kappa opioid receptor agonist

Difelikefalin

US: FDA-approvedEU: AuthorisedUK: AuthorisedCA: AuthorisedAU: RegisteredCH: AuthorisedBR: Not on the registerRS: Not on the registerSG: RegisteredTR: Not on the register

Answer

Difelikefalin is authorised or registered in the US, the EU, the UK, Canada, Australia, Switzerland and Singapore: 7 of the 10 registers read. Highest trial phase: Phase 3 (1 phase 3 trial, 0 with posted results). It has 25 registered trials, 2 of them running. Brand names on the FDA label register: Korsuva.

RegulatorTrial register10 regulators' registers, read 2026-09-03 to 2026-10-03 · ClinicalTrials.gov and EU CTIS, read 2026-10-03

Not medical, legal or regulatory advice.

Registered trials25Trial register ClinicalTrials.gov and EU CTIS
Running now2Trial register recruiting, active or enrolling
Results posted2Trial register with results on the register
Stopped early20%Trial register all peptides: 10%

25 trials by status

Trial register
Running 2Completed 15Stopped early 5Other or not stated 3

ClinicalTrials.gov and EU CTIS · read 2026-10-03 · 2 trials have posted results

Trials first submitted per year

Trial register

ClinicalTrials.gov first-submitted date, last 10 years · read 2026-10-03. 2026 is not complete. 2 trials carry no first-submitted date (EU CTIS publishes none, or the year is outside this range).

Status by jurisdiction

World map
Authorised or registeredNot on the register, or withdrawnNot read yet, or status unknown
WhereStatusRegisterRead
United StatesFDA-approvedFDA, openfda2026-10-03
European UnionAuthorisedEMA, ema2026-10-03
United KingdomAuthorisedMHRA, uk-mhra2026-10-03
CanadaAuthorisedHealth Canada, ca-dpd2026-10-03
AustraliaRegisteredTGA, au-artg2026-10-03
SwitzerlandAuthorisedSwissmedic, ch-swissmedic2026-10-03
BrazilNot on the registerANVISA, br-anvisa2026-09-03
SerbiaNot on the registerALIMS, rs-alims2026-09-03
SingaporeRegisteredHSA, sg-hsa2026-09-03
TurkeyNot on the registerTITCK, tr-titck2026-09-03

An EU decision applies in the 30 territories the EU register covers: its member states, and Iceland, Liechtenstein and Norway. A dashed tile has no register read for this peptide.

Side effects

Trial register
1 placebo-controlled trial · 232 people on Difelikefalin · grey is placebo
Hyperkalaemia17.7% 17.3%
Dialysis hypotension13.8% 10.3%
Hypotension13.8% 9.5%
Muscle spasms12.5% 10.7%
Upper respiratory tract infection9.5% 10.3%
ClinicalTrials.gov posted results · read 2026-10-03All side effects

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REGISTERED TRIALS

Newest 10 of 25 trials

All 25 trials
NCT06593392
Safety and Tolerability of Difelikefalin in Adolescents on Haemodialysis With Moderate-to-Severe Pruritus
currently recruiting participants · register updated 2026-09-01
2023-509909-74-00
An Open-label, Single Arm Study to Evaluate the Safety and Tolerability of Intravenous Difelikefalin in Adolescents Aged 12 to 17
no status recorded · register updated 2026-08-24
NCT07526324
Difelikefalin for Itching in Hemodialysis Patients With Chronic Kidney Disease
not yet recruiting participants · register updated 2026-04-13
NCT05885737
Phase 3 Study of Difelikefalin in Haemodialysis Chinese Adult Subjects With Moderate-to-Severe Pruritus
completed · register updated 2025-09-12
NCT05885763
Pharmacokinetics of Intravenous Difelikefalin in Chinese Adult Subjects on Haemodialysis
completed · register updated 2025-02-14
NCT05978063
Study to Evaluate the Efficacy and Safety of Oral Difelikefalin for Moderate to Severe Pruritus in Subjects With Notalgia Paresthe
terminated before completion · register updated 2024-06-21
NCT05342623
A Study to Evaluate the Safety and Efficacy of Difelikefalin in Advanced Chronic Kidney Disease Patients With Moderate-to-Severe P
terminated before completion · register updated 2024-05-07
NCT05356403
CR845-310302: A Study to Evaluate the Safety and Efficacy of Difelikefalin in Advanced Chronic Kidney Disease Patients With Modera
terminated before completion · register updated 2024-05-07
2023-503957-36-00
A 2-part, Multicenter, Randomized, Double-blind Study to Evaluate the Efficacy and Safety of Oral Difelikefalin for Moderate-to-Se
no status recorded · register updated 2024-04-29
NCT05387707
Study to Evaluate the Efficacy and Safety of Oral Difelikefalin as Adjunct Therapy to a Topical Corticosteroid for Moderate to Sev
terminated before completion · register updated 2024-02-22

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