What is your approach to using pegloticase in patients with congestive heart failure?

Clinical trial data show developing CHF exacerbation in 2% of patients while on Pegloticase treatment, while real-world data show higher numbers (6.4%), so careful patient selection and stabilization of CHF are necessary before starting treatment, and need close monitoring while receiving treatment....

I am unaware of the real-world data, but very much aware of the phase 3 clinical trial data with pegloticase. The inclusion/exclusion criteria in the two phase 3 trials allowed entry for patients with a history of congestive heart failure, as long as it was compensated/under control. Of the 169 pati...

Yes