14/10/2026
💡 “penKid adds value beyond serum creatinine in sepsis, enabling earlier and more granular risk stratification for renal deterioration and short-term mortality.”
That is the conclusion of new data presented at ESICM LIVES 2026. In a secondary analysis of the multicenter Next GeneSiS trial, researchers from University Hospital Essen and partners looked at 492 patients with sepsis or septic shock. They asked whether penKid (Proenkephalin A 119-159) together with serum creatinine improves renal risk assessment.
The take-aways:
🔹 penKid provides substantial added value beyond serum creatinine in predicting worsening renal function and poor outcome.
🔹 Patients with an isolated elevation of penKid, with serum creatinine still in the normal range, are easy to miss with creatinine alone. This group had the highest 28-day mortality, at 54.2%.
These findings from a contemporary, prospective multicenter cohort are consistent with the recent patient-level meta-analysis by (Arlt, B. et al.,2026) and support the incremental prognostic value of penKid in conjunction with serum creatinine for predicting worsening renal function and mortality in sepsis.
Poster presented by Jonas Gregorius from University Hospital Essen.
📍 “Clinical performance of Proenkephalin A 119-159 in conjunction with serum creatinine for renal risk assessment in patients with sepsis or septic shock - a secondary analysis of Next GeneSiS-Trial”