Title Recommendations by the Asian Pacific society of nephrology (APSN) on the appropriate use of HIF-PH inhibitors
Authors Yap, Desmond Y. H.
McMahon, Lawrence P.
Hao, Chuan-Ming
Hu, Nan
Okada, Hirokazu
Suzuki, Yusuke
Kim, Sung Gyun
Lim, Soo Kun
Vareesangthip, Kriengsak
Hung, Chi-Chih
Nangaku, Masaomi
Affiliation Univ Hong Kong, Queen Mary Hosp, Dept Med, Div Nephrol,Pok Fu Lam, Hong Kong, Peoples R China
Monash Univ, Eastern Hlth Clin Sch, Dept Renal & Obstetr Med, Melbourne, Vic, Australia
Fudan Univ, Huashan Hosp, Divison Nephrol, Shanghai, Peoples R China
Peking Univ, Peking Univ First Hosp, Inst Nephrol, Renal Div,Dept Med, Beijing, Peoples R China
Saitama Med Univ, Dept Nephrol, Saitama, Japan
Juntendo Univ, Dept Nephrol, Fac Med, Tokyo, Japan
Hallym Univ, Dept Internal Med, Sacred Heart Hosp, Seoul, South Korea
Univ Malaya, Dept Med, Div Nephrol, Med Ctr, Kuala Lumpur, Malaysia
Mahidol Univ, Fac Med, Dept Med, Div Nephrol,Siriraj Hosp, Bangkok, Thailand
Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Nephrol, Kaohsiung, Taiwan
Univ Tokyo, Div Nephrol & Endocrinol, Grad Sch Med, Tokyo, Japan
Keywords HYPOXIA-INDUCIBLE-FACTOR
CHRONIC KIDNEY-DISEASE
FACTOR-PROLYL HYDROXYLASE
ERYTHROPOIESIS-STIMULATING AGENTS
ROXADUSTAT FG-4592
PULMONARY-HYPERTENSION
CARDIAC DYSFUNCTION
REGULATES HEPCIDIN
FACTOR STABILIZERS
DARBEPOETIN ALPHA
Issue Date Dec-2020
Publisher NEPHROLOGY
Abstract Renal anaemia is a common and important complication in patients with chronic kidney disease (CKD). The current standard-of-care treatment for renal anaemia in CKD patients involves ensuring adequate iron stores and administration of erythropoietin stimulating agents (ESA). Hypoxia inducible factor (HIF) is a key transcription factor primarily involved in the cellular regulation and efficiency of oxygen delivery. Manipulation of the HIF pathway by the use of HIF-prolyl hydroxylase inhibitors (HIF-PHI) has emerged as a novel approach for renal anaemia management. Despite it being approved for clinical use in various Asia-Pacific countries, its novelty mandates the need for nephrologists and clinicians generally in the region to well understand potential benefits and harms when prescribing this class of drug. The Asian Pacific society of nephrology HIF-PHI Recommendation Committee, formed by a panel of 11 nephrologists from the Asia-Pacific region who have clinical experience or have been investigators in HIF-PHI studies, reviewed and deliberated on the clinical and preclinical data concerning HIF-PHI. This recommendation summarizes the consensus views of the committee regarding the use of HIF-PHI, taking into account both available data and expert opinion in areas where evidence remains scarce.
URI http://hdl.handle.net/20.500.11897/608174
ISSN 1320-5358
DOI 10.1111/nep.13835
Indexed SCI(E)
Appears in Collections: 第一医院

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