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Sevelamer carbonate

Phase 3

Hyperphosphatemia | Small molecule | Nephrology |Sanofi|Last Updated: Mar 25, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment303
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03001011Evaluation of Renvela in Patients With Chronic Kidney Disease Not On Dialysis And Hyperphosphatemia In ChinaPHASE3 COMPLETED 202Jun 7, 2017Aug 16, 2019Mar 25, 202238 China
NCT01574326An Efficacy and Safety Study of Sevelamer Carbonate in Hyperphosphatemic Pediatric Participants With Chronic Kidney DiseasePHASE2 COMPLETED 101May 1, 2012Jun 1, 2015Jul 25, 201632 United States, France +3
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Study Endpoints
Primary Endpoints
Change From Baseline in Serum Phosphorus at Week 8
Baseline, Week 8

Baseline of serum phosphorus value was the last serum phosphorus level obtained before the first double-blind investigational medicinal product (IMP) dosing. Missing Week 8 data were imputed by last observation carried forward \[LOCF\] method.

Change From Baseline (Week 0) to Week 2 in Serum Phosphorus
Baseline, Week 2

Full analysis set for fixed dose period (FAS-FDP) participants were analyzed according to their randomized treatment. The change in serum phosphorus (mg/dL) from baseline to week 2 was calculated.

Treatment - Emergent Adverse Events (AEs)
Up to 32 weeks (up to 4 weeks washout period, 2 weeks FDP and 26 weeks DTP)

A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly/birth defect. AEs from the time of signing the informed consent through the end of the study for all participants. SAEs occurring during the 15 days following study completion or early termination were also to be collected.

Secondary Endpoints
Change From Baseline in Total Cholesterol at Week 8
Baseline, Week 8
Change From Baseline in Low-Density Lipoprotein Cholesterol (LDL-C) at Week 8
Baseline, Week 8
Change From Baseline in Calcium-Phosphorus Product at Week 8
Baseline, Week 8
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORParticipants received placebo (for Renvela) orally 3 times per day (TID) for up to 8 weeks. One to five tablets were taken with meals, as directed by physician and were titrated (up to a maximum of 15 tablets per day) to reach a target goal of serum phosphorus less than or equal to (\<=) 4.6 mg/dL (\<=1.49 mmol/L).
RenvelaEXPERIMENTALParticipants received Renvela orally TID for up to 8 weeks. One to five tablets were taken with meals, as directed by physician and were titrated (up to a maximum of 15 tablets per day) to reach a target goal of serum phosphorus \<=4.6 mg/dL (\<=1.49 mmol/L).
FDP-Placebo for Sevelamer Carbonate, DTP-Sevelamer CarbonatePLACEBO_COMPARATORParticipants received placebo for 2 weeks during the fixed dose period (FDP). Participants received sevelamer carbonate for 26 weeks in dose titration period (DTP).
FDP-Sevelamer Carbonate, DTP-Sevelamer CarbonateEXPERIMENTALParticipants received sevelamer carbonate for 2 weeks during the FDP of the study. Participants received sevelamer carbonate for an additional 26 weeks in DTP.
Interventions
NameTypeDescription
PlaceboDRUGPharmaceutical form: tablet Route of administration: oral
Sevelamer Carbonate (GZ419831)DRUGPharmaceutical form: tablet Route of administration: oral
Sevelamer carbonateDRUG0.8 g sachets of powder for oral suspension or 800 mg tablets
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites38

Inclusion criteria: * Participants with chronic kidney disease who had not been on dialysis, and were not expected to begin dialysis, or renal transplantation in the next 4 months from the screening visit. * Had serum phosphorus measurement greater than or equal to (\>=) 5.5 mg/dL (1.78 mmol/L) at ...

Countries:ChinaUnited StatesFranceGermanyLithuaniaPoland
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