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10.1093/ndt/gfv006

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suck abstract from ncbi


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pmid25691681
      Nephrol+Dial+Transplant 2015 ; 30 (6 ): 1037-46
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  • Long-term effects of the iron-based phosphate binder, sucroferric oxyhydroxide, in dialysis patients #MMPMID25691681
  • Floege J ; Covic AC ; Ketteler M ; Mann JF ; Rastogi A ; Spinowitz B ; Chong EM ; Gaillard S ; Lisk LJ ; Sprague SM
  • Nephrol Dial Transplant 2015[Jun]; 30 (6 ): 1037-46 PMID25691681 show ga
  • BACKGROUND: Hyperphosphatemia necessitates the use of phosphate binders in most dialysis patients. Long-term efficacy and tolerability of the iron-based phosphate binder, sucroferric oxyhydroxide (previously known as PA21), was compared with that of sevelamer carbonate (sevelamer) in an open-label Phase III extension study. METHODS: In the initial Phase III study, hemo- or peritoneal dialysis patients with hyperphosphatemia were randomized 2:1 to receive sucroferric oxyhydroxide 1.0-3.0 g/day (2-6 tablets/day; n = 710) or sevelamer 2.4-14.4 g/day (3-18 tablets/day; n = 349) for 24 weeks. Eligible patients could enter the 28-week extension study, continuing the same treatment and dose they were receiving at the end of the initial study. RESULTS: Overall, 644 patients were available for efficacy analysis (n = 384 sucroferric oxyhydroxide; n = 260 sevelamer). Serum phosphorus concentrations were maintained during the extension study. Mean ± standard deviation (SD) change in serum phosphorus concentrations from extension study baseline to Week 52 end point was 0.02 ± 0.52 mmol/L with sucroferric oxyhydroxide and 0.09 ± 0.58 mmol/L with sevelamer. Mean serum phosphorus concentrations remained within Kidney Disease Outcomes Quality Initiative target range (1.13-1.78 mmol/L) for both treatment groups. Mean (SD) daily tablet number over the 28-week extension study was lower for sucroferric oxyhydroxide (4.0 ± 1.5) versus sevelamer (10.1 ± 6.6). Patient adherence was 86.2% with sucroferric oxyhydroxide versus 76.9% with sevelamer. Mean serum ferritin concentrations increased over the extension study in both treatment groups, but transferrin saturation (TSAT), iron and hemoglobin concentrations were generally stable. Gastrointestinal-related adverse events were similar and occurred early with both treatments, but decreased over time. CONCLUSIONS: The serum phosphorus-lowering effect of sucroferric oxyhydroxide was maintained over 1 year and associated with a lower pill burden, compared with sevelamer. Sucroferric oxyhydroxide was generally well tolerated long-term and there was no evidence of iron accumulation.
  • |Drug Combinations [MESH]
  • |Female [MESH]
  • |Ferric Compounds/*therapeutic use [MESH]
  • |Humans [MESH]
  • |Hyperphosphatemia/*drug therapy [MESH]
  • |Iron/*metabolism [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Phosphorus/*metabolism [MESH]
  • |Prognosis [MESH]
  • |Renal Dialysis/*adverse effects [MESH]
  • |Sucrose/*therapeutic use [MESH]


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