JAVYGTORTM (sapropterin dihydrochloride) Tablets for Oral Use and Powder For Oral Solution

What is JAVYGTOR?

JAVYGTOR (sapropterin dihydrochloride) Tablets for Oral Use and Powder for Oral Solution are indicated to reduce blood phenylalanine (Phe) levels in adult and pediatric patients one month of age and older with hyperphenylalaninemia (HPA) due to tetrahydrobiopterin- (BH4-) responsive Phenylketonuria (PKU). JAVYGTOR is to be used in conjunction with a Phe-restricted diet.1

Treatment with JAVYGTOR should be directed by physicians knowledgeable in the management of PKU.1 All patients with PKU who are being treated with JAVYGTOR should also be treated with a Phe-restricted diet, including dietary protein and Phe restriction.1

At Cycle, we know that a patient’s wellbeing not only depends on life-changing treatments, but also a support system which may help improve quality of life. That’s why we created Cycle Vita, delivering individualized product support every step of the way with JAVYGTOR.

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Support available to you with JAVYGTOR

Start your JAVYGTOR enrollment here

Download and print the enrollment form,
share it with your doctor and discuss why
you think JAVYGTOR may be suited to
your needs.

The first steps

Your Cycle Vita team will quickly get to work with your insurance provider to help you understand your coverage.

If prior authorization is needed, our experienced team will work with your insurer to understand the requirements and provide support to your doctor to ensure documentation and requirements are met.

We will route your JAVYGTOR therapy to the appropriate specialty pharmacy and follow-up to ensure swift shipment of your medication.

Additional assistance, when required, throughout your journey

In some cases, an appeal for insurance coverage may be needed. Where this is the case, our experienced team will work with your insurance provider and doctor to understand the requirements and help address any JAVYGTOR reimbursement gaps.

If you have commercial insurance, you may be eligible for the Cycle Vita Co-Pay Assistance Program. Commercially insured eligible patients may pay as little as $0. Please contact us to find out more about this and other programs that may be available to you (such as the Bridge Program and the New Patient Free Trial etc.).

Important notice

A free supply of JAVYGTOR is available to allow you to begin therapy immediately while Cycle Vita secures appropriate Benefit Verification and assists with Prior Authorization. It may also be requested if you experience a temporary disruption in therapy due to insurance coverage.

Important notice

If you agree, our proactive team will remind your healthcare provider when your JAVYGTOR prescription needs to be renewed, in a timely manner to ensure your therapy is not interrupted.

We provide product support to help you manage every aspect of your JAVYGTOR therapeutic routine, such as clinical education and one-on-one administration training.

Translation services are available upon request.

We provide you with on-going personal guidance and education through the duration of your therapy, to support you in reaching your healthcare provider’s nutritional goals and adherence plan.

What is phenylalanine hydroxylase (PAH) deficiency, traditionally called phenylketonuria (PKU)?

Phenylketonuria (PKU) is an inherited disorder caused by a deficiency of the phenylalanine hydroxylase (PAH) enzyme needed to process phenylalanine, which is found in all foods containing protein. High levels of phenylalanine can cause brain damage.2

The incidence of PKU is highest amongst Caucasians, occurring in approximately 1 in 10,000 births.3

Untreated individuals with PKU appear healthy at birth, but if they do not restrict the phenylalanine in their diet, they can develop severe intellectual and developmental disabilities. Other signs and symptoms of PKU may include behavioral problems, slow growth, small head size, eczema or skin rashes, seizures, jerking movements of the arms or legs and musty odor of breath, skin or urine. In addition, individuals may have fair skin and blue eyes, due to the body’s failure to transform phenylalanine into melanin, the pigment responsible for a person’s coloring.4

All 50 US states require newborns to be screened for PKU, which is how nearly all cases of PKU are diagnosed. A test is performed using a few drops of blood from a newborn’s heel to determine the level of phenylalanine in the blood.5

Remember, you are not alone. The Cycle Vita team is here to support you at every step of your treatment process.

Resources

Footnote
*Some areas of support may not be accessible to all patients. Eligibility criteria may apply to ensure compliance with all applicable federal and state requirements, and benefits may be limited to commercially insured patients only. For more detailed information about eligibility, terms and conditions, please contact the Cycle Vita team at 888-360-8482.

JAVYGTOR™ is a trademark of Cycle Pharmaceuticals Limited in the United States.

References

  1. JAVYGTOR (sapropterin dihydrochloride). Prescribing Information. Dr Reddy’s Laboratories Ltd.
  2. National Institutes of Health. Phenylketonuria (PKU). Available at: https://www.nichd.nih.gov/health/topics/pku. [Accessed: October 10 2024].
  3. Williams, R. A. et al. 2008. Phenylketonuria: An Inborn Error of Phenylalanine Metabolism. The Clinical Biochemist Reviews. 29(1) 31-41.
  4. National Institutes of Health. What are common symptoms of phenylketonuria (PKU)? Available at: https://www.nichd.nih.gov/health/topics/pku/conditioninfo/symptoms. [Accessed: October 10 2024].
  5. National Institutes of Health. How do health care providers diagnose phenylketonuria (PKU)? Available at: https://www.nichd.nih.gov/health/topics/pku/conditioninfo/diagnosed [Accessed: October 10 2024].

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JAVYGTOR Tablets for Oral Use and JAVYGTOR Powder for Oral Solution
What Important Information Should I Know About JAVYGTOR Tablets for Oral Use and Powder for Oral Solution?

  • Sapropterin Dihydrochloride can cause serious side effects including:

Severe allergic reactions, including anaphylaxis – JAVYGTOR is not recommended in patients with a history of anaphylaxis to Sapropterin Dihydrochloride. Stop taking JAVYGTOR and get medical help right away if you develop any of these symptoms of severe allergic reaction:

  • Wheezing or trouble breathing
  • Coughing
  • Flushing
  • Nausea
  • Feeling lightheaded or you faint
  • Rash

Inflammation of the lining of the stomach (gastritis) or esophagus (esophagitis) – Gastritis or esophagitis can happen with Sapropterin Dihydrochloride and may be severe. Patients should be monitored by their doctor for signs and symptoms of upper gastrointestinal mucosal inflammation. Call your doctor right away if you have any of these signs or symptoms:

  • Severe upper stomach area (abdominal) discomfort or pain, nausea and vomiting
  • Blood in your vomit or stool
  • Black, tarry stool
  • Difficulty swallowing
  • Loss of appetite
  • Pain in the throat

Phenylalanine (Phe) levels that are too low – Some PKU patients have experienced low blood Phe during treatment. Some children under the age of 7 years who take high doses of Sapropterin Dihydrochloride each day may experience low Phe levels
Too much or constant activity (hyperactivity) can happen with Sapropterin Dihydrochloride – Tell your doctor if you have any signs of hyperactivity, including:

  • Fidgeting or moving around too much
  • Talking too much
  • It is not possible to know if Sapropterin Dihydrochloride will work for you until you start treatment. Your doctor will check your blood Phe levels when you start taking JAVYGTOR to see if the medicine is working
  • All patients with PKU who are being treated with JAVYGTOR should also be treated with a Phe restricted diet, including dietary protein and Phe restriction
  • Your doctor should continue to monitor your blood Phe levels often during your treatment with JAVYGTOR to make sure that your blood Phe levels are not too high or too low. Frequent blood monitoring is recommended in the pediatric population
  • Avoid any dietary changes which may affect your blood Phe level. Follow your doctor’s instructions carefully and do not make any changes to your dietary Phe intake without first talking with your doctor. Even if you take JAVYGTOR and your Phe blood levels are not well controlled, you can develop severe neurologic problems
  • Tell your doctor as soon as possible if you are sick or have fever as this may increase your blood Phe level
  • Take JAVYGTOR exactly as your doctor tells you to
  • Do not take 2 doses in a day. If you take too much JAVYGTOR, call your doctor for advice or seek medical attention

Who Should Not Use JAVYGTOR Tablets for Oral Use and Powder for Oral Solution?

  • JAVYGTOR Tablets for Oral Use and Powder for Oral Solution are not recommended in patients with a history of anaphylaxis to Sapropterin Dihydrochloride or any of the ingredients in Sapropterin Dihydrochloride

What Should I Tell My Doctor Before Taking JAVYGTOR Tablets for Oral Use and Powder for Oral Solution?
Before taking JAVYGTOR Tablets for Oral Use or Powder for Oral Solution, tell your doctor if you:

  • Are allergic to Sapropterin Dihydrochloride or any of the ingredients in Sapropterin Dihydrochloride
  • Have poor nutrition or have loss of appetite
  • Are pregnant or plan to become pregnant
  • Are breastfeeding or plan to breastfeed

Provide your doctor with a complete list of medications you take, including prescription and over-the-counter medications, vitamins, and dietary or herbal supplements. JAVYGTOR can interact with other medications that you are taking. Especially tell your doctor if you take:

  • A medication that contains levodopa
  • An antifolate medication, such as methotrexate, phenobarbital, trimethoprim, valproic acid
  • Sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), vardenafil (Staxyn, Levitra)

Tell your doctor if you are unsure if your medication is one of the above listed. Always share your complete list of medications with your doctor and pharmacist.

What Are the Most Common Side Effects of JAVYGTOR Tablets for Oral Use and Powder for Oral Solution?

  • Headache
  • Runny nose and nasal congestion
  • Sore throat
  • Diarrhea
  • Vomiting
  • Cough

These are not all of the possible side effects of JAVYGTOR. Call your doctor for medical advice about side effects.

To report SUSPECTED Side Effects, contact Dr. Reddy’s Laboratories, Inc. at 1-888-375-3784 or by email: medinfo@drreddys.com, or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch