Vykat XR - A Treatment for Hyperphagia 

VYKAT XR is approved for adults and children 4 years of age and older with Prader-Willi syndrome experiencing hyperphagia. This treatment, approved by the US Food and Drug Administration in March 2025, is the first and only FDA-approved treatment for hyperphagia in PWS. 

What is it?

VYKAT XR is a prescription oral medication for individuals living with Prader-Willi syndrome (PWS) ages 4 and older with hyperphagia. VYKAT XR is an extended-release tablet that must be swallowed whole at the same time every day, with or without food. Crushing, splitting, or chewing the extended-release tablet may compromise the characteristics of the safety and efficacy of the medication.

How much is given?

Dosage is determined based on the patient’s body weight and titrated (increased) on a biweekly basis under a clinician’s supervision until the target dose has been met. Clinicians will use a titration schedule based on VYKAT XR prescribing information.

Prior to receiving treatment, patients must go through laboratory testing to establish a baseline. The bloodwork will test for fasting plasma glucose and HbA1c to ensure the patient is safe to begin treatment and establish safe levels to continue during treatment.

 

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Benefits

Data from the Phase 3 clinical trial showed statistically significant improvement in hyperphagia, as well as these other benefits:

  • Improved behavior
  • Fewer outbursts related to food
  • Improved metabolism
  • Less worrying or talking about food

Note: Clinical trial participants have shared that it can take time for these benefits to be observed and have suggested that you shouldn’t expect immediate results 

Safety Profile

Some side effects noted from the Phase 3 clinical trial included:

  • Increased hair growth throughout the body (hypertrichosis) - 36% of trial participants. Note: Trial participants have shared that they did not feel that hair growth was a challenge, but some did use hair removal techniques to manage the growth.
  • Excessive fluid accumulation in the body (Edema) - 27% of trial participants
  • High blood sugar levels (Hyperglycemia) - 17% of trial participants
  • Rash – 12% of trial participants

The VYKAT XR Medication Guide recommends checking blood sugar levels before you start VYKAT XR, at least 1 time every week for the first 2 weeks of treatment, then at least 1 time every 4 weeks and as needed during treatment.

Considerations

Before starting any medication, it’s essential to talk with your doctor about all relevant factors.  Proper nutritional management remains a mainstay during VYKAT XR treatment.

For more information about VYKAT XR to treat hyperphagia for those living with PWS, download this VYKAT XR fact sheet from Soleno.

Additional resources from Soleno include:

 

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