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Reliable potassium control around the clock, proven to keep your patients on guideline-recommended RAASi treatment1-11
In 306 patients with T2DM, CKD, and HTN, treated with RAASi, significant decreases in serum K+ were observed after 4 weeks with Veltassa® and maintained for 1 year1 in:
Among 243 patients with CKD and hyperkalaemia receiving RAASi, 76% had serum K+ in the target range (3.8–<5.1 mEq/L) at Week 42
Similar results in patients with:
In patients with CKD and hyperkalaemia on RAASi, Veltassa® resulted in serum K+ reductions 4–7 hours after the first dose,3 with mean baseline serum K+ reduced at all subsequent times through 48 hours
Serum K+ did not increase before the next dose or for 24 hours after the last dose3
100% RAASi; 42% HF; 100% CKD; 97% HTN; 57% T2DM
Proportion of patients receiving any RAASi dose at Week 8 of the randomised withdrawal phase
100% HF; 57% CKD; 32% T2DM; 98% RAASi
Proportion of patients up-titrated to spironolactone 50 mg/day
100% CKD; 45% HF; 49% T2DM; 100% RAASi
Proportion of patients remaining on spironolactone at Week 12
In a retrospective observational study with 288 hyperkalaemic patients with HF, T2DM or CKD, Veltassa® decreased serum K+ by an average of -1.0 mEq/L vs before treatment (p<0.001).6
In the same study, RAASi therapy was continued in ~80% of patients for 6 months.6
Similarly, in a large US healthcare database including patients with hyperkalaemia, more patients receiving Veltassa® continued RAASi therapy vs those receiving a different serum K+ binder (SPS) or no serum K+ binder.7
Treatment with Veltassa® was also associated with fewer hospital admissions and emergency department visits.7
ADRs IN CLINICAL STUDIES
|System Organ Class||Common||Uncommon|
Metabolism and nutrition disorders
Abdominal pain: 2.9%
The favourable safety profile observed in clinical trials is supported by evidence from real-world studies.
Concomitant administration of Veltassa® showed reduced bioavailability of only 3 drugs:8
No interaction was found with administration of oral drugs at least 3 hours apart from Veltassa®. Quinidine showed a potential drug interaction in vitro. As a precautionary measure, administration of Veltassa® should therefore be separated by at least 3 hours from other oral medicinal products.8
VELTASSA® can be administered with or without food
At least 3 hours should be left between taking Veltassa® and any other medication
had CKD with eGFR
<60 mL/min/1.73 m2
ACEi, angiotensin converting enzyme inhibitor; ADR, adverse drug reaction; AE, adverse event; AOBP, automated office blood pressure; ARB, angiotensin II receptor blocker; BB, beta blocker; BID, twice daily; Ca2+, calcium ions; CHF, congestive heart failure; CI, confidence interval; CKD, chronic kidney disease; eGFR, estimated glomerular filtration rate; GI, gastrointestinal; HF, heart failure; HK, hyperkalaemia; HTN, hypertension; K+, potassium ions; mEqL, milliequivalents per litre; RAASi, renin‐angiotensin‐aldosterone system inhibitors; rHTN, resistant hypertension; sK+, serum potassium; SPS, sodium polystyrene sulfonate; T2DM, type 2 diabetes mellitus; US, United States
aLeast squares mean (95% CI) serum potassium levels over 52 weeks and during post-treatment follow-up in patients with mild or moderate hyperkalaemia (post-hoc mixed-effects models for repeated-measures analysis).1
bAt treatment day 3, there were 202 patients with mild hyperkalaemia and 82 with moderate hyperkalaemia.
cAt follow-up day 3, there were 163 patients with mild hyperkalaemia and 58 with moderate hyperkalaemia.
dAt follow-up week 1, there were 154 patients with mild hyperkalaemia and 57 with moderate hyperkalaemia.
eAt follow-up week 3, there were 126 patients with mild hyperkalaemia and 48 with moderate hyperkalaemia.
fThe recommended starting dose of Veltassa® is 8.4 g once-daily. The daily dose may be increased or decreased by 8.4 g as necessary to reach the desired target range, up to a maximum dose of 25.2 g daily.8
1. Bakris GL, et al. JAMA 2015;314(2):151−61. 2. Weir MR, et al. N Engl J Med 2015;372(3):211−21. 3. Bushinsky DA, et al. Kidney Int 2015;88(6):1427−33. 4. Pitt B, et al. Eur Heart J 2011;32(7):820−8. 5. Agarwal R, et al. Lancet 2019;394(10208):1540−50. 6. Kovesdy CP, et al. Postgrad Med 2020;132:176–83. 7. Desai NR, et al. PLoS One 2020 Jan 7;15(1):e0226844. doi: 10.1371/journal.pone.0226844. 8. Veltassa® SmPC. 9. Li L, et al. J Cardiovasc Pharmacol Ther 2016;21(5):456−65. 10. Data on file, Relypsa Inc. 11. Pitt B, et al. ESC Heart Fail 2018;5(4):592−602. 12. Seferovic PM, et al. Eur J Heart Fail 2019;21:1169–86. 13. KDIGO Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease Kidney Int 2020;98(Suppl 4S):S1–S116.