Mr. Ibrahem/Pegloticase
Clinical data
Trade namesKrystexxa, Puricase
AHFS/Drugs.comMonograph
MedlinePlusa611015
License data
Routes of
administration
Intravenous
Drug classUrate oxidase[1]
Legal status
Legal status
Pharmacokinetic data
BioavailabilityN/A
Elimination half-life10–12 days
Chemical and physical data
FormulaC1549H2430N408O448S8 (peptide monomer)
Molar mass497 kg/mol (polymer-modified tetramer) g·mol−1
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Pegloticase, sold under the brand name Krystexxa, is a medication used to treat chronic gout.[1] It is a third line treatment in those in whom other treatments are not tolerated.[2] It is given by injection into a vein.[1]

Common side effects include worsening gout, pain at the site of injection, nausea, bruising, constipation, and anaphylaxis.[1] Other side effects may include worsening heart failure.[1] It should not be used in people with G6PD deficiency.[1] It is a manufactured form of the enzyme urate oxidase (uricase).[1]

Pegloticase was approved for medical use in the United States in 2010.[1] It was approved in 2013 in Europe but this was withdrawn in 2016.[3] In the United States it costs about 26,000 USD per dose.[4]

References edit

  1. ^ a b c d e f g h i j k "Pegloticase Monograph for Professionals". Drugs.com. Archived from the original on 5 August 2019. Retrieved 27 October 2021.
  2. ^ Dalbeth, N; Merriman, TR; Stamp, LK (22 October 2016). "Gout". Lancet. 388 (10055): 2039–2052. doi:10.1016/s0140-6736(16)00346-9. PMID 27112094. S2CID 208790780.
  3. ^ "Krystexxa Withdrawal of the marketing authorisation in the European Union" (PDF). Archived (PDF) from the original on 26 March 2017. Retrieved 25 March 2017.
  4. ^ "Krystexxa Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 26 January 2021. Retrieved 27 October 2021.