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Expert Interview

Slingshot members are talking to an expert! The topic is:

Investigating Ardelyx’s XPHOZAH (tenapanor) as a treatment for Hyperphosphatemia in patients with Chronic Kidney Disease.

Ticker(s): ARDX

Who's the expert?

Institution: Swedish Institute

  • Nephrologist and Director of Swedish Polycystic Kidney Disease Center of excellence at Swedish Medical Center in Seattle.
  • Manages around 60 patients with IgA nephropath and 100 patients with hyperphosphatemia.
  • Research focuses on renal pathophysiology and polycystic kidney disease (PKD); investigator on several clinical trials of investigational treatments for autosomal dominant PKD.

Interview Questions
Q1.

Please describe your clinical practice; how many patients do you currently treat with CKD, what percent of your patients are on dialysis and what are the treatment options? How often do patients develop hyperphosphatemia?

Added By: catalin_admin
Q2.

Can you tell us in more detail about the difficulties faced when controlling serum phosphorus in adult patients with chronic kidney disease?

Added By: catalin_admin
Q3.

What are the pros and cons of phosphate binders? Have the traditional issues of large pill size, objectionable taste, and multiple pills required for each meal and snack make phosphate been resolved ? What would you like to see in this space as an improvement?

Added By: catalin_admin
Q4.

How often do gastrointestinal AEs lead to treatment discontinuation?

Added By: catalin_admin
Q5.

What percent of dialysis patients have phosphorus concentrations of <5.5 mg/dl, to normal levels of <4.5 mg/dl? How much of a need is there?

Added By: catalin_admin
Q6.

Can you talk to us about your experience with tenapanor, which targets the dominant paracellular pathway, what advantages could xpozah have vs standard of care?

Added By: catalin_admin
Q7.

What percent of your patients had to stop treatment due to nontolerance, adverse effects?

Added By: catalin_admin
Q8.

How likely are you to prescribe XPHOZAH to your CKD Dialysis patients given its recent approval?

Added By: catalin_admin
Q9.

Do you view greater utility for XPHOZAH in lowering pill burden in combination with phosphate binders or more as a monotherapy for those who are intolerant?

Added By: user81496

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