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Is Krystexxa Ready To Make Its (Uri)Case

Krystexxa is a brand of pegloticase. It lowers uric acid dramatically, but can have serious side effects. Discuss if this gout treatment is right for your gout.

Krystexxa comes before the FDA Arthritis Advisory Committee Meeting on Tuesday 16th June.

This is the latest stage to try and get approval for the second new gout drug this year.

Hot on the heals of Uloric, the US brandname for febuxostat, pegloticase (formerly known as PEG-uricase) seeks release under Savient’s brand new name of Krystexxa.

FDA review has been postponed from February to give time for additional analysis of cardiovascular risks.

So what does this mean for gout sufferers?

Assuming approval is given, do not be thinking that you have a newer, easier option for controlling your uric acid.

Krystexxa cannot be taken orally. You get dosed up every two weeks with 8mg delivered by intravenous injection.

As well as being inconvenient, there are fairly high documented reaction rates. On a positive side, it is good that severe gout sufferers have an alternative if they cannot tolerate allopurinol.

So expect plenty drug company stimulated hype over the next few weeks. It is such a pity that similar money and exposure does not go into fixing the two great fallacies inherent in healthcare regimes throughout the world:

  1. Gout sufferers need better diagnosis. Too many patients are dismissed without gout because “normal” uric acid range is set too high.
  2. Allopurinol is rarely prescribed properly. Most gout patients do not get the right dose, the right monitoring, or the right support.

For latest information, please see the Krystexxa (pegloticase) guidelines.

By KeithTaylor

GoutPal site owner & gout article author. Full bio, and more, at Keith Taylor's Internet Help Stories.

4 replies on “Is Krystexxa Ready To Make Its (Uri)Case”

Thank you AJ.

Do you have any references for this? I would have expected a bit more publicity from the manufacturers, and I cannot find anything on the FDA site (though experience tells me that updates there can take some time to be published)

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