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sevelamer carbonate, sevelamer

Phase 3

Chronic Kidney Disease | Small molecule | Nephrology |Sanofi|Last Updated: Mar 23, 2015

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials3
Total Enrollment334

FDA Designations

No designations recorded

Clinical trial landscape

sevelamer carbonate, sevelamer · 3 trials · 3 indications

Phase 3 2Phase 2 1
NCT01736150Dose-Titration Study of Sevelamer Carbonate in Chronic Kidney Disease (CKD) Patients on HemodialysisChronic Kidney Disease
COMPLETED205 Analytics
NCT00681941An Open Label Dose Titration of Sevelamer Carbonate Tabs 3 Times a Day in Hyperphosphatemic CKD Patients Not On DialysisChronic Kidney Disease
COMPLETED49 Analytics
PHASE3COMPLETED
Dose-Titration Study of Sevelamer Carbonate in Chronic Kidney Disease (CKD) Patients on Hemodialysis
Chronic Kidney DiseaseUnlock trial analytics
PHASE3COMPLETED
An Open Label Dose Titration of Sevelamer Carbonate Tabs 3 Times a Day in Hyperphosphatemic CKD Patients Not On Dialysis
Chronic Kidney DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from baseline to Visit 6/Early Termination (ET) in serum phosphorous.
8 weeks
Frequency of treatment-emergent adverse events (AEs) and serious adverse events (SAEs), changes in laboratory parameters, and changes in vital signs.
11 weeks
Evaluate the efficacy of sevelamer carbonate tablets dosed three times per day (TID) with meals on control of serum phosphorus levels
Up to day 70
Evaluate the safety and tolerability of sevelamer carbonate tablets dosed TID with meals.
Up to day 70
Safety-evaluated on the basis of adverse events (reported and/or observed)
16 weeks
changes in laboratory parameters, vital signs
16 weeks
note: clinically significant changes in physical examination were recorded and evaluated as adverse events
16 weeks
Efficacy-treatment regimens are compared on the basis of serum phosphorus at the end of each treatment period using the time-weighted mean of the phosphorus value from the last three visits in each treatment period
16 weeks
Treatment regimens were also compared with respect to total, LDL, and HDL cholesterol, and triglycerides, using the mean of values for each parameter from the two post-baseline assessments in each treatment period.
16 weeks

Secondary Endpoints

Change from baseline to Visit 6/ET in serum lipids (total cholesterol and LDL-cholesterol).
8 weeks
Serum calcium-phosphorus product
Up to day 70
Serum lipid profile [total cholesterol, high density lipoprotein (HDL) cholesterol, low density lipoprotein (LDL) cholesterol]
Up to day 70
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Sevelamer carbonateEXPERIMENTALSubjects randomized by a central randomization system to one of two treatment groups in a 2:1 (active: placebo) fashion, stratified by Visit 1a phosphorus result (\>5.5 mg/dL-6.5 mg/dL versus greater than 6.5 mg/dL), and site.
PlaceboPLACEBO_COMPARATORSubjects randomized by a central randomization system to one of two treatment groups in a 2:1 (active: placebo) fashion, stratified by Visit 1a phosphorus result (\>5.5 mg/dL-6.5 mg/dL versus greater than 6.5 mg/dL), and site.
1EXPERIMENTALSevelamer Carbonate Tablets Dosed Three Times A Day
2OTHERsevelamer hydrochloride w(1-8) sevelamer carbonate w(9-16)

Interventions

NameTypeDescription
PlaceboDRUG* Starting dose of 1 tablet (800mg), three times per day (2.4g/day)with meals. * If serum phosphorus is higher than 5.5 mg/dL on Visit 3, 4, or 5, then dose increased by one additional tablet (800 mg). Three times daily with meals.
Sevelamer carbonateDRUG* Starting dose 1 tablet (800 mg), three times per day (2.4 g/day) with meals. * If serum phosphorus is higher than 5.5 mg/dL on Visit 3, 4, or 5, then dose increased by one additional tablet(800mg).Three times daily with meals.
Sevelamer carbonate (Renvela®)DRUGSevelamer Carbonate Tablets Dosed Three Times A Day
sevelamer carbonate, sevelamer hydrochlorideDRUGStarting dose individualized for each patient and fixed daily dose throughout both treatment periods
sevelamer hydrochloride, sevelamer carbonateDRUGStarting dose individualized for each patient and fixed daily dose throughout both treatment periods
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites18

Inclusion Criteria: * On hemodialysis regimen scheduled for four hour duration three times per week for a minimum 30 days prior to Visit 1 and throughout the study * Have a central laboratory serum iPTH measurement less than 1000 pg/mL at Visit 1 * Have a central laboratory serum phosphorus measure...

Countries:ChinaAustraliaDenmarkFranceGermanyUnited KingdomUnited States
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Frequently asked questions about sevelamer carbonate, sevelamer

What is Sevelamer carbonate used for?

Sevelamer carbonate is used for hyperphosphatemia, or elevated blood phosphate, in patients with chronic kidney disease, including those with renal failure and those on hemodialysis. It is a small molecule being developed by Sanofi and is currently in Phase 3 clinical development for these kidney-related conditions.

What does Sevelamer carbonate target?

Sevelamer carbonate is a phosphate binder. It works by binding to phosphate in the gastrointestinal tract, reducing its absorption and lowering blood phosphate levels in patients with chronic kidney disease and hyperphosphatemia. This mechanism helps manage the complications of elevated phosphate in these patients.

Who makes Sevelamer carbonate?

Sevelamer carbonate is being developed by Sanofi, a global biopharmaceutical company listed on the stock exchange under the ticker symbol SNY. Sanofi is conducting clinical trials to evaluate the drug for the treatment of hyperphosphatemia in patients with chronic kidney disease.

What phase is Sevelamer carbonate in?

Sevelamer carbonate is in Phase 3 clinical development for chronic kidney disease and hyperphosphatemia. It is an investigational drug and has not been approved by regulatory authorities. Several Phase 3 trials have been completed, but the drug remains under investigation for these indications.

What clinical trials is Sevelamer carbonate in?

Sevelamer carbonate has been studied in several completed clinical trials, including NCT00681941, a Phase 3 open-label dose titration study in hyperphosphatemic CKD patients not on dialysis, and NCT01736150, a Phase 3 dose-titration study in CKD patients on hemodialysis. Both trials enrolled adult patients.

Is Sevelamer carbonate the same as sevelamer hydrochloride?

Sevelamer carbonate is a different salt form of sevelamer compared to sevelamer hydrochloride. A clinical trial, NCT00440648, was conducted as a cross-over study comparing sevelamer hydrochloride and sevelamer carbonate in patients with chronic kidney disease, indicating they are distinct formulations of the same active moiety.