A Review of Ferric Pyrophosphate Citrate (Triferic) Use in Hemodialysis Patients

Clin Ther. 2016 Oct;38(10):2318-2323. doi: 10.1016/j.clinthera.2016.08.012. Epub 2016 Sep 28.

Abstract

Purpose: The objective of this short review is to evaluate the efficacy of ferric pyrophosphate citrate and to determine its place in therapy based on the current published literature.

Methods: A literature search was conducted and pared down to yield 4 placebo controlled Phase II and III clinically relevant trials.

Findings: Ferric pyrophosphate citrate is a new intradialytic iron supplementation product that has been found to reduce the dose of erythropoiesis-stimulating agents and intravenous iron supplementation and to increase serum ferritin concentrations.

Implications: This agent may be administered to patients with stage 5 chronic kidney disease receiving hemodialysis as a new iron supplementation option to maintain hemoglobin, transferrin saturation, and ferritin concentrations.

Keywords: anemia; chronic kidney disease; ferric pyrophosphate citrate; hemodialysis; hemoglobin; soluble ferric pyrophosphate.

Publication types

  • Review

MeSH terms

  • Administration, Intravenous
  • Citrates
  • Dietary Supplements
  • Diphosphates / therapeutic use*
  • Ferritins / blood*
  • Hematinics / administration & dosage
  • Hemoglobins / analysis
  • Humans
  • Iron / therapeutic use*
  • Renal Dialysis*
  • Renal Insufficiency, Chronic / drug therapy
  • Renal Insufficiency, Chronic / therapy

Substances

  • Citrates
  • Diphosphates
  • Hematinics
  • Hemoglobins
  • Ferritins
  • Iron
  • ferric pyrophosphate