Diagnosed at age 6 with
symptoms of proteinuria,
shuffling gait and emotional
lability. Serum ceruloplasmin
Started treatment with penicillamine and developed degenerative skin changes and leukopenia.
CLOVIQUE 750 mg/d.
Intolerant to penicillamine
Diagnosed at age 8 based on abnormal transaminases.
Because of intolerance of penicillamine, she started therapy with trientine hydrochloride.
CLOVIQUE 1500 mg/d.
Noncompliant with treatments and diet.
Diagnosed at age 10 when older brother was diagnosed.
TREATMENT HISTORY: Started on trientine hydrochloride because of intolerance of penicillamine; however, he was not compliant with treatment and missed several doses per day.
CLOVIQUE 1500 mg/d.
Maintenance therapy with zinc was not effective, so she was switched to a chelating agent.
Diagnosed at age 18 after experiencing slurred speech, drooling and fatigue. Kayser-Fleischer rings noted on exam; 24-hour urine confirmed Wilson's disease.
Started on penicillamine and switched to trientine hydrochloride because of side effects. Moved to zinc maintenance therapy; however, zinc alone was not effective.
CLOVIQUE 2000 mg/d.
Wilson's disease (WD), the most common inherited disorder of copper metabolism, results from a failure of the copper excretory pathway. This leads to toxic accumulation of copper in the liver and eventually other organs.1 The worldwide prevalence of WD is estimated to be one in 30,000 individuals.2
The condition can be treated with a low copper diet and the use of chelating agents that bind copper to facilitate its excretion from the body. CLOVIQUETM (trientine hydrochloride) is a chelating agent indicated for treatment of patients with WD who are intolerant of the first-line treatment, penicillamine.3
CLOVIQUETM may be used to treat Wilson's disease in patients who cannot take the medication penicillamine. Clinical experience with trientine hydrochloride is limited and alternate dosing regimens have not been well-characterized; all endpoints in determining an individual patient's dose have not been well defined. CLOVIQUETM and penicillamine cannot be considered interchangeable. CLOVIQUETM should be used when continued treatment with penicillamine is no longer possible because of intolerable or life endangering side effects.
Unlike penicillamine, CLOVIQUETM is not recommended in cystinuria or rheumatoid arthritis. The absence of a sulfhydryl moiety renders it incapable of binding cystine and, therefore, it is of no use in cystinuria. In 15 patients with rheumatoid arthritis, trientine hydrochloride was reported not to be effective in improving any clinical or biochemical parameter after 12 weeks of treatment.
CLOVIQUETM is not indicated for treatment of biliary cirrhosis.
Please see full Prescribing Information for CLOVIQUETM Capsules.
You are encouraged to report negative side effects of prescription drugs to FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088. You may also contact Kadmon Pharmaceuticals, LLC at 1-877-377-7862 to report negative side effects.References:
Gaffney D, Fell GS, O'Reilly DS. ACP Best Practice No 163. Wilson's disease: acute and presymptomatic laboratory diagnosis and monitoring. J Clin Pathol. 2000;53(11):807-812.
European Association for Study of Liver. EASL clinical practice guidelines: Wilson's disease. J Hepatol. 2012;56(3):671-685.
Clovique. Package Insert. Kadmon Pharmaceuticals, LLC; 2018.