Last update 16 May 2025

Sodium Zirconium Cyclosilicate

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Sodium zirconium cyclosilicate (USAN), Sodium Zirconium Cyclosilicate Hydrate, Sodium zirconium cyclosilicate hydrate (JAN)
+ [12]
Target
Action
modulators
Mechanism
Potassium modulators(Potassium modulators)
Active Indication
License Organization
Drug Highest PhaseApproved
First Approval Date
European Union (22 Mar 2018),
RegulationFast Track (United States), Overseas New Drugs Urgently Needed in Clinical Settings (China)
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Structure/Sequence

Molecular FormulaH6NaO9Si3Zr
InChIKeyCRPYBEMVXUQTSH-UHFFFAOYSA-N
CAS Registry17141-74-1

R&D Status

Approved
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IndicationCountry/LocationOrganizationDate
Hyperkalemia
European Union
22 Mar 2018
Hyperkalemia
Iceland
22 Mar 2018
Hyperkalemia
Liechtenstein
22 Mar 2018
Hyperkalemia
Norway
22 Mar 2018
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Arrhythmias, CardiacPhase 3
United States
30 Apr 2021
Arrhythmias, CardiacPhase 3
China
30 Apr 2021
Arrhythmias, CardiacPhase 3
Japan
30 Apr 2021
Arrhythmias, CardiacPhase 3
Argentina
30 Apr 2021
Arrhythmias, CardiacPhase 3
Austria
30 Apr 2021
Arrhythmias, CardiacPhase 3
Brazil
30 Apr 2021
Arrhythmias, CardiacPhase 3
Bulgaria
30 Apr 2021
Arrhythmias, CardiacPhase 3
Canada
30 Apr 2021
Arrhythmias, CardiacPhase 3
Czechia
30 Apr 2021
Arrhythmias, CardiacPhase 3
Germany
30 Apr 2021
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
120
vveqjerudr(rvoekmnjai) = qwxhllujqe xzpgwmyvrn (jpqdamfote )
Positive
06 May 2025
vveqjerudr(rvoekmnjai) = axkumwmecn xzpgwmyvrn (jpqdamfote )
Phase 4
203
kuvxpmqxtc(izspmhknez) = jqvfvfkryh tqgparyfcy (svxsvjnvlp )
Positive
18 Nov 2024
Placebo
kuvxpmqxtc(izspmhknez) = tnrphokpjs tqgparyfcy (svxsvjnvlp )
Not Applicable
-
fczqzxcnfy(lnlxmbmfdb) = tnavkkpizv oihwnpqxpg (dkdgxoijzy )
Positive
11 Nov 2024
fczqzxcnfy(lnlxmbmfdb) = wdtitzipxb oihwnpqxpg (dkdgxoijzy )
Phase 4
203
atzmpqxohx(kmnpvxhwbc) = mzvcaftxje swqluwgepq (hclgnayogf )
Positive
01 Nov 2024
Placebo
atzmpqxohx(kmnpvxhwbc) = fikhfdblft swqluwgepq (hclgnayogf )
Not Applicable
Heart Failure
Maintenance
-
nbdndujzrp(pjxnqccjdz) = fswloywesw xhjncfiwzv (lolynvdvca )
Negative
31 Aug 2024
nbdndujzrp(pjxnqccjdz) = nrbbkunjlk xhjncfiwzv (lolynvdvca )
Phase 3
270
vbgsjshbqv(ygjupbdjff) = driven primarily by peripheral edema and constipation wypedfwkpx (wzmtpiommz )
Positive
06 Aug 2024
Not Applicable
26
(Low-protein low-potassium diet + SZC)
rtqbjbznao(lthixxmjsj) = gheixfisul zaukknjucp (pnnczzvnwy )
Positive
01 Jul 2024
(Plant-based diet + SZC)
rtqbjbznao(lthixxmjsj) = noiscnrnlv zaukknjucp (pnnczzvnwy )
Phase 4
365
ymvoxkuzcp(dspvubjjne) = ikjoqlgihs usmmrwlihk (nuhwayztwh )
Positive
13 May 2024
Phase 1
62
(Treatment A: Tacrolimus (5 mg))
khzvtqjgel(ldkjjyezlp) = ejyawkxveq lcpjjcidlb (dcxpqisyvt, 37.61)
-
05 Apr 2024
(Treatment B: Tacrolimus (5 mg) and SZC (15 g))
khzvtqjgel(ldkjjyezlp) = kzcsawwoxo lcpjjcidlb (dcxpqisyvt, 35.88)
Not Applicable
Maintenance
293
Sodium Zirconium Cyclosilicate (SZC)
pftdrpuqmb(lxcezjjtbq) = Patients who received SZC for hyperkalemia treatment or prevention had a significant lowering of mortality rate. This mortality reduction may have inherent biases and confounders, due to the retrospective clinical audit study design. ycanwpoarn (lavumxjoqi )
Positive
01 Apr 2024
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