Anemia

Some Anemic Kids on Dialysis Are at Higher Death Risk

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Children on dialysis who have anemia and require high doses of drugs to treat it are at increased risk of dying prematurely.

Advantages Cited with Novel Iron Drug

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Soluble ferric pyrophosphate significantly decreased ESA use while maintaining target hemoglobin levels without increasing iron stores.

Transfusions On the Rise in Dialysis Patients

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The trend is most pronounced among Medicare recipients since the debut of bundling, ESA labeling changes.

Hemoglobin Levels Decline After ESA Label Changes

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Study also showed an increase in the proportion of patients with hemoglobin level below 10 g/dL and in transfusion rates.

FDA: Omontys Injection Pulled From Market

FDA: Omontys Injection Pulled From Market

Voluntary recall of anemia drug due to reports of anaphylaxis, including three deaths

Preoperative ESR Predicts Kidney Cancer Survival After Nephrectomy

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Preoperative anemia associated with elevated risk of deaths from other illnesses.

Study: IV Iron Use Less with Once-Monthly ESA

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Once-monthly injections of peginesatide are as effective as one to three injections per week of epoetin in maintaining hemoglobin levels.

IV Iron Repletion in 15 Minutes, Researchers Report

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No major adverse events reported with administering 1.02 grams of ferumoxytol in patients with iron deficiency anemia.

ESAs Boost Stroke Risk, But Not Mortality

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Meta-analysis also reveals an increased risk of vascular access thrombosis, but no increased likelihood of end-stage renal disease.

Hematocrit Decreases as eGFR Declines

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Hematocrit decreases as estimated glomerular filtration rate (eGFR) declines in hypertensive chronic kidney disease (CKD) patients.

Daily Hemodialysis Linked to Worsening Hb Levels

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Patients initiating daily hemodialysis (DHD) face a significant decrease in mean hemoglobin (Hb), hematocrit, and transferrin.

IV Ascorbic Acid May Benefit EPO Resistant Patients

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Intravenous ascorbic acid (IVAA) can be a potent and effective adjuvant treatment for hemodialysis patients who have normoferritinemic anemia resistant to treatment with erythropoietin (EPO).

Races Show Similar Declines in Epoetin Use, Hb Levels

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Epoetin use and hemoglobin (Hb) levels have declined similarly for black and non-black dialysis patients following the advent of Medicare's system of "bundled" payments.

Low Iron, Intradialytic Hypotension Linked

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Iron deficiency in the absence of anemia is associated with intradialytic hypotension (IDH), a finding that suggests iron has a role beyond erythropoiesis.

EPO Use Down, IV Iron Use Up

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Clinicians are prescribing less erythropoietin and more intravenous iron for anemic hemodialysis patients after the introduction of a prospective payment system (PPS) for dialysis services ("bundling") and changes to ESA drug labels.

Sickle Cell Trait Associated with More ESA Use

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Variant hemoglobin (Hb) is common in African-American hemodialysis patients and it is associated with a need for significantly increased doses of ESA.

IV Iron Dosing Has Modest Effects at Higher TSAT

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Dosing intravenous (IV) iron at higher TSAT levels has only a modest effect on raising transferrin saturation (TSAT), ferritin, and hemoglobin in anemic hemodialysis patients.

Bolus Iron Dosing Hikes Risk of Serious Infection

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Bolus dosing of intravenous (IV) iron is associated with an elevated risk of infection-related hospitalization among anemic hemodialysis (HD) patients compared with maintenance dosing.

Peginesatide Requirements Do Not Differ By Race

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NATIONAL HARBOR, Md.—Black hemodialysis (HD) patients with anemia require relatively more epoetin than their non-black counterparts to achieve similar hemoglobin (Hb) levels, but blacks and non-blacks required similar peginesatide doses, according to findings presented at the National Kidney Foundation 2012 Spring Clinical Meetings.

Rapid Anemia Management May Reduce Hospital Readmission Rates

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NATIONAL HARBOR, Md.—Rapid anemia management (RAM) for patients with end-stage renal disease within seven days of hospital discharge decreases their rate of readmission, according to findings presented at the National Kidney Foundation 2012 Spring Clinical Meetings.

Complete Anemia Correction Better for Renal Transplant Patients

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Completely correcting anemia in kidney transplant recipients may preserve kidney function better than partially correcting anemia.

With ESAs, Let Your Patient Be Your Guide: An Interview with Alan S. Kliger, MD

With ESAs, Let Your Patient Be Your Guide: An Interview with Alan S. Kliger, MD By

When using ESAs to correct anemia in patients with chronic kidney disease, focus less on hitting a given hemoglobin target.

FDA Clears Once-Monthly Drug for Anemia in Dialysis Patients

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The FDA has approved peginesatide (Omontys) for the treatment of anemia in adult dialysis patients.

Correcting Anemia Reduces Odds of Renal Transplant Failure

Correcting Anemia Reduces Odds of Renal Transplant Failure

Complete correction of anemia (hemoglobin, 13 g/dL or higher) in kidney transplant recipients slows progression to chronic allograft nephropathy, a study found.

FDA Committee Favors Peginesatide

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The FDA's Oncologic Drugs Advisory Committee, in a 15 to 1 vote, has agreed that peginesatide demonstrates a favorable benefit/risk profile for use in treatment of dialysis patients with anemia resulting from chronic kidney disease (CKD).

Novel Therapy for CKD Anemia Advances

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PHILADELPHIA—A novel treatment for chronic kidney disease (CKD) patients with anemia is showing positive results following a Phase 1/2 clinical trial, according to findings reported at Kidney Week 2011.

Poor Response to ESAs Increases Death Risk in Hemodialysis Patients

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Mortality in hemodialysis (HD) patients can be influenced by their responsiveness to erythropoiesis-stimulating agents (ESAs), according to Japanese researchers.

FDA Agrees to Review NDA for Peginesatide

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The FDA has agreed to review a New Drug Application (NDA) for peginesatide for the treatment of anemia associated with chronic kidney disease (CKD) in adult dialysis patients, according to a joint announcement by the two companies colloraborating on the development of the drug.

FDA Recommend More Conservative Dosing of ESAs

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The FDA is calling for more conservative dosing of erythropoiesis-stimulating agents (ESAs) when used to treat anemia in CKD patients due to the increased risks of cardiovascular events such as stroke, thrombosis, and death.

FDA Mulling Once-Monthly Anemia Drug

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The FDA is reviewing a New Drug Application for peginesatide as a treatment for anemia associated with chronic renal failure in adult dialysis patients.