KRYSTEXXA with methotrexate showed significant improvement in patient response‡ vs KRYSTEXXA alone1
KRYSTEXXA with methotrexate showed significant improvement in patient response‡ vs KRYSTEXXA alone during Month 121
‡The primary efficacy endpoint was the proportion of responders, defined by patients achieving and maintaining sUA <6 mg/dL for at least 80% of the time during Month 6.1
In the pivotal clinical trials for KRYSTEXXA alone, 42% of patients had sUA response and met the primary endpoint of maintaining sUA <6 mg/dL for ≥80% of the time during Month 3 and Month 6 (n=36/85).1,4
§In the KRYSTEXXA with methotrexate arm.
**Baseline eGFR was missing for 1 patient.6
eGFR, estimated glomerular filtration rate; MTX, methotrexate
KRYSTEXXA with methotrexate continued to show significant improvement in patient response†† vs KRYSTEXXA alone during Month 121
KRYSTEXXA with methotrexate continued to show significant improvement in patient response†† vs KRYSTEXXA alone1
††The secondary efficacy endpoint was the proportion of responders, defined by patients achieving and maintaining sUA <6 mg/dL for at least 80% of the time during Month 12.1
KRYSTEXXA with methotrexate (MTX): 71/100 patients during Month 6 and 60/100 patients during Month 12 had an sUA response.1
KRYSTEXXA alone: 20/52 patients during Month 6 and 16/52 patients during Month 12 had an sUA response.1
Maintaining a level near 1 mg/dL for 6-12 months may dramatically resolve years of urate crystal buildup1,7
Connect with the KRYSTEXXA team to discuss.
KRYSTEXXA with methotrexate helps patients reach an sUA level that dissolves tophi.1,‡‡
‡‡Tophi resolution was defined as 100% resolution of at least 1 target tophus, no new tophi appearing, and no single tophus showing progression.1
Occupation:
Nurse
59-year-old with no visible tophi, but has pain and tenderness in her hands; diagnosed with gout 5 years ago
Actor portrayal, not actual patient.
Occupation:
Real estate agent
56-year-old with hypertension and pain in hands and feet; diagnosed with gout 8 years ago
Actor portrayal, not actual patient.
Occupation:
Stay-at-home parent
43-year-old diagnosed with gout over 20 years ago
Real patient.
KRYSTEXXA is not indicated for the treatment of pain.
Gout Flares: An increase in gout flares is frequently observed upon initiation of anti-hyperuricemic therapy, including KRYSTEXXA. Gout flare prophylaxis with a non-steroidal anti-inflammatory drug (NSAID) or colchicine is recommended starting at least 1 week before initiation of KRYSTEXXA therapy and lasting at least 6 months, unless medically contraindicated or not tolerated.
Congestive Heart Failure: KRYSTEXXA has not been formally studied in patients with congestive heart failure, but some patients in the pre-marketing placebo-controlled clinical trials experienced exacerbation. Exercise caution in patients who have congestive heart failure and monitor patients closely following infusion.
The most commonly reported adverse reactions (≥5%) are:
KRYSTEXXA co-administration with methotrexate trial:
KRYSTEXXA with methotrexate: gout flares, arthralgia, COVID-19, nausea, and fatigue; KRYSTEXXA alone: gout flares, arthralgia, COVID-19, nausea, fatigue, infusion reaction, pain in extremity, hypertension, and vomiting.
KRYSTEXXA pre-marketing placebo-controlled trials:
gout flares, infusion reactions, nausea, contusion or ecchymosis, nasopharyngitis, constipation, chest pain, anaphylaxis, and vomiting.
KRYSTEXXA® (pegloticase) is indicated for the treatment of chronic gout in adult patients who have failed to normalize serum uric acid and whose signs and symptoms are inadequately controlled with xanthine oxidase inhibitors at the maximum medically appropriate dose or for whom these drugs are contraindicated.
Limitations of Use: KRYSTEXXA is not recommended for the treatment of asymptomatic hyperuricemia.
Please see Full Prescribing Information, including Boxed Warning.