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A retrospective study on the efficacy of Roxadustat in peritoneal dialysis patients with erythropoietin hyporesponsiveness
- Source :
- The Korean Journal of Internal Medicine, Vol 39, Iss 3, Pp 488-500 (2024)
- Publication Year :
- 2024
- Publisher :
- The Korean Association of Internal Medicine, 2024.
-
Abstract
- Background/Aims Roxadustat, an oral medication for treating renal anemia, is a hypoxia-inducible factor prolyl hydroxylase inhibitor used for regulating iron metabolism and promoting erythropoiesis. To investigate the efficacy and safety of roxadustat in patients undergoing peritoneal dialysis (PD) with erythropoietin hyporesponsiveness. Methods Single-center, retrospective study, 81 PD patients (with erythropoietin hyporesponsiveness) were divided into the roxadustat group (n = 61) and erythropoiesis-stimulating agents (ESAs) group (n = 20). Hemoglobin (Hb), total cholesterol, intact parathyroid hormone (iPTH), brain natriuretic peptide (BNP), related indicators of cardiac function and high-sensitivity C-reactive protein (hs-CRP) were collected. Additionally, adverse events were also recorded. The follow-up period was 16 weeks. Results The two groups exhibited similar baseline demographic and clinical characteristics. At baseline, the roxadustat group had a mean Hb level of 89.8 ± 18.9 g/L, while the ESAs group had a mean Hb level of 95.2 ± 16.0 g/L. By week 16, the Hb levels had increased to 118 ± 19.8 g/L (p < 0.05) in the roxadustat group and 101 ± 19.3 g/L (p > 0.05) in the ESAs group. The efficacy of roxadustat in improving anemia was not influenced by baseline levels of hs-CRP and iPTH. Cholesterol was decreased in the roxadustat group without statin use. An increase in left ventricular ejection fraction and stabilization of BNP were observed in the roxadustat group. Conclusions For PD patients with erythropoietin hyporesponsiveness, roxadustat can significantly improve renal anemia. The efficacy of roxadustat in improving renal anemia was not affected by baseline levels of hs-CRP0 and iPTH.
- Subjects :
- roxadustat
renal anemia
peritoneal dialysis
epo hyporesponsiveness
Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 12263303 and 20056648
- Volume :
- 39
- Issue :
- 3
- Database :
- Directory of Open Access Journals
- Journal :
- The Korean Journal of Internal Medicine
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.f3c4c542145e48ca882452efcb86fd45
- Document Type :
- article
- Full Text :
- https://doi.org/10.3904/kjim.2023.520