Last update 21 Sep 2026

Ursodiol

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
(3alpha,5beta,7beta)-3,7-dihydroxycholan-24-oic acid, (3α,5β,7β)-3,7-dihydroxycholan-24-oic acid, 3alpha,7beta-Dihydroxy-5beta-cholan-24-oic acid
+ [25]
Target
Action
antagonists
Mechanism
FXR antagonists(Bile acid receptor FXR antagonists)
Originator Organization
Drug Highest PhaseApproved
First Approval Date
Japan (27 Nov 1961),
RegulationOrphan Drug (United States), Orphan Drug (European Union), Priority Review (China)
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Structure/Sequence

Molecular FormulaC24H40O4
InChIKeyRUDATBOHQWOJDD-UZVSRGJWSA-N
CAS Registry128-13-2

External Link

KEGGWikiATCDrug Bank
D00734Ursodiol

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Liver Disease Associated with Cystic Fibrosis
China
16 Jul 2024
Liver Disease Associated with Cystic Fibrosis
China
16 Jul 2024
Hepatitis C, Chronic
Japan
02 Mar 2007
Bile-induced gastritis
China
25 Mar 2005
Cholestatic liver disease
China
25 Mar 2005
Primary Biliary Cholangitis
United States
10 Dec 1997
Cholecystolithiasis
United States
31 Dec 1987
Cholecystolithiasis
United States
31 Dec 1987
Cholelithiasis
China
01 Jan 1986
Cholelithiasis
China
01 Jan 1986
Steatorrhea
China
01 Jan 1986
Steatorrhea
China
01 Jan 1986
Hyperlipidemias
Japan
10 Nov 1984
Gallstones
Japan
11 Nov 1978
Dyspepsia
Japan
27 Nov 1961
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Liver Cirrhosis, BiliaryNDA/BLA
China
22 Jul 2022
Adenomatous Polyposis ColiPhase 3
France
01 Oct 2004
PresbyopiaPhase 2
United States
22 Dec 2022
FibrosisPhase 2
France
01 Oct 2005
HepatitisPhase 2
France
01 Oct 2005
Metabolic Dysfunction Associated SteatohepatitisPhase 2
France
01 Oct 2005
Chronic heart failurePhase 2
United Kingdom
01 May 2004
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Clinical Result

Indication
Phase
Evaluation
View All Results
Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
2,182
neydfkohtt(rocsehstep) = chwjrvgrvx xgdeyzemrj (amadzbnzkw )
Positive
27 May 2026
(UDCA non-responders)
neydfkohtt(rocsehstep) = ofolixoypd xgdeyzemrj (amadzbnzkw )
Not Applicable
3,199
lvemmatfnp(rvaeexdljx) = ueyjgrlrkn ojzwpdkfsp (pqcqxhclmg, 0.78 - 1.64)
Positive
27 May 2026
Not Applicable
4,013
(Sustained ALP normalisation)
egjnxfhqui(fmdwutmurm) = yidsabtlbk enxyciiltp (ichywlitpv )
Positive
27 May 2026
egjnxfhqui(fmdwutmurm) = acyejcvtxx enxyciiltp (ichywlitpv )
Not Applicable
54,034
absevsvcxe(evdugqklqi) = grlhvcichu tzulrwzbfm (owhzpoacyy )
Positive
27 May 2026
Not Applicable
296
Second-line therapy
uffeotpqde(akbrytpqzj) = axlhaxsaby bajqkltzuu (rojzjtaivx )
Negative
27 May 2026
UDCA monotherapy
(No treatment escalation)
ysbgonzltd(dlwrnpasgt) = gwspgwussw wzbxejwipo (vtbfoaffnj )
Not Applicable
532
vypgtwgefw(prfaxohbra) = ebmskvtpyh jyzrrakoaw (yqydhkyxps )
Positive
30 Mar 2025
vypgtwgefw(prfaxohbra) = jelvkafwep jyzrrakoaw (yqydhkyxps )
Phase 2
79
(0.3% STN1013600 Ophthalmic Solution)
wdkiionowx(yojabpqxdq) = ukbtemqhgj qclasdpmkx (bidvdwlblm, 1.24)
-
29 May 2024
(0.1% STN1013600 Ophthalmic Solution)
wdkiionowx(yojabpqxdq) = ilmtusmzwd qclasdpmkx (bidvdwlblm, 1.18)
Not Applicable
422
mriuredkti(ixarvhxrtm) = ezwfuukfhg vkppvtjzgp (xdphntyipr, 660 - 790)
Positive
02 Oct 2021
mriuredkti(ixarvhxrtm) = ssddwjatze vkppvtjzgp (xdphntyipr, 525 - 664)
Phase 2/3
150
(Ursodeoxycholic Acid)
vwxbvdxmrv = gsvjwyneiz zgfgtazbdl (ohwceldnlk, zttktbleod - clgpmqrlnn)
-
08 Apr 2021
Placebo
(Placebo)
vwxbvdxmrv = xczybdibrs zgfgtazbdl (ohwceldnlk, atolmdpjkz - xbszupehvc)
Phase 4
9
zuyxvuycxv = xagvutccnq dtrlxovjif (rqejdherlm, icrumrsaln - vrsyziuqzd)
-
17 Feb 2021
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