NIH-funded research R01 grant

How FGF23 hormone fragments affect kidney disease, anemia, and heart health

Official title: Role of FGF23 peptides in chronic kidney disease (CKD)

Funded at Northwestern University · NIH-11240272 · Data updated 2026-11-12

This project explores whether different fragments of the hormone FGF23 made by bone and blood change iron levels, anemia, and heart risk in people with chronic kidney disease.

More Kidney Disease research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionNorthwestern University
NIH-funded
Lab location1 site (Chicago, United States)
Project startJanuary 1, 2023
Project endNovember 30, 2027
Funding year2026
Award (this year)$662,565
NIH project number5R01DK132657-04
Project IDNIH-11240272 on NIH RePORTER

Who could benefit from this research

Could help

Ideal participants are adults with chronic kidney disease, especially those with anemia or abnormal iron markers who can provide blood samples and medical history.

Less likely to help

People without kidney disease or whose anemia has a proven non-FGF23 cause are unlikely to benefit directly from this work.

What this research studies

You will hear about research looking at pieces of a bone hormone called FGF23 that rise in chronic kidney disease. The team measures full-length FGF23 and its C-terminal and N-terminal fragments in blood and tissues from people with CKD and in animal models, and tracks how these fragments affect the liver hormone hepcidin, iron levels, and red blood cell production. They also examine whether FGF23 fragments come from blood cell precursors (erythroid cells) and how that relates to anemia and heart-related damage. If you have CKD and anemia, the study helps researchers link specific hormone fragments to symptoms and possible new treatment targets.

Why it matters

Potential benefit: If successful, this work could point to new ways to treat anemia and lower heart risk in people with CKD by targeting specific FGF23 fragments.

How similar studies have gone: Full-length FGF23 is known to affect phosphate balance and link to worse outcomes, but targeting the separate peptide fragments is a newer idea supported so far mainly by early animal and patient data.

Where this research is happening

  • Northwestern University
    Chicago, United States
    Active

Researchers

  • Principal investigator: David, Nicolae Valentin — Northwestern University
  • Study coordinator: David, Nicolae Valentin

Related research

Other NIH-funded projects on the same topics.

  • Racial and ethnic disparities in kidney disease progression and onset

    Aimed at understanding why Black adults with or at risk for chronic kidney disease experience different outcomes and onset ages compared with other groups.

    NIH research University of Virginia · Charlottesville, United States · NIH-11225497

  • Investigating the role of FGF23 peptides in chronic kidney disease

    This study is looking at how a hormone called FGF23, which comes from your bones, affects people with chronic kidney disease (CKD) and aims to find better ways to treat related health problems like heart issues and anemia.

    NIH research Northwestern University at Chicago · Chicago, United States · NIH-10978217

  • Personalized CKD-MBD care using systems biology and AI

    A patient-facing program aims to tailor mineral-balance therapy for people with chronic kidney disease by using a computer model and smart decision rules to predict who will respond best to treatments.

    NIH research VA North Texas Health Care System · Dallas, United States · NIH-11644324

  • Mitigating DKA in people with type 1 diabetes and kidney disease using SGLT1/2 inhibitors

    This project tests a new way to prevent dangerous diabetic ketoacidosis in people with type 1 diabetes and chronic kidney disease who are using SGLT inhibitors, by tracking ketones in real time and combining glucose-keton data for safer therapy.

    NIH research Healthpartners Institute · Bloomington, UNITED STATES · NIH-11595907

  • Chronic Kidney Disease in Children: following young people as they grow up with CKD

    A long-term study in kids with chronic kidney disease tracks kidney function and heart health as they transition into adulthood.

    NIH research Children's Mercy Hosp (Kansas City, Mo) · Kansas City, United States · NIH-11588599

  • Chronic Kidney Disease in Children follow-up study

    A long-term study that follows kids with kidney disease as they grow into young adults, collecting health data from home and official records.

    NIH research Children's Mercy Hosp (Kansas City, Mo) · Kansas City, United States · NIH-11588598

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.