Disease Areas

Kidney Disease

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Kidney Disease

Kidney disease affects the body’s ability to filter blood, extra water, and waste out of a person’s system. These conditions can be chronic or acute.1

At Biogen, we have a portfolio of investigational and approved drugs intended to target immune-mediated and complement-driven kidney diseases with serious unmet need. By leveraging our expertise in immunology, nephrology, clinical development, and commercialization, we hope to bring new options to people living with these conditions, many of which have limited treatment options.

Antibody-Mediated Rejection (AMR)

AMR is a leading cause of kidney transplant failure and occurs when the recipient’s immune system attacks the transplanted kidney. The immune system releases donor-specific antibodies (DSAs) that recognize the donor kidney as foreign and target it, raising the risk of rejection. Natural killer (NK) cells can also play an important role in AMR by promoting inflammation and damage to the transplanted kidney, both in the presence and absence of detectable DSAs.

Treatment options are currently limited, with no approved therapies designed to specifically treat AMR.2,3

Microvascular Inflammation (MVI)

In patients with MVI, small blood vessels in the transplanted kidney, called glomeruli and peritubular capillaries, are injured, which may be a sign of rejection. MVI is a key diagnostic feature of AMR but can also occur on its own. Our research is focused on understanding the role of MVI in transplant-related kidney injury and on exploring whether reducing inflammation could help slow or prevent further damage to the transplanted kidney.

IgA nephropathy (IgAN)

IgAN is a chronic autoimmune disease where defective immunoglobulin A (IgA) antibody complexes build up in the glomeruli, impacting the kidney’s ability to filter waste. The build-up can cause inflammation and scarring and may result in kidney failure. It is estimated that nearly half of people with IgAN experience delays in being correctly diagnosed, which can lead to further decline in kidney function.4

Primary Membranous Nephropathy (PMN)

PMN is a severe antibody-mediated kidney disease in which a person’s immune system attacks the glomeruli, causing severe protein leakage (proteinuria), nephrotic syndrome, and, ultimately, kidney failure. The current standard of care involves immunosuppressants as there is no approved treatment specifically for PMN.

C3 glomerulopathy (C3G) and Primary Immune-Complex Membranoproliferative Glomerulonephritis (IC-MPGN)

C3G and primary IC-MPGN are rare, severe kidney diseases in which the complement cascade is overactive. This results in the excessive breakdown of a protein called C3, and its breakdown products become trapped in the kidney, causing inflammation and damage to the organ. Without treatment, these rare diseases often lead to kidney failure within five to 10 years of diagnosis, requiring patients to go on dialysis or get a kidney transplant.5

Innovative Research

Kidney disease remains an area with limited novel treatments and potentially severe consequences – such as end-stage kidney disease or graft failure. At Biogen, our research is working to uncover how CD38-expressing cells may contribute to kidney damage and deepening our understanding into the immune pathways that drive multiple rare kidney diseases.

Our efforts are also focused on researching complement immunotherapies. We’re exploring how this approach may impact broad inhibition of the principal pathways of the complement system and potentially support the treatment of a broad range of serious diseases.

 

Targeting CD38: When the immune system plays off key in kidney disease

When every cell in the immune system plays their part, they work together in harmony to protect the body – much like a band. But in some immune-mediated kidney diseases, certain cells can begin to play off key, causing the performance to break down and contribute to kidney damage. What if we could target and remove those specific cells, rather than turn down the volume on the entire band?

Learn more about the role of CD38-expressing cells in immune-mediated kidney diseases and the potential to selectively target them.

Our Kidney Disease Pipeline

Our pipeline at a glance as of July 29, 2026

Stories

Navigating Kidney Transplant Rejection

Ashley was diagnosed as a child with a rare kidney disease that led to kidney failure and a transplant by age 12. When she later faced antibody-mediated rejection, she and her mother, Jessica, navigated new medical challenges together. With the support of their community, they continue to advocate for better care and understanding for transplant patients and families.

This is Ashley’s experience and may not be generalizable to others who have had a kidney transplant.

Our Clinical Studies

Discover all recruiting Biogen clinical trials in kidney disease

Biogen conducts clinical trials in kidney disease related to the investigational drugs in our pipeline to evaluate the efficacy and safety of potential medicines.

References

1. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Kidney Disease. Available at: https://www.niddk.nih.gov/health-information/kidney-disease

2. Schinstock CA, et al. Am J Transplant. 2018;18(8):1975-1985.

3. Ciancio G, et al. Clin Transplant. 2018;32(12):e13392.

4. Parlato B. Semin Nephrol. 2024;44(5):151575

5. Smith RJH, et al. Nat Rev Nephrol. 2019;15(3):129-143.

6. SRTR; National Institute of Diabetes and Digestive and Kidney Diseases; Department of Health; Hart, Singh. Clin Transplant 2021; Crew. Am J. Transplant. 2016 Keri, K. C., Blumenthal, S., Kulkarni, V., Beck, L., & Chongkrairatanakul, T. (2019). Primary membranous nephropathy: comprehensive review and historical perspective. Postgraduate medical journal, 95(1119), 23–31. https://doi.org/10.1136/postgradmedj-2018-135729

7. Keri, K. C., Blumenthal, S., Kulkarni, V., Beck, L., & Chongkrairatanakul, T. (2019). Primary membranous nephropathy: comprehensive review and historical perspective. Postgraduate medical journal, 95(1119), 23–31. https://doi.org/10.1136/postgradmedj-2018-135729

8. Yexin Liu, et. Al, Prediction of ESRD in IgA Nephropathy Patients from an Asian Cohort: A Random Forest Model. Kidney Blood Press Res 20 December 2018; 43 (6): 1852–1864

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