isoniazid
Trade name: nydrazid
Approved
Jun 1, 1952
Isoniazid is a bactericidal agent active against organisms of the genus Mycobacterium, specifically M. tuberculosis, M. bovis and M. kansasii. Isoniazid is recommended for all forms of tuberculosis in which organisms are susceptible. Isoniazid is a prodrug and must be activated by bacterial catalase. Isoniazid inhibits InhA, the enoyl reductase from Mycobacterium tuberculosis, by forming a covalent adduct with the NAD cofactor. The most frequent adverse reactions to isoniazid are those affecting the nervous system and the liver. — NCATS
Clinical trial activity
208 trials · 299 clinical orgs · 35 marketing orgs
Earliest trial started Jan 1, 1994 (NCT00402610)
Timeline
1950s
- Jun 1, 1952
Earliest FDA Approval
- Sep 29, 1952
Sandoz — First NDA Organization
- Sep 29, 1952
Sandoz — NDA Secondary Org
- Sep 29, 1952
Sandoz — NDA Organization
- Nov 17, 1952
Epic Pharma Llc — Marketing Organization
- Nov 17, 1952
Epic Pharma Llc — NDA Secondary Org
1970s
- Nov 13, 1970
Sun Pharmaceuticals — Marketing Organization
- Apr 14, 1971
Whiteworth Towne Paulsen — Marketing Organization
- Nov 4, 1971
Dow Pharmaceutical Sciences — Marketing Organization
- Jan 21, 1972
Everylife Foundation for Rare Diseases — Marketing Organization
- Feb 3, 1972
Watson Pharmaceuticals — Marketing Organization
- Feb 28, 1972
Hikma — Marketing Organization
- Mar 16, 1972
MK Labs — Marketing Organization
- Aug 24, 1972
Barr Laboratories — Marketing Organization
- Jun 11, 1973
Panray Corp. — NDA Secondary Org
- Aug 1, 1973
Impax Laboratories — Marketing Organization
- Jan 15, 1974
Teva — Marketing Organization
- Oct 22, 1974
Nexgen Pharma, Inc — Marketing Organization
- Jul 11, 1975
Sanofi-Aventis — Marketing Organization
- Aug 29, 1975
Lannett Company, Inc. — Marketing Organization
- Dec 18, 1975
Phoenix Laboratories — Marketing Organization
- Jul 29, 1976
Pharmavite — Marketing Organization
1980s
- Mar 4, 1982
Puracap Pharmaceutical — Marketing Organization
- Mar 17, 1983
Duramed Research — Marketing Organization
- Nov 10, 1983
CMP Therapeutics Ltd — Marketing Organization
1990s
- May 31, 1994
Sanofi-Aventis — NDA Secondary Org
- Jan 1, 1995
Earliest Phase 3 Sponsor(trial)
- Jun 26, 1997
Mikart — Marketing Organization
- Jun 26, 1997
ANDA Repository — Marketing Organization
- Jun 26, 1997
Genus Oncology, LLC — Marketing Organization
- Jun 26, 1997
OMNIVIUM PHARMS — Marketing Organization
- Jul 21, 1997
Chartwell Pharmaceuticals — Marketing Organization
- Jan 1, 1999
Earliest Phase 1 Sponsor(trial)
- Jan 1, 1999
Earliest Phase 2 Sponsor(trial)
2010s
- Oct 29, 2014
Thepharmanetwork Llc — Marketing Organization
Indications
Studied for
- Abortion, Missed · Phase 4
- Acquired Immunodeficiency Syndrome · Phase 3
- Alcoholism · Phase 4
- Antibiotic Prophylaxis · Phase 4
- Behavior, Addictive · Phase 4
- Brain Injuries, Traumatic · Phase 2
- Breast Feeding · Phase 1
- Breast Neoplasms · Phase 2
- Chemical and Drug Induced Liver Injury · Phase 1
- Dermatology · Phase 4
- Diabetes Mellitus · Phase 4
- Diabetes Mellitus, Type 2 · Phase 4
- Diabetic Foot · Phase 2
- Drug Interactions · Phase 1
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Extensively Drug-Resistant Tuberculosis · Phase 3
- Healthy Volunteers · Phase 1
- Hepatitis · Phase 4
- HIV · Phase 3
- HIV Infections · Phase 4
- HIV Seropositivity · Phase 4
- Infertility, Female · Phase 4
- Latent Tuberculosis · Phase 4
- Leg Ulcer · Phase 2
- Lupus Erythematosus, Systemic · Phase 2/Phase 3
- Mycobacterium tuberculosis · Phase 3
- Opioid-Related Disorders · Phase 4
- Organ Transplantation · Phase 3
- Patient Compliance · Phase 4
- Pneumocystis Infections · Phase 2/Phase 3
- Pregnancy · Phase 1/Phase 2
- Prostheses and Implants · Phase 3
- Radiotherapy · Phase 4
- Renal Insufficiency · Phase 4
- Silicosis · Phase 3
- Therapeutics · Phase 4
- Tuberculosis, Female Genital · Phase 3
- Tuberculosis, Lymph Node · Phase 3
- Tuberculosis, Meningeal · Phase 3
- Tuberculosis, Multidrug-Resistant · Phase 3
- Tuberculosis, Spinal · Phase 4
- Uveitis, Anterior · Phase 3
Mechanism of action
inhA inhibitor
Combination products
rifamate
with rifampin
rifater
with rifampin, pyrazinamide
Approval history
- approvedJun 1, 1952
Chemistry & pharmacology
SMILES
NNC(=O)C1=CC=NC=C1- Mol. weight
- 137.1393 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- WikipediaIsoniazid ↗
- NCATSV83O1VOZ8L ↗
- ChEMBLCHEMBL64 ↗
Also known as
- 4-pyridinecarbohydrazide
- 4-pyridinecarbohydrazide
- 4-pyridinecarboxylic hydrazide
- armazid
- dow-isoniazid
- dow-isoniazid
- hyzyd
- hyzyd
- inh
- inh
- inh
- isoniazid
- isoniazid
- isoniazid
- isoniazid
- isoniazid
- isoniazid
- isoniazid
- isoniazid
- isoniazid
- isoniazid
- isoniazid
- isoniazide
- isoniazide
- isoniazide
- isonicotinic acid hydrazide
- isonicotinic acid hydrazide
- isonicotinic acid hydrazide
- isonicotinic hydrazide
- isonicotinic hydrazide
- isonicotinohydrazide
- isonicotinohydrazide
- isonicotinohydrazide
- isonicotinoylhydrazide
- isonicotinoylhydrazide
- isonicotinsaeurehydrazid
- isonicotinsaeurehydrazid
- isonicotinylhydrazine
- isonicotinylhydrazine
- isonicotinylhydrazine
- laniazid
- laniazid
- nicotibine
- nicotibine
- nydrazid
- nydrazid
- nydrazid
- nydrazid
- pyridine-4-carboxylic acid hydrazide
- pyridine-4-carboxylic acid hydrazide
- rimifon
- rimifon
- stanozide
- stanozide
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07303699 | Phase 2 | Jan 3, 2026 | Obafemi Awolowo University, Open Philanthropy Project |
| NCT07124559 | Phase 1/Phase 2 (Phase 2) | Dec 15, 2025 | National Institute of Allergy and Infectious Diseases (NIAID), National Institute of Mental Health (NIMH), National Institutes of Health (NIH) |
| NCT07163143 | Phase 3 | Nov 30, 2025 | Aurum Institute, Foundation for Innovative New Diagnostics, Switzerland, KTH Royal Institute of Technology, University of London, Wits Health Consortium (Pty) Ltd |
| NCT07086820 | N/A | Oct 31, 2025 | Pontificia Universidad Catolica de Chile |
| NCT07073638 | Phase 2 | Oct 6, 2025 | 30 Technology |
| NCT07069582 | Phase 1 | Oct 1, 2025 | McGill University, Padjadjaran University |
| NCT07129629 | Phase 2 | Aug 20, 2025 | Fudan University, Huazhong University of Science and Technology |
| NCT07058090 | Phase 1 | Jul 31, 2025 | Liaquat University of Medical & Health Sciences |
| NCT07076225 | Phase 3 | Jul 25, 2025 | Capital Medical University, Fudan University, Huazhong University of Science and Technology, Shenzhen Third People's Hospital, Sichuan University, Tsinghua University |
| NCT06905522 | Phase 3 | Apr 15, 2025 | Shenyang Tenth People's Hospital, Shenzhen Third People's Hospital, Zhejiang University |
| NCT06917495 | Phase 2 | Apr 5, 2025 | Shandong University |
| NCT06568484 | Phase 3 | Nov 30, 2024 | Elizabeth Glaser Pediatric AIDS Foundation, Johns Hopkins University, United States Agency for International Development |
| NCT06253715 | Phase 3 | Nov 27, 2024 | Johns Hopkins University, United States Agency for International Development |
| NCT06192160 | Phase 2 | Oct 15, 2024 | National Institute of Allergy and Infectious Diseases (NIAID), TB Alliance, University of California, Berkeley, Vanderbilt University |
| NCT06611813 | Phase 2 | Jun 11, 2024 | Zhejiang University |
| NCT06191692 | Phase 3 | Apr 1, 2024 | Freundeskreis Für Internationale Tuberkulosehilfe e.V |
| NCT05917340 | Phase 3 | Mar 31, 2024 | All India Institute of Medical Sciences, Christian Medical College, Vellore, India, Indian Council of Medical Research, Jawaharlal Institute of Postgraduate Medical Education and Research, Madras Medical College, National Institute for Research in Tuberculosis, Chennai, India |
| NCT06114628 | Phase 2 | Dec 8, 2023 | German Center for Infection Research, GlaxoSmithKline, Government of France, Janssen Pharmaceutica NV, KNCV Tuberculosis Foundation, Otsuka, Radboud University, Research Center Borstel, TASK Applied Science, TB Alliance, Tuberculosis Network European Trialsgroup, University of California, San Francisco, University of Cambridge, University of Hamburg, University of Liverpool, University of London, University of Milan, University of Oxford, University of Porto, University of St Andrews, Uppsala University, Vita-Salute University of Milano. Italy |
| NCT06058299 | Phase 2 | Oct 31, 2023 | Global Alliance for TB Drug Development, TB Alliance |
| NCT06041919 | Phase 2 | Sep 27, 2023 | 30 Technology |
Organizations
Research & Development (299)
Marketing (41)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| ANDA Repository | For profit | MKTG | Jun 26, 1997 |
| Athenex, Inc. | For profit | MKTG | — |
| Barr Laboratories | For profit | MKTG | Aug 24, 1972 |
| Bristol-Myers Squibb | For profit | NDA2 | — |
| CMP Therapeutics Ltd | For profit | MKTG | Nov 10, 1983 |
| Chartwell Pharmaceuticals | For profit | MKTG | Jul 21, 1997 |
| Chartwell Pharmaceuticals | For profit | SYN | Jun 13, 1988 |
| Dow Pharmaceutical Sciences | For profit | MKTG | Nov 4, 1971 |
| Duramed Research | For profit | MKTG | Mar 17, 1983 |
| Eli Lilly | For profit | NDA2 | — |
| Epic Pharma Llc | For profit | MKTG | Nov 17, 1952 |
| Epic Pharma Llc | For profit | NDA2 | Nov 17, 1952 |
| Everylife Foundation for Rare Diseases | Academic/Hospital | MKTG | Jan 21, 1972 |
| Genus Oncology, LLC | For profit | MKTG | Jun 26, 1997 |
| Genus Oncology, LLC | For profit | SYN | Aug 24, 1972 |
| Halsey | For profit | MKTG | — |
| Hikma | For profit | MKTG | Feb 28, 1972 |
| Impax Laboratories | For profit | MKTG | Aug 1, 1973 |
| Lannett Company, Inc. | For profit | MKTG | Aug 29, 1975 |
| MK Labs | For profit | MKTG | Mar 16, 1972 |
| Medpointe | For profit | MKTG | — |
| Mikart | For profit | MKTG | Jun 26, 1997 |
| Nexgen Pharma, Inc | For profit | MKTG | Oct 22, 1974 |
| Novartis | For profit | MKTG | Jul 5, 2005 |
| OMNIVIUM PHARMS | For profit | MKTG | Jun 26, 1997 |
| Panray Corp. | For profit | NDA2 | Jun 11, 1973 |
| Perrigo | For profit | MKTG | — |
| Pharmavite | For profit | MKTG | Jul 29, 1976 |
| Phoenix Laboratories | For profit | MKTG | Dec 18, 1975 |
| Puracap Pharmaceutical | For profit | MKTG | Mar 4, 1982 |
| Roche | For profit | NDA2 | — |
| Sandoz | For profit | NDA2 | Sep 29, 1952 |
| Sandoz | For profit | MKTG | Jul 5, 2005 |
| Sandoz | For profit | NDA | Sep 29, 1952 |
| Sanofi-Aventis | For profit | MKTG | Jul 11, 1975 |
| Sanofi-Aventis | For profit | NDA2 | May 31, 1994 |
| Sun Pharmaceuticals | For profit | MKTG | Nov 13, 1970 |
| Teva | For profit | MKTG | Jan 15, 1974 |
| Thepharmanetwork Llc | For profit | MKTG | Oct 29, 2014 |
| Watson Pharmaceuticals | For profit | MKTG | Feb 3, 1972 |
| Whiteworth Towne Paulsen | For profit | MKTG | Apr 14, 1971 |