Several Phase 2 and Phase 3 clinical trials have evaluated sevelamer carbonate for renal conditions, including chronic kidney disease, chronic renal failure, hyperparathyroidism, and chronic hemodialysis. Sponsored by academic medical centers, individual investigators, and pharmaceutical companies such as Genzyme, these studies encompass both completed and terminated trials. Key investigations include a clinical trial evaluating biomarker control in non-dialysis patients and a clinical trial assessing dose-ranging in hyperphosphatemic chronic kidney disease.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT01220843 | Completed | Chronic Renal Failure |
Centre Hospitalier Universitaire Amiens|Genzyme a Sanofi Company |
2010-10 | Phase 3 |
| NCT01191762 | Completed | Hyperparathyroidism|Chronic Kidney Disease |
Kenneth R. Phelps M.D.|Genzyme a Sanofi Company|Phelps Kenneth R. M.D. |
2010-04 | Phase 3 |
| NCT01011699 | Terminated | Chronic Renal Failure|Hemodialysis |
Centre Hospitalier Universitaire Amiens |
2010-01 | Phase 3 |
| NCT00853242 | Completed | Kidney Failure Chronic |
Genzyme a Sanofi Company|Sanofi |
2009-02 | Phase 2 |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).