MedPath

Pegloticase

Generic Name
Pegloticase
Brand Names
Krystexxa
Drug Type
Biotech
CAS Number
885051-90-1
Unique Ingredient Identifier
R581OT55EA

Overview

Pegloticase is a porcine recombinant PEGylated uricase indicated for the treatment of chronic gout in adult patients that do not respond to other types of therapies. Pegloticase has a similar activity to rasburicase, an enzyme that metabolizes uric acid to allantoin. In gout patients treated with pegloticase, the conversion of uric acid to allantoin leads to lower plasma uric acid concentrations. Pegloticase has a longer terminal elimination half-life thanks to the addition of a polyethylene glycol (PEG) group. Therefore therapeutic drug levels can be maintained with infrequent and relatively low pegloticase doses. The PEG group also gives pegloticase a lower potential to induce an immune response. However, cases of anaphylaxis and infusion reactions have been reported in patients treated with this drug. Pegloticase was approved by the FDA in 2014, and in 2022, the drug label included the co-administration of pegloticase and methotrexate.

Indication

Pegloticase is a PEGylated uric acid specific enzyme indicated for the treatment of chronic gout in adult patients refractory to conventional therapy.

Associated Conditions

  • Chronic, refractory Gout

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2024/03/07
Phase 1
Recruiting
Shanghai Institute Of Biological Products
2024/01/29
Phase 4
Active, not recruiting
2022/03/31
Phase 1
Completed
Shanghai Institute Of Biological Products
2021/02/21
Phase 4
Completed
2021/02/09
Phase 4
Recruiting
2019/04/05
Phase 2
Completed
2019/04/02
Phase 2
Recruiting
2017/10/06
Phase 2
Completed
2012/12/03
Phase 1
Completed
2008/05/08
Phase 3
Completed

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Horizon Therapeutics USA, Inc.
75987-080
INTRAVENOUS
8 mg in 1 mL
8/30/2023
Savient Pharmaceuticals, Inc.
54396-801
INTRAVENOUS
8 mg in 1 mL
4/15/2013

EMA Drug Approvals

Approved Product
Authorization Holder
Status
Issued Date
No EMA approvals found for this drug.

HSA Drug Approvals

Approved Product
Manufacturer
Approval Number
Dosage Form
Strength
Approval Date
No HSA approvals found for this drug.

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
No NMPA approvals found for this drug.

PPB Drug Approvals

Approved Product
Registration No.
Company
Licence No.
Strength
Registration Date
No PPB approvals found for this drug.

TGA Drug Approvals

Approved Product
ARTG ID
Sponsor
Registration Type
Status
Registration Date
No TGA approvals found for this drug.

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