Drugs / Fingolimod
last change Jul 2026 re-read 9 days ago

Fingolimod

Small molecule targets RHOA via inhibition

Developed for
multiple sclerosis · relapsing-remitting multiple sclerosis · ischemic stroke · intracerebral hemorrhage · stroke disorder · amyotrophic lateral sclerosis · anaplastic astrocytoma · asthma
+14 more · brain edema · chemotherapy-induced neuropathy · chronic inflammatory demyelinating polyradiculoneuropathy · COVID-19 · glioblastoma · non-small cell lung carcinoma · optic neuritis · primary progressive multiple sclerosis · Rett syndrome · small cell lung carcinoma · type 2 diabetes mellitus · uveitis · renal fibrosis · schizophrenia
Investigated by
Novartis Pharmaceuticals · Novartis · Tanabe Pharma Corporation · Affiliated Hospital of Jiaxing University · Jinhua Center Hospital · Mayo Clinic
+29 more · National Cancer Institute (NCI) · Second Affiliated Hospital, School of Medicine, Zhejiang University · Shaoxing People's Hospital · Taizhou Hospital · The Second Affiliated Hospital of Jiaxing University · ALS Therapy Development Institute · Biogen · Charite University, Berlin, Germany · First Affiliated Hospital of Fujian Medical University · General Hospital of Shenyang Military Region · Heinrich-Heine University, Duesseldorf · Huizhou Municipal Central Hospital · Huzhou Center Hospital · Jochen Vehoff · Massachusetts General Hospital · Medical University of South Carolina · National Center for Advancing Translational Sciences (NCATS) · NeuroCure Clinical Research Center, Charite, Berlin · Ning Wang, MD., PhD. · Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins · TG Therapeutics, Inc. · Tang-Du Hospital · The Affiliated Hospital of Xuzhou Medical University · The Cleveland Clinic · Tianjin Medical University General Hospital · University Hospital Muenster · University Hospital, Basel, Switzerland · University of Nottingham · Wake Forest University Health Sciences

Regulatory milestones approvals, filings & regulatory actions · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed multiple sclerosis 1 milestone
Filed Japan (PMDA) — multiple sclerosis 2010-12-20

“Application Submitted in Japan for FTY720, a Novel Multiple Sclerosis Treatment” tanabe-pharma.com ↗

Filed pediatric multiple sclerosis 2 milestones
Filed EU (EMA) Gilenya pediatric multiple sclerosis —

“following the submission of Gilenya for a pediatric MS indication to both FDA and EMA.” novartis.com ↗

Filed US (FDA) Gilenya pediatric multiple sclerosis —

“following the submission of Gilenya for a pediatric MS indication to both FDA and EMA.” novartis.com ↗

Approved Indication not stated 3 milestones
Label expansions (2) US (FDA) GILENYA — 2011-07-20 – 2018-05-11 fda.gov ↗
Approved EU (EMA) Gilenya — 2011-03-17 europa.eu ↗
Approved US (FDA) GILENYA — 2010-09-21 fda.gov ↗

Trials 71 · started per year

today
US approved 2010
EU approved 2011
1
4
4
2
4
1
5
4
6
8
9
3
2
2
1
3
4
3
1
1
1
2
200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 03 trials · 1 missed
Phase 0 NCT04088630 Aug 2020 → Jun 2023 brain edema, intracerebral hemorrhage Wake Forest University Health Sciences Completed Missed primary
Phase 0 NCT03943498 May 2019 → Dec 2020 chemotherapy-induced neuropathy Mayo Clinic Completed No outcome recorded
Phase 0 NCT02490930 Jul 2015 → Sep 2017 anaplastic astrocytoma, glioblastoma Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Completed No outcome recorded
Phase 13 trials
Phase 1 NCT03941743 Dec 2019 → Jun 2020 breast carcinoma Mayo Clinic Completed No outcome recorded
Phase 1 NCT00731523 Jul → Aug 2008 impaired renal function disease Novartis Completed No outcome recorded
Phase 1 NCT00416845 Oct 2006 → Mar 2007 — Novartis Completed No outcome recorded
Phase 1/22 trials · 1 missed
Phase 1/2 NCT06087965 Oct 2023 → Jun 2025 intracerebral hemorrhage Tang-Du Hospital Unknown No outcome recorded
Phase 1/2 NCT02061137 Aug 2013 → Apr 2018 Rett syndrome University Hospital, Basel, Switzerland Completed Missed primary
Phase 215 trials · 3 met primary · 1 missed
Phase 2 NCT06424067 May 2025 → May 2027 expected non-small cell lung carcinoma, small cell lung carcinoma Medical University of South Carolina Recruiting No outcome recorded
Phase 2 NCT04675762 Jan 2021 → Dec 2025 ischemic stroke Second Affiliated Hospital, School of Medicine, Zhejiang University Unknown No outcome recorded
Phase 2 NCT04629872 Nov 2020 → Dec 2022 stroke disorder Ning Wang, MD., PhD. Unknown No outcome recorded
Phase 2 NCT04280588 Feb → Jul 2020 COVID-19 First Affiliated Hospital of Fujian Medical University Withdrawn No outcome recorded Stop: Enrollment
Phase 2 NCT02956200 Nov 2016 → Oct 2018 ischemic stroke Second Affiliated Hospital, School of Medicine, Zhejiang University Withdrawn No outcome recorded
Phase 2 NCT01791192 Nov 2013 → Oct 2014 uveitis Novartis Pharmaceuticals Withdrawn No outcome recorded
Phase 2 NCT01757691 Aug 2013 → May 2014 optic neuritis Novartis Pharmaceuticals Terminated No outcome recorded
Phase 2 NCT01786174 Aug 2013 → Sep 2014 amyotrophic lateral sclerosis Massachusetts General Hospital Completed Missed primary
Phase 2 NCT02002390 Oct 2012 → Oct 2014 ischemic stroke Tianjin Medical University General Hospital Completed No outcome recorded
Phase 2 NCT00785083 Sep 2008 → Feb 2009 asthma Novartis Completed No outcome recorded
Phase 2/33 trials · 2 met primary
Phase 2/3 NCT07220252 Jul 2026 → Jan 2030 expected multiple sclerosis TG Therapeutics, Inc. Recruiting No outcome recorded
Phase 2/3 NCT01647880 Jul 2013 → Apr 2016 multiple sclerosis Charite University, Berlin, Germany Terminated Met primary Stop: Enrollment
Phase 2/3 NCT00099749 Nov 2003 → Apr 2006 — Novartis Pharmaceuticals Completed Met primary
Phase 322 trials · 4 met primary · 2 missed
Phase 3 NCT07483632 Nov 2026 → Jul 2034 expected multiple sclerosis Biogen Not yet recruiting No outcome recorded
Phase 3 NCT01941004 Jun 2014 → May 2017 relapsing-remitting multiple sclerosis Novartis Pharmaceuticals Withdrawn No outcome recorded
Phase 3 NCT01892722 Jul 2013 → Jul 2017 overdue multiple sclerosis Novartis Pharmaceuticals Active not recruiting Met primary
Phase 3 NCT01625182 Dec 2012 → Sep 2016 chronic inflammatory demyelinating polyradiculoneuropathy Novartis Pharmaceuticals Completed Missed primary
Phase 3 NCT01633112 Aug 2012 → Apr 2018 relapsing-remitting multiple sclerosis Novartis Pharmaceuticals Terminated No outcome recorded Stop: Enrollment
Phase 3 NCT01497262 Feb 2012 → Apr 2014 multiple sclerosis Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT01499667 Sep 2011 → Nov 2012 relapsing-remitting multiple sclerosis Novartis Pharmaceuticals Terminated No outcome recorded
Phase 3 NCT01201356 Sep 2010 → Oct 2018 multiple sclerosis Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT01199861 Aug 2010 → May 2011 multiple sclerosis Novartis Completed No outcome recorded
Phase 3 NCT01127750 May 2010 → Oct 2011 multiple sclerosis Novartis Completed No outcome recorded
Phase 422 trials · 1 met primary · 2 missed
Phase 4 NCT05307731 Mar 2022 → Mar 2028 expected type 2 diabetes mellitus General Hospital of Shenyang Military Region Recruiting No outcome recorded
Phase 4 NCT04667949 Feb 2021 → Mar 2025 multiple sclerosis Novartis Pharmaceuticals Completed No outcome recorded
Phase 4 NCT04480853 Oct 2020 → Sep 2027 expected multiple sclerosis Novartis Pharmaceuticals Recruiting No outcome recorded
Phase 4 NCT03535298 Jan 2019 → Jul 2027 expected relapsing-remitting multiple sclerosis The Cleveland Clinic Active not recruiting No outcome recorded
Phase 4 NCT03257358 Sep 2017 → Mar 2019 multiple sclerosis Novartis Pharmaceuticals Completed No outcome recorded
Phase 4 NCT02575365 Feb 2016 → Jan 2017 — Novartis Pharmaceuticals Terminated No outcome recorded Stop: Enrollment
Phase 4 NCT02373098 Mar 2015 → Jan 2017 relapsing-remitting multiple sclerosis Novartis Pharmaceuticals Completed No outcome recorded
Phase 4 NCT02232061 Sep 2014 → Jan 2020 multiple sclerosis Novartis Pharmaceuticals Completed No outcome recorded
Phase 4 NCT02325440 Mar 2014 → Apr 2016 relapsing-remitting multiple sclerosis University Hospital Muenster Unknown No outcome recorded
Phase 4 NCT02048072 Jul 2013 → Jun 2015 dysautonomia, multiple sclerosis Jochen Vehoff Completed No outcome recorded
Phase not applicable1 trial
— NCT04718064 Feb → Oct 2021 stroke disorder The Affiliated Hospital of Xuzhou Medical University Unknown No outcome recorded
Comparator or background therapy15 trials
Phase 1 NCT05145621 Comparator Oct 2015 → Jan 2016 — Alembic Pharmaceuticals Ltd. Completed No outcome recorded
Phase 1 NCT02193217 Comparator ? → Dec 2014 relapsing-remitting multiple sclerosis Tanabe Pharma Corporation Completed No outcome recorded
Phase 2 NCT05285878 Comparator Jul 2022 → Jun 2027 expected chronic kidney disease, chronic transplant rejection, renal fibrosis The Methodist Hospital Research Institute Enrolling by invitation No outcome recorded
Phase 2 NCT01779700 Comparator Jan 2013 → Aug 2016 schizophrenia Indiana University Completed No outcome recorded
Phase 2 NCT00273364 Comparator Nov 2005 → Jan 2017 multiple sclerosis Northwestern University Completed No outcome recorded

News releases announcing trial results or a regulatory action · 28

DateIssuerRelease
2026-04-01 Alembic Pharmaceuticals Ltd. Regulatory 25th April, 2026 Vadodara, India alembicpharmaceuticals.com ↗
Alembic Pharmaceuticals Limited (Alembic) today announced that it has received final approval from the US Food & Drug Administration (USFDA) for its Abbreviated New Drug Application (ANDA) Fingolimod Capsules, 0.5 mg.
2023-01-16 Cycle Pharmaceuticals Ltd. Regulatory Multiple sclerosis patients in US left without essential patient support program will now receive equivalent backing from Cycle Pharmaceuticals following FDA’s approval of TASCENSO ODT® (fingolimod) cyclepharma.com ↗
We’re thrilled that the FDA has approved TASCENSO ODT for MS patients.
2021-10-13 Biogen Results New MS PATHS Data at ECTRIMS 2021 Confirm Biogen’s Disease-Modifying Therapies Do Not Reduce Antibody Response to COVID-19 Vaccines in People with Multiple Sclerosis biogen.com ↗
Data from this analysis also suggest that approximately 40 percent of people with MS treated with anti-CD20 and S1P disease-modifying therapies (DMT) mount an antibody response to the COVID-19 vaccine
2021-06-24 Zydus Lifesciences Limited Regulatory Zydus Cadila receives tentative approval from USFDA for Fingolimod Capsules .25mg zyduslife.com ↗
Zydus Cadila has received tentative approval from the USFDA to market Fingolimod Capsules in the strength of .25 mg (US RLD: Gilenya® Capsules).
2020-10-16 Zydus Lifesciences Limited Regulatory Zydus Cadila receives final approval from USFDA for Fingolimod Capsules and Verapamil Hydrochloride Injection zyduslife.com ↗
Zydus Cadila has received final approval from the USFDA to market Fingolimod Capsules, 0.5 mg (US RLD: Gilenya® Capsules).
2020-06-19 Glenmark Pharmaceuticals Ltd. India Regulatory Glenmark Pharmaceuticals receives ANDA approval for Fingolimod Capsules, 0.5 mg glenmarkpharma.com ↗
Glenmark Pharmaceuticals Inc., USA (Glenmark) has been granted final approval by the United States Food & Drug Administration (U.S. FDA) for Fingolimod Capsules, 0.5 mg, the generic version of Gilenya®1 Capsules, 0.5 mg, of Novartis Pharmaceuticals Corporation.
2019-09-13 Novartis Pharmaceuticals Results New Novartis data show that neuronal and glial filaments, biomarkers of disease activity, have the potential to support decision making in the management of multiple sclerosis (MS) patient novartis.com ↗
2019-09-11 Biogen Results New Data Presented at ECTRIMS Reinforce Long-term Benefits of TECFIDERA® (dimethyl fumarate) Over 10 Years biogen.com ↗
TECFIDERA demonstrated comparable effectiveness to fingolimod and was less effective than natalizumab and alemtuzumab.
2019-07-19 Novartis Pharmaceuticals Regulatory Novartis key multiple sclerosis product Gilenya® approved in China novartis.com ↗
Chinese National Medical Products Administration (NMPA) approved Gilenya® for relapsing forms of multiple sclerosis (RMS) for adults and children 10 years and older.
2019-05-10 Novartis Pharmaceuticals Results Novartis data at AAN show Gilenya® is the first and only disease-modifying therapy with proven superiority versus glatiramer acetate in relapsing remitting MS novartis.com ↗
Gilenya showed significant superiority versus glatiramer acetate in other key measures of disease activity, such as brain lesions[1]
2018-11-29 Novartis Pharmaceuticals Regulatory Novartis announces EU approval of Gilenya® for children and adolescents with MS, making it the first and only oral disease-modifying treatment for these patients in Europe novartis.com ↗
Novartis today announced that the European Commission (EC) has approved Gilenya ® (fingolimod) for the treatment of children and adolescents 10 to 17 years old with relapsing-remitting forms of multiple sclerosis (RRMS).
2018-10-10 Novartis Pharmaceuticals Results Novartis announces new data from the first direct head-to-head trial to demonstrate superior efficacy of Gilenya® over Copaxone® in patients with relapsing remitting multiple sclerosis novartis.com ↗
The data show that Gilenya 0.5mg met its primary endpoint of significantly reducing the annualized relapse rate (ARR) compared to Copaxone[1].

All press releases naming this drug 39 releases

DateIssuerRelease

Evidence & citations 19 cited values

Every value below carries the sentence it was read from. 93 sources stand behind the page.

FieldValueCited text
Known as fingolimod “Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer...” NCT00273364 ↗
70

“Patients with acute unilateral ON, occurring as a clinically isolated syndrome or MS relapse, were randomized to 6 months of treatment with 0.5 mg oral fingolimod or...” PMID 32126977 ↗ Mar 2020

“Fingolimod (FTY720) has previously shown clinical efficacy in phase II/III studies of predominantly Caucasian populations with multiple sclerosis (MS).” PMID 22354739 ↗ Feb 2012

“Evaluation of the Autonomic Nervous System During First-dosing With 0.5mg of Fingolimod (Gilenya) in Patients With Relapsing-remitting MS” NCT02048072 ↗

“Fingolimod (FTY720) is a new oral immunomodulating agent under evaluation for the treatment of relapsing multiple sclerosis.” PMID 16971719 ↗ Sep 2006

“The patients of this group were treated with Fingolimod 0.5mg per day, in addition to guideline based treatment.” NCT05307731 ↗

“Fingolimod, an oral sphingosine 1-phosphate receptor modulator, is effective in relapse-onset multiple sclerosis” PMID 26827074 ↗ Jan 2016

“Between Natalizumab and Fingolimod Treatments in Patients With Multiple Sclerosis” NCT02769689 ↗

“Fingolimod 0.5 mg by mouth once daily for 7 days.” NCT01585298 ↗

“Gilenya (fingolimod)” NCT03535298 ↗

NCT00731523 ↗

Show 60 more sources

Known as Fingolimod (as hydrochloride) ChEMBL registry synonym — accepted as the source's own label CHEMBL314854 ↗
Known as Fingolimod accord ChEMBL registry synonym — accepted as the source's own label CHEMBL314854 ↗
Known as Fingolimod hcl ChEMBL registry synonym — accepted as the source's own label CHEMBL314854 ↗
Known as Fingolimod hydrochlorid ChEMBL registry synonym — accepted as the source's own label CHEMBL314854 ↗
Known as Fingolimod Hydrochloride “Drug: Fingolimod Hydrochloride” NCT03943498 ↗
1

“Drug: Fingolimod Hydrochloride” NCT03941743 ↗

Known as Fingolimod mylan ChEMBL registry synonym — accepted as the source's own label CHEMBL314854 ↗
Known as FTY “Leukocyte sequestration is an established therapeutic concept in multiple sclerosis (MS) as represented by the trafficking drugs natalizumab (NAT) and fingolimod (FTY).” PMID 30050529 ↗ Jul 2018
Known as FTY-720 HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL314854 ↗
Known as FTY720 “METHODS: This multicenter, double-blind, Phase IIb, randomized study evaluated the safety and efficacy of 5 mg FTY720 (n=87; Group 1) vs. 2.5 mg FTY720 (n=90; Group 2) vs....” PMID 17984842 ↗ Oct 2007
26

“Fingolimod (FTY720) is a new oral immunomodulating agent under evaluation for the treatment of relapsing multiple sclerosis.” PMID 16971719 ↗ Sep 2006

“FTY720 (Gilenya) is an orally active modulator of four of the five sphingosine-1 phosphate(S1P) receptors.” NCT02061137 ↗

“The sphingosine-1-phosphate receptor regulators Fingolimod (FTY720) is an effective immunology modulator” NCT04280588 ↗

“Fingolimod, a sphingosine-1-phosphate receptor regulator (FTY720), is an effective immunology modulator.” NCT06087965 ↗

“Fingolimod (FTY720, approved as Gilenya™ ) is a sphingosine-1-phosphate (S1P) receptor modulator” NCT01779700 ↗

“Treatment With Fingolimod (FTY720) in Patients With Relapsing-remitting Multiple Sclerosis” NCT01310166 ↗

“Ophthalmic evaluations in clinical studies of fingolimod (FTY720) in multiple sclerosis.” PMID 23531349 ↗ Mar 2013

“Participants received 0.5 mg FTY720 (fingolimod) orally once daily for 12 months.” NCT01498887 ↗

“fingolimod (FTY720)” NCT00731523 ↗

“Fingolimod (FTY720)” NCT01625182 ↗

Show 16 more sources

Known as FTY720, fingolimod hydrochloride, “FTY720, fingolimod hydrochloride,” NCT01633112 ↗
Known as Gilenia ChEMBL registry synonym — accepted as the source's own label CHEMBL314854 ↗
Known as Gilenya “Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer...” NCT00273364 ↗
11

“Patients randomized to fingolimod will also receive fingolimod (Gilenya, Novartis) at a dosage of 0.5 mg once daily, for three consecutive days, with the first dose being given...” NCT04675762 ↗

“This is a single-institution, open-labeled study using fingolimod (FTY720/Gilenya) in patients with non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC)” NCT06424067 ↗

“All patients received standard management alone (control participants) or combined with fingolimod (FTY720, Gilenya), 0.5 mg, orally for 3 consecutive days.” PMID 25003359 ↗ Sep 2014

“Patients randomized to fingolimod will also receive oral fingolimod (Gilenya, Novartis) at a dosage of 0.5 mg once daily, for three consecutive days” NCT02956200 ↗

“Evaluation of the Autonomic Nervous System During First-dosing With 0.5mg of Fingolimod (Gilenya) in Patients With Relapsing-remitting MS” NCT02048072 ↗

“early therapeutic intervention with fingolimod (Gilenya ®) after optic neuritis(ON) has a favorable visual outcome” NCT01647880 ↗

“FTY720 (Gilenya) is an orally active modulator of four of the five sphingosine-1 phosphate(S1P) receptors.” NCT02061137 ↗

“Fingolimod (FTY720, approved as Gilenya™ ) is a sphingosine-1-phosphate (S1P) receptor modulator” NCT01779700 ↗

“fingolimod (Gilenya, Novartis) at a dosage of 0.5 mg once daily, for three consecutive days” NCT04718064 ↗

“oral fingolimod (Gilenya, Novartis)” NCT04629872 ↗

Show 1 more source

Known as Gilenya (fingolimod) “Gilenya (fingolimod)” NCT03535298 ↗
Known as Tascenso odt ChEMBL registry synonym — accepted as the source's own label CHEMBL314854 ↗
Action Activate “FTY720 acts as 'super agonist' on the S1P receptor on thymocytes and lymphocytes, inducing uncoupling/internalization of that receptor.” NCT02061137 ↗
Modality Small molecule “Fingolimod is a small molecule derived from myriocin” NCT06424067 ↗
Route Oral “Patients self-administered fingolimod 1.25 mg capsules orally once daily.” NCT00289978 ↗
Target RHOA “a sphingosine 1-phosphate receptor modulator and a RhoA inhibitor (2)” NCT05285878 ↗