Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Prescription medicine

Pegloticase

Drug class: Uric Acid-specific Enzyme

The FDA’s “Established Pharmacologic Class”: the group of medicines that work in a similar way.

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Quick answers

What is Pegloticase used for?
The FDA-approved label (Krystexxa, Horizon Therapeutics USA, Inc., July 9, 2026) says: “KRYSTEXXA ® (pegloticase) is indicated, for the treatment of chronic gout in adult patients refractory to conventional therapy. Gout refractory to conventional therapy occurs in patients who have failed to normalize serum uric acid and whose signs and symptoms are inadequately controlled with xanthine oxidase inhibitors at the maximum medically appropriate dose or for whom these drugs are contraindicated. …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Pegloticase have a boxed warning?
Yes. The FDA label for Krystexxa has a boxed warning, the FDA’s strongest warning. Read it on the full label and ask your pharmacist.
Is there a shortage of Pegloticase?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Pegloticase been recalled?
No recall linked to the products of this medicine appears in the FDA enforcement reports we use.
Who makes Pegloticase?
1 company lists prescription products of Pegloticase in the FDA NDC Directory, including Horizon Therapeutics USA, Inc..

What Pegloticase is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

KRYSTEXXA ® (pegloticase) is indicated, for the treatment of chronic gout in adult patients refractory to conventional therapy. Gout refractory to conventional therapy occurs in patients who have failed to normalize serum uric acid and whose signs and symptoms are inadequately controlled with xanthine oxidase inhibitors at the maximum medically appropriate dose or for whom these drugs are contraindicated. …

— FDA label: Krystexxa, Horizon Therapeutics USA, Inc., effective July 9, 2026. Read the full label on DailyMed →

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

Boxed warning

A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.

This label has a boxed warning. Read it on the full label →

Forms and how it is given

Dosage formsInjection, solution
RouteIntravenous
Prescription products2 in the FDA NDC Directory
Brand namesKrystexxa

Companies that list this medicine

Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.

FDA approval history

  • BLA: Biologics License Application: how a biologic medicine (made from living cells) is approved.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
BLA125293
KRYSTEXXA
Horizon PharmaSeptember 14, 2010 13, latest August 7, 2026
2026: Labeling · 2022: Efficacy · 2018: Labeling

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

No recall linked to these products (by their NDC code) appears in the FDA enforcement reports.

Official identifiers

RxCUI (RxNorm)1011653, 1011657, 2723378, 2723381
SPL set ID of the quoted label6e566303-d93a-4130-b764-25749829aa95
FDA labels (SPL)1
FDA applicationsBLA125293
Active ingredients (FDA)PEGLOTICASE

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Krystexxa, Horizon Therapeutics USA, Inc., effective July 9, 2026; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026

openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →

Report an error → · Information for medicine makers