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Prescribing Information

People taking VYKAT XR had less hyperphagia compared with placebo

In a 16-week study, people who switched to placebo had worse hyperphagia than those who continued taking VYKAT XR

Total hyperphagia score change after 16 weeks

Lessening hyperphagia can take time, so it’s important to stick to a plan with VYKAT XR and your existing routines.

When Matthew was born, his parents were told that his anxiety around food would be so severe that he would eventually need to be institutionalized. His family was always on edge because any moment could be taken over by a food outburst. Since he began treatment with VYKAT XR, Matthew has more independence when it comes to food, loves to dance and sing, and brings a warmth to his family that they never thought possible.

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Matthew stopped talking about food as much. The questions started to come down from 1000 questions to maybe 200 questions.”

– Deahl, Matthew’s mom

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Check out the handbook to better understand treatment with VYKAT XR

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VYKAT XR was studied in a range of people living with PWS and hyperphagia

The effect of VYKAT XR on hyperphagia and food-related behaviors was measured using a caregiver survey

The impact of VYKAT XR on hyperphagia was studied in clinical trials where people were on treatment for 2.5 to 4.5 years. In the main clinical trial, half of the people in the trial were randomly selected to stop taking VYKAT XR and take placebo (a sugar pill) for 16 weeks. The other half continued taking VYKAT XR.

Before starting the main clinical trial, people took VYKAT XR for at least 2.5 years

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Hyperphagia was measured by the Hyperphagia Questionnaire for Clinical Trials (HQ-CT), which asked caregivers about the individual’s behavior seen in the previous 2 weeks

The lower the score, the less hyperphagia.

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What the hyperphagia questionnaire asked about:

  • Bargaining and manipulating for food or repeatedly asking after being told “no”
  • Mood when denied food or asked to stop talking about food
  • Sneaking food, stealing food, foraging through trash for food, or waking up at night to look for food
  • Daily activities being interrupted by food-related behaviors and time spent asking or talking about food

HQ-CT owned by FPWR. Contact information and permission to use: Foundation for Prader‑Willi Research, www.fpwr.org

What’s the most important information I should know about VYKAT XR?

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High blood sugar levels (hyperglycemia) is common during treatment with VYKAT XR and can also be severe.

Your doctor will check your blood sugar levels and HbA1c before and throughout treatment. If you get hyperglycemia during treatment with VYKAT XR, your doctor may give you medicines or adjust your medicines for hyperglycemia. Your doctor may also change your dose, temporarily stop, or permanently stop VYKAT XR.

Tell your doctor if you get any of the following signs and symptoms:

  • Hyperglycemia: feel very thirsty, need to urinate more often than usual, have higher amounts of urine than usual, feel more hungry than usual, or weight loss
  • Diabetic ketoacidosis: nausea, vomiting, stomach-area (abdominal) pain, feel weak or very tired or trouble breathing
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Swelling in the body from too much fluid (fluid overload) is common during treatment with VYKAT XR and can also be severe.

Your doctor may decrease your dose or temporarily stop VYKAT XR if you get fluid overload. Tell your doctor if you have trouble breathing or get any other signs or symptoms of fluid overload such as swelling of your legs, ankles, or feet, or unusual swelling anywhere in your body.

Call your doctor for medical advice about side effects. You may report side effects to Soleno Therapeutics, Inc. at 1-833-765-3661 or to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

What are the possible side effects of VYKAT XR?

More than 5% of people taking VYKAT XR and 2% of people taking placebo in the clinical trial from study 1 experienced the side effects below

Side effectsVYKAT XR
84 participants N (%)
Placebo
42 participants N (%)
Increased hair growth all over the body36%14%
Swelling in the body*27%12%
High blood sugar levels17%5%
Rash12%2%
Fever6%0%
Joint pain5%2%
Flu5%2%
Cold5%2%

*Swelling/too much fluid can include the following areas of the body: hands, legs, feet, face, eyes, and lungs.

Increased blood sugar levels include type 2 diabetes.

Rash includes those caused by direct contact with a substance or allergic reaction to one, those triggered by infections or autoimmune disorders, side effects from prescribed medicine, or reactions to certain foods.

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IMPORTANT SAFETY INFORMATION
What is VYKAT XR used for?

VYKAT XR is a prescription medicine used to treat extreme hunger, constant thoughts about food, and constant urge to eat that cannot be satisfied with food (hyperphagia) in adults and children 4 years of age and older with Prader-Willi syndrome (PWS).

What is the most important information I should know about VYKAT XR?

VYKAT XR may cause serious side effects, including:

  • High blood sugar levels (hyperglycemia). Hyperglycemia is common during treatment with VYKAT XR and can also be severe. Hyperglycemia can lead to a condition called diabetic ketoacidosis (increased ketones in the blood) in some people who take VYKAT XR. Diabetic ketoacidosis is a serious condition that needs to be treated in a hospital and can be life-threatening.
    • Your healthcare provider will:
      • check your blood sugar levels before you start VYKAT XR, during treatment and more often during treatment if you have an increased chance of getting hyperglycemia.
      • check your HbA1c before and during treatment.
    • If you get hyperglycemia during treatment with VYKAT XR, your healthcare provider may give you medicines to treat hyperglycemia, change your dose if you already take hyperglycemia medications, or your doctor may change your dose of, temporarily stop, or permanently stop VYKAT XR.
  • Tell your healthcare provider if you get any of the following signs and symptoms:
    • hyperglycemia: feel very thirsty, need to urinate more often than usual, have higher amounts of urine than usual, feel more hungry than usual, or weight loss
    • diabetic ketoacidosis: nausea, vomiting, stomach-area (abdominal) pain, feel weak or very tired or trouble breathing
  • Too much fluid in your body or swelling (fluid overload). Swelling in the body from too much fluid is common during treatment with VYKAT XR and can also be severe. Your healthcare provider may decrease your dose or temporarily stop VYKAT XR if you get fluid overload. Tell your healthcare provider if you have trouble breathing or get any other signs or symptoms of fluid overload such as swelling of your legs, ankles, or feet, or unusual swelling anywhere in your body.
Who should NOT take VYKAT XR?

Do not take VYKAT XR if you are allergic to diazoxide, any ingredients in VYKAT XR or medicines called thiazides.

Before taking VYKAT XR, tell your healthcare provider about all of your medical conditions, including if you:

  • have diabetes or prediabetes
  • are sick
  • plan to have surgery
  • drink alcohol very often
  • are dehydrated or have lost a lot of body fluid
  • have heart problems or a history of swelling in your legs or other parts of your body that required medicine
  • have liver or kidney problems
  • are pregnant or plan to become pregnant. VYKAT XR may harm your unborn baby. Tell your healthcare provider right away if you become pregnant during treatment with VYKAT XR
  • are breastfeeding or plan to breastfeed. VYKAT XR passes into your breast milk, and it is not known if it can harm your baby. Tell your healthcare provider if you plan to breastfeed during treatment with VYKAT XR

Tell your healthcare provider about all of the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Taking VYKAT XR with certain other medicines may affect the way VYKAT XR or the other medicine works and may increase your risk of side effects. Do not change your dose or stop any medicines you take, or start any new medicines, without talking to your healthcare provider first during treatment with VYKAT XR.

What are the possible side effects of VYKAT XR?

Increased hair growth all over the body, fluid overload or swelling, high blood sugar levels, and rash.

These are NOT all of the possible side effects of VYKAT XR.

Call your doctor for medical advice about side effects. You may report side effects to Soleno Therapeutics, Inc. at 1-833-765-3661 or to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

For further information please read the Medication Guide and full Prescribing Information for VYKAT XR.