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Hyperkalemic Primary Periodic Paralysis

Disease/Condition(s): episodic muscle weakness, hypokalemic periodic paralysis, temporary paralysis provoked by common triggers for primary hyperkalemic
What is Hyperkalemic Primary Periodic Paralysis?

Hypokalemic primary periodic paralysis (hypoKPP) is a rare genetic disorder characterized by episodes of muscle weakness or paralysis associated with a drop in potassium levels in the blood (hypokalemia). These episodes often occur with triggers such as rest after exercise, high carbohydrate meals, or stress.

The condition typically begins in adolescence or young adulthood and can vary widely in severity. During an episode, the muscle weakness typically starts in the legs and can progress to involve the arms and other body parts. The respiratory muscles and muscles of the eyes and face usually remain unaffected.

HypoKPP is caused by mutations in genes that are responsible for proper muscle cell function, particularly in how they handle ion channels for potassium or sodium. The most commonly involved genes are the SCN4A gene, which encodes a sodium channel, and the CACNA1S gene, which encodes a calcium channel.

Common triggers

  1. Hyperkalemic Primary Periodic Paralysis


Associated with13 Hyperkalemic primary periodic paralysis is associated with episodes of weakness and/or paralysis with a documented serum potassium >4.5 mEq/L6

Triggers may include13

    • Exposure to cold
    • Rest after exercise
    • Stress or fatigue
    • Potassium-rich food
    • Hunger/fasting


  1. Hypokalemic Primary Periodic Paralysis


Associated with14 Hypokalemic primary periodic paralysis is focal or generalized paralytic associated with focal or generalized paralytic episodes of skeletal muscle, which can last hours to days and are associated with concomitant hypokalemia (<2.5 mEq/L)6)

Triggers may include14

  • Rest after exercise
  • High carbohydrate-rich meals
  • Alcohol
  • Stress

Hyperkalemic Primary Periodic Paralysis Sponsored Testing Program Overview:

Hyperkalemic Primary Periodic Paralysis

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What is the role of testing for Hyperkalemic Primary Periodic Paralysis?

A periodic paralysis gene panel test can bring you and your patients closer to uncovering the genetic cause behind the attacks of paralysis and muscle weakness caused by hyperkalemic or hypokalemic periodic paralysis. It can help shorten the diagnostic journey and expedite clinical management of the disease.

  • Primary Periodic Paralysis (PPP) is very rare, affecting ~4,000 to 5,000 diagnosed individuals in the US.1
  • This condition includes a spectrum of rare and chronic genetic, neuromuscular disorders with autosomal dominant inheritance that cause recurrent, progressive, and debilitating episodes of extreme muscle weakness and temporary paralysis that may negatively impact patients’ daily lives.4-6
  • Although there are related variants, the most common forms are hyperkalemic and hypokalemic periodic paralysis.2-3
  • Primary periodic paralysis is usually inherited from a parent and may affect multiple individuals within a family.

If you are a healthcare professional and would like to speak to a Xeris representative about primary periodic paralysis or the Uncovering Periodic Paralysis genetic testing program, please email [email protected].

Patients should speak with their healthcare providers to request a genetic test for periodic paralysis.

What is the Program?

Xeris Pharmaceuticals® has partnered with Invitae to offer a periodic paralysis gene panel test for those who have episodic muscle weakness or temporary paralysis provoked by common triggers for primary hyperkalemic or hypokalemic periodic paralysis.

Program Eligibility

Periodic Paralysis Program is open to all individuals 18 years or older within the US with

  • Episodic muscle weakness/paralysis attacks or episodic pain after attacks (more than one occurrence)

  • Or episodes are provoked by at least one of the common triggers for hyperkalemic or hypokalemic primary periodic paralysis

Testing

How to participate

Choose between the following testing options:

Invitae

Periodic Paralysis Panel

Genes Evaluated: ATP1A2, CACNA1S, KCNJ2, MCM3AP, RYR1, SCN4A

How To Order

Collect your patient’s specimen using an Invitae collection kit and return it. Use the label provided to ship most samples at no additional charge from the US and Canada.

Order Here
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FAQs

Program Information

What is the Uncovering Periodic Paralysis program?

The Uncovering Periodic Paralysis program is a sponsored genetic testing initiative focused on diagnosing different types of periodic paralysis, a group of disorders that lead to temporary episodes of muscle weakness or paralysis. The program provides genetic testing to identify mutations in genes known to cause these conditions, aiding in accurate diagnosis and treatment planning.

Who is eligible for the Uncovering Periodic Paralysis testing program?

This program is designed for individuals experiencing symptoms characteristic of periodic paralysis, such as episodic muscle weakness, changes in potassium levels during episodes, and a family history of similar symptoms. A referral from a healthcare provider is required for participation.

What types of genetic tests are performed in this program?

The program typically involves sequencing key genes associated with periodic paralysis, such as CACNA1S, SCN4A, and KCNJ2, which are linked to different forms of the condition. These tests help identify specific mutations that can cause the characteristic symptoms of periodic paralysis.

How can healthcare providers enroll patients in the Uncovering Periodic Paralysis program?

Healthcare providers can enroll patients by submitting a comprehensive application that includes the patient’s detailed medical history, documented symptoms, previous diagnostic test results, and the necessary consent forms. This application ensures that genetic testing is clinically justified.

What are the benefits of participating in the Uncovering Periodic Paralysis program?

Participants benefit from obtaining a precise genetic diagnosis, which can significantly influence management and treatment options. Understanding the genetic basis of their condition also helps in determining the risk of passing the disorder to future generations and may guide family planning decisions.

How long does it take to receive results from the genetic testing?

Results from the genetic tests are typically available within a few weeks from the date of sample receipt. The specific timeline can vary depending on the complexity of the genetic analysis. Participants and their healthcare providers are informed promptly once the results are available.

More Information About This Program

  • Patients that meet the eligibility criteria may receive one test at no cost.
  • No patients, providers, and/or third-party payers (including commercial health plans and government health care programs) will be billed for the testing covered under the program.
  • The ordering physician will not receive any fees or other compensation in connection with the Sponsored Testing Program, such as for specimen collection, handling, or data reporting.
  • Patients meeting the above eligibility criteria, as well as their treating health care providers, are not required to order, purchase, prescribe, and/or obtain any other product or service from sponsor, the labs or any of their affiliates.
  • The performing labs reserve the right to rescind, revoke, or amend the program for any reason without notice.
  • Program is not valid where prohibited by law.
  • No identifiable patient data will be shared with sponsor as part of this program.

About Xeris Pharmaceuticals

Xeris Pharmaceuticals logo

Xeris (Nasdaq: XERS) is a growth-oriented biopharmaceutical company committed to improving patient lives by developing and commercializing innovative products across a range of therapies. Xeris has three commercially available products; Gvoke®, a ready-to-use liquid glucagon for the treatment of severe hypoglycemia, Keveyis®, a proven therapy for primary periodic paralysis, and Recorlev® for the treatment of endogenous Cushing’s syndrome. Xeris also has a robust pipeline of development programs to extend the current marketed products into important new indications and uses and bring new products forward using its proprietary formulation technology platforms, XeriSol™ and XeriJect®, supporting long-term product development and commercial success.

Xeris Biopharma Holdings is headquartered in Chicago, IL. For more information, visit www.xerispharma.com, or follow us on X, LinkedIn, or Instagram.

About KEVEYIS®

Keveyis logo

KEVEYIS® (dichlorphenamide) is the first and only FDA-approved treatment for primary periodic paralysis (PPP), which includes hyperkalemic, hypokalemic, and related variants. Developed by Strongbridge Biopharma, KEVEYIS works by managing the symptoms of these rare, hereditary muscle disorders that cause debilitating episodes of muscle weakness or paralysis. Clinical studies have demonstrated its effectiveness in reducing the frequency and severity of these attacks. The most common side effects reported include numbness or tingling, cognitive difficulties, and changes in taste. KEVEYIS is an important therapeutic option for individuals with PPP, offering significant relief and improved quality of life for those affected by these challenging conditions​.

References

1. Data on file. Feasterville-Trevose, PA: Strongbridge Biopharma; 2017.
2. National Institutes of Health. Hyperkalemic periodic paralysis. Available at: https://ghr.nlm.nih.gov/condition/hyperkalemic-periodic-paralysis. Accessed December 5, 2016.
3. National Institutes of Health. Hypokalemic periodic paralysis. Available at: https://ghr.nlm.nih.gov/condition/hypokalemic-periodic-paralysis. Accessed December 5, 2016.
4. Charles G, Zheng C, Lehmann-Horn F, Jurkat-Rott K, Levitt J. Characterization of hyperkalemic periodic paralysis: a survey of genetically diagnosed individuals. J Neurol. 2013;260:2606-2613.
5. Cavel-Greant D, Lehmann-Horn F, Jurkat-Rott K. The impact of permanent muscle weakness on quality of life in periodic paralysis: a survey of 66 patients. Acta Myol. 2012;31:126-133.
6. Statland JM, Fontaine B, Hanna MG, et al. Review of the diagnosis and treatment of periodic paralysis. Muscle Nerve. 2018;57:522-530.

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