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Better Medicine. Better Business. www.vetoquinolusa.com 1-800-267-5707 Chronic kidney disease (CKD) affects, on average, 10.8% of cats and 5.2% of dogs brought in for consultation 1 and is a leading cause of death. 2 The auto-destructive cycle of CKD begins when nephrons decline leading to azotemia, an increased concentration of non-protein nitrogenous compounds – usually urea and creatinine – resulting from the kidneys’ impaired ability to filter and eliminate waste. While there is no cure, it is possible to slow the progression of the condition with Azodyl, a patented formulation of beneficial bacteria (Kibow Biotics ® ) that metabolize and flush out uremic toxins, reducing azotemia. Enteric Dialysis ® Azodyl’s unique mode of action Azodyl ® Enteric Dialysis ® reduces azotemia associated with CKD In normal, healthy subjects, small quantities of uremic solutes flow into the large intestine by simple passive diffusion. In renal failure, the kidneys’ ability to filter and eliminate waste matter is impaired, leading to a buildup of uremic solutes in the blood (azotemia) and a corresponding elevation of these toxins in the bowel. Azodyl’s beneficial bacteria target and metabolize the uremic toxins in the bowel, maintaining the concentration gradient and continuing the process, effectively lowering uremic solutes in the blood. Innovative Treatments For Chronic Kidney Disease Mode of Action #1 #2 #3 #4

Enteric Dialysis associated with CKD · Poster presentation at the 3rd World Congress of Nephrology, June 26-30, 2005, Singapore. Weight Less than 5 lbs 5-10 lbs More than 10 lbs

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Page 1: Enteric Dialysis associated with CKD · Poster presentation at the 3rd World Congress of Nephrology, June 26-30, 2005, Singapore. Weight Less than 5 lbs 5-10 lbs More than 10 lbs

Better Medicine. Better Business.www.vetoquinolusa.com1-800-267-5707

Chronic kidney disease (CKD) affects, on average, 10.8% of cats and 5.2% of dogs brought in for consultation1 and is a leading cause of death.2 The auto-destructive cycle of CKD begins when nephrons decline leading to azotemia, an increased concentration of non-protein nitrogenous compounds – usually urea and creatinine – resulting from the kidneys’ impaired ability to fi lter and eliminate waste.

While there is no cure, it is possible to slow the progression of the condition with Azodyl, a patented formulation of benefi cial bacteria (Kibow Biotics®) that metabolize and fl ush out uremic toxins, reducing azotemia.

Enteric Dialysis®

Azodyl’s unique mode of action

Azodyl®

Enteric Dialysis® reduces azotemia associated with CKD

In normal, healthy subjects, small quantities of uremic solutes fl ow into the large intestine by simple passive diffusion.

In renal failure, the kidneys’ ability to fi lter and eliminate waste matter is impaired, leading to a buildup of uremic solutes in the blood (azotemia) and a corresponding elevation of these toxins in the bowel.

Azodyl’s benefi cial bacteria target and metabolize the uremic toxins in the bowel, maintaining the concentration gradient and continuing the process, effectively lowering uremic solutes in the blood.

Innovative Treatments For Chronic Kidney Disease

Mode of Action

#1 #2

#3 #4

Page 2: Enteric Dialysis associated with CKD · Poster presentation at the 3rd World Congress of Nephrology, June 26-30, 2005, Singapore. Weight Less than 5 lbs 5-10 lbs More than 10 lbs

Demonstrated Clinical Efficacy3

Studies show that Azodyl administered orally on a daily basis has the potential to decrease BUN levels and prolong survival in renal insuffi ciency.

Dosing and Treatment

Ideally suited for use in IRIS stages II to IV, Azodyl comes in easy-to-administer, enteric-coated capsules.

Sources

1 North American Veterinary Research Group (NAVRG). The management of chronic kidney disease in dogs and cats. Survey conducted among 109 Veterinarians in the USA, 2005

2 Morris Animal Foundation, 1997 Animal Health Study. Denver, CO.

3 Ranganathan N, et al. Probiotics reduce azotemia in Gottingen minipigs. Poster presentation at the 3rd World Congress of Nephrology, June 26-30, 2005, Singapore.

Weight

Less than 5 lbs

5-10 lbs

More than 10 lbs

Morning Evening

1

1

2

0

1

1

Note: Capsules should be given whole and not opened or crushed. Refrigerate for best results.

&

Azodyl®

A powerful tool for advanced renal support • Demonstrated clinical effi cacy

• Safe to use

• Compatible with other therapies

• Easy and convenient to administer for improved compliance

180

160

140

120

100

80

60

40

20

0Baseline Azodyl Placebo Baseline Azodyl

104

75.1

150.1

104

45

p=0.009 p=0.0016

Placebo

No

Dat

aN

one

Sur

vive

d

After 4 Weeks After 8 Weeks

Mea

n B

un(m

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www.vetoquinolusa.com • 1-800-267-5707® Registered trademark of Vétoquinol USA, Inc. ® Registered trademark of Kibow Biotech Inc. VET-0024