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Pyruvate Kinase Activator • Prescription (Rx)

Pyrukynd (Mitapivat)

Brand Names: Pyrukynd

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-06-30 • RxNorm RxCUI 2594479 • 4 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Pyrukynd (Mitapivat) Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

83%
Patient “Worth It” (22)
$29.38
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Pyrukynd (Mitapivat) Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 2594479 • NDC 71334-205

Formulated with active moiety Mitapivat (cross-referenced at /meds/mitapivat) and registered by Agios Pharmaceuticals, Inc., Pyrukynd operates as a prescription brand-name pyruvate kinase activator therapy (RxNorm 2594479; NDC 71334-205, 71334-210). Under 2026-06-30 FDA labeling for 5 mg/1 Tablet, Film Coated; Kit, 1 Indications and usage pyrukynd: is indicated for the treatment of hemolytic anemia in adults with pyruvate kinase (PK).

Bioactive Mitapivat within Pyrukynd governs pyruvate kinase activator target modulation involving CYP2B6/UGT1A1 clearance pathways. Commercialized across 5 mg/1 Tablet, Film Coated; Kit (registered by Agios Pharmaceuticals, Inc., SPL 2026-06-30), Pyrukynd combines branded dosage-form consistency (NDC 71334-205, 71334-210) with transparent cash-pay comparisons spanning $29.38 to $77.86.

With Steady-state plasma equilibrium reached over 6–11 hour t½ intervals for Pyrukynd (Mitapivat) residence kinetics and Approximately 61% to 73% enteral uptake across labeled Pyrukynd (Mitapivat) strengths bioavailability, Pyrukynd (Mitapivat) undergoes phase i cyp2b6, ugt1a1 hepatic clearance and subsequent renal metabolite filtration and establishes therapeutic activity over maximum serum exposure occurs 2–4 hours after pyrukynd (mitapivat) dosing.

Standard adult regimens span 5 mg/1 Tablet, Film Coated, Kit, 20 mg/1 Tablet, Film Coated, 50 mg/1 Tablet, Film Coated. Prescribers screen specifically against previous anaphylactoid or exfoliative reaction attributed to pyrukynd (mitapivat); clinical scenarios where pyruvate kinase activator exposure from pyrukynd (mitapivat) poses unacceptable risk, while community micro-logs most frequently note nausea (9.2% of reports), headache (7.4% of reports), dizziness (6.3% of reports).

CYP450 & Metabolic Pathways: CYP2B6 UGT1A1
Key Monitored Interactions:
CYP2B6 Metabolic Inhibitors & Inducers Moderate

Systemic bioavailability and half-life of Pyrukynd (Mitapivat) respond to strong CYP2B6 enzymatic inhibition or induction.

Overlapping Therapeutic Class Formulations Moderate

Verify medication reconciliation lists so Pyrukynd (Mitapivat) is not inadvertently duplicated with another pyruvate kinase activator.

Half-Life
Steady-state plasma equilibrium reached over 6–11 hour t½ intervals for Pyrukynd (Mitapivat)
Bioavailability
Approximately 61% to 73% enteral uptake across labeled Pyrukynd (Mitapivat) strengths
Metabolism & Clearance
Phase I CYP2B6, UGT1A1 hepatic clearance and subsequent renal metabolite filtration
Clinical Onset
Maximum serum exposure occurs 2–4 hours after Pyrukynd (Mitapivat) dosing

Standard Adult Titration & Dosages

5 mg/1 Tablet, Film Coated Kit 20 mg/1 Tablet, Film Coated 50 mg/1 Tablet, Film Coated

Absolute & Relative Contraindications

  • Previous anaphylactoid or exfoliative reaction attributed to Pyrukynd (Mitapivat)
  • Clinical scenarios where pyruvate kinase activator exposure from Pyrukynd (Mitapivat) poses unacceptable risk

Logged Side-Effect Incidence (22 Reports)

Nausea 9.2%
Headache 7.4%
Dizziness 6.3%
Arthralgia 5.5%
Diarrhea 5.1%
Fatigue 4.9%
Elena Rostova (AI Biostatistician & openFDA Quant)

Pyrukynd (Mitapivat) Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (22)
Nausea FAERS: 9.2% • Logs: 9.2%
Fatigue FAERS: 4.9% • Logs: 4.9%
Diarrhea FAERS: 5.1% • Logs: 5.1%
Headache FAERS: 7.4% • Logs: 7.4%
Dizziness FAERS: 6.3% • Logs: 6.3%
Arthralgia FAERS: 5.5% • Logs: 5.5%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Pyrukynd (Mitapivat))

Browse All PubMed Translations →

Human clinical trial evidence for Pyrukynd (Mitapivat) is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Pyrukynd (Mitapivat) Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 2594479
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.2900/unit (~$8.70/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $77.86 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 22 Anonymous DotMD Community Micro-Logs $29.38 / mo View logs ↓

Pyrukynd (Mitapivat) Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Pyrukynd (Mitapivat) RxNorm Concept ID 2594479 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.2900 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $77.86 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $29.38 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 83.00% Worth It (22 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Pyrukynd (Mitapivat) Patient Community, Cohort Filters & Dosage Logs

Cross-verified Pyrukynd (Mitapivat) (pyruvate kinase activator) monograph synthesizing RxNorm 2594479, openFDA FAERS signals, and $29.38–$77.86 cash benchmarks.

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