Kiklin (bixalomer) / Astellas 
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 8 Diseases   0 Trials   0 Trials   36 News 
  • ||||||||||  PHOSPHATE BINDERS FOR PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING DIALYSIS: A NETWORK META-ANALYSIS OF RANDOMISED CONTROLLED TRIALS (Focussed Oral Room 10) -  May 4, 2023 - Abstract #ERAEDTA2023ERA_EDTA_1437;    
    Interventions and controls were the following: sevelamer-, bixalomer-, tenapanor-, iron- (ferric citrate, sucroferric oxyhydroxide), calcium-, magnesium-, lanthanum-, aluminium-, nicotinic acid-, and standard treatment or placebo). Our findings from SR based on NMA suggest that lanthanum may attenuate CACS and sevelamer may reduce the risk of all-cause mortality compared to calciumcontaining PBs in patients with CKD requiring dialysis.
  • ||||||||||  Tivicay (dolutegravir) / ViiV Healthcare
    PK/PD data, Journal:  Multivalent cation and polycation polymer preparations influence pharmacokinetics of dolutegravir via chelation-type drug interactions. (Pubmed Central) -  Oct 22, 2021   
    This study examined how the pharmacokinetics of DTG are affected by co-administration with Al(OH), LaCO, and the polycation polymers bixalomer (Bxl) and sevelamer (Svl)...These comparisons also revealed a considerable reduction in the maximum concentration, suggesting that the interactions of these agents with DTG in the intestinal tract inhibit absorption of DTG. The above results demonstrate that Al(OH), LaCO, Bxl, and Svl affect the pharmacokinetics of DTG and indicate the need for caution when combining any of the above preparations with DTG.
  • ||||||||||  [VIRTUAL] Successful Treatment of Systemic Calcinosis in a Teenager on Hemodialysis () -  Oct 17, 2021 - Abstract #KIDNEYWEEK2021KIDNEY_WEEK_2901;    
    Dialytic phosphate (P) clearance, and non-calcium(Ca), non-aluminum(Al) based binder use were maximized, using sevelamer and lanthanum carbonate...After 10 months, iv pamidronate was initiated to prevent further demineralization...Lanthanum is an effective metal Ca binder, but prolonged use may lead to accumulation and systemic deposition. The emergence of new P binders: ferric citrate, sucroferric oxyhydroxide, and bixalomer will offer exciting new treatment options.
  • ||||||||||  Review, Journal:  Phosphate binders in chronic kidney disease: an updated narrative review of recent data. (Pubmed Central) -  Aug 20, 2021   
    For this narrative review a PubMed searched was undertaken to identify new publications on phosphate binders that had been published between January 2015 and July 2019. The present review summarizes this most recent information on dietary measures and their problems in treating hyperphosphatemia in CKD patients, overall effects of phosphate binders on cardiovascular mortality and morbidity, adherence to phosphate binder therapy as well as new data on specific aspects of the various phosphate binders on the market: calcium-containing phosphate binders, polymeric phosphate binders (sevelamer, bixalomer, colestilan), magnesium-containing phosphate binders, lanthanum carbonate, ferric citrate, sucroferric oxyhydroxide, and new compounds in development, in particular drugs targeting intestinal phosphate transporters.
  • ||||||||||  Isentress (raltegravir) / Merck (MSD)
    Journal:  Concurrent administration with multivalent metal cation preparations or polycationic polymer preparations inhibits the absorption of raltegravir via its chelation. (Pubmed Central) -  Jun 23, 2021   
    The present review summarizes this most recent information on dietary measures and their problems in treating hyperphosphatemia in CKD patients, overall effects of phosphate binders on cardiovascular mortality and morbidity, adherence to phosphate binder therapy as well as new data on specific aspects of the various phosphate binders on the market: calcium-containing phosphate binders, polymeric phosphate binders (sevelamer, bixalomer, colestilan), magnesium-containing phosphate binders, lanthanum carbonate, ferric citrate, sucroferric oxyhydroxide, and new compounds in development, in particular drugs targeting intestinal phosphate transporters. The interaction of RAL with Al(OH) , LaCO Bxl, or Svl can inhibit RAL absorption into the gastrointestinal tract, and thus, the multivalent metal cation and polycationic polymer are the modifying factors that can affect RAL pharmacokinetics.
  • ||||||||||  Kiklin (bixalomer) / Astellas
    Trial completion:  Post-Marketing Surveillance on Long-Term Drug Use of Kiklin (Bixalomer) (clinicaltrials.gov) -  Jan 29, 2020   
    P=N/A,  N=123, Completed, 
    The interaction of RAL with Al(OH) , LaCO Bxl, or Svl can inhibit RAL absorption into the gastrointestinal tract, and thus, the multivalent metal cation and polycationic polymer are the modifying factors that can affect RAL pharmacokinetics. Active, not recruiting --> Completed
  • ||||||||||  Renagel (sevelamer) / Sanofi, Kiklin (bixalomer) / Astellas, Fosrenol (lanthanum carbonate) / Takeda
    Journal:  Phosphate Binders Derived from Natural Ores Contain Many Kinds of Metallic Elements Besides Their Active Ingredient Metals. (Pubmed Central) -  Mar 27, 2019   
    However, it should be emphasized that patients undergoing dialysis do not have a urinary excretion route and are administered many phosphate binder pills every day over a long period of time. In the future, pharmaceutical companies may have to disclose standard amounts and/or analytical values regarding the type and quantity of metallic elements in the final formulation or pharmaceutical bulk derived from natural ores.
  • ||||||||||  Kiklin (bixalomer) / Astellas
    Trial completion:  Post-marketing Surveillance of Bixalomer in Patients With Pre-dialysis Chronic Kidney Disease (clinicaltrials.gov) -  Jan 28, 2019   
    P=N/A,  N=144, Completed, 
    In the future, pharmaceutical companies may have to disclose standard amounts and/or analytical values regarding the type and quantity of metallic elements in the final formulation or pharmaceutical bulk derived from natural ores. Active, not recruiting --> Completed