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DS-2330b + sevelamer is an oral combination therapy investigated for the management of hyperphosphatemia in patients with chronic kidney disease (CKD) undergoing hemodialysis. DS-2330b is a small molecule inhibitor of the NaPi-IIb transporter, designed to reduce intestinal phosphate absorption. Sevelamer is a phosphate-binding polymer that limits phosphate absorption in the gastrointestinal tract. The combination was studied for potential additive or synergistic reduction of serum phosphate. In phase 1b studies, the combination was found to be safe and well tolerated, but did not demonstrate clinically meaningful efficacy in lowering serum phosphate in hemodialysis patients[1][2][3].
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