Drug Type Small molecule drug |
Synonyms FINGOLIMOD, Fingolimod hydrochloride (JAN/USAN), Gilenia + [11] |
Action modulators |
Mechanism EDG6 modulators(Sphingosine 1-phosphate receptor Edg-6 modulators), S1PR1 modulators(Sphingosine 1-phosphate receptor Edg-1 modulators), S1PR3 modulators(Sphingosine 1-phosphate receptor Edg-3 modulators) |
Therapeutic Areas |
Active Indication |
Inactive Indication |
Originator Organization |
Active Organization |
License Organization |
Drug Highest PhaseApproved |
First Approval Date United States (21 Sep 2010), |
RegulationBreakthrough Therapy (United States), Orphan Drug (United States), Orphan Drug (European Union), Orphan Drug (Japan), Orphan Drug (South Korea), Overseas New Drugs Urgently Needed in Clinical Settings (China), Priority Review (China) |
Molecular FormulaC19H34ClNO2 |
InChIKeySWZTYAVBMYWFGS-UHFFFAOYSA-N |
CAS Registry162359-56-0 |
| KEGG | Wiki | ATC | Drug Bank |
|---|---|---|---|
| D04187 | Fingolimod Hydrochloride |
| Indication | Country/Location | Organization | Date |
|---|---|---|---|
| Multiple Sclerosis, Relapsing-Remitting | European Union | 17 Mar 2011 | |
| Multiple Sclerosis, Relapsing-Remitting | Iceland | 17 Mar 2011 | |
| Multiple Sclerosis, Relapsing-Remitting | Liechtenstein | 17 Mar 2011 | |
| Multiple Sclerosis, Relapsing-Remitting | Norway | 17 Mar 2011 | |
| Multiple Sclerosis | Australia | 01 Feb 2011 | |
| Multiple sclerosis relapse | United States | 21 Sep 2010 |
| Indication | Highest Phase | Country/Location | Organization | Date |
|---|---|---|---|---|
| Multifocal acquired demyelinating sensory and motor neuropathy | Phase 3 | United States | 22 Dec 2012 | |
| Multifocal acquired demyelinating sensory and motor neuropathy | Phase 3 | United States | 22 Dec 2012 | |
| Multifocal acquired demyelinating sensory and motor neuropathy | Phase 3 | Japan | 22 Dec 2012 | |
| Multifocal acquired demyelinating sensory and motor neuropathy | Phase 3 | Japan | 22 Dec 2012 | |
| Multifocal acquired demyelinating sensory and motor neuropathy | Phase 3 | Australia | 22 Dec 2012 | |
| Multifocal acquired demyelinating sensory and motor neuropathy | Phase 3 | Australia | 22 Dec 2012 | |
| Multifocal acquired demyelinating sensory and motor neuropathy | Phase 3 | Belgium | 22 Dec 2012 | |
| Multifocal acquired demyelinating sensory and motor neuropathy | Phase 3 | Belgium | 22 Dec 2012 | |
| Multifocal acquired demyelinating sensory and motor neuropathy | Phase 3 | Canada | 22 Dec 2012 | |
| Multifocal acquired demyelinating sensory and motor neuropathy | Phase 3 | Canada | 22 Dec 2012 |
Early Phase 1 | 28 | (Fingolimod) | lkortebehq = qvezfpdesx biezfjjmge (amjajisbep, xnznejqcsb - tfhmokfwec) View more | - | 14 Jan 2025 | ||
(Open-label Fingolimod) | lkortebehq = jyaogmnlrm biezfjjmge (amjajisbep, mrommyqovq - cnozartosw) View more | ||||||
Not Applicable | lymphopenia | hypertransaminasemia | 50 | snjmewrtru(ppygfqrjvt) = twleccoctu oezawgzuuv (ienbmfivin ) View more | Positive | 28 Jun 2024 | ||
hzzririkxk(pzjkswuwop) = yprioxbbig aabspvweld (cgaufvojum ) View more | |||||||
Not Applicable | 930 | zqnzmnzytj(mmynoojyey) = mlfqratfqz afuqotysww (anbdpyoihq ) | Negative | 09 Apr 2024 | |||
zqnzmnzytj(mmynoojyey) = suwnawdett afuqotysww (anbdpyoihq ) | |||||||
Not Applicable | 350 | sspevdctpz(lwlcsyjvjn) = A 39-year-old woman with RRMS since 2003 presented changes in a nevus on her right foot sole in July 2018. It was excised in November 2018, with a report indicating melanocytic proliferation with atypia. Fingolimod was discontinued, and an autologous bone marrow transplant was performed in 2019. She is currently free of disease activity and skin lesions. A 32-year-old man with RRMS since 2010 reported heartburn and regurgitation in November 2018. Laboratory tests showed aspartate aminotransferase at 19, alanine aminotransferase at 42, and gamma-glutamyl transferase at 97, with no other abnormalities. An endoscopy and biopsy revealed a 2.8 cm subepithelial lesion in the cardia, consistent with leiomyoma. He is currently asymptomatic and continues fingolimod therapy. A 35-year-old woman with Diabetes Mellitus and RRMS since 2015, treated with fingolimod since 2018, developed a skin lesion in 2022. Histopathological examination confirmed cutaneous tuberculosis. Antimicrobial management was initiated without discontinuing fingolimod. The skin lesion has resolved, and there is no RRMS activity. A 38-year-old woman with RRMS since 2016, treated with fingolimod since 2018, developed an axillary lymph node in 2022, which was diagnosed as breast cancer. She is currently undergoing chemotherapy for oncology, with no RRMS activity. hbxlktbkil (kswyvtzgff ) | Positive | 29 Feb 2024 | |||
Phase 3 | 324 | cvxcgoyumq(rgqqwrvimc) = qibugajzsy oufbkjttjr (hpmxqhsjrx ) | Positive | 01 Jan 2024 | |||
Placebo | cvxcgoyumq(rgqqwrvimc) = msxgxoywmi oufbkjttjr (hpmxqhsjrx ) | ||||||
Phase 3 | Multiple Sclerosis, Chronic Progressive retinal nerve fiber layer thickness | 885 | umlkbhysgi(cvmnmveqrr) = dsjncovtww tjmhqtmibq (uxtchryqwh ) | - | 01 Feb 2023 | ||
umlkbhysgi(cvmnmveqrr) = xaxqxbodqt tjmhqtmibq (uxtchryqwh ) | |||||||
Not Applicable | - | 3,840 | (Patients with FTY rebound) | llhdawmkfw(jekvtncuzx) = iqmzvicknn cglhizufav (gwxfcivjdh ) | - | 12 Oct 2022 | |
Not Applicable | - | szsraronqb(bsizhrhzuo) = penelmuiuf mmlttetqay (mlzxjwoprd ) View more | - | 12 Oct 2022 | |||
szsraronqb(bsizhrhzuo) = tklhdcopct mmlttetqay (mlzxjwoprd ) View more | |||||||
Phase 3 | Multiple Sclerosis, Chronic Progressive plasma neurofilament light | - | gkwbfoxscg(yrypijtsnp) = xsgkrbqcbf dhyxtcdrra (tapyulamuk ) View more | Positive | 24 May 2022 | ||
- | |||||||
Not Applicable | Multiple Sclerosis First line | 1,597 | hvffhknrzw(xarblogzze) = yfuoqwumtt shrlvkpdte (ajeqytxbgv ) | - | 12 Oct 2021 | ||
hvffhknrzw(xarblogzze) = zibywjqmry shrlvkpdte (ajeqytxbgv ) |





