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Last Updated: May 20, 2025

CLINICAL TRIALS PROFILE FOR SEVELAMER HYDROCHLORIDE


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All Clinical Trials for Sevelamer Hydrochloride

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00018135 ↗ Parathyroid Hormone Levels in Relation to the Phosphorus Content of Meals Completed National Center for Research Resources (NCRR) N/A 1969-12-31 Patients on hemodialysis tend to have chronic elevations in the level of phosphorus in the blood and a secondary increase in the iPTH level. This chronic elevation in iPTH can have adverse consequences, thus a variety of phosphate binders are given in an attempt to decrease the absorption of phosphorus present in the normal diet. Some preliminary studies have indicated that the iPTH level may change based on the amount of phosphorus present in a meal prior to any significant absorption of phosphorus. If this is true in hemodialysis patients, then the timing of the administration of phosphate binders in relation to the ingestion of meals needs to be considered
NCT00151918 ↗ Efficacy and Safety of Lanthanum Carbonate and Sevelamer Hydrochloride in Patients Receiving Haemodialysis for End Stage Renal Disease Completed Shire Phase 3 2005-01-07 The purpose of this study is to assess phosphate reduction and control in patients with End Stage Renal Disease treated with either lanthanum carbonate or sevelamer hydrochloride
NCT00196755 ↗ Study of Safety and Efficacy of Renagel® Compared With Calcium Acetate in Patients With Peritoneal Dialysis Completed Genzyme, a Sanofi Company Phase 3 2004-12-01 The purpose of this study is to demonstrate that sevelamer hydrochloride is non-inferior to calcium acetate for the treatment of hyperphosphataemia in patients receiving peritoneal dialysis.
NCT00211939 ↗ CARE-2 (Calcium Acetate [PhosLo®]/Sevelamer[Renagel®] Evaluation Study 2) for Heart Calcification in Dialysis Patients Completed Nabi Biopharmaceuticals Phase 4 2005-01-01 The purpose of the study is to evaluate the effects of two phosphate binders, PhosLo and sevelamer, on heart calcification in dialysis patients. The study will use a non-invasive technique, electron beam computed tomography (CT) scanning, to measure calcium in the coronary arteries, the aortic valve, and the mitral valve.
NCT00267514 ↗ Study to Demonstrate Equivalence of Sevelamer Carbonate Powder and Sevelamer HCl Tablets in Haemodialysis Patients Completed Genzyme, a Sanofi Company Phase 3 2006-01-01 The purpose of this study is to determine if sevelamer carbonate powder is an effective treatment for the control of serum phosphorous levels in patients on dialysis when compared to sevelamer hydrochloride tablets.
NCT00268957 ↗ Study to Compare Sevelamer Carbonate Powder to Sevelamer Hydrochloride Tablets in Patients With CKD on Hemodialysis Completed Genzyme, a Sanofi Company Phase 3 2006-01-01 Approximately 207 patients with chronic kidney disease (CKD) on hemodialysis will be entered into this study at approximately 26 centers in the United States. This study aims to evaluate the safety and efficacy of sevelamer carbonate powder dosed once-a-day (QD) with the largest meal compared to sevelamer hydrochloride tablets dosed three-times-per-day (TID) with meals. The total length of participation is approximately 24 weeks.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Sevelamer Hydrochloride

Condition Name

Condition Name for Sevelamer Hydrochloride
Intervention Trials
Hyperphosphatemia 22
Chronic Kidney Disease 19
Kidney Failure, Chronic 5
Hemodialysis 4
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Condition MeSH

Condition MeSH for Sevelamer Hydrochloride
Intervention Trials
Kidney Diseases 44
Renal Insufficiency, Chronic 39
Hyperphosphatemia 27
Kidney Failure, Chronic 17
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Clinical Trial Locations for Sevelamer Hydrochloride

Trials by Country

Trials by Country for Sevelamer Hydrochloride
Location Trials
United States 160
France 18
China 17
United Kingdom 16
Japan 12
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Trials by US State

Trials by US State for Sevelamer Hydrochloride
Location Trials
New York 13
California 12
Texas 11
Illinois 10
Colorado 8
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Clinical Trial Progress for Sevelamer Hydrochloride

Clinical Trial Phase

Clinical Trial Phase for Sevelamer Hydrochloride
Clinical Trial Phase Trials
Phase 4 13
Phase 3 24
Phase 2 19
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Clinical Trial Status

Clinical Trial Status for Sevelamer Hydrochloride
Clinical Trial Phase Trials
Completed 58
Unknown status 7
Terminated 6
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Clinical Trial Sponsors for Sevelamer Hydrochloride

Sponsor Name

Sponsor Name for Sevelamer Hydrochloride
Sponsor Trials
Genzyme, a Sanofi Company 19
Shire 8
Fresenius Medical Care North America 4
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Sponsor Type

Sponsor Type for Sevelamer Hydrochloride
Sponsor Trials
Industry 59
Other 52
NIH 4
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Sevelamer Hydrochloride: Clinical Trials, Market Analysis, and Projections

Introduction to Sevelamer Hydrochloride

Sevelamer hydrochloride, commonly known by the brand name Renagel, is a phosphate binder used primarily in the treatment of hyperphosphatemia in patients with chronic kidney disease (CKD), particularly those on dialysis. Here, we will delve into the clinical trials, market analysis, and future projections for this drug.

Clinical Trials and Efficacy

Human Drug-Drug Interaction Studies

Clinical trials have been conducted to evaluate the efficacy and safety of sevelamer hydrochloride. In human drug-drug interaction studies, sevelamer hydrochloride was tested with other medications such as digoxin, warfarin, enalapril, metoprolol, and iron. These studies were aimed at understanding potential interactions and ensuring the drug's safety when used concurrently with other treatments[3].

Phosphorus Reduction

In a significant clinical trial involving 200 CKD patients on hemodialysis, sevelamer hydrochloride was compared to an active control. The results showed that both treatments produced similar decreases in serum phosphorus levels. At the end of the 52-week study, sevelamer hydrochloride significantly reduced mean serum phosphorus levels, demonstrating its efficacy in managing hyperphosphatemia[3].

Long-Term Effects and Vitamin Levels

Long-term clinical trials have also examined the effects of sevelamer hydrochloride on vitamin levels. While short-term trials did not show significant reductions in serum vitamin levels, a one-year trial indicated a slight decrease in 25-hydroxyvitamin D levels. However, most patients in these trials received vitamin supplements, which is common for patients on dialysis[3].

Market Analysis

Market Size and Growth

The Sevelamer Hydrochloride API market has experienced rapid growth in recent years and is projected to continue this trend from 2023 to 2031. The market size is anticipated to reach significant values, driven by increasing demand in the medical pharmaceutical and scientific research sectors[2][5].

Segmentation by Type and Application

The market is segmented by type (0.97, 0.98, 0.99, and others) and application (medical pharmaceutical and scientific research). Geographically, the market is divided into regions such as North America, Europe, Asia-Pacific, South America, and the Middle East and Africa. This segmentation helps in understanding the specific drivers and challenges in different markets[2][5].

Key Players and Market Dynamics

The Sevelamer Hydrochloride API market includes prominent players such as Century Pharmaceuticals, Om Pharmaceutical Industries, Octavius Pharma, Aurobindo Pharma Limited, and others. The market dynamics are influenced by factors such as drivers (increasing prevalence of CKD, growing demand for phosphate binders), restraints (regulatory hurdles, competition from generic drugs), opportunities (emerging markets, advancements in technology), and challenges (economic fluctuations, supply chain disruptions)[5].

Market Projections

Forecasted Growth

The Sevelamer Hydrochloride API market is expected to grow substantially from 2023 to 2031, driven by the increasing need for effective phosphate binders in the treatment of CKD. The market is anticipated to expand across various regions, with Asia-Pacific and North America being key growth areas[2][5].

Regional Analysis

The market growth will be influenced by regional factors such as healthcare infrastructure, regulatory environments, and economic conditions. For instance, countries like the U.S., China, and India are expected to be significant contributors to the market growth due to their large patient populations and advancing healthcare systems[5].

Technological and Market Developments

Advancements in technology and manufacturing processes are expected to enhance the production efficiency and quality of sevelamer hydrochloride. Additionally, market developments such as partnerships between pharmaceutical companies and research institutions will further drive innovation and growth in the market[5].

Value Chain Analysis

Upstream Raw Material Analysis

The value chain analysis of the Sevelamer Hydrochloride API market includes an examination of the upstream raw materials. This involves understanding the sourcing, quality, and cost of raw materials, which are critical for maintaining the quality and consistency of the final product[5].

Midstream Major Company Analysis

The midstream segment involves the analysis of major companies based on their manufacturing base and product types. This helps in identifying key players and their market strategies, which can influence the overall market dynamics[5].

Downstream Major Customer Analysis

The downstream segment focuses on the major customers by region. Understanding the demand patterns and preferences of end-users in different regions is crucial for tailoring marketing strategies and ensuring market penetration[5].

Regulatory Scenario

The regulatory scenario plays a significant role in shaping the Sevelamer Hydrochloride API market. Regulatory approvals, compliance with safety and efficacy standards, and changes in healthcare policies can all impact the market. Companies must stay abreast of these regulatory changes to ensure continued market presence and growth[5].

Key Takeaways

  • Clinical Efficacy: Sevelamer hydrochloride has been shown to be effective in reducing serum phosphorus levels in patients with CKD.
  • Market Growth: The Sevelamer Hydrochloride API market is projected to experience significant growth from 2023 to 2031.
  • Segmentation: The market is segmented by type, application, and geographical region, each with its own growth drivers and challenges.
  • Key Players: Major pharmaceutical companies are key players in this market, influencing market dynamics through their strategies and innovations.
  • Regulatory Environment: Regulatory compliance and changes in healthcare policies are crucial for market growth and stability.

FAQs

What is Sevelamer Hydrochloride used for?

Sevelamer hydrochloride is used primarily to treat hyperphosphatemia in patients with chronic kidney disease (CKD), especially those on dialysis.

What are the key findings from clinical trials of Sevelamer Hydrochloride?

Clinical trials have shown that sevelamer hydrochloride effectively reduces serum phosphorus levels in CKD patients and has a favorable safety profile, although it may slightly reduce vitamin D levels over long-term use.

What is the projected market size of the Sevelamer Hydrochloride API market?

The Sevelamer Hydrochloride API market is anticipated to reach significant values by 2031, driven by increasing demand and technological advancements.

Who are the major players in the Sevelamer Hydrochloride API market?

Major players include Century Pharmaceuticals, Om Pharmaceutical Industries, Octavius Pharma, Aurobindo Pharma Limited, and others.

What are the main drivers and restraints of the Sevelamer Hydrochloride API market?

Drivers include the increasing prevalence of CKD and growing demand for phosphate binders, while restraints include regulatory hurdles and competition from generic drugs.

Sources

  1. Sanofi: Clinical Study Results Medicines, including Rare Diseases.
  2. Market Research Intellect: Global Sevelamer Hydrochloride API Market Size, Scope And Forecast.
  3. Health Canada: Renagel (sevelamer hydrochloride) Product Monograph.
  4. Oxford Academic: The effect of sevelamer on serum calcification propensity in patients with chronic kidney disease.
  5. The Research Insights: Global Sevelamer Hydrochloride API Market Size, Trend & Forecast.
Last updated: 2025-01-07

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