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VELTASSA maintained normokalemia through 1 year1

VELTASSA helped patients with hyperkalemia maintain normokalemia for 52 weeks in the AMETHYST-DN study.
  • Up to 95% of patients with hyperkalemia maintained normokalemia
  • 100% of patients were on RAAS inhibitors at baseline

Normokalemia was defined as serum K+ within the target range of 3.8 to 5.0 mEq/L.

*Baseline serum K+>5.0 to 5.5 mEq/L.

Baseline serum K+>5.5 to <6.0 mEq/L.

Dose strength studied, but not commercially available.

§Significant (P<0.001) increases in least squares mean serum K+ levels were seen by day 3 post-treatment.

*Significant (P<0.001) increases in least squares mean serum K+ levels were seen by day 3 post-treatment.

Baseline serum K+>5.0 to 5.5 mEq/L.

Baseline serum K+>5.5 to <6.0 mEq/L.

§Dose strength studied, but not commercially available.

Study design

A phase 2, 52-week, multicenter, open-label, dose-ranging, randomized clinical trial in patients with CKD and type 2 diabetes mellitus taking RAAS inhibitors, consisting of an 8-week initiation phase and a 44-week maintenance phase. The primary efficacy endpoint was the mean change in serum K+ level from baseline to week 4 or prior to the initiation of dose titration.

VELTASSA was studied in patients like yours who are vulnerable to hyperkalemia1,2

In the OPAL-HK (12-week) and AMETHYST-DN (1-year) studies:

GUIDELINE- RECOMMENDED THERAPIES

GUIDELINE- RECOMMENDED THERAPIES

100%of patients were receiving ACE inhibitors, ARBs, or other RAAS inhibitors

CKD

CKD

100% of patients had CKD, with the majority having type 2 diabetes mellitus

CV COMORBIDITIES

CV COMORBIDITIES

99% of patients had hypertension and up to 42% had heart failure

VELTASSA performance in a real-world dialysis study

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INDICATION

VELTASSA is indicated for the treatment of hyperkalemia.

Limitation of Use: VELTASSA should not be used as an emergency treatment for life-threatening hyperkalemia because of its delayed onset of action.

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INDICATION & Important Safety Information

Important Safety Information

VELTASSA is indicated for the treatment of hyperkalemia.

Limitation of Use: VELTASSA should not be used as an emergency treatment for life-threatening hyperkalemia because of its delayed onset of action.

CONTRAINDICATIONS

VELTASSA is contraindicated in patients with a history of a hypersensitivity reaction to VELTASSA or any of its components.

INDICATION

VELTASSA is indicated for the treatment of hyperkalemia.

Limitation of Use: VELTASSA should not be used as an emergency treatment for life-threatening hyperkalemia because of its delayed onset of action.

IMPORTANT SAFETY INFORMATION

CONTRAINDICATIONS

VELTASSA is contraindicated in patients with a history of a hypersensitivity reaction to VELTASSA or any of its components.

WARNINGS AND PRECAUTIONS

Worsening of Gastrointestinal Motility: Avoid use of VELTASSA in patients with severe constipation, bowel obstruction or impaction, including abnormal post-operative bowel motility disorders, because VELTASSA may be ineffective and may worsen gastrointestinal conditions. Patients with a history of bowel obstruction or major gastrointestinal surgery, severe gastrointestinal disorders, or swallowing disorders were not included in clinical studies.

Hypomagnecemia: VELTASSA binds to magnesium in the colon, which can lead to hypomagnecemia. In clinical studies, hypomagnecemia was reported as an adverse reaction in 5.3% of patients treated with VELTASSA. Approximately 9% of patients in clinical trials developed hypomagnecemia with a serum magnesium value <1.4 mg/dL. Monitor serum magnesium. Consider magnesium supplementation in patients who develop low serum magnesium levels.

MOST COMMON ADVERSE REACTIONS

The most common adverse reactions (incidence ≥2%) were constipation (7.2%), hypomagnecemia (5.3%), diarrhea (4.8%), nausea (2.3%), abdominal discomfort (2.0%) and flatulence (2.0%). Mild to moderate hypersensitivity reactions were reported in 0.3% of patients treated with VELTASSA and included edema of the lips.

ACE=angiotensin-converting enzyme; ARB=angiotensin II receptor blocker; CKD=chronic kidney disease; CV=cardiovascular; RAAS=renin-angiotensin-aldosterone system.

  1. References:
  2. Bakris GL, Pitt B, Weir MR, et al; for AMETHYST-DN Investigators. Effect of patiromer on serum potassium level in patients with hyperkalemia and diabetic kidney disease: the AMETHYST-DN randomized clinical trial. JAMA. 2015;314(2):151–161. doi:10.1001/jama.2015.7446
  3. Weir MR, Bakris GL, Bushinsky DA, et al; for OPAL-HK Investigators. Patiromer in patients with kidney disease and hyperkalemia receiving RAAS inhibitors. N Engl J Med. 2015;372(3):211–221. doi:10.1056/NEJMoa1410853