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IMPORTANT SAFETY INFORMATION & INDICATION

IMPORTANT SAFETY INFORMATION

CONTRAINDICATIONS

TARPEYO is contraindicated in patients with hypersensitivity to budesonide or any of the ingredients of TARPEYO. Serious hypersensitivity reactions, including anaphylaxis, have occurred with other budesonide formulations.

WARNINGS AND PRECAUTIONS

Hypercorticism and adrenal axis suppression:

When corticosteroids are used chronically, systemic effects such as hypercorticism and adrenal suppression may occur. Corticosteroids can reduce the response of the hypothalamus-pituitary-adrenal (HPA) axis to stress. In situations where patients are subject to surgery or other stress situations, supplementation with a systemic corticosteroid is recommended. When discontinuing therapy or switching between corticosteroids, monitor for signs of adrenal axis suppression.

Patients with moderate to severe hepatic impairment (Child-Pugh Class B and C, respectively) could be at an increased risk of hypercorticism and adrenal axis suppression due to an increased systemic exposure to oral budesonide. Avoid use in patients with severe hepatic impairment (Child-Pugh Class C). Monitor for increased signs and/or symptoms of hypercorticism in patients with moderate hepatic impairment (Child-Pugh Class B).

Immunosuppression and increased risk of infection:

Corticosteroids, including TARPEYO, suppress the immune system and increase the risk of infection with any pathogen, including viral, bacterial, fungal, protozoan, or helminthic pathogens. Corticosteroids can: reduce resistance to new infections, exacerbate existing infections, increase the risk of disseminated infections, increase the risk of reactivation or exacerbation of latent infections, and mask some signs of infection. Corticosteroid-associated infections can sometimes be serious. Monitor for infection and consider TARPEYO withdrawal as needed.

Avoid corticosteroid therapy, including TARPEYO, in patients with active or quiescent tuberculosis or hepatitis B infection; untreated fungal, bacterial, systemic viral, or parasitic infections; ocular herpes simplex; or Kaposi’s sarcoma. Avoid exposure to active, easily transmitted infections (e.g., chickenpox, measles). Corticosteroid therapy may decrease the immune response to some vaccines.

Other corticosteroid effects:

TARPEYO is a systemically available corticosteroid and is expected to cause related adverse reactions. Monitor patients with hypertension, prediabetes, diabetes mellitus, osteoporosis, peptic ulcer, glaucoma or cataracts, or with a family history of diabetes or glaucoma, or with any other condition where corticosteroids may have unwanted effects.

ADVERSE REACTIONS

In clinical studies, the most common adverse reactions with TARPEYO (occurring in ≥5% of TARPEYO-treated patients, and ≥2% higher than placebo) were peripheral edema (17%), hypertension (12%), muscle spasms (12%), acne (11%), headache (10%), upper respiratory tract infection (8%), face edema (8%), weight increased (7%), dyspepsia (7%), dermatitis (6%), arthralgia (6%), and white blood cell count increased (6%).

DRUG INTERACTIONS

Budesonide is a substrate for CYP3A4. Avoid use with potent CYP3A4 inhibitors, such as ketoconazole, itraconazole, ritonavir, indinavir, saquinavir, erythromycin, and cyclosporine. Avoid ingestion of grapefruit juice with TARPEYO. Intake of grapefruit juice, which inhibits CYP3A4 activity, can increase the systemic exposure to budesonide.

USE IN SPECIFIC POPULATIONS

Pregnancy:

The available data from published case series, epidemiological studies, and reviews with oral budesonide use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or other adverse maternal or fetal outcomes. There are risks to the mother and fetus associated with IgAN. Infants exposed to in utero corticosteroids, including budesonide, are at risk for hypoadrenalism.

INDICATION

TARPEYO is indicated to reduce the loss of kidney function in adults with primary immunoglobulin A nephropathy (IgAN) who are at risk for disease progression.

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An image of the TAPPEYO enrollment form, used to help healthcare providers start their patients on TAPPEYO.

Enrollment Form

An enrollment form to
help you start your
patients on TARPEYO.

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CoverMyMeds® Form

An electronic enrollment
form through CoverMyMeds
to help get your patients
started on TARPEYO.

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Getting Patients Started

A tool to guide you
through establishing a
patient on TARPEYO.

Dosing guide for healthcare providers on how to administer TAPPEYO to their patients.

Dosing Guide

Instructions on administering TARPEYO to your patients.

A document image for the CJASN publication on Long-Term Outcomes in IgA Nephropathy, titled 'RaDaR Reprint.'

RaDaR Reprint

CJASN publication: Long-Term Outcomes
in IgA Nephropathy

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Draft 2024
KDIGO Guideline

A comprehensive overview
of the most up-to-date
draft 2024 KDIGO guideline.

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MOA Video

A concise, informative
video illustrating the
unique mechanism of
action of TARPEYO.

WATCH VIDEO
A video thumbnail titled "TAPPEYO: Reducing Kidney Function Loss," providing a video on kidney function loss in IgA Nephropathy.

TARPEYO: Reducing Kidney Function Loss in IgAN Video

An overview of IgAN and its potential long-term clinical impact, along with an examination of the Phase 3 NefIgArd trial and outcomes.

WATCH VIDEO
IgAN expert exchange
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Managing and treating
IgAN

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Discovering TARPEYO,
an FDA-approved treatment for IgAN to reduce
the loss of kidney function

LEARN MORE
patient resources

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Tarpeyo Reources Patient Brochure

Patient Brochure

An informative brochure offering essential details about IgAN and TARPEYO.

Image of a brochure with a cover featuring a person golfing, outlining next steps to help patients navigate their TARPEYO treatment journey.

Patient Next Steps

A brochure outlining next steps to help your patients navigate their TARPEYO treatment journey.

Thumbnail image for a video, featuring a play button icon, which explores how TARPEYO may help preserve kidney function for people living with IgAN.

Help Take Control of IgAN with TARPEYO Video

This webinar explores IgAN as well as how TARPEYO may help preserve the kidney function of people living with IgAN.

WATCH VIDEO
Image of a guide for patients to prepare for discussions with their doctor about how TARPEYO can address their IgAN.

Doctor Discussion Guide

A guide to help patients prepare for informed discussions with their doctor about TARPEYO and how it can address their IgAN.

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Patient Ambassador Brochure

Resilient stories from real people who took charge
with TARPEYO.

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IgA Nephropathy Foundation

A patient-centric organization for patients and caregivers focused on finding a cure for IgAN.

FREQUENTLY ASKED QUESTIONS

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Efficacy

TARPEYO is the only FDA-approved treatment shown to stabilize eGFR while on therapy in a Phase 3 IgAN trial1-3

Results showed:

  • Statistically significant difference of 5.05 mL/min/1.73 m2 at 2 years in favor of TARPEYO vs placebo1*
  • LS mean change in eGFR of +1.5 mL/min/1.73 m2 at 9 months1

TARPEYO demonstrated >50% less kidney function loss at 2 years1,2 †

The favorable effect of TARPEYO on eGFR was seen as early as month 3 and remained consistent over 2 years.1
The effect of TARPEYO on the long-term rate of decline in kidney function has not been established.1

Check out more information about the efficacy of TARPEYO

*The primary endpoint for the interim analysis was UPCR at 9 months compared to baseline (N=199).1
Not all patients in the full analysis set (FAS) contributed data at each time point.1

TARPEYO demonstrated significant reduction with a 9-month fixed course of TARPEYO treatment1

  • 52% reduction in UPCR was achieved at 12 months1
  • Substantial reduction in UPCR occurred between months 6 and 12, with a 28% difference between these time points1
  • Patients in the NefIgArd trial started to see reductions in proteinuria at month 6 and responses deepened through month 121
  • Evaluate therapy response at or after month 6 as this is when patients started to see reductions in proteinuria1
  • Patients should complete the full 9-month course of therapy to see the full clinical benefits1
  • Nearly 2 out of 3 patients who completed a 9-month course of TARPEYO had at least a 30% reduction in UPCR vs baseline2
  • With a full course of therapy, 45% of patients had at least a 50% reduction in proteinuria in the TARPEYO group by month 122
Discover more about how TARPEYO can affect UPCR

Reductions in Gd-IgA1 were seen with TARPEYO.4*

In the NefIgArd study, serum Gd-IgA1 was significantly reduced at months 3, 6, and 9.4,5 NefIgArd is a randomized, double-blind, placebo-controlled, 2-year, Phase 3 trial.4

Data are exploratory. Clinical significance has not been established. Small sample sizes of a specific patient group are limitations of these analyses. Additional longitudinal studies of more diverse patient cohorts are needed to validate findings.

Modulating Gd-IgA1, a key pathogenic biomarker, supports a potential disease-modifying approach to IgAN.5,6

Discover more about the importance of lowering Gd-IgA1

*Data from Part A of the Phase 3 NefIgArd trial.

Safety

TARPEYO has an established safety profile1

The majority of adverse reactions were mild or moderate1

Incidence of TESAEs with TARPEYO + RASi vs RASi alone was (9% vs 5%)2

Find out more about the safety profile of TARPEYO

TARPEYO has an established safety profile1

The majority of adverse reactions were mild or moderate1

In the NefIgArd study:

  • <10% of patients treated with TARPEYO + RASi discontinued due to TEAEs (9% vs 2%)2*
  • Most adverse reactions occurring at a greater incidence in the TARPEYO + RASi group were consistent with hypercortisolism and resolved within 3 months after discontinuation1
  • Common steroid-specific TEAEs developed at a mean of 4 months following treatment initiation, and generally resolved following treatment cessation8

Clinical events typically seen with systemic corticosteroids were generally limited1,2

  • Median change in body weight from baseline did not exceed 2.2 lbs and returned to baseline within 3 months after the end of treatment2
  • Median changes in systolic and diastolic blood pressure were small and resolved to baseline levels within 3 months after the end of treatment2†‡
  • HbA1c was generally unchanged throughout treatment. Increases in HbA1c observed during treatment generally resolved after the end of treatment2

Incidence of infections was comparable between treatment groups2

  • Incidence of infections: TARPEYO + RASi (37.4%); RASi alone (33.5%)2
  • Low rates of severe infections requiring hospitalization: 3 (1.5%) TARPEYO + RASi vs 1 (0.5%) RASi alone2,6

No clinically relevant differences between treatment groups in blood pressure, body weight, HbA1c, or creatinine excretion observed6

Find out more about the safety profile of TARPEYO

*Safety updated based on NefIgArd Safety Analysis Set, which included data from all patients who received ≥1 dose of study drug. In the global study, an additional 29 patients were enrolled in China for regulatory requirements after global recruitment had ended. ADRs or ARs were reported in the placebo-controlled 9-month treatment period until 14 days after completion of the tapering period.2

A small numerical increase in median HbA1c levels was observed during TARPEYO treatment, with some outliers evident. Increases occurred in a few TARPEYO-treated patients with a diabetes diagnosis pre-enrollment or with baseline values indicative of pre-diabetes per ADA-defined thresholds (HbA1c 5.7% or FBG 100 mg/dL).2

TARPEYO is not subject to an FDA-required REMS program.1

TARPEYO has no FDA-mandated drug monitoring or vaccine requirements beyond usual care.1

Product Design

TARPEYO is the first and only FDA-approved treatment for IgA nephropathy to reduce the loss of kidney function1

The medication is a targeted-release capsule designed to deliver budesonide directly to a key site of Gd-IgA1 production.2

Learn more about how Tarpeyo works

Budesonide was selected to limit systemic exposure

  • Budesonide is a locally acting glucocorticoid designed to limit systemic exposure of first-pass liver metabolism2
  • In pharmacokinetic studies comparing TARPEYO and Entocort, TARPEYO exhibited higher maximum plasma concentrations of budesonide while having a shorter terminal half-life, indicating a shorter duration of systemic exposure to budesonide9

    Clinical significance is unknown.

  • Developed for topical use on mucosal surfaces, budesonide exhibits rapid absorption and prolonged retention in mucosal tissue2

It has not been established to what extent the efficacy of TARPEYO is mediated via local effects in the ileum vs systemic effects.

Learn more about budesonide

TARPEYO is a targeted-release capsule designed to deliver budesonide to a key site of Gd-IgA1 production2

Data suggest that TARPEYO is not interchangeable with systemic glucocorticoids or other budesonide products10

  • In pharmacokinetic studies comparing TARPEYO and Entocort, TARPEYO exhibited higher maximum plasma concentrations of budesonide while having a shorter terminal half-life, indicating a shorter duration of systemic exposure to budesonide10

Clinical significance is unknown.

Discover more about what makes TARPEYO unique

Administration

TARPEYO is a once-daily, defined course of immunomodulating therapy.1

The recommended dose for TARPEYO is 16 mg/day (4 capsules). The medication should be swallowed whole in the morning, at least 1 hour before a meal.1

Learn more about determining the correct TARPEYO dose for your patients

The recommended duration of therapy is 9 months.

When treatment is discontinued, dose should be reduced to 8 mg/day (2 capsules) for 2 weeks.1

Safety and efficacy of treatment with subsequent courses of TARPEYO have not been established. Additional treatment would be at the discretion of the treating physician. An ongoing open-label extension trial (NCT04541043) is assessing the retreatment effect of TARPEYO.

If a dose is missed, the prescribed dose should be taken at the next scheduled time. Do NOT double the next dose.1

Financial support options are available to reduce or eliminate out-of-pocket costs.*

97% of TARPEYO patients have paid less than $10 per prescription*

TARPEYO Touchpoints will explore financial support options for your patients to reduce or eliminate their out-of-pocket costs

Steps to enroll patients in TARPEYO Touchpoints:

  • Step 1: Complete the Enrollment Form
  • ° Fill out required fields marked with a red asterisk (*)
  • ° Both patient and prescriber must sign and date the enrollment form
  • Step 2: Include Supporting Documents
  • ° Prescription benefit insurance information (front and back of card)
  • ° Recent lab results, including UPCR and eGFR
  • ° Kidney biopsy documentation
  • ° Clinical notes, including current and past medications
  • ° ACEi/ARB and dates of any previous steroid use
  • Step 3: Fax the completed form
  • ° Fax the completed form and supporting information to 1-844-854-3251
  • ° Pharmacy Name: PANTHERx Rare Pharmacy
  • ° Pharmacy Address: 24 Summit Park Dr, Pittsburgh, PA 15275

You will receive a follow-up phone call from a TARPEYO Touchpoints Care Navigator

Touchpoints will begin the benefits investigation

Touchpoints will fill the prescription through PANTHERx Rare Pharmacy and arrange for home delivery directly to your patientʼs doorstep

Touchpoints will provide ongoing support to your patients during their treatment journey

Learn more about Touchpoints

*All patients regardless of insurance type. This includes Commercial, Medicare, Medicaid, and cash-paying patients from January 2024.

ENGAGE WITH US DIRECTLY

Request tailored information and guidance from a Calliditas Representative.

IMPORTANT SAFETY INFORMATION

CONTRAINDICATIONS

TARPEYO is contraindicated in patients with hypersensitivity to budesonide or any of the ingredients of TARPEYO. Serious hypersensitivity reactions, including anaphylaxis, have occurred with other budesonide formulations.

WARNINGS AND PRECAUTIONS

Hypercorticism and adrenal axis suppression:

When corticosteroids are used chronically, systemic effects such as hypercorticism and adrenal suppression may occur. Corticosteroids can reduce the response of the hypothalamus-pituitary-adrenal (HPA) axis to stress. In situations where patients are subject to surgery or other stress situations, supplementation with a systemic corticosteroid is recommended. When discontinuing therapy or switching between corticosteroids, monitor for signs of adrenal axis suppression.

Patients with moderate to severe hepatic impairment (Child-Pugh Class B and C, respectively) could be at an increased risk of hypercorticism and adrenal axis suppression due to an increased systemic exposure to oral budesonide. Avoid use in patients with severe hepatic impairment (Child-Pugh Class C). Monitor for increased signs and/or symptoms of hypercorticism in patients with moderate hepatic impairment (Child-Pugh Class B).

Immunosuppression and increased risk of infection:

Corticosteroids, including TARPEYO, suppress the immune system and increase the risk of infection with any pathogen, including viral, bacterial, fungal, protozoan, or helminthic pathogens. Corticosteroids can: reduce resistance to new infections, exacerbate existing infections, increase the risk of disseminated infections, increase the risk of reactivation or exacerbation of latent infections, and mask some signs of infection. Corticosteroid-associated infections can sometimes be serious. Monitor for infection and consider TARPEYO withdrawal as needed.

Avoid corticosteroid therapy, including TARPEYO, in patients with active or quiescent tuberculosis or hepatitis B infection; untreated fungal, bacterial, systemic viral, or parasitic infections; ocular herpes simplex; or Kaposi’s sarcoma. Avoid exposure to active, easily transmitted infections (e.g., chickenpox, measles). Corticosteroid therapy may decrease the immune response to some vaccines.

Other corticosteroid effects:

TARPEYO is a systemically available corticosteroid and is expected to cause related adverse reactions. Monitor patients with hypertension, prediabetes, diabetes mellitus, osteoporosis, peptic ulcer, glaucoma or cataracts, or with a family history of diabetes or glaucoma, or with any other condition where corticosteroids may have unwanted effects.

ADVERSE REACTIONS

In clinical studies, the most common adverse reactions with TARPEYO (occurring in ≥5% of TARPEYO-treated patients, and ≥2% higher than placebo) were peripheral edema (17%), hypertension (12%), muscle spasms (12%), acne (11%), headache (10%), upper respiratory tract infection (8%), face edema (8%), weight increased (7%), dyspepsia (7%), dermatitis (6%), arthralgia (6%), and white blood cell count increased (6%).

DRUG INTERACTIONS

Budesonide is a substrate for CYP3A4. Avoid use with potent CYP3A4 inhibitors, such as ketoconazole, itraconazole, ritonavir, indinavir, saquinavir, erythromycin, and cyclosporine. Avoid ingestion of grapefruit juice with TARPEYO. Intake of grapefruit juice, which inhibits CYP3A4 activity, can increase the systemic exposure to budesonide.

USE IN SPECIFIC POPULATIONS

Pregnancy:

The available data from published case series, epidemiological studies, and reviews with oral budesonide use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or other adverse maternal or fetal outcomes. There are risks to the mother and fetus associated with IgAN. Infants exposed to in utero corticosteroids, including budesonide, are at risk for hypoadrenalism.

INDICATION

TARPEYO is indicated to reduce the loss of kidney function in adults with primary immunoglobulin A nephropathy (IgAN) who are at risk for disease progression.