Asset profile

Sodium zirconium cyclosilicate · Lokelma

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: LOKELMA is indicated for the treatment of hyperkalemia in adults. (FDA)

This approval is for an indication outside this terminal's covered markets; the covered program shown here is investigational. Regulatory approval supersedes design-level evidence grading for the approved use.

track record: Partial signal

Also in development:Heart Failure · Phase 3

Source for the program status

How the evidence outlook works ↗

Competitive landscape

110 competitors in this universe: 1 direct rival (same mechanism and indication), 0 same-class, 109 same-indication; 34 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Sodium Zirconium Cyclosilicate (Lokelma): this drugPhase 3Small moleculeGastrointestinal potassium binder
Patiromer (Veltassa)Phase 3Small moleculeGastrointestinal potassium binder
Atrasentan (Vanrafia)ApprovedSmall moleculeEndothelin A receptor
Avacopan (Tavneos)ApprovedSmall moleculeComplement C5a receptor 1 (C5aR1/CD88)
Baxdrostat (Baxfendy)ApprovedSmall moleculeAldosterone synthase (CYP11B2)
Budesonide (targeted-Release) (TARPEYO / Nefecon)ApprovedSmall moleculeGlucocorticoid receptor
Canagliflozin (Invokana)ApprovedSmall moleculeSGLT2
Dapagliflozin (Farxiga / Forxiga)ApprovedSmall moleculeSGLT2
Daprodustat (Jesduvroq)ApprovedSmall moleculeHIF prolyl hydroxylase (HIF-PH1/2/3)
Difelikefalin (Korsuva)ApprovedPeptideKappa-opioid receptor (agonist, peripherally restricted)
Empagliflozin (Jardiance)ApprovedSmall moleculeSGLT2
Etelcalcetide (Parsabiv)ApprovedPeptideCalcium-sensing receptor (CaSR), allosteric agonist on parathyroid chief cells
Extended-Release Calcifediol (Rayaldee)ApprovedSmall moleculeVitamin D receptor (VDR), via conversion to calcitriol
Ferric Carboxymaltose (Injectafer / Ferinject)ApprovedIron Complex (iv)Iron repletion
Ferric Derisomaltose (Monoferric / Monofer)ApprovedIron Complex (iv)Iron repletion
Ferric Pyrophosphate Citrate (Triferic)ApprovedSmall moleculeIron-replacement therapy delivered via dialysate

…and 95 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(4 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (2)
December 2026 (2)
Phase 3Chronic Kidney DiseaseRecruiting
Est. primary completion 2026-12-30 · NCT06578078 · CT.gov ↗
What to watch
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Phase 4Chronic Kidney DiseaseNot yet recruiting
Est. primary completion 2026-12-31 · NCT06736184 · CT.gov ↗
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2027 (1)
July 2027 (1)
Phase 3Chronic Kidney DiseaseRecruiting
Est. primary completion 2027-07-30 · NCT06578533 · CT.gov ↗
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2030 (1)
February 2030 (1)
Phase 3HyperkalaemiaRecruiting
Est. primary completion 2030-02-21 · NCT03813407 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (16)
Phase 2/3 (1)
Phase 2 (5)
Phase 1 (3)
Phase 4 (8)
Early phase / not applicable (2)
Appears in other studies (1)