TheraRadar
Data updated: May 26, 2026

SEVELAMER HYDROCHLORIDE

Renal Approved 2019-02-08

Sevelamer hydrochloride helps patients with chronic kidney disease who are undergoing dialysis manage their serum phosphorus levels. It is used to lower the concentration of phosphate in the blood, which can become elevated in these patients. This medication is specifically for those currently on dialysis, as its effects in other stages of kidney disease have not been established.

Source: FDA Label • RISING

How SEVELAMER HYDROCHLORIDE Works

This drug works by binding to phosphate molecules within the digestive tract using a non-absorbed polymer. The polymer contains amines that become protonated in the intestine, allowing them to capture dietary phosphate through ionic and hydrogen bonding. By preventing the absorption of this phosphate, the medication effectively lowers the amount of phosphorus that enters the bloodstream.

Source: FDA Label
6
Indications
--
Phase 3 Trials
7
Years on Market

Details

Status
Discontinued
First Approved
2019-02-08
Routes
ORAL
Dosage Forms
TABLET

SEVELAMER HYDROCHLORIDE Approval History

2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
11 FDA actions from 2019 to 2025
Feb 2025 ORIGINAL
Update
Jul 2023 ORIGINAL
Update
May 2023 ORIGINAL
Update

What SEVELAMER HYDROCHLORIDE Treats

1 indications

SEVELAMER HYDROCHLORIDE is approved for 1 conditions since its original approval in 2019. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Chronic Kidney Disease
Source: FDA Label

SEVELAMER HYDROCHLORIDE Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Clinical Trial Registry

5 trials
Trial Sponsor ID Phase Status Title
NCT03451019 S-L2018 Ph 4 completed Different Effects of Non-calcium Phosphate Binders on Serum Calcium
NCT01850602 results posted PA1301 Ph 3 completed A Phase III Study of PA21 in Hemodialysis Patients With Hyperphosphatemia
NCT01057407 1585-CL-0003 Ph 3 completed A Comparative Study of ASP1585 in Chronic Kidney Disease Patients With Hyperphosphatemia on Hemodialysis
NCT00824460 PA21 results posted PA-CL-03A 75610 Ph 2 completed Study of Phosphate Levels in Patients With Chronic Kidney Disease
NCT00844662 ACT 402 2008-004730-25 Ph 3 terminated Phase III Study to Investigate the Safety and Efficacy of Fermagate and Sevelamer Hydrochloride
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Active Pipeline

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

SEVELAMER HYDROCHLORIDE FDA Label Details

Indications & Usage

SEVELAMER HYDROCHLORIDE is indicated for the treatment of Chronic Kidney Disease.

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RENAGEL

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.