Sucroferric oxyhydroxide decreases serum phosphorus level and fibroblast growth factor 23 and improves renal anemia in hemodialysis patients
2018
Sucroferric oxyhydroxide, a novel iron-based
phosphate-binder, has been shown to have beneficial effects in lowering serum phosphorus levels and improving
renal anemiain clinical studies. Although an effect of this agent on
fibroblast growth factor 23(FGF23) has been reported in an animal study, there is little clinical data supporting this finding. This study aimed to evaluate the effect on
chronic kidney disease-mineraland
bone disorder, FGF23,
renal anemia, iron-related parameters, adverse events of sucroferric oxyhydroxide in hemodialysis patients. Hemodialysis patients, receiving existing
hyperphosphatemiadrugs with insufficient benefit, were administered sucroferric oxyhydroxide with/without calcium carbonate for 16 weeks. Serum phosphorus level declined rapidly in Week 8 (p < 0.0001) and this decrease persisted until Week 16 (p < 0.0001). FGF23 decreased (p = 0.0412, Week 16), and hemoglobin increased (p < 0.0001, Week 16).
Cumulative doseof
erythropoiesis-stimulating agents(p = 0.0122, Week 16), and intravenous iron (p = 0.0233, Week 12) decreased. All adverse reactions were mild, and diarrhea was the most frequently observed adverse reaction (16.7%). Therefore,
hyperphosphatemiatreatment with sucroferric oxyhydroxide may safely improve serum phosphorus level,
renal anemia, FGF23, and other factors that affect the prognosis of hemodialysis patients.
Keywords:
-
Correction
-
Source
-
Cite
-
Save
32
References
10
Citations
NaN
KQI