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University of Groningen Evaluation of renal end points in nephrology trials Weldegiorgis, Misghina Tekeste

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University of Groningen

Evaluation of renal end points in nephrology trials

Weldegiorgis, Misghina Tekeste

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

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Publication date: 2017

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Weldegiorgis, M. T. (2017). Evaluation of renal end points in nephrology trials. University of Groningen.

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STELLINGEN Behorende bij het proefschrift

Evaluation of renal end points in nephrology trials

1. Renal function loss progresses linearly over time in the majority of patients. This thesis 2. Dichotomous clinical trial end points are preferred in the setting of proportional treatment

effects. This thesis

3. Reaching a predefined level of serum creatinine (or eGFR) should always be included as a component of a clinical end point in nephrology trials. This thesis

4. Clinical trial end points based on lesser declines in eGFR than a doubling in serum creatinine should be used with caution due to hemodynamic drug effects. This thesis 5. The optimal end point in clinical trials of chronic kidney disease progression should consist

of an objective component reflecting change in filtering capacity eGFR, and the clinically relevant end point renal replacement therapy. This thesis

6. “It is not the heart, it is the brain”. Treatment of stress and depression must receive more attention to reduce cardiovascular and kidney disease.

7. It is high time African countries set up an agency to harmonize medicine regulations in order to facilitate participation of African countries in multinational clinical trials. 8. Of all of the forms of inequality, injustice in health is the most shocking and inhumane. Dr.

Martin Luther King, Jr

9. Although our intellect always longs for clarity and certainty, our nature often finds uncertainty fascinating. Carl von Clausewitz

10. Absence of evidence is not evidence of absence. Carl Sagan

Misghina T. Weldegiorgis 8 November 2017

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Misghina obtained BSc degree in Pharmacy from the University of Asmara in 2008 and received MSc degree in epidemiology with specialization in pharmacoepidemiology from