fingolimod
Trade name: gilenya
Approved
Sep 21, 2010
Fingolimod (FTY720) is a sphingosine 1-phosphate receptor modulator indicated and approved for the treatment of relapsing-remitting multiple sclerosis. Fingolimod (trade name Gilenya, Novartis) is metabolized by sphingosine kinase to the active metabolite, fingolimod-phosphate. Fingolimod-phosphate is a sphingosine 1-phosphate receptor modulator, and binds with high affinity to sphingosine 1-phosphate receptors 1, 3, 4, and 5. Fingolimod-phosphate blocks the capacity of lymphocytes to egress from lymph nodes, reducing the number of lymphocytes in peripheral blood. The mechanism by which fingolimod exerts therapeutic effects in multiple sclerosis is unknown, but may involve reduction of lymphocyte migration into the central nervous system. Fingolimod was approved as a first-in-class, orally active drug for relapsing multiple sclerosis in 2010, and its applications in other disease conditions are currently under clinical trials. — NCATS
Clinical trial activity
90 trials · 48 clinical orgs · 23 marketing orgs
Earliest trial started May 1, 2002 (NCT00239902)
Timeline
2000s
2010s
- Sep 21, 2010
Novartis — Earliest FDA Approval
- Sep 21, 2010
Novartis — NDA Organization
- Dec 29, 2016
MSN Laboratories — Marketing Organization
- Jan 31, 2017
Strides Pharma Science — Marketing Organization
- Mar 14, 2017
Teva — Marketing Organization
- Mar 17, 2017
Glenmark Pharmaceuticals — Marketing Organization
- Mar 22, 2017
Par Pharmaceuticals — Marketing Organization
- Mar 22, 2017
Accord Research — Marketing Organization
- Mar 22, 2017
Bristol-Myers Squibb — Marketing Organization
- Mar 23, 2017
Alkem Labs Ltd — Marketing Organization
- Apr 28, 2017
Biocon Limited — Marketing Organization
- Jul 11, 2017
Zydus Discovery DMCC — Marketing Organization
- Feb 7, 2019
Aurobindo Pharma — Marketing Organization
- Dec 4, 2019
Sunshine Lake Pharma Co., Ltd. — Marketing Organization
- Dec 4, 2019
Sun Pharmaceuticals — Marketing Organization
2020s
- May 18, 2020
Hetero Labs Ltd — Marketing Organization
- Dec 18, 2020
Apotex — Marketing Organization
- Jan 19, 2021
Mylan — Marketing Organization
- Mar 5, 2021
Dr. Reddy's Laboratories — Marketing Organization
- May 11, 2021
Standard Chem. & Pharm. Co., Ltd. — Marketing Organization
- Oct 18, 2021
Handa Pharmaceuticals — Marketing Organization
- Dec 23, 2021
Cycle Pharmaceuticals Ltd. — Marketing Organization
- Sep 7, 2022
Prinston Inc — Marketing Organization
- Dec 9, 2022
Cycle Pharmaceuticals Ltd. — NDA Secondary Org
- May 24, 2023
Bionpharma Inc — Marketing Organization
Indications
Approved for
Studied for
- Accidents · Phase 2
- Amyotrophic Lateral Sclerosis · Phase 2
- Asthma · Phase 2
- Astrocytoma · Early Phase 1
- Autonomic Nervous System Diseases · Phase 4
- Brain Diseases · Phase 4
- Brain Edema · Early Phase 1
- Breast Neoplasms · Phase 1
- Carcinoma, Non-Small-Cell Lung · Phase 2
- Cerebral Hemorrhage · Phase 1/Phase 2
- Cognition · Phase 4
- COVID-19 · Phase 2
- Depression · Phase 4
- Dermatitis, Atopic · Phase 1/Phase 2
- Diabetes Mellitus, Type 2 · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Early Phase 1
- Fibrosis · Phase 2
- Glioblastoma · Early Phase 1
- Graft Rejection · Phase 2
- Healthy Volunteers · Phase 1
- Hemorrhage · Early Phase 1
- Hypesthesia · Early Phase 1
- Inflammation · Phase 2
- Intracranial Hemorrhage, Hypertensive · Early Phase 1
- Kidney Failure, Chronic · Phase 2
- Kidney Transplantation · Phase 3
- Lymphoma, Large B-Cell, Diffuse · Phase 4
- Multiple Sclerosis, Chronic Progressive · Phase 3
- Multiple Sclerosis, Relapsing-Remitting · Phase 4
- Neuritis · Phase 2
- Pain · Early Phase 1
- Paresthesia · Early Phase 1
- Polyradiculoneuropathy, Chronic Inflammatory Demyelinating · Phase 3
- Renal Insufficiency · Phase 1
- Rett Syndrome · Phase 1/Phase 2
- Safety · Phase 1
- Schizophrenia · Phase 2
- Small Cell Lung Carcinoma · Phase 2
- Stroke · Phase 2
- Substance-Related Disorders · Phase 1
- Therapeutic Equivalency · Phase 1
- Uveitis · Phase 2
Mechanism of action
Sphingosine 1-phosphate receptor agonist
EDG5 less relevant
- Sphingosine 1-phosphate receptorBINDING AGENT
Sphingosine 1-phosphate receptor binding agent
Approval history
- approvedPriority reviewSep 21, 2010
Chemistry & pharmacology
SMILES
CCCCCCCCc1ccc(CCC(N)(CO)CO)cc1- Mol. weight
- 307.48 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL314854 ↗
- WikipediaFingolimod ↗
- NCATS3QN8BYN5QF ↗
- ChEMBLCHEMBL544665 ↗
- ChEMBLCHEMBL5095050 ↗
Also known as
- fingolimod
- fingolimod
- fingolimod
- fingolimod
- fingolimod
- fingolimod
- fingolimod
- fingolimod
- fingolimod
- fingolimod hcl
- fingolimod hcl
- fingolimod hcl
- fingolimod hydrochloride
- fingolimod hydrochloride
- fingolimod hydrochloride
- fingolimod hydrochloride
- fingolimod hydrochloride
- fingolimodum
- fingolimodum
- fty-720
- fty-720
- fty-720
- gilenya
- gilenya
- gilenya
- gilenya
- gilenya
- gsk618334
- gsk618334
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07220252 | Phase 2/Phase 3 (Phase 3) | Dec 1, 2025 | TG Therapeutics, Inc. |
| NCT06408259 | Phase 3 | Jan 28, 2025 | Bristol-Myers Squibb, Celgene |
| NCT06424067 | Phase 2 | Sep 30, 2024 | Medical University of South Carolina |
| NCT06087965 | Phase 1/Phase 2 (Phase 2) | Oct 11, 2023 | People's Liberation Army of China |
| NCT05285878 | Phase 2 | Apr 15, 2022 | The University of Texas, Dallas |
| NCT05307731 | Phase 4 | Mar 15, 2022 | People's Liberation Army of China |
| NCT05123703 | Phase 3 | Jan 31, 2022 | PPD, Roche |
| NCT04927572 | Phase 1/Phase 2 (Phase 2) | Oct 13, 2021 | Vyne Therapeutics Inc. |
| NCT04926818 | Phase 3 | Oct 5, 2021 | Novartis |
| NCT04667949 | Phase 4 | Feb 20, 2021 | Novartis |
| NCT04718064 | N/A | Feb 1, 2021 | Xuzhou Medical University |
| NCT04675762 | Phase 2 | Dec 15, 2020 | Zhejiang University |
| NCT04629872 | Phase 2 | Nov 12, 2020 | Fujian Medical University |
| NCT04480853 | Phase 4 | Oct 12, 2020 | Novartis |
| NCT04657744 | Phase 1 | Aug 10, 2020 | Genuine Research Center, Egypt, Hikma |
| NCT04280588 | Phase 2 | Feb 22, 2020 | Fujian Medical University |
| NCT04088630 | Early Phase 1 (Phase 1) | Nov 30, 2019 | Wake Forest University |
| NCT03941743 | Phase 1 | May 24, 2019 | Mayo Clinic, National Cancer Institute (NCI) |
| NCT03943498 | Early Phase 1 (Phase 1) | May 24, 2019 | Mayo Clinic, National Cancer Institute (NCI) |
| NCT03257358 | Phase 4 | Sep 19, 2017 | Novartis |
Organizations
Research & Development (48)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Novartis | For profit | 56 | 53 | 4 | 2002 |
| Mitsubishi Tanabe | For profit | 5 | 1 | 3 | 2004 |
| GlaxoSmithKline | For profit | 3 | 3 | 1 | 2007 |
| Fujian Medical University | Academic/Hospital | 2 | 2 | 1 | 2020 |
| Mayo Clinic | Academic/Hospital | 2 | 2 | 1 | 2019 |
| National Cancer Institute (NCI) | Government | 2 | 0 | 1 | 2019 |
| People's Liberation Army of China | Government | 2 | 2 | 2 | 2022 |
| Zhejiang University | Academic/Hospital | 2 | 2 | 1 | 2016 |
| Alembic | For profit | 1 | 1 | 1 | 2015 |
| Algorithme Pharma Inc | For profit | 1 | 0 | 1 | 2015 |
| ALS Therapy Development Institute | Academic/Hospital | 1 | 0 | 1 | 2013 |
| Asofarma de México S.A de C.V. | For profit | 1 | 1 | 1 | 2015 |
| Biogen | For profit | 1 | 1 | 1 | 2014 |
| Bristol-Myers Squibb | For profit | 1 | 0 | 1 | 2025 |
| Cantonal Hospital of St. Gallen | Academic/Hospital | 1 | 1 | 1 | 2013 |
| Celgene | For profit | 1 | 1 | 1 | 2025 |
| Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta | Academic/Hospital | 1 | 1 | 1 | 2017 |
| Genuine Research Center, Egypt | For profit | 1 | 1 | 1 | 2020 |
| Harvard University | Academic/Hospital | 1 | 1 | 1 | 2013 |
| Hikma | For profit | 1 | 0 | 1 | 2020 |
Marketing (26)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Accord Research | For profit | MKTG | Mar 22, 2017 |
| Accord Research | For profit | SYN | Oct 28, 2020 |
| Alkem Labs Ltd | For profit | MKTG | Mar 23, 2017 |
| Apotex | For profit | MKTG | Dec 18, 2020 |
| Aurobindo Pharma | For profit | MKTG | Feb 7, 2019 |
| Biocon Limited | For profit | MKTG | Apr 28, 2017 |
| Biocon Limited | For profit | SYN | Dec 4, 2019 |
| Bionpharma Inc | For profit | MKTG | May 24, 2023 |
| Bristol-Myers Squibb | For profit | MKTG | Mar 22, 2017 |
| Cycle Pharmaceuticals Ltd. | For profit | MKTG | Dec 23, 2021 |
| Cycle Pharmaceuticals Ltd. | For profit | NDA2 | Dec 9, 2022 |
| Dr. Reddy's Laboratories | For profit | MKTG | Mar 5, 2021 |
| Glenmark Pharmaceuticals | For profit | MKTG | Mar 17, 2017 |
| Handa Pharmaceuticals | For profit | MKTG | Oct 18, 2021 |
| Hetero Labs Ltd | For profit | MKTG | May 18, 2020 |
| MSN Laboratories | For profit | MKTG | Dec 29, 2016 |
| Mylan | For profit | MKTG | Jan 19, 2021 |
| Novartis | For profit | NDA | Sep 21, 2010 |
| Par Pharmaceuticals | For profit | MKTG | Mar 22, 2017 |
| Prinston Inc | For profit | MKTG | Sep 7, 2022 |
| Standard Chem. & Pharm. Co., Ltd. | For profit | MKTG | May 11, 2021 |
| Strides Pharma Science | For profit | MKTG | Jan 31, 2017 |
| Sun Pharmaceuticals | For profit | MKTG | Dec 4, 2019 |
| Sunshine Lake Pharma Co., Ltd. | For profit | MKTG | Dec 4, 2019 |
| Teva | For profit | MKTG | Mar 14, 2017 |
| Zydus Discovery DMCC | For profit | MKTG | Jul 11, 2017 |