Drug intelligence / Profile preview

sevelamer + calcium acetate

Development stage
Approved
Lead developer
Sanofi
Modality
Implantable Hydrogels → Hydrogel Systems → Drug Delivery Systems, Small Molecules, Non-biodegradable Polymers → Polymer-based Nanoparticles → Nanoparticles → Drug Delivery Systems, Biodegradable Polymers → Polymer-based Nanoparticles → Nanoparticles → Drug Delivery Systems, Injectable Hydrogels → Hydrogel Systems → Drug Delivery Systems
Administration
Oral
01

Overview

This entry refers to a clinical study context conducted by the Gulhane School of Medicine comparing two distinct phosphate binders, sevelamer and calcium acetate, in patients with stage 4 chronic kidney disease (CKD) and hyperphosphatemia. Sevelamer is a non-calcium-based polymeric anion exchange resin, while calcium acetate is a calcium-based binder. The trial specifically investigated their respective impacts on serum fetuin-A levels and endothelial function (measured via flow-mediated dilation). The study found that sevelamer treatment significantly increased fetuin-A concentrations and improved endothelial dysfunction, whereas calcium acetate did not show these effects. Both medications are established therapies that work by binding dietary phosphate in the gastrointestinal tract to reduce systemic absorption, but they differ in their calcium content and potential pleiotropic effects on vascular health.

Brand names
RenagelRenvelaPhos-exPhosLoEliphos
Other names
sevelamer and calcium acetate
02

Targets

Pi (Inorganic phosphate)

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