Nexsen Limited (ASX:NXN) has disclosed progress on its kidney diagnostics program, with its proprietary RenalSure® bedside test advancing toward a targeted US FDA submission in mid-2027 and a new feasibility study commenced with Austrian diagnostics company GENSPEED Biotech GmbH to evaluate a complementary cartridge-based acute kidney injury test.
Key Points
- RenalSure® is a rapid, urine-based lateral flow diagnostic targeting a US FDA submission in mid-2027, subject to successful development and clinical validation.
- Nexsen has commenced a feasibility study with GENSPEED Biotech GmbH to evaluate a cartridge-based AKI test using established micro-ELISA technology capable of measuring up to eight markers simultaneously.
- The addressable opportunity across the US, UK, and Australia is approximately 149 million AKI tests annually, with the global AKI diagnostics market estimated at approximately US$1.03 billion in 2026 and forecast to reach US$1.71 billion by 2033.
- Nexsen has registered RenalSure® and KidneySure® trademarks in Australia to establish its kidney diagnostics portfolio brands.
RenalSure® Development and Clinical Validation Progress
RenalSure® is designed to assess kidney injury risk at the bedside without relying on a central laboratory. Development is progressing toward a targeted US FDA submission in mid-2027, subject to successful development and clinical validation. According to the filing, Nexsen's existing biobank of stored urine samples from critically ill patients is expected to support clinical validation, potentially reducing reliance on new patient recruitment and accelerating the generation of clinical evidence. The company has also registered the RenalSure® and KidneySure® trademarks in Australia.
GENSPEED Feasibility Study Details
Nexsen has commenced a feasibility study with GENSPEED Biotech GmbH to evaluate a complementary cartridge-based AKI test using the company's established micro-ELISA technology. GENSPEED's CE-IVD marked analyser can measure up to eight markers simultaneously, delivering results in approximately 15 minutes in existing applications, with less than three minutes of hands-on time. The filing states that subject to successful feasibility results, the technology could also support future diagnostic applications across Nexsen's existing critical-care programs, including traumatic brain injury and neonatal sepsis.
Acute Kidney Injury Market and Clinical Context
According to the filing, an international study of 1,802 intensive care patients found that 57.3% developed AKI. In a separate study of 3,101 cardiac surgery patients, 25.9% developed AKI, with in-hospital mortality of 6.2% for those with AKI compared with 0.7% for those without. The commercial opportunity is described as being underpinned by repeat testing throughout a patient's ICU stay. The global AKI diagnostics market is estimated at approximately US$1.03 billion in 2026 and is forecast to reach US$1.71 billion by 2033, according to Grand View Research cited in the filing.



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