Study: Switching to Sucroferric Oxyhydroxide Can Lower Phosphate in HD
In a study, 42.4% of patients with serum phosphorus of 5.6 to 7 mg/dL lowered their levels to less than 5.5 mg/dL over 2 years.
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SAN DIEGO—Patients on hemodialysis (HD) who have serum phosphate levels of 5.5 mg/dL or more for 3 months despite the use of other phosphate binders experience a reduction in their levels after switching to sucroferric oxyhydroxide, according to results from the latest real-world study of the drug presented at the American Society of Nephrology's Kidney Week 2018 conference.
The study included 3927 HD patients with elevated serum phosphate levels (above 5.5 mg/dL). Of these, 2067, 1381, and 479 patients had serum phosphate levels of 5.6 to 7 mg/dL (group 1), 7.1 to 8.5 mg/dL (group 2), and more than 8.5 mg/dL (group 3), respectively. A majority (84%) had been prescribed other phosphate binders: sevelamer (37%), calcium acetate (18%), lanthanum carbonate (3%), or switched between binders (26%).
According to mixed effects linear regression analyses, 42%, 22%, and 8.3% of patients in groups 1, 2, and 3, respectively, experienced a serum phosphate decline to 5.5 mg/dL or less within 2 years of treatment with sucroferric oxyhydroxide, an iron-based binder. In group 3, mean serum phosphate decreased from 9.36 to 7.62 mg/dL.
In groups 1, 2, and 3, pill burden declined from a mean 8.7, 9.7, and 9.9 pills per day at baseline, respectively, to 4.9, 5.3, and 5.4 pills per day at 2 years, respectively.
“The high pill burden of most phosphate binders can make serum phosphorus control not readily achievable,” Stuart M. Sprague, DO, of the NorthShore University HealthSystem in Chicago, told Renal & Urology News. “Data presented in our poster show improvement in serum phosphate concentrations levels with patients taking about 50% fewer phosphate binder pills per day after being switched to sucroferric oxyhydroxide with varying degrees of elevated serum phosphorus at baseline.”
The study was funded by Fresenius Medical Care in Waltham, Massachusetts, which manufactures sucroferric oxyhydroxide (Velphoro).
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Sprague SM, Parameswaran V, Ficociello L, et al. Changes in serum phosphorus (sP) among patients with hyperphosphatemia (sP >5.5 mg/dL) switched to sucroferric oxyhydroxide for two years. Presented at the American Society of Nephrology's Kidney Week 2018 conference in San Diego, Oct. 23-28. Poster TH-PO195.