Please ensure JavaScript is enabled for purposes of website accessibility IV Gout Treatment Timeline | KRYSTEXXA® (pegloticase)
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Explore each step of
the KRYSTEXXA treatment journey

  • 1 Plan for KRYSTEXXA

    Step 1: Schedule your first blood test

    To make sure KRYSTEXXA is right for you, your doctor or gout specialist will check your uric acid level and G6PD (glucose-6-phosphate dehydrogenase) enzyme.

    Step 2: Confirm your insurance

    This is a great time to connect with a Patient Access Liaison (PAL), who can assist you in learning about insurance coverage criteria and approval process and understanding cost assistance options.

    Step 3: Connect with a peer mentor

    While you wait for your blood test results, talk with KRYSTEXXA patients who can answer your questions, share their treatment experience, and provide moral support.

  • 2 Prepare for treatment

    Step 4: Choose your treatment location

    You can get KRYSTEXXA in a variety of IV treatment settings. Learn about your options and decide which is best for you.

    Step 5: Schedule a second blood test

    Your doctor will recheck your uric acid level a day or two before your first infusion and every infusion that follows.

    Step 6: Pick up any prescriptions

    Your doctor may prescribe the medicine methotrexate and folic acid to begin before your first infusion. You’ll continue taking them for the duration of your treatment. If your doctor does not feel methotrexate is right for you, your doctor may prescribe KRYSTEXXA alone. Learn moreabout how KRYSTEXXA works with methotrexate.

    Your doctor may prescribe medications to help prevent an allergic reaction.

  • 3 Get treated with KRYSTEXXA

    Step 7: Receive your first IV treatment

    Whether you go to an IV treatment center or doctor’s office, the process is similar:

    Check in

    Start IV treatment

    Wait about 2 hours for your treatment to finish, then another hour or so while your team monitors your reaction

    Schedule your next IV treatment

    Check out

    Drive yourself home

    Repeat this process every 2 weeks until your doctor determines your treatment is complete. It’s important to stay on track and not miss an appointment. Learn about Jen’s treatment experience.

    Learn more about how KRYSTEXXA works with a medication called methotrexate.

    Step 8: Celebrate!

    Your first IV treatment is a big milestone. In just 24 hours, KRYSTEXXA can get your uric acid level low enough to soon start dissolving years of gout buildup. Mobilization flares can be a sign KRYSTEXXA is working.

    Step 9: Check in with your PAL

    In addition to discussing what to expect at the start of treatment, a Patient Access Liaison (PAL) is a dedicated support partner at each step of your treatment experience. They are your partner to support and champion you at each step of your treatment experience.

    Step 10: Continue your treatment

    After the first 3 months, you may start seeing improvements in your gout. Even if your symptoms start to go away, it’s important to stay on KRYSTEXXA for 6 to 12 months† or until your doctor stops treatment. Each dose of KRYSTEXXA may help keep your uric acid level in the dissolve zone, reduce uric acid crystal buildup and help you regain control of gout.

    Best results were seen after 6 to 12 months of treatment. Optimal treatment duration has not been established.

    Step 11: Make it to the finish line

    Stay on track by scheduling your remaining IV treatments at the same time. Your doctor will monitor your progress and let you know when you’re done.

  • 4 After treatment

    Step 12: Do something special

    Congratulations! Now that you’ve completed KRYSTEXXA, do something special to celebrate, like signing up to become a peer mentor so you can help others.

Read transcript

Speaker 1:
KRYSTEXXA is a prescription medicine for adults who have tried other gout medicines and still have high uric acid and gout symptoms. KRYSTEXXA is not recommended if you have high levels of uric acid without a history of gout. Serious allergic reactions may happen in some patients who receive KRYSTEXXA. These allergic reactions can be life threatening and usually happen within two hours of the infusion. Please listen to the important safety information in this video.
Jennifer:
I first got gout about three or four years ago, and it just got worse and worse and worse. It got to the point where I was getting gout every three weeks before I made it to a rheumatologist. Gout flares are intense, just bone crushing pain. I was basically at my wit's end. None of the medications that I was using were working for me.
Jennifer:
My doctor told me about KRYSTEXXA, or pegloticase. He explained that KRYSTEXXA would work differently from the other medications that I was on. It was an infusion treatment that he thought could help my gout flares. And at the very end of my appointment, he walked me back to the infusion room to see this is not a huge, scary place, that it would go in and could get rid of all the uric acid buildup I had over the years. Dr. Christopher Parker: Uric acid is not an abnormal thing in somebody's body. Everybody has uric acid. But in some people we have a hard time getting rid of it all out of our body and it can just build up. KRYSTEXXA is a enzyme that's going to break that down and quickly. Within a matter of a day, their uric acid level will come down and every time they get their infusion, I am checking that uric acid level and I'm wanting to see that that uric acid level is always in what I call the sweet spot, really less than six.
Jennifer:
My doctor warned me that starting KRYSTEXXA might cause gout flares because it takes your uric acid from a high number, nine or 10, typically down to zero overnight, or within six hours of treatment. So you can experience a gout flare from that drastic change in uric acid. He also warned me that you could get an allergic reaction during treatment. So I went into a little bit nervous, honestly.
Jennifer:
When I first arrived, they bring you back to the infusion room. A nurse brings you back. And then they get you set up in the chair. Jasmine Kershaw:
Most of the time, if it's the first infusion, they're nervous. So we will sit down in the infusion room and even though the doctor has explained what the medication is and what it treats, we still go over that again, just to reassure the patient.
Jasmine Kershaw:
We also go over how long or how often they will need to come. The typical infusion is every two weeks, and it can vary between six to eight months for the length of time.
Jennifer:
When you think about six months compared to how long you had had gout before, that is what you have to do to get through it.
Dr. Christopher Parker:
KRYSTEXXA definitely is a tool in my toolbox for patients that need it that I wouldn't want to be without. The most rewarding part of my job is the patient stories. For sure.
Jennifer:
KRYSTEXXA really made a difference for me. It brought my uric acid levels down to normal, and I'm able to do things that I love doing, like getting my life back pretty much.
Speaker 1:
Indication and important safety information. Use. KRYSTEXXA (pegloticase) is a prescription medicine used in adults to help reduce the signs and symptoms of gout that are not controlled by other treatments.
Speaker 1:
Important safety information. What is the most important information I should know about KRYSTEXXA (pegloticase)? Serious allergic reactions may happen in some patients who receive KRYSTEXXA. These allergic reactions can be life threatening and usually happen within two hours of the infusion.
Speaker 1:
KRYSTEXXA should be given to you by a doctor or nurse in a healthcare setting where serious allergic reactions can be treated. Your doctor or nurse should watch you for any signs of a serious allergic reaction during and after your treatment with KRYSTEXXA.
Speaker 1:
Tell your doctor or nurse right away if you have any of these symptoms during or after your treatment with KRYSTEXXA. Wheezing, shortness of breath, cough, chest tightness, chest pain or trouble breathing, dizziness, fainting, fast or weak heartbeat, or feeling nervous, reddening of the face, itching, hives, rash, or feeling warm, swelling of the throat or tongue, throat tightness, hoarse voice, or trouble swallowing. Speaker 1: Who should not receive KRYSTEXXA? Do not receive KRYSTEXXA. If you have a rare blood problem called glucose 6-phosphate dehydrogenase, G6PD deficiency, or faveism. Your doctor should test you for G6PD before you start KRYSTEXXA. KRYSTEXXA is not recommended if you have high levels of uric acid without a history of gout. Before you receive KRYSTEXXA, tell your doctor if you know you have G6PD deficiency, ever had any heart problems or high blood pressure, are pregnant or planning to become pregnant, it is not known if KRYSTEXXA will harm your unborn baby, are breastfeeding or plan to breastfeed, it is not known if KRYSTEXXA passes into your breast milk.
Speaker 1:
Tell your doctor about all the medicines you take. Do not take any other uric acid lowering drug, such as allopurinol or febuxostat (Uloric®) while taking KRYSTEXXA. Prior to your treatment with KRYSTEXXA, your doctor may give you medicine to help reduce your chance of getting a reaction. Take these medicines as directed by your doctor or nurse. Your doctor will also test your uric acid levels prior to each treatment to monitor your response to KRYSTEXXA.
Speaker 1:
What are the possible side effects of KRYSTEXXA? Please review important information section above. The most common side effects in patients taking KRYSTEXXA were gout flare ups or attacks, allergic reactions, nausea, bruising, sore throat, constipation, chest pain, and vomiting. This is not a complete list of all possible side effects. Tell your doctor or treatment team if you have any side effect that bothers you or that does not go away.
Speaker 1:
Please see the medication guide and prescribing information for more information. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/safety/medwatch, or call the FDA at 1-800-FDA-1088.

USE AND IMPORTANT SAFETY INFORMATION

What is the most important information I should know about KRYSTEXXA® (pegloticase)?

Serious allergic reactions may happen in some patients who receive KRYSTEXXA. These allergic reactions can be life-threatening and usually happen within 2 hours of the infusion.

KRYSTEXXA should be given to you by a doctor or nurse in a healthcare setting where serious allergic reactions can be treated. Your doctor or nurse should watch you for any signs of a serious allergic reaction during and after your treatment with KRYSTEXXA.

Tell your doctor or nurse right away if you have any of these symptoms during or after your treatment with KRYSTEXXA:

  • wheezing, shortness of breath, cough, chest tightness, chest pain, or trouble breathing
  • dizziness, fainting, fast or weak heartbeat or feeling nervous
  • reddening of the face, itching, hives, or feeling warm
  • swelling of the throat or tongue, throat tightness, hoarse voice, or trouble swallowing

Who should not receive KRYSTEXXA?

Do not receive KRYSTEXXA if you:

  • have a rare blood problem called glucose-6-phosphate dehydrogenase (G6PD) deficiency or favism. Your doctor may test you for G6PD before you start KRYSTEXXA.
  • have had a serious allergic reaction to KRYSTEXXA or any of its ingredients. See the end of the Medication Guide for a complete list of ingredients in KRYSTEXXA.

What should I tell my doctor before receiving treatment with KRYSTEXXA?

Before you receive KRYSTEXXA, tell your doctor about all of your medical conditions, including if you:

  • ever had any heart problems or high blood pressure.
  • are pregnant or plan to become pregnant. It is not known if KRYSTEXXA will harm your unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant.
  • are breastfeeding or plan to breastfeed. It is not known if KRYSTEXXA passes into your breast milk. You and your doctor should decide if you will receive KRYSTEXXA or breastfeed.

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Do not take any other uric acid lowering drug, such as allopurinol, febuxostat (Uloric), or probenecid, while receiving KRYSTEXXA.

KRYSTEXXA is recommended to be given with another prescription medicine called methotrexate. KRYSTEXXA may also be used alone. You and your doctor will decide the treatment that is right for you.

Prior to your treatment with KRYSTEXXA, your doctor may give you medicine to help reduce your risk of getting gout flares or an allergic reaction. Take these medicines as directed by your doctor or nurse. Your doctor will also test your uric acid levels prior to each treatment to monitor your response to KRYSTEXXA.

Your gout flares may increase in the first 3 months when you start receiving KRYSTEXXA. It’s important to understand that this is happening because KRYSTEXXA is breaking down uric acid in your body. Do not stop receiving KRYSTEXXA even if you have a flare, as the amount of flares will decrease after 3 months of treatment. Your doctor may give you other medicines to help reduce your gout flares for the first few months after starting KRYSTEXXA.

What are the possible side effects of KRYSTEXXA?

In KRYSTEXXA clinical trials:
The most common side effects of KRYSTEXXA when given together with methotrexate were
gout flares, joint pain, coronavirus disease 2019 (COVID-19), nausea, and fatigue.
The most common side effects of KRYSTEXXA were gout flares, allergic reactions (including infusion reactions). See “What is the most important information I should know about KRYSTEXXA?”, nausea, bruising, sore throat, constipation, chest pain, coronavirus disease 2019 (COVID-19), and vomiting.
This is not a complete list of all possible side effects. Call your doctor for medical advice about side effects.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/safety/medwatch or call 1-800-FDA-1088.

For additional Important Safety Information, please see the Medication Guide and discuss with your doctor.

USE

KRYSTEXXA is a prescription medicine used in adults to help reduce the signs and symptoms of gout that are not controlled by other treatments.

KRYSTEXXA is not for use in people with too much uric acid in their bodies who do not have symptoms (asymptomatic hyperuricemia).

USE AND IMPORTANT SAFETY INFORMATION

What is the most important information I should know about KRYSTEXXA?

Serious allergic reactions may happen in some patients who receive KRYSTEXXA. These allergic reactions can be life-threatening and usually happen within 2 hours of the infusion.