Start with the patient in mind®

We understand the challenges faced by patients living with chronic kidney disease (CKD) and end stage renal disease (ESRD) better than any other contract clinical research services provider.

Success is found at the intersection of Clinical Research and Clinical Care


We have the largest renal site network of more than 450 principal investigators at more than 260 sites, dedicated to improving the lives of patients living with renal impairment.

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From protocol design and feasibility to study startup, project management, monitoring and auditing, Frenova provides complete clinical development services.

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F1RST UP is a first-of-its-kind alliance designed to start your study fast.

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For nearly 20 years, Frenova has offered experienced teams of physicians, clinicians, CRAs and nurses to conduct and help guide your renal research.

Clinical research for renal disease and its adjacent conditions

Anemia management

Atherosclerotic cardiovascular disease


Chronic kidney disease


Diabetes and diabetic complications

Dialysis adequacy

End stage renal disease

Home dialysis


Mineral metabolism



Peritoneal dialysis

Rare diseases

Vascular access

See What Our Clients Have to Say:

“The F1RST Up™ process streamlines two critical elements during the hectic startup phase: budgeting and enrollment forecasting. Frenova’s significant clinical experience in our indication, along with the efficiency of the F1RST Up process, creates a great foundation for collaboration in clinical development. With a shared commitment to patient care, good clinical practice and precision project execution, we have been very satisfied with our experience with Frenova and the F1RST Up process.”

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The Latest From Frenova

Frenova News

Reducing Risks of Flu for People with ESRD

March 8, 2018


Frenova News

The Cath Lab and Cardiorenal Care: A Q&A with Dr. Buck Cross

February 27, 2018



Bridging Clinical Research & Clinical Health Care Collaborative

April 4-5, 2018
National Harbor, MD


DIA 2018

June 24-28, 2018
Boston, MA

Ready to start your study?

Contact Us