Drugs / Calcifediol
last change Jun 2026 re-read 9 days ago

Calcifediol

Developed for
vitamin D deficiency · secondary hyperparathyroidism of renal origin · chronic kidney disease · chronic renal failure syndrome · COVID-19 · secondary hyperparathyroidism · acute kidney injury · asthma
+4 more · cytokine release syndrome · myocardial infarction · pulmonary arterial hypertension · severe acute respiratory syndrome
Investigated by
OPKO Health, Inc. · Faes Farma, S.A. · Boston University · David Leaf · Dynamic Solutions · Fondo de Investigacion Sanitaria
+23 more · Fundacio Salut i Envelliment UAB · Hospital Clinic of Barcelona · Hospital Universitario Doctor Peset · Hospital Universitario La Fe · Hospital Universitario Marqués de Valdecilla · Hospital Universitario Ramon y Cajal · Hospital Universitario de Gran Canaria Doctor Negrín · Hospital Vall d'Hebron · Hospitales Universitarios Virgen del Rocío · I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio · Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz · Italian Society of Nephrology · Junta de Andalucia · Leonor Cuadra Llopart · Maimónides Biomedical Research Institute of Córdoba · MurciaSalud · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · OPKO IP Holdings II, Inc. · Parc de Salut Mar · Società Italiana di Nefrologia · Spanish Society of Cardiology · Universidad Complutense de Madrid · University of Zurich

Regulatory milestones approvals, filings & regulatory actions · 4 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed non-renal secondary hyperparathyroidism 3 milestones
Filed Other RAYALDEE non-renal secondary hyperparathyroidism 2019-08-07

“RAYALDEE Marketing Authorization Application filed by Vifor Fresenius in Switzerland.” opko.com ↗

Filed US (FDA) RAYALDEE non-renal secondary hyperparathyroidism 2016-04-22

“the U.S. Food and Drug Administration (FDA) had accepted our New Drug Application (NDA) for Rayaldee™ for full review” opko.com ↗

“OPKO submitted a New Drug Application (NDA) for RAYALDEE ® to the US Food and Drug Administration (FDA) in 2015” opko.com ↗

“FDA has accepted OPKO’s resubmission on April 22, 2016 of the New Drug Application (NDA) for RAYALDEE” opko.com ↗

Rejected (CRL) US (FDA) RAYALDEE non-renal secondary hyperparathyroidism 2016-03-29

“FDA has issued a complete response letter (CRL) to the Company’s New Drug Application (NDA) for RAYALDEE ® (calcifediol)” opko.com ↗

Approved Indication not stated 1 milestone
Approved US (FDA) CALDEROL — 1980-08-05 fda.gov ↗

Trials 19

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT03401541 Oct 2018 → Apr 2019 malabsorption syndrome, vitamin D deficiency Boston University Completed No outcome recorded
Phase 13 trials
Phase 1 NCT03660800 Aug → Oct 2018 secondary hyperparathyroidism, vitamin D deficiency OPKO Health, Inc. Completed No outcome recorded
Phase 1 NCT02274623 Dec 2014 → Feb 2017 bone neoplasm, breast cancer, prostate cancer, secondary hyperparathyroidism OPKO Health, Inc. Completed No outcome recorded
Phase 1 NCT00888069 May → Nov 2009 chronic renal failure syndrome, secondary hyperparathyroidism of renal origin OPKO IP Holdings II, Inc. Completed No outcome recorded
Phase 25 trials · 1 missed
Phase 2 NCT07494045 Jun 2026 → Oct 2027 expected chronic kidney disease, secondary hyperparathyroidism of renal origin OPKO Health, Inc. Not yet recruiting No outcome recorded
Phase 2 NCT04551911 Nov 2020 → Oct 2021 COVID-19 OPKO Health, Inc. Completed No outcome recorded
Phase 2 NCT04366908 May 2020 → Apr 2022 COVID-19, cytokine release syndrome, severe acute respiratory syndrome Maimónides Biomedical Research Institute of Córdoba Completed No outcome recorded
Phase 2 NCT02962102 Apr 2017 → Jul 2020 acute kidney injury David Leaf Completed Missed primary
Phase 2 NCT01017354 Jan 2010 → Nov 2011 — University of Zurich Completed No outcome recorded
Phase 2/32 trials · 1 met primary
Phase 2/3 NCT04735926 Dec 2020 → Jul 2022 vitamin D deficiency Faes Farma, S.A. Completed No outcome recorded
Phase 2/3 NCT01219855 Oct 2010 → Nov 2011 chronic kidney disease, secondary hyperparathyroidism of renal origin, vitamin D deficiency OPKO Health, Inc. Completed Met primary
Phase 34 trials · 1 missed
Phase 3 NCT05543928 Jan 2023 → Jun 2024 chronic kidney disease, secondary hyperparathyroidism of renal origin, vitamin D deficiency OPKO Health, Inc. Terminated No outcome recorded
Phase 3 NCT02548364 Oct 2015 → May 2023 myocardial infarction Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz Completed Missed primary
Phase 3 NCT02282813 Apr 2013 → May 2015 chronic kidney disease, secondary hyperparathyroidism of renal origin, vitamin D deficiency OPKO Health, Inc. Completed No outcome recorded
Phase 3 NCT01457001 Nov 2012 → Nov 2016 chronic renal failure syndrome Italian Society of Nephrology Terminated No outcome recorded
Phase 44 trials · 1 met primary
Phase 4 NCT06258850 Jul 2024 → Jun 2027 expected pulmonary arterial hypertension, vitamin D deficiency Parc de Salut Mar Not yet recruiting No outcome recorded
Phase 4 NCT03213886 Jan 2018 → Apr 2019 vitamin D deficiency Leonor Cuadra Llopart Completed Mixed
Phase 4 NCT03403933 Jan → Sep 2017 cardiovascular disorder, vitamin D deficiency I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio Completed No outcome recorded
Phase 4 NCT02805907 Jun 2016 → Jan 2017 asthma MurciaSalud Completed Met primary
Comparator or background therapy7 trials
Phase 1 NCT00718276 Comparator Mar → Aug 2008 — University of Zurich Completed No outcome recorded
Phase 2 NCT03602261 Comparator Jul 2018 → Feb 2021 end stage renal failure, secondary hyperparathyroidism of renal origin, vitamin D deficiency OPKO Health, Inc. Terminated No outcome recorded
Phase 3 NCT01704079 Comparator Nov 2012 → Aug 2014 chronic kidney disease, secondary hyperparathyroidism of renal origin, vitamin D deficiency OPKO IP Holdings II, Inc. Completed No outcome recorded
Phase 3 NCT01651000 Comparator Sep 2012 → Jul 2014 chronic kidney disease, secondary hyperparathyroidism of renal origin, vitamin D deficiency OPKO IP Holdings II, Inc. Completed No outcome recorded
Phase 4 NCT03588884 Comparator Jun 2018 → Apr 2020 chronic kidney disease, secondary hyperparathyroidism of renal origin, vitamin D deficiency OPKO Health, Inc. Completed No outcome recorded

News releases announcing trial results or a regulatory action · 19

DateIssuerRelease
2023-11-02 OPKO Health, Inc. Results New Clinical Data on OPKO Health’s RAYALDEE® (ER Calcifediol) Presented at Kidney Week 2023 opko.com ↗
These data, presented in a poster titled “Control of Secondary Hyperparathyroidism with Extended-release Calcifediol is Associated with Slower CKD Progression” (#TH-PO1152), indicate that early, sustained and effective treatment of secondary hyperparathyroidism (SHPT) with RAYALDEE is associated with significantly slower progression of chronic kidney disease (CKD) in pre-dialysis patients.
2023-10-25 OPKO Health, Inc. Results OPKO Health to Present New Clinical Data on Rayaldee (ER Calcifediol) at Kidney Week 2023 opko.com ↗
The data demonstrate that RAYALDEE effectively and reliably raises serum levels of 25-hydroxyvitamin D (25D) and 1,25-dihydroxyvitamin D in non-dialysis patients with secondary hyperparathyroidism (SHPT), making it an attractive alternative to vitamin D hormone therapies (i.e., calcitriol, paricalcitol and doxercalciferol).
2021-12-23 OPKO Health, Inc. Results OPKO Health Announces Topline Results from Phase 2 Trial Evaluating RAYALDEE to Treat Symptomatic COVID-19 Outpatients opko.com ↗
OPKO Health, Inc. (NASDAQ: OPK) announces preliminary topline results from its Phase 2 trial with RAYALDEE ® to treat mild-to-moderate COVID-19.
2021-04-28 OPKO Health, Inc. Results OPKO Health Reports 2021 First Quarter Business Highlights and Financial Results opko.com ↗
Topline results from 44 subjects (33 Rayaldee; 11 placebo) demonstrated that the prohormone Rayaldee was well tolerated at a dose of 900 mcg/week, decreased intact parathyroid hormone (iPTH) versus placebo, and was activated to calcitriol (the active hormone) despite the lack of functional kidneys.
2020-12-03 Faes Farma, S.A. Results La administración de calcifediol oral junto con el tratamiento de elección en pacientes COVID-19 hospitalizados podría reducir la severidad de la enfermedad faesfarma.com ↗
Se ha visto que el tratamiento con calcifediol, junto con el tratamiento por protocolo, podría reducir el riesgo de ingreso en UCI en pacientes hospitalizados por COVID-19, pudiendo este ser un buen tratamiento coadyuvante para disminuir la severidad de la enfermedad
2020-10-14 Faes Farma, S.A. Results El Calcifediol evita el agravamiento de pacientes con coronavirus, según un estudio faesfarma.com ↗
el calcifediol, medicamento de Faes Farma , mejora el pronóstico del COVID-19, hasta reducir en un 97% el riesgo de ingreso en UCI de los pacientes más graves.
2020-09-10 Faes Farma, S.A. Results Datos preliminares del estudio. La administración de calcifediol oral en pacientes COVID-19 hospitalizados redujo significativamente su riesgo de ingreso en UCI faesfarma.com ↗
2020-09-08 Faes Farma, S.A. Results Investigadores del IMIBIC y Hospital Reina Sofía de Córdoba demuestran que la administración de Calcifediol en pacientes hospitalizados por COVID-19 reduce su necesidad de ingreso en UCI faesfarma.com ↗
Investigadores del Instituto Maimónides de Investigación Biomédica de Córdoba y del Hospital Universitario Reina Sofía, han demostrado que la administración de Calcifediol, metabolito más activo del sistema endocrino de la vitamina D a pacientes hospitalizados de COVID-19 reduce significativamente su necesidad de ingreso en Unidades de cuidados intensivos (UCI).
2020-06-01 OPKO Health, Inc. Regulatory FDA Authorizes OPKO Health Clinical Trial Evaluating RAYALDEE in COVID-19 Patients opko.com ↗
OPKO Health, Inc. (NASDAQ: OPK) today announced that the U.S. Food and Drug Administration (FDA) has authorized OPKO to undertake a Phase 2 trial with RAYALDEE ® as a treatment for patients with mild-to-moderate COVID-19.
2020-03-25 OPKO Health, Inc. Results OPKO Health Reports Interim Results for Two Ongoing RAYALDEE Studies opko.com ↗
Interim results from 20 subjects who have completed at least 3 months of treatment indicate that all three goals are being met.
2018-07-16 OPKO Health, Inc. Regulatory OPKO Partner Vifor Fresenius Receives Marketing Approval for RAYALDEE in Canada opko.com ↗
OPKO Health, Inc. (NASDAQ:OPK) announced today that the Company’s partner Vifor Fresenius Medical Care Renal Pharma (VFMCRP) has received approval from Health Canada to market RAYALDEE ® in Canada for the treatment of secondary hyperparathyroidism (SHPT) in adults with stage 3 or 4 chronic kidney disease (CKD) and vitamin D insufficiency.
2016-11-17 OPKO Health, Inc. Results OPKO Presents Data on RAYALDEE® at ASN Kidney Week 2016 opko.com ↗
Plasma intact parathyroid hormone (iPTH) levels were effectively suppressed by RAYALDEE in AA patients and nAA patients versus placebo treatment.

All press releases naming this drug 40 releases

DateIssuerRelease

Evidence & citations 18 cited values

Every value below carries the sentence it was read from. 28 sources stand behind the page.

FieldValueCited text
Known as Calcifediol “CTAP101 Capsules is an extended-release (ER) oral formulation of calcifediol which was approved as Rayaldee® ER Capsules in June 2016 by the United States (US) Food and Drug...” NCT05543928 ↗
16

“We aimed to assess the effectiveness of calcifediol in reducing mortality in patients with vitamin D insufficiency on hemodialysis compared to no additional therapy.” PMID 34173940 ↗ Jun 2021

“Calcifediol will be administered at a dose of 10 drops per day (as indicated for use) for 6 months or until vitamin D levels” NCT03403933 ↗

“Rayaldee (Calcifediol) Extended-release Capsules to Treat Symptomatic Patients Infected With SARS-CoV-2 (REsCue)” NCT04551911 ↗

“Calcifediol supplement administered orally in order to reach sufficiency levels (30 ng/ml)” NCT06634316 ↗

“Calcifediol Extended-Release Capsules” NCT03660800 ↗

NCT03602261 ↗

NCT03401541 ↗

NCT02548364 ↗

NCT01939977 ↗

NCT04366908 ↗

Show 6 more sources

Known as 25(OH)-cholecalciferol “The best biomarker of vitamin D status is the serum or plasma level of the hydroxylated form or vitamin D, 25(OH)-cholecalciferol, also known as 25(OH)-vitamin D or calcifediol.” NCT06258850 ↗
Known as 25(OH)D “24000 IU vitamin D3 orally and once per month plus 300 mcg 25(OH)D orally and once per month” NCT01017354 ↗
1

NCT00718276 ↗

Known as 25(OH)D3 “OBJECTIVES: We aimed to investigate the pharmacokinetics of oral 25-hydroxyvitamin D3 [25(OH)D3] and oral vitamin D3 in healthy participants with differing BMI and...” PMID 34008842 ↗ Sep 2021
Known as 25-hydroxyvitamin D “The purpose of this study is to assess the efficacy of calcifediol (25-hydroxyvitamin D) and calcitriol (1,25-dihydroxyvitamin D) in preventing and reducing the severity of...” NCT02962102 ↗
Known as 25-hydroxyvitamin D3 “pharmacokinetics of orally administered 25-hydroxyvitamin D3 and vitamin D3 in healthy adults with differing BMI and in adults with intestinal malabsorption.” PMID 34008842 ↗ Sep 2021
1

“CTAP101 Oral Capsules/Calcifediol, calcidiol, 25-hydroxyvitamin D3, 900mcg/weekly for 26 weeks” NCT03602261 ↗

Known as 25-OH vitamin D3 “Calcifediol (25-OH vitamin D3) in oral soft capsules (Hidroferol® 0,266 mg, equivalent to 15960 IU vitamin D).” NCT06258850 ↗
Known as 25D “We conducted a phase 2, randomized, double-blind, multiple-dose, 3-arm clinical trial comparing oral calcifediol (25D), calcitriol (1,25D), and placebo among 150 critically ill...” PMID 40924491 ↗ Sep 2025
Known as calcidiol “CTAP101 Oral Capsules/Calcifediol, calcidiol, 25-hydroxyvitamin D3, 900mcg/weekly for 26 weeks” NCT03602261 ↗
Known as CTAP101 “CTAP101 Capsules is an extended-release (ER) oral formulation of calcifediol which was approved as Rayaldee® ER Capsules in June 2016 by the United States (US) Food and Drug...” NCT05543928 ↗
7

NCT07494045 ↗

NCT02282813 ↗

NCT01704079 ↗

NCT01219855 ↗

NCT01651000 ↗

NCT02274623 ↗

NCT00888069 ↗

Known as CTAP101 Capsules “CTAP101 Capsules is an extended-release (ER) oral formulation of calcifediol which was approved as Rayaldee® ER Capsules in June 2016 by the United States (US) Food and Drug...” NCT05543928 ↗
1

“This is a phase 2, single or multi-center, randomized, double-blind placebo-controlled study to evaluate the safety and efficacy of Rayaldee (CTAP101 Capsules) to treat adult...” NCT04551911 ↗

Known as Hidroferol “Calcifediol (25-OH vitamin D3) in oral soft capsules (Hidroferol® 0,266 mg, equivalent to 15960 IU vitamin D).” NCT06258850 ↗
1

“Calcifediol (Hidroferol®) in 16,000-IU ampoules taken weekly by the oral route” NCT02805907 ↗

Known as Hydroferol “Treatments: 1) Calcifediol Hydroferol® 0.266 mg once every 10 days for the first 12 weeks and once every two weeks for the following 12 weeks.” NCT06258850 ↗
Known as Rayaldee “Rayaldee (Calcifediol) Extended-release Capsules to Treat Symptomatic Patients Infected With SARS-CoV-2 (REsCue)” NCT04551911 ↗
Known as Rayaldee ER Capsules “CTAP101 Capsules is an extended-release (ER) oral formulation of calcifediol which was approved as Rayaldee® ER Capsules in June 2016 by the United States (US) Food and Drug...” NCT05543928 ↗
Known as Vitamin D “Drug: Calcifediol (Vitamin D)” NCT03213886 ↗
Action Restore “restoration of vitamin D status with calcifediol improves their symptomatology and prognosis” NCT06258850 ↗
Route Oral “Single dose oral administration” NCT00888069 ↗