arginine
Approved
Feb 28, 1973
L-arginine is a nonessential amino acid that may play an important role in the treatment of cardiovascular disease due to its antiatherogenic, anti-ischemic, antiplatelet, and antithrombotic properties. It has been promoted as a growth stimulant and as a treatment for erectile dysfunction in men. L-arginine is a nonessential amino acid that may play an important role in the treatment of heart disease due to its block arterial plaque buildup, blood clots, platelet clumping, and to increase blood flow through the coronary artery. L-arginine is commonly sold as a health supplement claiming to improve vascular health and treat erectile dysfunction in men. L-arginine, which is promoted as a human growth stimulant, has also been used in bodybuilding. In the 1800s, it was first isolated from animal horn. — NCATS
Clinical trial activity
205 trials · 239 clinical orgs · 1 marketing orgs
Earliest trial started Dec 1, 1994 (NCT00006340)
Timeline
1970s
- Feb 28, 1973
Pharmacia & Upjohn — Earliest FDA Approval
- Feb 28, 1973
Evidence of US Marketing
- Feb 28, 1973
Pharmacia & Upjohn — NDA Secondary Org
- Feb 28, 1973
Pharmacia & Upjohn — NDA Organization
2000s
- Jan 1, 2000
Earliest Phase 3 Sponsor(trial)
Indications
Studied for
- Acute Kidney Injury · Phase 4
- Adipose Tissue, Brown · Phase 3
- Alzheimer Disease · Phase 2
- Amino Acid Metabolism, Inborn Errors · Phase 2
- Anemia, Sickle Cell · Phase 3
- Antioxidants · Phase 4
- Argininosuccinic Aciduria · Phase 2
- Arterial Occlusive Diseases · Phase 4
- Arthritis, Rheumatoid · Phase 3
- Asthma · Phase 2
- Ataxia Telangiectasia · Phase 4
- Atherosclerosis · Phase 4
- beta-Thalassemia · Phase 2
- Brain Neoplasms · Early Phase 1
- Burkitt Lymphoma · Phase 2
- Carcinoma, Hepatocellular · Phase 3
- Cardiovascular Diseases · Phase 3
- Chromosome Aberrations · Phase 3
- Chronic Limb-Threatening Ischemia · Phase 4
- Coronary Artery Disease · Phase 1/Phase 2
- COVID-19 · Phase 2
- Critical Illness · Phase 4
- Cystic Fibrosis · Phase 2
- Dental Caries · Phase 2
- Dentin Sensitivity · Phase 4
- Diabetes Mellitus · Phase 2/Phase 3
- Diabetes Mellitus, Type 2 · Phase 3
- Diabetic Foot · Phase 2/Phase 3
- Diabetic Ketoacidosis · Phase 1/Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- Dwarfism, Pituitary · Phase 3
- Dystrophin · Phase 1
- Endothelial Cells · Phase 3
- Enterocolitis, Necrotizing · Phase 2/Phase 3
- Erectile Dysfunction · Phase 4
- Essential Hypertension · Phase 2/Phase 3
- Fetal Growth Retardation · Phase 4
- Fibrosis · Phase 2/Phase 3
- Galactosemias · Phase 2
- Glioblastoma · Phase 1
- Glucose Intolerance · Phase 3
- Growth and Development · Phase 4
- Growth Hormone · Phase 3
- Head and Neck Neoplasms · Phase 2
- Healthy Volunteers · Phase 4
- Heart Defects, Congenital · Phase 2/Phase 3
- Heart Disease Risk Factors · Phase 1
- Heart Failure · Phase 3
- Heart Transplantation · Phase 4
- Heart Ventricles · Phase 2/Phase 3
- Hepatitis, Alcoholic · Phase 2
- Hypercholesterolemia · Phase 2
- Hypertension · Phase 3
- Hypertension, Pregnancy-Induced · Phase 3
- Infertility, Male · Phase 4
- Inflammation · Phase 2
- Insulin Resistance · Phase 3
- Insulin Secretion · Phase 4
- Intermittent Claudication · Phase 1
- Intestinal Neoplasms · Phase 1
- Ischemia · Phase 4
- Kidney Diseases · Early Phase 1
- Kidney Failure, Chronic · Phase 4
- Leukemia · Phase 1
- Liver Cirrhosis · Phase 2/Phase 3
- Liver Neoplasms · Phase 2/Phase 3
- Lymphoid Tissue · Phase 2
- Lymphoma · Phase 2
- Lymphoproliferative Disorders · Phase 2
- Malaria, Falciparum · Phase 2
- MELAS Syndrome · Phase 2
- Metabolic Syndrome · Phase 3
- Mitochondrial Diseases · Phase 4
- Mucositis · Phase 2
- Muscle Fatigue · Phase 4
- Muscles · Phase 4
- Muscular Dystrophy, Duchenne · Phase 1
- Myocardium · Phase 4
- Neoplasm Metastasis · Phase 1/Phase 2
- Neoplasms · Phase 3
- Nitric Oxide · Phase 3
- Oligohydramnios · Phase 2
- Pain · Phase 2
- Pancreatic Neoplasms · Phase 4
- Perfusion · Phase 2/Phase 3
- Periodontitis · Phase 3
- Peripheral Arterial Disease · Phase 2
- Peripheral Vascular Diseases · Phase 1
- Pneumonia · Phase 2
- Polycystic Ovary Syndrome · Phase 3
- Post-Cardiac Arrest Syndrome · Phase 3
- Postmenopause · Phase 2
- Precancerous Conditions · Phase 1
- Pre-Eclampsia · Phase 3
- Pregnancy, High-Risk · Phase 2
- Prostatic Neoplasms · Phase 2
- Renal Dialysis · Phase 4
- Renal Insufficiency, Chronic · Phase 4
- Schizophrenia · Phase 2
- Semen Analysis · Phase 4
- Sepsis · Phase 2/Phase 3
- Shock, Septic · Early Phase 1
- Skin Care · Early Phase 1
- Skin Ulcer · Phase 2
- Spirometry · Phase 4
- Stomatitis · Phase 2
- Thalassemia · Phase 4
- Tooth Bleaching · Phase 4
- Tuberculosis · Phase 3
- Urea Cycle Disorders, Inborn · Phase 2
- Urinary Bladder Neoplasms · Phase 2
- Uterine Diseases · Phase 3
- Vasoconstriction · Phase 1
- Vestibular Diseases · Phase 2
Mechanism of action
- glutamateSupplementation
glutamate supplementation
- L-arginineSupplementation
L-arginine supplementation
Approval history
- approvedPriority reviewFeb 28, 1973
- approvedPriority reviewFeb 28, 1973
Chemistry & pharmacology
SMILES
N[C@@H](CCCNC(N)=N)C(O)=O- Mol. weight
- 174.201 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaArginine ↗
- NCATS94ZLA3W45F ↗
- ChEMBLCHEMBL2104514 ↗
- ChEMBLCHEMBL1485 ↗
- ChEMBLCHEMBL1200381 ↗
Also known as
- (2s)-2-amino-5-(carbamimidamido)pentanoic acid
- (2s)-2-amino-5-(carbamimidamido)pentanoic acid
- (2s)-2-amino-5-guanidinopentanoic acid
- (2s)-2-amino-5-guanidinopentanoic acid
- ac-083
- ac-083
- arg
- arg
- arg-glu
- argimate
- arginine
- arginine
- arginine
- arginine
- arginine
- arginine butyrate
- arginine butyrate
- arginine glutamate
- arginine glutamate
- arginine glutamate
- arginine glutamate
- arginine glutamate
- arginine hcl
- arginine hcl
- arginine hcl
- arginine hydrochloride
- arginine hydrochloride
- arginine hydrochloride
- arginine hydrochloride
- arginine hydrochloride
- arginine hydrochloride
- arginine hydrochloride
- arginine hydrochloride-r-gene 10
- arginine sodium succinate
- arginylglutamate
- ginamate
- glutargin
- hqk-1004
- hqk-1004
- l-arg
- l-arg
- l-arg
- l-arginin
- l-arginin
- l arginine
- l arginine
- l-arginine
- l-arginine
- l-arginine
- l-arginine
- l-arginine
- l-arginine
- l-arginine
- l-(+)-arginine
- l-(+)-arginine
- l-arginine aspartate
- l-arginine aspartate
- l-arginine glutamate
- l-arginine glutamate
- l-arginine hydrochloride
- l-arginine hydrochloride
- l-glutamic acid, cpd with l-arginine (1:1)
- modumate
- modumate
- polyarginine
- polyarginine
- polyarginine
- polyarginine, (d)-isomer
- polyarginine, (dl)-isomer
- polyarginine hydrochloride
- polyarginine sulfate
- poly(l-arginine)
- r
- r
- r-gene 10
- r-gene 10
- (s)-2-amino-5-guanidinopentanoic acid
- (s)-2-amino-5-guanidinopentanoic acid
- (s)-2-amino-5-guanidinovaleric acid
- (s)-2-amino-5-guanidinovaleric acid
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07167693 | Phase 1/Phase 2 (Phase 2) | Nov 1, 2025 | Wayne State University |
| NCT07257042 | Phase 3 | Jul 14, 2025 | Colgate Palmolive, Loma Linda University |
| NCT07020754 | Phase 2 | Apr 1, 2025 | Ain Shams University |
| NCT06728644 | N/A | Dec 20, 2024 | Huazhong University of Science and Technology |
| NCT06483737 | N/A | Oct 1, 2024 | People's Liberation Army of China |
| NCT06328686 | Early Phase 1 (Phase 1) | Sep 5, 2024 | Emory University, National Cancer Institute (NCI) |
| NCT07135037 | Phase 2 | Sep 1, 2024 | Kafrelsheikh University |
| NCT06593054 | Phase 1 | Jul 29, 2024 | Pfizer |
| NCT06379217 | Phase 1 | Jul 29, 2024 | Novartis |
| NCT06405243 | Phase 3 | Jun 30, 2024 | Beni Suef University |
| NCT06475391 | N/A | Jun 14, 2024 | University of Manitoba |
| NCT06865261 | N/A | May 20, 2024 | Universita' Cattolica del Sacro Cuore |
| NCT06216262 | N/A | Mar 1, 2024 | Çanakkale Onsekiz Mart University |
| NCT06405477 | N/A | Feb 15, 2024 | Sao Paulo State University |
| NCT06273930 | Phase 1 | Feb 1, 2024 | Government of Pakistan |
| NCT06947265 | Phase 4 | Jan 14, 2024 | Cairo University |
| NCT05855330 | Phase 2 | Dec 31, 2023 | Emory University |
| NCT06128434 | N/A | Nov 30, 2023 | Mansoura University |
| NCT06182267 | Phase 1 | Nov 27, 2023 | Colgate Palmolive |
| NCT06135792 | N/A | Oct 19, 2023 | Aarhus University |
Organizations
Research & Development (239)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Heart, Lung, and Blood Institute (NHLBI) | Government | 7 | 2 | 4 | 1998 |
| Boston University | Academic/Hospital | 6 | 4 | 3 | 1994 |
| Cairo University | Academic/Hospital | 5 | 5 | 2 | 2017 |
| Emory University | Academic/Hospital | 5 | 5 | 3 | 2015 |
| Harvard University | Academic/Hospital | 5 | 3 | 5 | 2007 |
| Maastricht University | Academic/Hospital | 5 | 5 | 4 | 2003 |
| Texas A&M University | Academic/Hospital | 5 | 5 | 1 | 2009 |
| Ain Shams University | Academic/Hospital | 4 | 4 | 3 | 2011 |
| National Institutes of Health (NIH) | Government | 4 | 1 | 3 | 1997 |
| Novartis | For profit | 4 | 1 | 3 | 2003 |
| Zhengzhou University | Academic/Hospital | 4 | 4 | 1 | 2017 |
| Anyang Regional Hospital | Academic/Hospital | 3 | 0 | 1 | 2017 |
| Baylor University | Academic/Hospital | 3 | 3 | 3 | 2008 |
| Colgate Palmolive | For profit | 3 | 3 | 3 | 2015 |
| Duke University | Academic/Hospital | 3 | 2 | 3 | 2004 |
| Government of France | Government | 3 | 2 | 2 | 2003 |
| Luoyang Central Hospital | Academic/Hospital | 3 | 0 | 1 | 2017 |
| Menzies School of Health Research | Academic/Hospital | 3 | 3 | 2 | 2005 |
| Nanyang Central Hospital | Academic/Hospital | 3 | 0 | 1 | 2017 |
| National Cancer Institute (NCI) | Government | 3 | 0 | 3 | 2007 |
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Pharmacia & Upjohn | For profit | NDA2 | Feb 28, 1973 |
| Pharmacia & Upjohn | For profit | NDA | Feb 28, 1973 |