Evolution of Patiromer Use: a Review

AbstractPurpose of ReviewThe purpose of this review is to present data from clinical trials that resulted in the key data supporting the use of patiromer as a potassium binder in clinical practice today.Recent FindingsIn addition to trials that support the current Food and Drug Administration label and published over the past 3  years, the recently published Spironolactone With Patiromer in the Treatment of Resistant Hypertension in Chronic Kidney Disease (AMBER) trial provides clear benefits of patiromer use in a group of resistant hypertension patients. The AMBER was a phase 2, multicenter, randomized, double-blind, par allel-group, placebo-controlled study that evaluated 295 participants stratified by local serum potassium measurement (4.3 to<  4.7 mmol/L vs 4.7 to 5.1 mmol/L) and history of diabetes and chronic kidney disease. The focus was on enabling participants with resistant hypertension to achieve blood pressure goals by using spironolactone. Additionally, the ongoing Patiromer for the Management of Hyperkalemia in Subjects Rec eiving RAASi Medications for the Treatment of Heart Failure (DIAMOND) trial is designed to demonstrate how patiromer is an “enabler” of therapies that are needed to either control resistant hypertension or reduce mortality in heart failure but generate hyperkalemia. These and other studies are d iscussed in detail.SummaryPatiromer is one of two new potassium binders that are far better tolerated than the previous agent and can be ...
Source: Current Cardiology Reports - Category: Cardiology Source Type: research