New Oral Drug for Anemia in Patients With Kidney Disease

A new compound developed based on the Nobel-Prize-winning discovery raised hemoglobin levels in patients with kidney disease who were undergoing dialysis and those not on dialysis.

A new class of drug can be given orally to treat anemia in chronic kidney disease, according to researchers from Brigham and Women’s Hospital.

Anemia is a common problem among patients with chronic kidney disease (CKD). Anemia can occur when the kidneys become damaged, limiting the production of erythropoietin (EPO), a hormone that signals to the body to make red blood cells.

Anemia in Children with Chronic Kidney Disease
A recent review listed out the causes, risk factors, complications and treatment of anemia in children with chronic kidney disease.

‘Oral delivery of daprodustat worked just like conventional therapy and was safe to use among chronic kidney disease patients.’

Currently, patients with CKD and anemia are treated with erythropoiesis-stimulating agents (ESAs), which must be given via subcutaneous injection or as part of dialysis.

“Anemia is a problem for so many patients with CKD, and having to come to the hospital or give oneself a subcutaneous injection can become a bottleneck for treatment,” said Ajay Singh, MBBS, of the Brigham’s Division of Renal Medicine and lead investigator of the trials.

Many safety concerns about ESAs have arisen over the years, including possible increased risk of stroke, myocardial infarction, vascular access thrombosis, tumor progression, and death.

Prevention of Kidney Disease - Causes & Prevention
Kidney damage is usually detected at advanced stages. Healthy lifestyle, keeping diabetes and blood pressure under check, and regular tests can help prevent it.

A new clinical trial tested the compound, daprodustat in patients with CKD on dialysis and in patients with CKD not on dialysis, and compared the oral medication’s safety and efficacy to conventional treatment.

Among 2,964 patients on dialysis who were randomly assigned to receive daprodustat or an ESA, hemoglobin levels rose 0.28±0.02 g per deciliter with daprodustat and 0.10±0.02 g per deciliter with ESA.

Home Dialysis can Improve Quality of Life for Kidney Disease Patients
At-home dialysis option is safe to be expanded to use in large, integrated health care systems as it offers improved outcomes for patients with chronic kidney disease (CKD).

MACE occurred in 374 of 1,487 (25.2 percent) and 394 of 1,477 (26.7 percent) participants in the daprodustat and ESA groups, respectively.

The results published in The New England Journal of Medicine and a simultaneous presentation at the American Society for Nephrology Kidney Week offered data indicating that daprodustat was as safe and efficacious as ESAs.

Plant-Based Diet is Not Linked to Hyperkalemia in CKD Patients
Hyperkalemia generally experienced in CKD patients. It was previously known that a plant-based diet rich in potassium was linked to HK. A recent study shows no link between a plant-based diet and HK.

The trial had several limitations, including its open-label design, which allowed participants to know the treatment they had been assigned and potentially biasing reporting of adverse events.

Therefore, this new drug could be a new way of treating people with kidney disease, avoiding injections while stimulating the body to produce red blood cells.

Source-Medindia