Drugs / Tolvaptan
last change Aug 2026 re-read 9 days ago

Tolvaptan

also known as OPC-41061 · Samsca

targets AVP via inhibition

Developed for
autosomal dominant polycystic kidney disease · congestive heart failure · heart failure · cirrhosis of liver · inappropriate ADH syndrome · autosomal recessive polycystic kidney disease · cardiomyopathy · chronic kidney disease
+8 more · cystinuria · hepatic encephalopathy · nephrolithiasis, calcium oxalate · pulmonary arterial hypertension · pulmonary edema · symptomatic heart failure · water intoxication · tricuspid valve insufficiency
Investigated by
Otsuka Pharmaceutical Development & Commercialization, Inc. · Otsuka Pharmaceutical Co., Ltd. · 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 · 8 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed autosomal dominant polycystic kidney disease 5 milestones
Filed US (FDA) — autosomal dominant polycystic kidney disease 2017-10-24

“FDA Accepts Otsuka’s Resubmission To Support A Regulatory Review Of Tolvaptan In The Treatment Of ADPKD” otsuka-us.com ↗

Filed EU (EMA) — autosomal dominant polycystic kidney disease 2013-12-27

“the European Medicines Agency (EMA) has accepted the submission of a marketing authorisation application (MAA) for the potential approval of tolvaptan” otsuka.co.jp ↗

Rejected (CRL) US (FDA) — autosomal dominant polycystic kidney disease 2013-08-30

“received a Complete Response Letter (CRL) from the U.S. Food and Drug Administration (FDA) regarding the new drug application (NDA) for tolvaptan” otsuka.co.jp ↗

“Complete Response Letter issued by the U.S. FDA in 2013 for a New Drug Application for tolvaptan in the treatment of adults with ADPKD.” otsuka-us.com ↗

“the Complete Response Letter (CRL) issued by the FDA for a New Drug Application (NDA) for tolvaptan in ADPKD in 2013” otsuka-us.com ↗

“Complete Response Letter (CRL) issued by the FDA for a New Drug Application (NDA) for tolvaptan in ADPKD in 2013” otsuka-us.com ↗

Filed Japan (PMDA) — autosomal dominant polycystic kidney disease 2013-05-30

“filed an application with the Pharmaceutical and Medical Devices Agency in Japan (PMDA) to market its novel compound tolvaptan” otsuka.co.jp ↗

Filed US (FDA) — autosomal dominant polycystic kidney disease 2013-04-12

“accepted for priority review the company's new drug application (NDA) for the potential use of tolvaptan” otsuka.co.jp ↗

Filed cirrhosis of liver 1 milestone
Filed Japan (PMDA) Samsca cirrhosis of liver —

“today announced that it applied in July to Japan's Ministry of Health, Labour and Welfare for an additional indication for Samsca Tablets (tolvaptan)” otsuka.co.jp ↗

Approved Indication not stated 2 milestones
Approved EU (EMA) Samsca — 2009-08-02 europa.eu ↗
Approved US (FDA) SAMSCA — 2009-05-19 fda.gov ↗

Trials 66 · started per year

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US approved 2009
EU approved 2009
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 110 trials
Phase 1 NCT06506994 Aug 2024 → Oct 2025 heart failure Fujian Shengdi 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 NCT07166796 Oct 2006 → Jan 2007 — 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 211 trials · 3 met primary · 1 missed
Phase 2 NCT03931369 Sep 2019 → Dec 2020 — Assistance Publique - Hôpitaux de Paris Unknown No outcome recorded
Phase 2 NCT01451827 Oct 2011 → Jul 2013 autosomal dominant polycystic kidney disease Otsuka Pharmaceutical Development & Commercialization, Inc. Completed Met primary
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 NCT00664014 May 2008 → Feb 2010 — Otsuka Beijing Research Institute Completed Met primary
Phase 2 NCT00413777 Dec 2005 → Jun 2010 autosomal dominant polycystic kidney disease Otsuka Pharmaceutical Development & Commercialization, Inc. Completed Met primary
Phase 2 NCT00132886 Dec 2004 → Dec 2006 congestive heart failure Otsuka Pharmaceutical Development & Commercialization, Inc. Completed No outcome recorded
Phase 2 NCT00043758 Jul 2002 → Jul 2004 congestive heart failure Otsuka Pharmaceutical Development & Commercialization, Inc. Completed Missed primary
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 323 trials · 6 met primary · 3 missed
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 Stop: Enrollment
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 Met primary
Phase 3 NCT02020278 Apr 2016 → Oct 2017 — Otsuka Pharmaceutical Development & Commercialization, Inc. Terminated No outcome recorded Stop: Enrollment
Phase 3 NCT02012959 Sep 2015 → Jul 2017 — Otsuka Pharmaceutical Development & Commercialization, Inc. Terminated No outcome recorded Stop: Enrollment
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 Met primary
Phase 3 NCT01644331 Oct 2012 → Feb 2016 congestive heart failure Duke University Completed Missed primary
Phase 413 trials · 2 missed
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 Stop: Enrollment
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 Missed primary
Phase 4 NCT02476409 Jul 2015 → May 2021 congestive heart failure University of North Carolina, Chapel Hill Completed Missed primary
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 NCT01890694 Mar 2012 → Mar 2015 — NYU Langone Health Terminated No outcome recorded
Phase 4 NCT01292304 Mar 2012 → Dec 2014 cirrhosis of liver University of Florida Completed 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 Stop: Enrollment
— 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
Comparator or background therapy19 trials
Phase 2 NCT03541447 Background Dec 2018 → Dec 2021 autosomal dominant polycystic kidney disease Mario Negri Institute for Pharmacological Research Completed Mixed
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 3 NCT03764605 Comparator Jan 2019 → Sep 2021 autosomal dominant polycystic kidney disease Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari Unknown No outcome recorded

News releases announcing trial results or a regulatory action · 31

DateIssuerRelease
2026-08-17 Otsuka Pharmaceutical Factory, Inc. Regulatory Otsuka Pharmaceutical Factory obtains approval for the manufacture and sale of the vasopressin V₂-receptor antagonist “Tolvaptan OD tablets 30 mg Otsuka” otsukakj.jp ↗
Otsuka Pharmaceutical Factory, Inc. (Head Office: Naruto, Tokushima, Japan; President and Representative Director: Shuichi Takagi; hereinafter “Otsuka Pharmaceutical Factory”) announces that it has obtained approval today for the manufacture and sale of “Tolvaptan OD tablets 30 mg Otsuka” (nonproprietary name: tolvaptan; hereinafter “the Product”), a vasopressin V2-receptor antagonist.
2022-03-28 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory Otsuka Obtains Approval in Japan for SAMTASU for I.V. Infusion, a V2 -Receptor Antagonist for the Treatment of Cardiac Edema® otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. (Otsuka) announces that it has received regulatory approval in Japan for the manufacture and sale of SAMTASU 8mg and 16mg Intravenous Infusion for the treatment of cardiac edema.
2021-03-22 Otsuka Pharmaceutical Development & Commercialization, Inc. Results Otsuka Has Filed an Application in Japan for Regulatory Approval of OPC-61815, a V -Receptor Antagonist for the Treatment of Cardiac Edema2 otsuka.co.jp ↗
The phase 3 trial outcomes showed non-inferiority of OPC-61815 versus tolvaptan 15mg tablet in the primary endpoint of change in body weight from baseline at the final dose.
2020-06-29 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory Samscaapproved in Japan for additional indication of hyponatremia due to syndrome of inappropriate antidiuretic hormone secretion (SIADH)® otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. announces that the oral vasopressin V-receptor antagonists Samsca Tablets, Samsca OD Tablets and SAMSCA Granules 1% have received regulatory approval in Japan for the indication of hyponatraemia secondary to the syndrome of inappropriate antidiuretic hormone secretion (SIADH) in adults.
2019-08-28 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory Approval for the Additional Formulation of Samsca OD Tablets in Japan® otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. announces the granting of approval in Japan for the additional dosage form of Samsca OD Tablets (tolvaptan), a vasopressin V-receptor antagonist.
2018-04-25 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory 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 ↗
the U.S. Food and Drug Administration (FDA) has approved JYNARQUE (tolvaptan) as the first drug treatment available to slow kidney function decline in adults at risk of rapidly progressing autosomal dominant polycystic kidney disease (ADPKD).
2018-04-24 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory 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 ↗
Otsuka Pharmaceutical Co., Ltd. (Otsuka) announces that the U.S. Food and Drug Administration (FDA) has approved JYNARQUE™ (tolvaptan) as the first drug treatment to slow kidney function decline in adults at risk of rapidly progressing autosomal dominant polycystic kidney disease (ADPKD).
2017-11-09 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory U.S. FDA Accepts Otsuka's Resubmission to Support a Regulatory Review of Tolvaptan in the Treatment of ADPKD otsuka.co.jp ↗
The FDA considers the resubmission to be filed as of October 24, 2017, with a PDUFA action date of April 24, 2018.
2017-11-08 Otsuka Pharmaceutical Development & Commercialization, Inc. Regulatory 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. Results Otsuka Announces Phase 3 Results for Tolvaptan in Patients with Autosomal Dominant Polycystic Kidney Disease (ADPKD) otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. (Otsuka) announced detailed results from the Phase 3 REPRISE trial of tolvaptan, which is under investigation in the United States in patients with autosomal dominant polycystic kidney disease (ADPKD).
2017-11-04 Otsuka Pharmaceutical Development & Commercialization, Inc. Results Otsuka Announces Phase 3 Results for Tolvaptan in Patients with Autosomal Dominant Polycystic Kidney Disease (ADPKD) otsuka-us.com ↗
Otsuka Pharmaceutical Co., Ltd. (Otsuka) today announced detailed results from the Phase 3 REPRISE trial of tolvaptan, which is under investigation in the United States in patients with autosomal dominant polycystic kidney disease (ADPKD).
2017-05-22 Otsuka Pharmaceutical Development & Commercialization, Inc. Results Otsuka Announces Results of Phase 3 Data on Tolvaptan Under Development for ADPKD in U.S. otsuka.co.jp ↗
Otsuka Pharmaceutical Co., Ltd. announces positive top-line results from an additional Phase 3 clinical trial of tolvaptan in adult patients with ADPKD.

All press releases naming this drug 39 releases

DateIssuerRelease

Evidence & citations 6 cited values

Every value below carries the sentence it was read from. 86 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 ↗
84

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

NCT03541447 ↗

NCT01651156 ↗

NCT02020278 ↗

NCT01890694 ↗

NCT02729662 ↗

NCT05060523 ↗

NCT00413777 ↗

NCT03772041 ↗

NCT01556646 ↗

Show 74 more sources

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 ↗
2

“Tolvaptan (OPC-41061)” NCT04786574 ↗

“Tolvaptan (OPC-41061)” NCT02160145 ↗

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 ↗

Action Inhibit “vasopressin V2 receptor antagonism with tolvaptan” PMID 17543634 ↗ May 2007
Route Oral “oral tolvaptan” PMID 17543634 ↗ May 2007
Target AVP “tolvaptan, an oral AVP inhibitor” NCT00201994 ↗