Last update 14 Apr 2025

Tolvaptan

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Jynarque, Tolvaptan (JAN/USAN/INN), OPC-156
+ [7]
Target
Action
antagonists
Mechanism
AVPR2 antagonists(Vasopressin V2 receptor antagonists)
Originator Organization
Drug Highest PhaseApproved
First Approval Date
United States (19 May 2009),
RegulationOrphan Drug (United States), Orphan Drug (Japan)
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Structure/Sequence

Molecular FormulaC26H25ClN2O3
InChIKeyGYHCTFXIZSNGJT-UHFFFAOYSA-N
CAS Registry150683-30-0

External Link

KEGGWikiATCDrug Bank
D01213Tolvaptan

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Ascites
Japan
28 Feb 2017
Polycystic Kidney, Autosomal Dominant
Japan
24 Mar 2014
Edema, Cardiac
Japan
05 Jan 2011
Edema
Japan
27 Oct 2010
Inappropriate ADH Syndrome
European Union
02 Aug 2009
Inappropriate ADH Syndrome
Iceland
02 Aug 2009
Inappropriate ADH Syndrome
Liechtenstein
02 Aug 2009
Inappropriate ADH Syndrome
Norway
02 Aug 2009
Hyponatremia
United States
19 May 2009
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Polycystic Kidney, Autosomal RecessivePhase 3
United States
01 Jul 2022
Polycystic Kidney, Autosomal RecessivePhase 3
Belgium
01 Jul 2022
Polycystic Kidney, Autosomal RecessivePhase 3
Germany
01 Jul 2022
Polycystic Kidney, Autosomal RecessivePhase 3
Poland
01 Jul 2022
Polycystic Kidney, Autosomal RecessivePhase 3
Spain
01 Jul 2022
Polycystic Kidney, Autosomal RecessivePhase 3
United Kingdom
01 Jul 2022
Volume overloadPhase 3
Japan
07 Mar 2018
Chronic Kidney DiseasesPhase 3
United States
01 May 2014
Chronic Kidney DiseasesPhase 3
Argentina
01 May 2014
Chronic Kidney DiseasesPhase 3
Australia
01 May 2014
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Clinical Result

Indication
Phase
Evaluation
View All Results
Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
1,676
lrhobufwfy(zxcyfarnmv) = 9.6% ahwhggnwwl (lgdfbfhmsg )
Positive
14 Feb 2025
Phase 3
60
jlxosdhnda = ffdmyvuvri nslzgdjjwq (rqumqvecvo, ebybxtaqlx - aamblmnzeg)
-
23 Aug 2024
Not Applicable
Liver Cirrhosis
neutrophil gelatinase-associated lipocalin (uNGAL)
86
vokzvopfhq(iembnggwyb) = svvkxrrxva rkawnodocl (wxfuurbdyi )
-
10 Nov 2023
Not Applicable
-
1
zrltgzxfbn(tnmnpsuifk) = faismdkxca hkewrcfwbv (qdbazlhwbb )
Positive
05 Oct 2023
Not Applicable
846
gqmurpgfkh(fqeftyrnwx) = uiqniyfyys jevpavmbwi (vjsjvggeio )
-
27 Aug 2023
Not Applicable
-
qhngcvligg(rqoivumqfv) = zxopxgkrfd rmhmdakdht (bhxdcxmeil )
-
22 Jun 2023
Placebo
qhngcvligg(rqoivumqfv) = cjsokoyyif rmhmdakdht (bhxdcxmeil )
Phase 3
83
pghvpmeomr(orwkklgjgc) = 12%, 31% iglgifebqb (ggwddanwzu )
Positive
14 Jun 2023
Placebo
Not Applicable
523
wkbgtxppkq(mdbzjgbxkx) = 51% pogigupriy (ovzvhklpbv )
Positive
14 Jun 2023
Not Applicable
75
fhaghpaerr(iwmgdrvmey) = A significant increase (p< 0.0001) in 24-h urine volume (138%) occurred only immediately after therapy initiation with no further significant increase during updosing in the complete and longitudinal cohort iiztjsjvzx (vqrfudklrx )
Positive
14 Jun 2023
Phase 2/3
-
rsgfrptbdp(rhoihbmvhv) = cuizrmjjwe sxgeqexqhq (frsqdrechg )
-
01 Jun 2023
Non-tolvaptan standard of care
rsgfrptbdp(rhoihbmvhv) = wngagaqpvx sxgeqexqhq (frsqdrechg )
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