Completed Digestion, Kidneys & Other Organs NIHR-supported project Diabetes, Hormones & Metabolism

Clinical characteristics and treatment patterns of patients with hyperkalaemia prescribed sodium zirconiumcyclosilicate (SZC) in a large UK hospital setting: an observational study

In plain English

AI plain-English summary

A newly approved drug for dangerously high potassium levels is being studied to see how it actually works in a busy UK hospital, not just in clinical trials. This matters because hyperkalaemia—excess potassium in the blood—can trigger life-threatening heart rhythm problems, especially in patients with kidney disease or diabetes. The drug, sodium zirconium cyclosilicate (brand name Lokelma), helps the body flush out the extra potassium. But doctors need to know who gets prescribed it, how it’s used during a hospital stay, and what happens when patients go home. The study will comb through anonymised hospital records to answer those questions. If this research succeeds, it will give clinicians a clear, real-world picture of how to use Lokelma effectively. That could mean fewer emergency treatments for dangerously high potassium, shorter hospital stays, and more efficient use of NHS resources. It might also help tailor the drug to individual patients—for example, those on dialysis or with diabetes—rather than using a one-size-fits-all approach. The findings could quietly improve how a common, serious complication is managed across the UK’s hospitals.

View original technical description
Hyperkalaemia, or high levels of potassium in the blood, can lead to serious health issues, particularly for those with kidney problems or metabolic disorders like diabetes. Sodium Zirconium Cyclosilicate also known as Lokelma, is a newly approved treatment for hyperkalaemia that helps the body eliminate excess potassium. Despite its approval and routine use in practice, there is a need to understand how it is being utilised in real-life clinical settings. This study aims to provide insights into the treatment and management of hyperkalaemia using Lokelma within a large hospital setting. The objectives are to describe baseline characteristics of patients receiving Lokelma for the first time, analyse healthcare resource use of Lokelma-treated patients, and treatment patterns during hospitalization and at discharge. This will involve a thorough analysis of anonymised patient records from the hospital database, providing crucial information about the real-world use of Lokelma and how it impacts patient care. Understanding these aspects will offer valuable guidance to healthcare practitioners, allowing them to tailor Lokelma treatment effectively for their patients' needs and optimise healthcare resources efficiently during the management of hyperkalaemia.

Researchers

James Burton (Principal Investigator)

Related Research

Grants with similar aims, by meaning.

AZ Paeds - A Phase 3, Dose-Escalating Study in Children With Hyperkalaemia Between Birth and 18 Years of Age to Evaluate Increasing Doses of Sodium Zirconium Cyclosilicate (SZC) Given Three Times Daily for the Correction of Hyperkalaemia and the Effectiveness of the Same Dose of SZC Given Once Daily to Maintain Normokalaemia Among Those Requiring Continuous Treatment.
Phase IV, Double-Blind, Placebo-Controlled, Randomized-Withdrawal Trial Evaluating Sodium Zirconium Cyclosilicate (SZC) for the Management of Hyperkalaemia in Patients with Symptomatic Heart Failure with Reduced Ejection Fraction and Receiving Spironolactone (REALIZE-K)
An International, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Effect of Sodium Zirconium Cyclosilicate on Cardiovascular Outcomes in Patients on Chronic Dialysis with Recurrent Hyperkalaemia (DIALIZE-Outcomes)
An Open-Label, Randomised, Phase 4 Study of Continuing Sodium Zirconium Cyclosilicate (SZC) after Discharge in Participants with Chronic Kidney Disease treated for Hyperkalaemia
Phase IV, Double-Blind, Placebo-Controlled, Randomized-Withdrawal Trial Evaluating Sodium Zirconium Cyclosilicate (SZC) for the Management of Hyperkalaemia in Patients with Symptomatic Heart Failure with Reduced Ejection Fraction and Receiving Spironolactone

Original classification

Cardiovascular

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