TheraRadar
Data updated: Jun 28, 2026

LOCHOLEST (cholestyramine) · CHARTWELL RX

Bile-acid Binding Activity
Metabolic Approved 1996-08-15

1) Cholestyramine is indicated as adjunctive therapy to diet for the reduction of elevated serum cholesterol in patients with primary hypercholesterolemia (elevated low density lipoprotein [LDL] cholesterol) who do not respond adequately to diet. Cholestyramine may be useful to lower LDL cholesterol in patients who also have hypertriglyceridemia, but it is not indicated where hypertriglyceridemia is the abnormality of most concern.

Source: FDA Label
NDA
Small Molecule
1
Indication
--
Phase 3 Trials
29
Years on Market

Details

Status
Prescription
First Approved
1996-08-15
Routes
ORAL
Dosage Forms
POWDER

Companies

Active Ingredient: CHOLESTYRAMINE

LOCHOLEST Approval History

1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
10 FDA actions from 1996 to 2000
Feb 2000 SUPPL
Mfg · Manufacturing (CMC)
May 1998 SUPPL
Mfg · Manufacturing (CMC)
May 1997 SUPPL
Label · Labeling

What LOCHOLEST Treats

4 indications

LOCHOLEST is approved for 4 conditions since its original approval in 1996. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Primary Hypercholesterolemia
  • Coronary Atherosclerosis
  • Pruritus
  • Partial Biliary Obstruction
Source: FDA Label

LOCHOLEST 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.

Drugs Similar to LOCHOLEST

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CHOLESTYRAMINE
CHOLESTYRAMINE
4 shared
PHARMOBEDIENT
Shared indications:
Primary HypercholesterolemiaCoronary AtherosclerosisPruritus +1 more
AMLODIPINE BESYLATE AND ATORVASTATIN CALCIUM
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1 shared
Apotex
Shared indications:
Primary Hypercholesterolemia
BYLVAY
ODEVIXIBAT
1 shared
IPSEN
Shared indications:
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Clinical Trial Registry

14 trials
Trial Sponsor ID Phase Status Title
NCT05014646 21049 NCI-2021-07263, 21049 Ph 2 active not recruiting Leflunomide for the Treatment of High-Risk Smoldering Multiple Myeloma in African-American and European-American Patients
NCT06454383 23540 NCI-2024-04359, 23540 Ph 1 recruiting Gemcitabine and Leflunomide in Patients With Advanced Unresectable Pancreatic Cancer
NCT06141473 FREXALT EFC17919 2023-504358-36, U1111-1290-9326 Ph 3 active not recruiting Efficacy and Safety Studies of Frexalimab (SAR441344) in Adults With Relapsing Forms of Multiple Sclerosis
NCT05443425 22026 NCI-2022-05061, 22026 Ph 1 recruiting Leflunomide in Combination With Steroids for the Treatment of Acute Graft-versus-Host Disease After Donor Stem Cell Transplant for Hematologic Malignancies
NCT05894928 LOXO-PIK-23009 J4C-OX-JZUD Ph 1 completed A Study to Evaluate the Effect of Cholestyramine on LOXO-783 in Healthy Participants
NCT03510884 results posted EFC14643 2017-001903-60, U1111-1193-0721 Ph 3 completed An Efficacy and Safety Study of Alirocumab in Children and Adolescents With Heterozygous Familial Hypercholesterolemia
NCT03510715 results posted EFC14660 2017-002297-39, U1111-1200-2046 Ph 3 completed An Efficacy and Safety Study of Alirocumab in Children and Adolescents With Homozygous Familial Hypercholesterolemia
NCT02890992 ODYSSEY KIDS results posted DFI14223 2015-003766-85, U1111-1178-4764 Ph 2 completed An 8-Week Dose-Finding Study to Evaluate the Efficacy and Safety of Alirocumab in Children and Adolescents With Heterozygous Familial Hypercholesterolemia
NCT02249897 PREL-AGES AGE-1 Ph 4 completed PRELIMINARY EVALUATION OF PHARMACOLOGICAL LOWERING OF AGEs
NCT01863888 TERI-DYNAMIC LPS13539 U1111-1139-8802 Ph 3 completed Effect of Teriflunomide on Immune Cell Subsets in the Blood of Patients With Multiple Sclerosis
NCT02046629 PKM12788 U1111-1152-4217 Ph 1 completed A Study to Evaluate the Pharmacokinetic Profiles of Single 14 mg Teriflunomide Tablet in Healthy Chinese Volunteers
NCT01239459 POP11432 2010-022354-16, U1111-1117-6723 Ph 1 completed Pharmacokinetic and Tolerability Study of 14 mg Single Dose of Teriflunomide in Subjects With Severe Renal Impairment
NCT01062269 results posted OO1 Ph 4 completed A Single Research Site Bile Acid Sequestrant Acceptability (BASA) Scale Pilot Validation Study
NCT01122108 results posted 002 Ph 4 completed Comparison of Colesevelam Hydrogen Chloride (HCl) Powder For Oral Suspension Versus Generic Cholestyramine Through Use of the Bile Acid Sequestrant Acceptability (BASA) Scale
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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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.

LOCHOLEST FDA Label Details

Indications & Usage

1) Cholestyramine is indicated as adjunctive therapy to diet for the reduction of elevated serum cholesterol in patients with primary hypercholesterolemia (elevated low density lipoprotein [LDL] cholesterol) who do not respond adequately to diet. Cholestyramine may be useful to lower LDL cholesterol in patients who also have hypertriglyceridemia, but it is not indicated where hypertriglyceridemia is the abnormality of most concern. Therapy with lipid-altering agents should be a component of multiple risk factor intervention in those individuals at significantly increased risk for atherosclerot...

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Data Sources

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