kidney dialysis equipment refers to the medical devices that are used for eliminating wastes and unwanted water from the blood. They are used in case of patients with failed or damaged kidney. Various causes of kidney failure include diabetes, hypertension, malaria, glomerulonephritis, polycystic kidney disease, long-term exposure to lead, solvents and fuels, jaundice, over consumption of some medications, yellow fever, and others. On the basis of types, kidney dialysis equipment may be classified into hemodialysis and peritoneal dialysis. Two main principles of peritoneal dialysis are Continuous Ambulatory Peritoneal Dialysis (CAPD) and Continuous Cyclic Peritoneal Dialysis (CCPD). Kidney dialysis equipment may be used in dialysis centers, hospitals, or home care settings.

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North America, followed by Europe, dominates the global market for kidney dialysis equipment due to the presence of a large aging population and availability of better health care facilities in the region. In addition, there is a high prevalence of kidney diseases in the region. According to The Centers for Disease Control and Prevention (CDC), a public health institute in the U.S., in 2014, more than 20 million people suffered from chronic kidney diseases. Asia is expected to grow at a high rate in the next few years in the global kidney dialysis equipment market. China and India are expected to be the fastest growing markets for kidney dialysis equipment in Asia. Some of the key driving forces for the kidney dialysis equipment market in emerging countries are increasing R&D investment, presence of a large pool of patients, rising government funding, and growing level of awareness among people.

Diseases such as obesity accelerate the incidences of kidney failure. In addition, habits such as smoking lead to an increase in incidences of kidney failure. Increasing patient pool, rising awareness about treatment of kidney malfunction, and improved government funding are some of the key factors driving the global kidney dialysis equipment market. In addition, introduction of safer procedures for renal dialysis is driving the market. However, factors such as the high costs involved and lack of skilled professionals to carry out the process successfully, are restraining the growth of the kidney dialysis equipment market.

Growing demographics and economies in developing countries, such as India and China, are expected to create good opportunities for the global kidney dialysis equipment market. The introduction of some new products with better efficiency is also expected to offer good opportunities for the global kidney dialysis equipment market. Rising number of mergers and acquisitions, new product launches, and increasing number of collaborations and partnerships are some of the latest trends that have been observed in the global kidney dialysis equipment market. Complications associated with kidney dialysis are a challenge for the market. Some of the key companies operating in the kidney dialysis equipment market are Baxter International, Inc., B. Braun Melsungen AG, Sorin Group, and Teleflex Medical. Other companies which have a significant presence in the kidney dialysis equipment market include DaVita, Inc., Nikkiso Co., Ltd., Rockwell Medical Technologies, Inc., Gambro AB, Fresenius Medical Care AG & Co. KGaA, Asahi Kasei Kuraray Medical Co., Ltd, NxStage Medical, Inc., Aksys Ltd., and Diaverum.

Request a Brochure of this Report: http://www.persistencemarketresearch.com/samples/4487

Key Points Covered in the Report

1) Market segmentation on the basis of type, application, product, and technology (as applicable)
2) Geographic segmentation

  • North America
  • Europe
  • Asia 
  • RoW

3) Market size and forecast for the various segments and geographies for the period from 2010 to 2020
4) Company profiles of the leading companies operating in the market
5) Porter’s Five Forces Analysis of the market

About Us:
Persistence Market Research (PMR) is a full-service market intelligence firm specializing in syndicated research, custom research, and consulting services. PMR boasts market research expertise across the Healthcare, Chemicals and Materials, Technology and Media, Energy and Mining, Food and Beverages, Semiconductor and Electronics, Consumer Goods, and Shipping and Transportation industries. The company draws from its multi-disciplinary capabilities and high-pedigree team of analysts to share data that precisely corresponds to clients’ business needs.

Contact:
Glen Hare
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7th Floor, New York City, 
NY 10007, United States,
USA - Canada Toll Free: 800-961-0353
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Web: http://www.persistencemarketresearch.com

Contact Information

Glen Hare
Persistence Market Research PVT. LTD.
305 Broadway
United States
New York
10007

...

 
Normalized Testosterone Levels Linked to Fewer Heart Attacks, Strokes - Renal and Urology News PDF Print
August 10, 2015 Normalized Testosterone Levels Linked to Fewer Heart Attacks, Strokes - Renal and Urology News
Men with normalized testosterone levels following TRT had significantly lower risks of heart attacks and strokes, study finds.

Men with low testosterone whose levels normalize with testosterone replacement therapy (TRT) may enjoy lower risks of heart attack, stroke, and early death, a new study suggests.

The research provides valuable information amid recent studies that found increased cardiovascular risks for particular TRT users. Following the concerning findings, the FDA issued a safety alert.

For the study, investigators led by Rajat Barua, MD, from the VA Medical Center in Kansas City, Mo., examined the medical records of 83,010 male veterans with low total testosterone levels confirmed by repeat testing. They defined low testosterone as the lower limit of normal reported on laboratory tests to avoid an arbitrary cutoff and to reduce disparities in ranges used by various reporting units. Importantly, the men had no history of myocardial infarction or ischemic stroke.

The researchers categorized the men into 3 groups according to whether they received a TRT prescription (injection, gel, or patch). Group 1 received TRT and subsequently saw normalization of their testosterone levels (confirmed by repeat testing). Group 2 took TRT but experienced no such normalization. And group 3 did not receive TRT. The investigators used propensity score matching to account for covariates, such as age, body mass index, diabetes, hypertension, coronary artery disease, and use of aspirin or statins.

Men who took TRT and also saw their levels normalize (group 1) had lower risks of all-cause mortality (56%), myocardial infarction (24%), and ischemic stroke (36%) compared with men who did not take TRT (group 3) after an average 6.2 years of follow up, the investigators reported in the European Heart Journal.

Similarly, men with normalized testosterone levels (group 1) fared better than those who took TRT but failed to see normalization of testosterone (group 2). They had lower risks of early death, myocardial infarction, and ischemic stroke by 57%, 18%, and 30%, respectively. The researchers observed no difference in heart attack or stroke risk between groups 2 and 3, neither of which achieved testosterone normalization.

“It is the first study to demonstrate that significant benefit is observed only if the dose is adequate to normalize the [total testosterone] levels,” the investigators stated. “Patients who failed to achieve the therapeutic range after TRT did not see a reduction in [myocardial infarction] or stroke and had significantly less benefit on mortality.” In this study, normalization of testosterone was used as a marker of adequate therapy using TRT.

The mechanisms underlying these effects “remain speculative,” the investigators noted. Normalized testosterone levels may have beneficial effects on adipose tissue, insulin sensitivity, and lipid profiles or exert anti-inflammatory and anticoagulant effects. Conversely, adverse mechanisms that increase cardiovascular risks—such as sodium retention, congestive heart failure, increased platelet aggregation, or changes in high density lipoprotein—may account for the observed effects.

The investigators noted that off-label use of TRT remains a concern. They urge randomized controlled trials with long-term follow-up to obtain definitive conclusions. In the meantime, they point to a need for guidelines on TRT use and active surveillance of patients.

Source
  1. Sharma, R; Oni, OA; Gupta, K; et al. European Heart Journal; doi: 10.1093/eurheartj/ehv346.

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Late Life CKD Possibly Linked to Higher Midlife Blood Pressure - Renal and Urology News PDF Print
August 10, 2015

Higher blood pressure (BP) in midlife is associated with a significantly increased risk of decreased renal function later in life, new study findings suggest.

In a study of 805 individuals, researchers found that higher systolic and diastolic BP in midlife was associated with lower measured glomerular filtration rate (mGFR) and higher albuminuria in late life.

These associations “suggest the important of midlife factors as a potential contributing factor of late-life kidney disease and offers possible strategies for prevention,” the authors concluded in a paper published online ahead of print in the American Journal of Kidney Diseases.

Study subjects were participants in the AGES (Age, Gene/Environment Susceptibility)-Reykjavik Study, a continuation of the Reykjavik Study, a community-based cohort established in 1967 to prospectively study cardiovascular disease in Iceland. The Reykjavik Study and the AGES-Reykjavik Study obtained clinical and other data from participants at midlife (ages 47–55 years) and late life (age 77–83 years), respectively. Subjects had a mean age in midlife and late life of 51.0 and 80.8 years, respectively.

In the AGES-Reykjavik Study, the mean measured GFR (mGFR) was 62.4 mL/min/1.73 m2 and median albuminuria level was 8.0 mg/g. The researchers defined chronic kidney disease (CKD) as an mGFR below 60 mL/min/1.73 m2 or an albumin-creatinine ratio (ACR) above 30 mg/g. A total of 314 participants (39%) had mGFRs below 60 mL/min/1.73 m2 and 111 (13.8%) had ACRs above 30 mg/g.

The investigators, led by Leslie A. Inker, MD, of Tufts Medical Center in Boston, found that mGFR in late life was lower in participants with versus without midlife hypertension (59.8 vs. 63.9 mL/min/1.73 m2. They also observed a negative linear association between higher systolic and diastolic BP at the midlife visit with lower late-life mGFR (?0.99 and ?1.41 mL/min/1.73 m2 for each 5.0 mm Hg increment in systolic and diastolic BP, respectively). The associations were attenuated after adjustment for age, sex, creatinine level and other potential confounders, but they remained significant.

Dr. Inker's team found a significant positive linear association between higher midlife systolic and diastolic BP and higher ACR in late life. Each 5-mm higher systolic and diastolic BP was associated with a 5.6% and 9.2% greater ACR, respectively. After adjusting for midlife factors, the association remained significant with little attenuation, they noted.

The findings have several implications, according to the investigators. Their observation of the association of lower GFR and higher albuminuria in late life with midlife factors in addition to age raises the hypothesis that chronic kidney disease in the elderly may, in part, be preventable. In addition, the findings suggest that future research as to appropriate BP targets, especially in younger ages, is needed.

For the study, investigators measured GFR using plasma clearance of iohexol and albuminuria using 2 spot urine samples.

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Medgenics Reports Second Quarter 2015 Financial Results - CNNMoney PDF Print
  • Initiated enrollment in peritoneal dialysis study in U.S.
  • Awarded $3.4 million grant from the Israeli Office of the Chief Scientist
  • Advanced collaboration activities with CHOP

PHILADELPHIA, Aug. 10, 2015 (GLOBE NEWSWIRE) -- Medgenics, Inc.(NYSE:MDGN) (the Company), the developer of a proprietary platform for the sustained production and delivery of therapeutic proteins and peptides in patients using ex vivo gene therapy and their own tissue for the treatment of orphan diseases, today announced financial results for the three and six months ended June 30, 2015.

Management Commentary

"We are very pleased to have recently initiated enrollment in the U.S. for our MDGN-201 trial evaluating the treatment of anemia in a subgroup of end stage renal disease (ESRD) patients undergoing peritoneal dialysis," stated Mike Cola, Chief Executive Officer of Medgenics.

"We are likewise encouraged by the results of our ongoing MDGN-201 study in Israel.  We are continuing enrollment in the mid-dose cohort of the study, and we have seen promising results validating the TARGT platform in the low-dose cohort. All six low-dose patients who received TARGTEPO micro-organs have shown positive initial response to therapy at approximately 100x lower Cmax than rHuEPO (e.g., EPREX). Five of six patients maintained hemoglobin levels within their targeted range due to red blood cell production stimulated by eEPO for at least five months following implantation without receiving any injections of rHuEPO or blood transfusions, and one patient continues to remain stable without receiving any injections of rHuEPO or blood transfusions for 13 months since implantation. The data will be updated at the European Society of Gene and Cell Therapy (ESGCT) in September. Finally, the increased funding from the Israeli OCS is indicative of the positive support for the development of this novel gene therapy approach, and we greatly appreciate their continued support," stated Dr. Garry Neil, Chief Scientific Officer of Medgenics.

Moving forward, the company plans to focus on initiating small proof-of-concept studies in additional renal indications through the remainder of 2015. The initial study of end-stage renal disease (ESRD) patients undergoing peritoneal dialysis is now underway in Israel and the U.S.

"We continue to be encouraged by the breadth of the opportunities provided to us by the Children's Hospital of Philadelphia (CHOP) collaboration we signed last year. Our Precision Medicine approach of targeting therapeutics to distinct genetic populations identified at CHOP is unique and should allow us to quickly place programs into the clinic. We are still on target to announce our initial collaboration program in the 2nd half of the year, and look forward to discussing our Precision Medicine approach further at that time," stated Cola.

Second Quarter Financial Results

The Company reported financial results for the three and six months ended June 30, 2015 and the filing with the U.S. Securities and Exchange Commission (SEC) of the Company's Quarterly Report on Form 10-Q. The Form 10-Q includes unaudited interim consolidated financial statements containing the information presented below, as well as additional information regarding the Company. The Form 10-Q is available at www.sec.gov and at www.medgenics.com.

Gross research and development (R&D) expenses for the three months ended June 30, 2015 increased to $4.46 million from $1.96 million for the same period in 2014. This increase was due mainly to increased sub-contractor costs and increased stock-based compensation expenses related to options granted to research and development personnel. Net R&D expenses for the three months ended June 30, 2015 increased to $3.03 million from $0.77 million for the same period in 2014 due to the increase in gross research and development expenses offset in part by an increase of $0.25 million in the participation by the OCS.

General and administrative expenses for the three months ended June 30, 2015 were $3.89 million, increasing from $2.86 million for the same period in 2014 primarily due to increased stock-based compensation expenses related to options granted to directors and general and administrative personnel, offset in part by a decrease in professional fees.

Financial expenses for the quarter ended June 30, 2015 were $0.01 million, decreasing from $0.22 million for the same period in 2014. This decrease was mainly due to the change in valuation of the warrant liability.

Financial income for the quarter ended June 30, 2015 was $0.84 million, increasing from $0.02 million for the same period in 2014. This increase was mainly due to the change in valuation of the warrant liability.

The Company reported cash and cash equivalents of $22.01 million as of June 30, 2015.

For the quarter ended June 30, 2015 the Company reported a loss of $6.09 million or $0.24 per share, compared with a loss of $3.84 million or $0.21 per share for the comparative quarter in 2014.

Six Months Financial Results

Gross R&D expenses for the six months ended June 30, 2015 increased to $8.36 million from $4.10 million for the same period in 2014. This increase was due mainly to increased materials and sub-contractor costs and increased stock-based compensation expenses related to options granted to research and development personnel.  Net R&D expenses for the six months ended June 30, 2015 increased to $6.93 million from $2.92 million for the same period in 2014 due to the increase in gross research and development expenses offset in part by an increase of $0.25 million in the participation by the OCS.

General and administrative expenses for the six months ended June 30, 2015 were $7.84 million, up from $5.96 million for the same period in 2014 primarily due to increased stock-based compensation expenses related to options granted to directors and general and administrative personnel, offset in part by a decrease in professional fees.

Financial expenses for the six months ended June 30, 2015 decreased to $0.26 million from $0.34 million for the same period in 2014, mainly due to the change in valuation of the warrant liability.

Financial income for the six months ended June 30, 2015 was $0.02, similar to the comparative period in 2014.

For the second quarter of 2015 the Company reported a net loss of $15.01 million or $0.60 per share, compared with a net loss of $9.20 million or $0.49 per share for the second quarter of 2014.

About Medgenics

Medgenics is developing the TARGT (Transduced Autologous Restorative Gene Therapy) system, a proprietary platform for the sustained production and delivery of therapeutic proteins and peptides using ex vivo gene therapy and the patient's own tissue for the treatment of orphan and rare diseases. For more information, visit the Company's website at www.medgenics.com

Forward-looking Statements

This release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, Section 21E of the Securities Exchange Act of 1934 and as that term is defined in the Private Securities Litigation Reform Act of 1995, which include all statements other than statements of historical fact, including (without limitation) those regarding the Company's financial position, its development and business strategy, its product candidates and the plans and objectives of management for future operations. The Company intends that such forward-looking statements be subject to the safe harbors created by such laws. Forward-looking statements are sometimes identified by their use of the terms and phrases such as "estimate," "project," "intend," "forecast," "anticipate," "plan," "planning, "expect," "believe," "will," "will likely," "should," "could," "would," "may" or the negative of such terms and other comparable terminology. All such forward-looking statements are based on current expectations and are subject to risks and uncertainties. Should any of these risks or uncertainties materialize, or should any of the Company's assumptions prove incorrect, actual results may differ materially from those included within these forward-looking statements. Accordingly, no undue reliance should be placed on these forward-looking statements, which speak only as of the date made. The Company expressly disclaims any obligation or undertaking to disseminate any updates or revisions to any forward-looking statements contained herein to reflect any change in the Company's expectations with regard thereto or any change in events, conditions or circumstances on which any such statements are based. As a result of these factors, the events described in the forward-looking statements contained in this release may not occur.

CONTACT: Medgenics, Inc.
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Surgery Ups Survival in Cancer Patients with Kidney Metastases - Renal and Urology News PDF Print
August 10, 2015 Surgery Ups Survival in Cancer Patients with Kidney Metastases - Renal and Urology News
Surgical intervention in select patients with oligometastatic disease and good performance status should be considered, the researchers stated.

Patients with non-renal primary cancers that metastasize to the kidneys appear to have better survival if they undergo surgical treatment, new findings suggest.

A team at the University of Texas MD Anderson Cancer Center in Houston led by Jose A. Karam, MD, conducted a retrospective study of 151 patients diagnosed with a primary non-renal malignancy accompanied by renal metastases. Patients had a median age of 56.7 years.

The most common presenting symptoms were flank pain (30%), hematuria (16%), and weight loss (12%). The most common primary tumor site was the lung (43.7% of cases). The median overall survival (OS) from primary tumor diagnosis was 3.08 years, and the median OS from the time of metastatic diagnosis was 1.13 years, Dr. Karam's group reported online ahead of print in BJU International. For surgically-treated patients, median overall survival from primary tumor diagnosis and metastatic diagnosis was 4.81 and 2.24 years, respectively.

“Since renal metastases appear early in the metastatic process and survival appears to be longer in patients treated with surgery, surgical intervention in carefully selected patients with oligometastatic disease and good performance status should be considered,” the authors concluded. “A multidisciplinary approach, with input from urologists, oncologists, radiologists and pathologists, is needed to achieve the optimum outcomes for this specific patient population.”

The authors acknowledged that selection bias could explain the better survival outcomes observed in the surgery patients because “patients undergoing surgery with curative intent are likely to be those with minimal metastatic disease and good performance status.” A difference in systemic therapies used in the surgery patients also could explain the better observed outcomes in this cohort. 

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