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END-STAGE RENAL DISEASE

One step closer to alleviating uraemic pruritus

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The KALM-1 randomized double-blind placebo-controlled phase III trial showed that intravenous difelikefalin, a selective κ-opioid receptor agonist, significantly reduces itch intensity in haemodialysis patients with uraemic pruritus. However, 49% of difelikefalin-treated patients showed no improvement. In light of the increasing number of patients with end-stage renal disease, additional treatments are sorely needed.

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References

  1. Weiss, M. et al. Prevalence of chronic itch and associated factors in haemodialysis patients: a representative cross-sectional study. Acta Derm. Venereol. 95, 816–821 (2015).

    Article  CAS  Google Scholar 

  2. Fishbane, S. et al. A phase 3 trial of difelikefalin in hemodialysis patients with pruritus. N. Engl. J. Med. 382, 222–232 (2019).

    Article  Google Scholar 

  3. Reich, A. et al. Itch assessment with visual analogue scale and numerical rating scale: determination of minimal clinically important difference in chronic itch. Acta Derm. Venereol. 96, 978–980 (2016).

    Article  Google Scholar 

  4. Plewig, N. et al. The course of chronic itch in hemodialysis patients: results of a 4-year follow-up study of GEHIS (German Epidemiological Hemodialysis Itch Study). J. Eur. Acad. Derm. Venereol. 33, 1429–1435 (2019).

    Article  CAS  Google Scholar 

  5. Riepe, C. et al. Minimal clinically important difference in chronic pruritus appears to be dependent on baseline itch severity. Acta Derm. Venereol. 99, 1288–1290 (2019).

    PubMed  Google Scholar 

  6. Elman, S. et al. The 5-D itch scale: a new measure of pruritus. Br. J. Dermatol. 162, 587–593 (2010).

    Article  CAS  Google Scholar 

  7. Weiss, M. et al. Health-related quality of life in haemodialysis patients suffering from chronic itch: results from GEHIS (German Epidemiology Haemodialysis Itch Study). Qual. Life Res. 25, 3097–3106 (2016).

    Article  Google Scholar 

  8. Grochulska, K. et al. Mortality of haemodialysis patients with and without chronic itch: a follow-up study of the German Epidemiological Hemodialysis Itch Study (GEHIS). Acta Derm.Venereol. 99, 423–428 (2019).

    Article  Google Scholar 

  9. Meeuwis, S. H. et al. Effects of open-and closed-label nocebo and placebo suggestions on itch and itch expectations. Front. Psychiatry 10, 436 (2019).

    Article  Google Scholar 

  10. Cara Therapeutics. Cara Therapeutics announces positive topline data from phase 2 trial of oral KORSUVATM in chronic kidney disease patients with moderate-to-severe pruritus. Cara Therapeutics http://ir.caratherapeutics.com/news-releases/news-release-details/cara-therapeutics-announces-positive-topline-data-phase-2-trial (2019).

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Correspondence to Elke Weisshaar.

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Competing interests

E.W. is principal investigator in clinical trials sponsored by Trevi Therapeutics and Menlo Therapeutics. R.F.O. declares no competing interests.

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Weisshaar, E., Ofenloch, R.F. One step closer to alleviating uraemic pruritus. Nat Rev Nephrol 16, 189–190 (2020). https://doi.org/10.1038/s41581-020-0251-3

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