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  1. Book: Bone biopsy in CKD

    Sprague, Stuart M.

    (Clinical journal of the American Society of Nephrology ; 3, Suppl. 3)

    2008  

    Author's details guest ed.: Stuart M. Sprague
    Series title Clinical journal of the American Society of Nephrology ; 3, Suppl. 3
    Collection
    Language English
    Size S. S127 - S174 : Ill.
    Publisher American Society of Nephrology
    Publishing place Washington, DC
    Publishing country United States
    Document type Book
    HBZ-ID HT015930479
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: The Enigma of Vascular Calcifications.

    Sprague, Stuart M

    Kidney international reports

    2020  Volume 5, Issue 12, Page(s) 2127–2129

    Language English
    Publishing date 2020-10-26
    Publishing country United States
    Document type Editorial ; Comment
    ISSN 2468-0249
    ISSN (online) 2468-0249
    DOI 10.1016/j.ekir.2020.10.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Interventions for Preventing Bone Disease Following Kidney Transplantation: Is There Evidence for Specific Therapy?

    Sprague, Stuart M

    American journal of kidney diseases : the official journal of the National Kidney Foundation

    2020  Volume 75, Issue 5, Page(s) 809–811

    MeSH term(s) Bone Diseases ; Humans ; Immunosuppressive Agents ; Kidney Transplantation
    Chemical Substances Immunosuppressive Agents
    Language English
    Publishing date 2020-03-16
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 604539-x
    ISSN 1523-6838 ; 0272-6386
    ISSN (online) 1523-6838
    ISSN 0272-6386
    DOI 10.1053/j.ajkd.2019.12.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Family Genetic Screening to Identify Cases of Alport Syndrome: A Case Study Report.

    Sprague, Stuart M / Warady, Bradley A

    Kidney medicine

    2021  Volume 3, Issue 5, Page(s) 866–867

    Language English
    Publishing date 2021-07-16
    Publishing country United States
    Document type Journal Article
    ISSN 2590-0595
    ISSN (online) 2590-0595
    DOI 10.1016/j.xkme.2021.05.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A safety evaluation of sucroferric oxyhydroxide for the treatment of hyperphosphatemia.

    Sprague, Stuart M / Ketteler, Markus

    Expert opinion on drug safety

    2021  Volume 20, Issue 12, Page(s) 1463–1472

    Abstract: Introduction: Hyperphosphatemia is a common complication as chronic kidney disease (CKD) progresses and most patients undergoing dialysis are prescribed oral phosphate binder therapy to control serum phosphate concentrations. Sucroferric oxyhydroxide is ...

    Abstract Introduction: Hyperphosphatemia is a common complication as chronic kidney disease (CKD) progresses and most patients undergoing dialysis are prescribed oral phosphate binder therapy to control serum phosphate concentrations. Sucroferric oxyhydroxide is an iron-based phosphate binder approved for the treatment of hyperphosphatemia in CKD patients on dialysis.
    Areas covered: This article reviews key safety and effectiveness data for sucroferric oxyhydroxide from both prospective clinical trials and real-world observational studies.
    Expert opinion: Sucroferric oxyhydroxide potently binds dietary phosphate in the gastrointestinal (GI) tract, resulting in effective reduction of serum phosphate concentrations with a relatively low daily pill burden. Data from clinical trials and real-world observational studies show sucroferric oxyhydroxide has a favorable safety and tolerability profile. The most frequent side effects observed with sucroferric oxyhydroxide are GI-related, mainly discolored (black) stools and mild or moderate transient diarrhea, both of which are manageable. There is minimal systemic iron absorption from sucroferric oxyhydroxide, and therefore the drug is associated with a low risk of iron accumulation. Sucroferric oxyhydroxide also displays low potential for drug-drug interactions with other commonly prescribed oral medications. Overall, sucroferric oxyhydroxide offers an effective and well-tolerated treatment option for the management of hyperphosphatemia.
    MeSH term(s) Chelating Agents/administration & dosage ; Chelating Agents/adverse effects ; Drug Combinations ; Drug Interactions ; Ferric Compounds/administration & dosage ; Ferric Compounds/adverse effects ; Humans ; Hyperphosphatemia/drug therapy ; Hyperphosphatemia/etiology ; Renal Dialysis ; Renal Insufficiency, Chronic/complications ; Renal Insufficiency, Chronic/therapy ; Sucrose/administration & dosage ; Sucrose/adverse effects
    Chemical Substances Chelating Agents ; Drug Combinations ; Ferric Compounds ; sucroferric oxyhydroxide ; Sucrose (57-50-1)
    Language English
    Publishing date 2021-10-22
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2088728-0
    ISSN 1744-764X ; 1474-0338
    ISSN (online) 1744-764X
    ISSN 1474-0338
    DOI 10.1080/14740338.2021.1978973
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: High Phosphate-Binding Capacity of Oxylanthanum Carbonate with a Low Medication Volume: Comparison with Commercially Available Phosphate Binders.

    Sprague, Stuart M / Reddy, Guru / Jermasek, Douglas / Gupta, Pramod

    American journal of nephrology

    2023  Volume 54, Issue 5-6, Page(s) 219–223

    Abstract: Background: A key focus for chronic kidney disease management is phosphate control, but currently available binders have suboptimal phosphate-binding capacity, and their characteristics result in low adherence and poor phosphate regulation. Oxylanthanum ...

    Abstract Background: A key focus for chronic kidney disease management is phosphate control, but currently available binders have suboptimal phosphate-binding capacity, and their characteristics result in low adherence and poor phosphate regulation. Oxylanthanum carbonate, a novel compound that uses proprietary nanoparticle technology to deliver lanthanum, has the potential to combine high phosphate-binding capacity with good intake convenience, thus improving adherence and patient quality of life. The goal of this study was to assess the volume of oxylanthanum Carbonate required to bind 1 g of phosphate and compare it with other currently available phosphate binders to determine which binder allows for the highest normalized potency with the lowest daily medication volume.
    Methods: Six phosphate binders were assessed: ferric citrate, calcium acetate, lanthanum carbonate, sevelamer carbonate, sucroferric oxyhydroxide, and oxylanthanum carbonate. Table volume measurements were taken using fluid displacement in corn oil or water. Mean daily dose volume to bind 1 g of phosphate was calculated as volume per tablet multiplied by the mean number of tablets taken per day. Volume to bind 1 g of phosphate was calculated by dividing the volume per tablet by its in vivo binding capacity.
    Results: Oxylanthanum carbonate had the lowest mean volume, daily phosphate binder dose volume, and equivalent phosphate-binding dose volume (volume to bind 1 g of phosphate for each binder).
    Conclusions: Oxylanthanum carbonate has the lowest daily phosphate binder dose volume and the smallest volume required to bind 1 g of phosphate compared to all other commercially available phosphate binders. A randomized trial that compares gastrointestinal tolerability across binders would be warranted to demonstrate acceptability and adherence in the target population.
    MeSH term(s) Humans ; Lanthanum ; Quality of Life ; Phosphates/metabolism ; Carbonates/therapeutic use ; Tablets/therapeutic use ; Hyperphosphatemia/drug therapy ; Hyperphosphatemia/etiology ; Chelating Agents/therapeutic use
    Chemical Substances Lanthanum (6I3K30563S) ; Phosphates ; Carbonates ; Tablets ; Chelating Agents
    Language English
    Publishing date 2023-06-27
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604540-6
    ISSN 1421-9670 ; 0250-8095
    ISSN (online) 1421-9670
    ISSN 0250-8095
    DOI 10.1159/000530989
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Secondary Hyperparathyroidism in a Patient with CKD.

    Hyder, Ryyan / Sprague, Stuart M

    Clinical journal of the American Society of Nephrology : CJASN

    2020  Volume 15, Issue 7, Page(s) 1041–1043

    MeSH term(s) Calcimimetic Agents/therapeutic use ; Calcitriol/therapeutic use ; Chelating Agents/therapeutic use ; Cholecalciferol/therapeutic use ; Ergocalciferols/therapeutic use ; Humans ; Hyperparathyroidism, Secondary/etiology ; Hyperparathyroidism, Secondary/physiopathology ; Hyperparathyroidism, Secondary/therapy ; Male ; Middle Aged ; Parathyroid Hormone/blood ; Parathyroidectomy ; Phosphates/blood ; Phosphorus, Dietary ; Polycystic Kidney, Autosomal Dominant/complications ; Renal Insufficiency, Chronic/complications ; Renal Insufficiency, Chronic/physiopathology ; Vitamin D/analogs & derivatives ; Vitamin D/blood ; Vitamin D Deficiency/drug therapy ; Vitamin D Deficiency/etiology
    Chemical Substances Calcimimetic Agents ; Chelating Agents ; Ergocalciferols ; Parathyroid Hormone ; Phosphates ; Phosphorus, Dietary ; Vitamin D (1406-16-2) ; Cholecalciferol (1C6V77QF41) ; 25-hydroxyvitamin D (A288AR3C9H) ; Calcitriol (FXC9231JVH)
    Language English
    Publishing date 2020-05-27
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2226665-3
    ISSN 1555-905X ; 1555-9041
    ISSN (online) 1555-905X
    ISSN 1555-9041
    DOI 10.2215/CJN.13411119
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Serum Phosphorus Management with Sucroferric Oxyhydroxide as a First-Line Phosphate Binder within the First Year of Hemodialysis.

    Medaura, Juan A / Zhou, Meijiao / Ficociello, Linda H / Anger, Michael S / Sprague, Stuart M

    American journal of nephrology

    2023  Volume 55, Issue 2, Page(s) 127–135

    Abstract: Introduction: Sucroferric oxyhydroxide (SO), a non-calcium, chewable, iron-based phosphate binder (PB), effectively lowers serum phosphorus (sP) concentrations while reducing pill burden relative to other PBs. To date, SO studies have largely examined ... ...

    Abstract Introduction: Sucroferric oxyhydroxide (SO), a non-calcium, chewable, iron-based phosphate binder (PB), effectively lowers serum phosphorus (sP) concentrations while reducing pill burden relative to other PBs. To date, SO studies have largely examined treatment-experienced, prevalent hemodialysis populations. We aimed to explore the role of first-line SO initiated during the first year of dialysis.
    Methods: We retrospectively analyzed deidentified data from adults receiving in-center hemodialysis who were prescribed SO monotherapy within the first year of hemodialysis as part of routine clinical care. All patients continuing SO monotherapy for 12 months were included. Changes from baseline in sP, achievement of sP ≤5.5 and ≤4.5 mg/dL, and other laboratory parameters were analyzed quarterly for 1 year.
    Results: The overall cohort included 596 patients, 286 of whom had a dialysis vintage ≤3 months. In the 3 months preceding SO initiation, sP rapidly increased (mean increases of 1.02 and 1.65 mg/dL in the overall cohort and incident cohort, respectively). SO treatment was associated with significant decreases in quarterly sP (mean decreases of 0.26-0.36; p < 0.0001 for each quarter and overall). While receiving SO, 55-60% of patients achieved sP ≤5.5 mg/dL and 21-24% achieved sP ≤4.5 mg/dL (p < 0.0001 for each quarter and overall vs. baseline). Daily PB pill burden was approximately 4 pills. Serum calcium concentrations increased and intact parathyroid hormone concentrations decreased during SO treatment (p < 0.0001 vs. baseline).
    Conclusions: Among patients on hemodialysis, initiating SO as a first-line PB resulted in significant reductions in sP while maintaining a relatively low PB pill burden.
    MeSH term(s) Adult ; Humans ; Phosphorus ; Hyperphosphatemia/drug therapy ; Hyperphosphatemia/etiology ; Retrospective Studies ; Renal Dialysis/adverse effects ; Renal Dialysis/methods ; Ferric Compounds/therapeutic use ; Sucrose ; Phosphates ; Drug Combinations
    Chemical Substances Phosphorus (27YLU75U4W) ; sucroferric oxyhydroxide ; Ferric Compounds ; Sucrose (57-50-1) ; ferric phosphate (N6BAA189V1) ; Phosphates ; Drug Combinations
    Language English
    Publishing date 2023-12-13
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 604540-6
    ISSN 1421-9670 ; 0250-8095
    ISSN (online) 1421-9670
    ISSN 0250-8095
    DOI 10.1159/000535754
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Quantitative Blood Oxygenation Level Dependent Magnetic Resonance Imaging for Estimating Intra-renal Oxygen Availability Demonstrates Kidneys Are Hypoxemic in Human CKD.

    Prasad, Pottumarthi V / Li, Lu-Ping / Hack, Bradley / Leloudas, Nondas / Sprague, Stuart M

    Kidney international reports

    2023  Volume 8, Issue 5, Page(s) 1057–1067

    Abstract: Introduction: Kidney blood oxygenation level dependent (BOLD) magnetic resonance imaging (MRI) has shown great promise in evaluating relative oxygen availability. This method is quite efficacious in evaluating acute responses to physiological and ... ...

    Abstract Introduction: Kidney blood oxygenation level dependent (BOLD) magnetic resonance imaging (MRI) has shown great promise in evaluating relative oxygen availability. This method is quite efficacious in evaluating acute responses to physiological and pharmacologic maneuvers. Its outcome parameter, R2∗ is defined as the apparent spin-spin relaxation rate measured in the presence of magnetic susceptibility differences and it is measured using gradient echo MRI. Although associations between R2∗ and renal function decline have been described, it remains uncertain to what extent R2∗ is a true reflection of tissue oxygenation. This is primarily because of not taking into account the confounding factors, especially fractional blood volume (fBV) in tissue.
    Methods: This case-control study included 7 healthy controls and 6 patients with diabetes and chronic kidney disease (CKD). Using data before and after administration of ferumoxytol, a blood pool MRI contrast media, the fBVs in kidney cortex and medulla were measured.
    Results: This pilot study independently measured fBV in kidney cortex (0.23 ± 0.03 vs. 0.17 ± 0.03) and medulla (0.36 ± 0.08 vs. 0.25 ± 0.03) in a small number of healthy controls (
    Conclusion: Our results support the feasibility of quantitatively assessing oxygen availability using noninvasive quantitative BOLD MRI that could be translated to the clinic.
    Language English
    Publishing date 2023-03-07
    Publishing country United States
    Document type Journal Article
    ISSN 2468-0249
    ISSN (online) 2468-0249
    DOI 10.1016/j.ekir.2023.02.1092
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Phosphate Balance and CKD-Mineral Bone Disease.

    Sprague, Stuart M / Martin, Kevin J / Coyne, Daniel W

    Kidney international reports

    2021  Volume 6, Issue 8, Page(s) 2049–2058

    Abstract: Chronic kidney disease-mineral bone disorder (CKD-MBD) is a common comorbidity in patients with CKD. Characterized by laboratory abnormalities, bone abnormality, and vascular calcification, CKD-MBD encompasses a group of mineral and hormone disturbances ... ...

    Abstract Chronic kidney disease-mineral bone disorder (CKD-MBD) is a common comorbidity in patients with CKD. Characterized by laboratory abnormalities, bone abnormality, and vascular calcification, CKD-MBD encompasses a group of mineral and hormone disturbances that are strongly associated with increased cardiovascular (CV) morbidity and mortality. Abnormal serum phosphate concentrations are an independent risk factor for CV morbidity and mortality, and overall mortality. Phosphate retention plays a central role in initiating and driving many other disturbances in CKD-MBD (e.g., increased parathyroid hormone and fibroblast growth factor 23 concentrations, hypocalcemia, low vitamin D) that are also linked to increased CV risk. Thus, effective phosphate control is a logical therapeutic target for CKD-MBD treatment. Current phosphate management strategies (dietary restrictions, dialysis, phosphate binders) are insufficient to consistently achieve and maintain target phosphate concentrations in patients on dialysis. Phosphate binders reduce available phosphate for intestinal absorption but do not impair the dominant phosphate absorption pathway. Novel therapies that consider new mechanistic understandings of intestinal phosphate absorption are needed. One such therapy is tenapanor, a targeted sodium-hydrogen exchanger isoform 3 inhibitor that has been shown to reduce serum phosphate concentrations in multiple clinical trials. Tenapanor has a novel mechanism of action that reduces intestinal phosphate absorption in the primary paracellular phosphate absorption pathway.
    Language English
    Publishing date 2021-05-17
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2468-0249
    ISSN (online) 2468-0249
    DOI 10.1016/j.ekir.2021.05.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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