From controlled trials
to routine practice

Observational evidence from Indian nephrology practice
on desidustat in CKD-related anaemia.

Retrospective, multicentre observational study (2026)

Observational evidence shows association during treatment.
It does not establish causality as in randomised clinical trials.

OBSERVATIONAL EVIDENCE
Cover of the Cureus publication

Gulati S, Pahari D, Saraf K, et al.

A Retrospective Real-World Multicenter
Study of the Efficacy and Safety of
Desidustat in Chronic Kidney Disease-
Related Anaemia.

Cureus. 2026 May; 18(5): e109574.

DOI: 10.7759/cureus.109574
Six tertiary centres
in India
Study period
(2023–2024)
Retrospective
observational

COHORT AT A GLANCE

517

Total evaluable
patients

371

Non-dialysis
(NDD) patients

146

Dialysis-dependent
(DD) patients

57.86

Mean age
(years)

44.3%

Patients with
diabetes

61.3%

Patients with
hypertension

HAEMOGLOBIN OVER 6 MONTHS (ALL PATIENTS)

Within-patient change over time (association during treatment)

11.010.510.09.59.08.58.09.11Baseline(n=517)9.83Month 1(n=462)10.10Month 2(n=446)10.13Month 6(n=134)Mean haemoglobin (g/dL)

All within-patient changes from baseline were statistically significant, p < 0.005.
Results reflect association during treatment, not causality.

DIALYSIS AND NON-DIALYSIS VIEWS

Compare haemoglobin change by care setting

Chart viewTable view
NDD (n=371) DD (n=146)
11.010.510.09.59.08.58.09.11Baseline9.86Month 110.11Month 210.13Month 69.069.689.889.93Mean haemoglobin (g/dL)

Both groups showed significant improvement from baseline (p < 0.005).
Between-group difference was not statistically significant at any time point.

WHAT ROUTINE PRACTICE LOOKED LIKE

88.18% received desidustat 100 mg
three times weekly.

Iron therapy (oral/IV) was prescribed
according to clinical need and iron status.

No discontinuations due to drug-related
toxicity were documented during the
observation period.

Observed practice reflects real-world prescribing.
Please review the approved dosing in the Oxemia® PI.

TOLERABILITY IN ROUTINE PRACTICE

Desidustat was generally well tolerated.

Mild events such as constipation and
throat discomfort were reported.

No serious adverse events attributable
to desidustat were reported.

No new safety signals were reported
during the observation period.

For a complete list of adverse events,
please read the full publication.

USE APPROVED DOSING GUIDANCE

OXEMIA

(Desidustat)

Please refer to the approved prescribing
information for:

  • Indications
  • Starting dose and dose adjustments
  • Administration guidance
  • Contraindications and precautions
  • Safety information
Review Oxemia® PI

READ THE LIMITATIONS BEFORE CONCLUSION

  • Retrospective observational design.
  • Exclusion of incomplete records and
    potential selection bias.
  • No randomised comparator group.
  • Possible confounding factors and
    under-reporting of adverse events.
  • Variable iron use, dialysis practices
    and dose titration across centres.
  • No systematic patient-reported
    outcomes were collected.
  • Longer cardiovascular and
    thromboembolic follow-up needed.

INTERPRETATION

This large real-world study adds important evidence of
sustained haemoglobin improvement with desidustat in
routine Indian nephrology practice across both dialysis
and non-dialysis care settings.

These findings help generate questions and
guide future prospective research.

DREAM-ND Phase III Trial

Non-dialysis CKD patients
with anaemia

View DREAM-ND

DREAM-D Phase III Trial

Dialysis-dependent CKD
patients with anaemia

View DREAM-D

Source: Gulati S, et al. Cureus. 2026;18(5):e109574. DOI: 10.7759/cureus.109574 Open DOI