Drugs / Tolvaptan
last change Dec 2025 re-read 2 minutes ago

Tolvaptan

Small molecule targets AVP, AVPR2 via inhibition

Developed for
autosomal dominant polycystic kidney disease · congestive heart failure · cirrhosis of liver · heart failure · inappropriate ADH syndrome · chronic renal failure syndrome · autosomal recessive polycystic kidney disease · carcinoma
+10 more · cardiomyopathy · chronic kidney disease · cystinuria · hepatic encephalopathy · nephrolithiasis, calcium oxalate · pulmonary arterial hypertension · pulmonary edema · symptomatic heart failure · water intoxication · tricuspid valve insufficiency
Investigated by
Otsuka Pharmaceutical Co., Ltd. · Otsuka Pharmaceutical Development & Commercialization, Inc. · Otsuka America Pharmaceutical · Otsuka Beijing Research Institute · Korea Otsuka Pharmaceutical Co., Ltd. · University of North Carolina, Chapel Hill
+35 more · NYU Langone Health · Syneos Health · A.O. Ospedale Papa Giovanni XXIII · Assistance Publique - Hôpitaux de Paris · Beijing 302 Hospital · Beijing Anzhen Hospital · Beijing Friendship Hospital · Brigham and Women's Hospital · Caleb Nelson · Cardiology Research UBC · Chinese Academy of Medical Sciences, Fuwai Hospital · Chinese Pulmonary Vascular Disease Research Group · Duke University · Emory University · Fujian Shengdi Pharmaceutical Co., Ltd. · Georgetown University · Hunter Holmes Mcguire Veteran Affairs Medical Center · Jiangsu HengRui Medicine Co., Ltd. · Kyorin University · M.D. Anderson Cancer Center · Maisel, Alan, M.D. · Mario Negri Institute for Pharmacological Research · Mayo Clinic · Northwestern University · Oakland University · Otsuka Pharmaceutical Europe Ltd · Polderman, Kees, H., MD, PhD · Post Graduate Institute of Medical Education and Research, Chandigarh · Taiwan Otsuka Pharm. Co., Ltd · Thermo Fisher Scientific, Inc · University of Calgary · University of Florida · University of Pittsburgh · University of Southern California · Vanderbilt University

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved EU (EMA) Samsca 2009-08-02 europa.eu
Approved US (FDA) SAMSCA 2009-05-19 fda.gov

Trials 81 · started per year

today
US approved 2009
EU approved 2009
2
3
3
1
2
5
1
5
8
11
9
5
5
3
8
2
1
2
1
1
1
1
20022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 111 trials
Phase 1 NCT06506994 Aug 2024 → Oct 2025 heart failure Fujian Shengdi Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 1 NCT02994394 Jan → Feb 2017 Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 1 NCT02646540 Jan 2016 → Dec 2018 cardiomyopathy, congestive heart failure Emory University Completed No outcome recorded
Phase 1 NCT02096965 Mar 2014 → Nov 2015 nephrolithiasis, calcium oxalate Mayo Clinic Completed No outcome recorded
Phase 1 NCT03910231 Feb 2012 → Sep 2014 Brigham and Women's Hospital Completed No outcome recorded
Phase 1 NCT07166783 Jun → Jul 2011 Otsuka Beijing Research Institute Completed No outcome recorded
Phase 1 NCT07166887 Jun → Jul 2011 Otsuka Beijing Research Institute Completed No outcome recorded
Phase 1 NCT01261481 Jan 2011 → Jan 2012 University of North Carolina, Chapel Hill Completed No outcome recorded
Phase 1 NCT01014416 Jan → Mar 2010 Korea Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 1 NCT01359462 Apr → Nov 2009 cirrhosis of liver Otsuka Beijing Research Institute Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT02009878 Nov 2013 → Jun 2015 inappropriate ADH syndrome Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 218 trials
Phase 2 NCT03931369 Sep 2019 → Dec 2020 Assistance Publique - Hôpitaux de Paris Unknown No outcome recorded
Phase 2 NCT02331680 Dec 2014 → May 2016 chronic renal failure syndrome Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 2 NCT01895322 Jul 2013 → Feb 2014 chronic renal failure syndrome Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 2 NCT01876381 Jun 2013 → Feb 2014 chronic renal failure syndrome Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 2 NCT01684202 Jul 2012 → Dec 2013 carcinoma Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 2 NCT01451827 Oct 2011 → Jul 2013 autosomal dominant polycystic kidney disease Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2 NCT01386372 Jun 2011 → Nov 2012 Mario Negri Institute for Pharmacological Research Terminated No outcome recorded
Phase 2 NCT01336972 Oct 2010 → Nov 2011 autosomal dominant polycystic kidney disease Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2 NCT01210560 Oct 2010 → Jun 2011 autosomal dominant polycystic kidney disease Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2 NCT01349335 Apr 2009 → Jan 2010 cirrhosis of liver Otsuka Beijing Research Institute Completed No outcome recorded
Phase 2/32 trials
Phase 2/3 NCT02173288 Jul 2013 → Mar 2016 cirrhosis of liver Post Graduate Institute of Medical Education and Research, Chandigarh Completed No outcome recorded
Phase 2/3 NCT01507727 Jan → Sep 2012 Jiangsu HengRui Medicine Co., Ltd. Unknown No outcome recorded
Phase 330 trials
Phase 3 NCT04782258 Jan 2023 → Jul 2028 expected autosomal recessive polycystic kidney disease Otsuka Pharmaceutical Development & Commercialization, Inc. Recruiting No outcome recorded
Phase 3 NCT04786574 Jul 2022 → Dec 2025 autosomal recessive polycystic kidney disease Otsuka Pharmaceutical Development & Commercialization, Inc. Withdrawn No outcome recorded
Phase 3 NCT03255226 Mar 2018 → Jul 2021 congestive heart failure Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 3 NCT03048747 Mar 2017 → Mar 2019 inappropriate ADH syndrome Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 3 NCT02964273 Sep 2016 → Nov 2021 autosomal dominant polycystic kidney disease Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 3 NCT02020278 Apr 2016 → Oct 2017 Otsuka Pharmaceutical Development & Commercialization, Inc. Terminated No outcome recorded
Phase 3 NCT02012959 Sep 2015 → Jul 2017 Otsuka Pharmaceutical Development & Commercialization, Inc. Terminated No outcome recorded
Phase 3 NCT02251275 Oct 2014 → Nov 2018 autosomal dominant polycystic kidney disease Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 3 NCT02160145 May 2014 → Apr 2017 autosomal dominant polycystic kidney disease, chronic kidney disease Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 3 NCT01644331 Oct 2012 → Feb 2016 congestive heart failure Duke University Completed No outcome recorded
Phase 413 trials
Phase 4 NCT03949894 Jul 2019 → May 2022 autosomal dominant polycystic kidney disease Korea Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 4 NCT02959411 Oct 2016 → Jun 2020 heart failure University of Calgary Terminated No outcome recorded
Phase 4 NCT02666651 May 2016 → Jan 2020 symptomatic heart failure Cardiology Research UBC Unknown No outcome recorded
Phase 4 NCT02606253 Feb 2016 → Sep 2018 heart failure Vanderbilt University Completed No outcome recorded
Phase 4 NCT02476409 Jul 2015 → May 2021 congestive heart failure University of North Carolina, Chapel Hill Completed No outcome recorded
Phase 4 NCT02183792 Dec 2014 → Feb 2018 heart failure University of Southern California Completed No outcome recorded
Phase 4 NCT01973140 Nov 2013 → Dec 2015 Northwestern University Completed No outcome recorded
Phase 4 NCT02352285 Dec 2012 → Jan 2017 heart failure Korea Otsuka Pharmaceutical Co., Ltd. Terminated No outcome recorded
Phase 4 NCT01292304 Mar 2012 → Dec 2014 cirrhosis of liver University of Florida Completed No outcome recorded
Phase 4 NCT01890694 Mar 2012 → Mar 2015 NYU Langone Health Terminated No outcome recorded
Phase not applicable6 trials
NCT05569655 Apr 2021 → Nov 2022 pulmonary arterial hypertension Chinese Pulmonary Vascular Disease Research Group Unknown No outcome recorded
NCT02729662 Oct 2016 → Aug 2020 autosomal dominant polycystic kidney disease Kyorin University Unknown No outcome recorded
NCT02538016 Oct 2016 → Dec 2018 cystinuria Caleb Nelson Completed No outcome recorded
NCT02545114 Aug 2015 → Jul 2016 inappropriate ADH syndrome Polderman, Kees, H., MD, PhD Terminated No outcome recorded
NCT01425125 Nov 2011 → Dec 2014 inappropriate ADH syndrome NYU Langone Health Withdrawn No outcome recorded
NCT02084797 Jun → Oct 2011 Oakland University Completed No outcome recorded
Also used as a comparator or background therapy in 19 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 24 trials
Phase 2 NCT03541447 Background Dec 2018 → Dec 2021 autosomal dominant polycystic kidney disease Mario Negri Institute for Pharmacological Research Completed No outcome recorded
Phase 2 NCT02527863 Comparator Feb 2015 → Aug 2016 autosomal dominant polycystic kidney disease Regional Hospital Holstebro Completed No outcome recorded
Phase 2 NCT02078973 Comparator Mar 2014 → Jan 2016 Regional Hospital Holstebro Completed No outcome recorded
Phase 2 NCT01638663 Comparator May 2012 → Mar 2014 cardiovascular disorder Regional Hospital Holstebro Completed No outcome recorded
Phase 36 trials
Phase 3 NCT03764605 Comparator Jan 2019 → Sep 2021 autosomal dominant polycystic kidney disease Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari Unknown No outcome recorded
Phase 3 NCT03772041 Comparator Jan 2019 → Jul 2020 congestive heart failure Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded
Phase 3 NCT03803124 Comparator Dec 2015 → Dec 2017 autosomal dominant polycystic kidney disease Regional Hospital Holstebro Completed No outcome recorded
Phase 3 NCT02442674 Comparator Nov 2015 → Jun 2017 Otsuka Pharmaceutical Development & Commercialization, Inc. Withdrawn No outcome recorded
Phase 3 NCT01584557 Comparator Jun 2012 → Jul 2016 heart failure Cardiovascular Clinical Sciences Inc Completed No outcome recorded
Phase 46 trials
Phase 4 NCT03596957 Comparator Sep 2018 → Jun 2019 autosomal dominant polycystic kidney disease Lisbet Brandi Unknown No outcome recorded
Phase 4 NCT02644616 Comparator Nov 2014 → Dec 2016 heart failure, tricuspid valve insufficiency Shanghai Chest Hospital Completed No outcome recorded
Phase 4 NCT01863511 Comparator May 2013 → Dec 2015 heart failure The Christ Hospital Completed No outcome recorded
Phase 4 NCT01716611 Comparator Nov 2012 → Jan 2014 Konkuk University Medical Center Unknown No outcome recorded
Phase 4 NCT01663662 Comparator Aug 2012 → Nov 2013 heart failure University of Michigan Withdrawn No outcome recorded
Phase not applicable3 trials
NCT04331132 Comparator Dec 2021 → Jun 2023 heart failure Gia Dinh People Hospital Unknown No outcome recorded
NCT05060523 Background Sep 2021 → Sep 2022 cirrhosis of liver Institute of Liver and Biliary Sciences, India Unknown No outcome recorded
NCT03254108 Comparator Nov 2017 → Apr 2018 congestive heart failure Otsuka Pharmaceutical Co., Ltd. Completed No outcome recorded

Press releases naming this drug 33 releases

DateIssuerRelease
2022-06-17 Otsuka Pharmaceutical Factory, Inc. Otsuka Pharmaceutical Factory launches a vasopressin V₂-receptor antagonist "Tolvaptan OD tablets 7.5 mg Otsuka" otsukakj.jp
2019-11-27 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Launches New SAMSCA Formulation in Japan: SAMSCA OD Tablets® otsuka.co.jp
2019-08-28 Otsuka Pharmaceutical Development & Commercialization, Inc. Approval for the Additional Formulation of Samsca OD Tablets in Japan® otsuka.co.jp
2018-04-25 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka's JYNARQUE™ (tolvaptan) Approved by U.S. FDA as the First Treatment to Slow Kidney Function Decline in Adults at Risk of Rapidly Progressing Autosomal Dominant Polycystic Kidney Disease (ADPKD) otsuka.co.jp
2018-04-24 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka’s JYNARQUE™ (tolvaptan) Approved by U.S. FDA as the First Treatment to Slow Kidney Function Decline in Adults at Risk of Rapidly Progressing Autosomal Dominant Polycystic Kidney Disease (ADPKD) otsuka-us.com
2017-11-09 Otsuka Pharmaceutical Development & Commercialization, Inc. U.S. FDA Accepts Otsuka's Resubmission to Support a Regulatory Review of Tolvaptan in the Treatment of ADPKD otsuka.co.jp
2017-11-08 Otsuka Pharmaceutical Development & Commercialization, Inc. FDA Accepts Otsuka’s Resubmission To Support A Regulatory Review Of Tolvaptan In The Treatment Of ADPKD otsuka-us.com
2017-11-05 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Announces Phase 3 Results for Tolvaptan in Patients with Autosomal Dominant Polycystic Kidney Disease (ADPKD) otsuka.co.jp
2017-11-04 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Announces Phase 3 Results for Tolvaptan in Patients with Autosomal Dominant Polycystic Kidney Disease (ADPKD) otsuka-us.com
2017-10-27 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka To Host Web Briefing on Tolvaptan Phase 3 Trial Results In Polycystic Kidney Disease otsuka-us.com
2017-05-30 Otsuka Pharmaceutical Development & Commercialization, Inc. Additional Formulation of Samsca Granules 1% Available in Japan® otsuka.co.jp
2017-05-22 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Announces Results of Phase 3 Data on Tolvaptan Under Development for ADPKD in U.S. otsuka.co.jp

Evidence & citations 12 cited values

Every value below carries the sentence it was read from. 102 sources stand behind the page.

FieldValueCited text
Known as Tolvaptan “the V2 receptor antagonist tolvaptan (Samsca™, 30mg tablet), or the V2 receptor agonist desmopressin (DDAVP™, 0.2mg tablet) was ingested” NCT02084797
88

“single dose of 15mg Tolvaptan tablet with no feeding.” NCT07166796

“OPC-41061 (Tolvaptan)” NCT00544869

“OPC-41061(Tolvaptan)” NCT00234104

“OPC-41061(Tolvaptan)” NCT00525265

“OPC-41061(Tolvaptan)” NCT00462670

NCT01507727

NCT01280721

NCT01644331

NCT04786574

NCT01663662

NCT03255226

NCT05060523

NCT02160145

NCT03772041

NCT02959411

NCT03048747

NCT00132886

NCT01346072

NCT04782258

NCT02729662

NCT00071331

NCT03910231

NCT02078973

NCT01863511

NCT01716611

NCT05569655

NCT01651156

NCT01227512

NCT00072683

NCT02352285

NCT01973140

NCT02666651

NCT02012959

NCT01584557

NCT02173288

NCT00428948

NCT01556646

NCT02527863

NCT07166887

NCT02020278

NCT01552590

NCT00201994

NCT02646540

NCT00664014

NCT02442674

NCT01199198

NCT01733134

NCT03764605

NCT02183792

NCT03254108

NCT02251275

NCT02545114

NCT01451827

NCT07166783

NCT01425125

NCT03931369

NCT03596957

NCT03803124

NCT02606253

NCT00413777

NCT01210560

NCT01638663

NCT00550459

NCT06506994

NCT02644616

NCT01214421

NCT02476409

NCT01261481

NCT02096965

NCT01439009

NCT01292304

NCT02964273

NCT01359462

NCT00043771

NCT01386372

NCT00043758

NCT02538016

NCT03541447

NCT02009878

NCT01890694

NCT01618448

NCT01349348

NCT03949894

NCT01014416

NCT04331132

NCT01349335

NCT02449044

NCT01336972

Known as Jinarc ChEMBL registry synonym — accepted as the source's own label CHEMBL344159
Known as Jynarque ChEMBL registry synonym — accepted as the source's own label CHEMBL344159
Known as OPC-41061 “Tolvaptan (OPC-41061) Tolvaptan tablets will be administered orally as split-dose regimens (15/7.5 mg, 30/15 mg, and 45/15 mg) upon awakening and 8 hours later (twice daily)...” NCT04782258
18

“OPC41061 (15 mg) orally disintegrating tablet is administered with water.” NCT02994394

“Tolvaptan (OPC-41061)” NCT04786574

“Tolvaptan (OPC-41061)” NCT02160145

NCT01048788

NCT02994394

NCT02331680

NCT01022424

NCT00841568

NCT00234104

NCT01684202

NCT00462670

NCT01895322

NCT01876381

NCT00544869

NCT01050530

NCT00479336

NCT00525265

NCT01114828

Known as OPC-41061(TOLVAPTAN) ChEMBL registry synonym — accepted as the source's own label CHEMBL344159
Known as Samsca “The investigators plan to use Tolvaptan (Samsca), an oral ADH antagonist that promotes aquauresis, as an agent to treat neurologically and hemodynamically stable patients with...” NCT02545114
2

“the V2 receptor antagonist tolvaptan (Samsca™, 30mg tablet), or the V2 receptor agonist desmopressin (DDAVP™, 0.2mg tablet) was ingested” NCT02084797

“Tolvaptan, Samsca, uncoated tablet, 30 mg, once per day, up to 7 days.” NCT01584557

Known as Tolvaptan accord ChEMBL registry synonym — accepted as the source's own label CHEMBL344159
Action Inhibit “vasopressin V2 receptor antagonism with tolvaptan” PMID 17543634 May 2007
1

“Vasopressin V2 receptor antagonist” CHEMBL344159

Modality Small molecule CHEMBL344159
Route Oral oral tolvaptan” PMID 17543634 May 2007
Target AVP “tolvaptan, an oral AVP inhibitor” NCT00201994
Target AVPR2 “Vasopressin V2 receptor antagonist” CHEMBL344159