ursodeoxycholic acid
Approved
Dec 31, 1987
Ursodoxicoltaurine is the international nonproprietary name (INN) for the pharmaceutical form of tauroursodeoxycholic acid (TUDCA). It is also known as taurursodiol. Tauroursodeoxycholic acid is a naturally occurring hydrophilic bile acid which is the taurine conjugated form of ursodeoxycholic acid (UDCA). Humans have only trace amounts of tauroursodeoxycholic acid but bears have large amounts of tauroursodeoxycholic acid and ursodeoxycholic acid in their bile. — Wikipedia
Clinical trial activity
175 trials · 190 clinical orgs · 28 marketing orgs
Earliest trial started Nov 1, 1989 (NCT00004748)
Timeline
1980s
1990s
- Jan 1, 1995
Earliest Phase 2 Sponsor(trial)
- Dec 10, 1997
SmithKline Beecham — NDA Secondary Org
- Dec 10, 1997
AbbVie — Marketing Organization
2000s
- Mar 14, 2000
Epic Pharma Llc — Marketing Organization
- May 25, 2000
Teva — Marketing Organization
- Jan 1, 2006
- Jul 27, 2006
Impax Laboratories — Marketing Organization
- Dec 15, 2008
Lannett Company, Inc. — Marketing Organization
2010s
- Feb 17, 2010
Mylan — Marketing Organization
- Feb 17, 2010
Quagen Pharma — Marketing Organization
- Jul 12, 2011
Glenmark Pharmaceuticals — Marketing Organization
- Feb 14, 2013
Par Pharmaceuticals — Marketing Organization
- Feb 14, 2013
PH HEALTH — Marketing Organization
- May 17, 2018
Abhai LLC — Marketing Organization
- Oct 16, 2018
Amneal Pharmaceuticals — Marketing Organization
- Oct 30, 2018
Zydus Discovery DMCC — Marketing Organization
- Oct 30, 2019
Eywa Pharma — Marketing Organization
- Oct 30, 2019
HIBROW HLTHCARE — Marketing Organization
2020s
- Feb 12, 2020
Rising Pharmaceuticals — Marketing Organization
- May 8, 2020
Nexgen Pharma, Inc — Marketing Organization
- May 8, 2020
LGM Pharma — Marketing Organization
- Aug 17, 2020
Chartwell Pharmaceuticals — Marketing Organization
- Aug 17, 2020
Upsher-Smith Laboratories — Marketing Organization
- Aug 20, 2020
Strides Pharma Science — Marketing Organization
- Jul 28, 2021
Vgyaan — Marketing Organization
- Jul 28, 2021
Apicore — Marketing Organization
- Sep 29, 2022
Amylyx Pharmaceuticals Inc. — NDA Secondary Org
- Nov 28, 2022
Aurobindo Pharma — Marketing Organization
Indications
Approved for
Studied for
- Acute-On-Chronic Liver Failure · Phase 4
- Adenomatous Polyposis Coli · Phase 2/Phase 3
- Adolescent · Phase 2
- Aged · Phase 1
- Alzheimer Disease · Phase 2
- Amyloidosis · Phase 3
- Amyotrophic Lateral Sclerosis · Phase 3
- Anemia, Hemolytic · Phase 4
- Arthritis, Rheumatoid · Phase 2
- Asthma · Phase 1
- Autoimmune Diseases · Phase 4
- Barrett Esophagus · Phase 2
- Bile Duct Diseases · Phase 2
- Biliary Tract · Phase 1/Phase 2
- Biliary Tract Diseases · Phase 2
- Breast Neoplasms · Phase 2
- Carcinoma, Hepatocellular · Phase 2
- Cardiomyopathies · Phase 2
- Chemical and Drug Induced Liver Injury · Phase 4
- Child Nutrition Disorders · Phase 2/Phase 3
- Cholangitis · Phase 3
- Cholangitis, Sclerosing · Phase 3
- Cholecystitis, Acute · Phase 3
- Cholecystolithiasis · Phase 4
- Cholelithiasis · Phase 4
- Cholestasis · Phase 2/Phase 3
- Cholestasis, Intrahepatic · Phase 3
- Clostridium Infections · Early Phase 1
- Colitis, Ulcerative · Phase 2/Phase 3
- Colorectal Neoplasms · Phase 2
- COVID-19 · Phase 3
- Cystic Fibrosis · Phase 2
- Diabetes, Gestational · Phase 4
- Diabetes Mellitus · Phase 2/Phase 3
- Diabetes Mellitus, Type 1 · Phase 1/Phase 2
- Diabetes Mellitus, Type 2 · Phase 4
- Diarrhea · Phase 4
- Digestive System Diseases · Phase 2
- Duodenal Neoplasms · Phase 2/Phase 3
- Dyspepsia · Phase 4
- Esophageal Neoplasms · Phase 2
- Fatigue · Phase 4
- Fibrosis · Phase 1/Phase 2
- Gallstones · Phase 4
- Gastrointestinal Diseases · Phase 2
- General Surgery · Phase 1
- Glucose Intolerance · Phase 1
- Healthy Volunteers · Phase 1
- Heart Failure · Phase 2
- Hepatitis · Phase 4
- Hepatitis, Autoimmune · Phase 4
- Hepatitis B · Phase 2
- Hepatitis C, Chronic · Phase 3
- Hepatitis D · Phase 2
- Huntington Disease · Phase 1
- Hyperbilirubinemia, Neonatal · Phase 4
- Hypertension · Phase 1/Phase 2
- Hypertension, Portal · Phase 2
- Inflammation · Phase 2
- Intestinal Neoplasms · Phase 4
- Intestinal Polyps · Phase 2/Phase 3
- Jaundice, Obstructive · Phase 2
- Kidney Failure, Chronic · Phase 4
- Liver Cirrhosis · Phase 1/Phase 2
- Liver Cirrhosis, Biliary · Phase 4
- Liver Diseases · Phase 3
- Multiple Sclerosis · Phase 1/Phase 2
- Neoplasm Metastasis · Phase 2
- Neurodegenerative Diseases · Phase 3
- Non-alcoholic Fatty Liver Disease · Phase 4
- Obesity · Phase 4
- Obesity, Morbid · Phase 4
- Overweight · Phase 1
- Pancreatitis · Phase 3
- Parkinson Disease · Phase 3
- Polycystic Kidney, Autosomal Dominant · Phase 2
- Pouchitis · Phase 2/Phase 3
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 4
- Pregnancy · Phase 3
- Pregnancy Complications · Phase 3
- Presbyopia · Phase 2
- Radiation Oncology · Phase 2
- Retinal Detachment · Phase 3
- Retinal Diseases · Phase 1
- Sepsis · Phase 2/Phase 3
- Short Bowel Syndrome · Phase 4
- Stomach Neoplasms · Phase 3
- Supranuclear Palsy, Progressive · Phase 3
- Thoracic Surgery · Phase 4
- Transaminases · Phase 2
- Ursodeoxycholic Acid · Phase 3
- Wolfram Syndrome · Phase 2
Mechanism of action
- Bile acid receptor FXRAGONIST
NR1H4 agonist
- Unspecified targetOTHER
Unknown
Combination products
relyvrio
Also known as sodium phenylbutyrate/taurursodiol
Approval history
- approvedPriority reviewDec 31, 1987
Chemistry & pharmacology
SMILES
C[C@H](CC(O)=O)[C@H]1CC[C@H]2[C@@H]3[C@@H](O)C[C@@H]4C[C@H](O)CC[C@]4(C)[C@H]3CC[C@]12C- Mol. weight
- 378.5454 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- NCATS8A5G600D9V ↗
- WikipediaUrsodoxicoltaurine ↗
- ChEMBLCHEMBL272427 ↗
- WikipediaTauroursodeoxycholic acid ↗
- NCATS724L30Y2QR ↗
- WikipediaUrsodeoxycholic acid ↗
- ChEMBLCHEMBL1551 ↗
Also known as
- 24-norcholan-23-oic acid, 3,7-dihydroxy-, (3alpha,5beta,7beta)-
- 24-norursodeoxycholic acid
- 24-norursodeoxycholic acid
- 24-norursodeoxycholic acid
- 2-methyl-3-(2-((4-nitrooxybutyloxy)carbonyl)vinyl)phenyl ursodeoxycholic acid ester
- (3alpha,5beta,7beta)-3,7-dihydroxycholan-24-oic acid
- (3alpha,5beta,7beta)-3,7-dihydroxycholan-24-oic acid
- 3alpha,7beta-dihydroxy-5beta-cholan-24-oic acid
- 3alpha,7beta-dihydroxy-5beta-cholan-24-oic acid
- (3α,5β,7β)-3,7-dihydroxycholan-24-oic acid
- (3α,5β,7β)-3,7-dihydroxycholan-24-oic acid
- acide ursodesoxycholique
- acide ursodesoxycholique
- acido ursodeossicolico
- acido ursodeossicolico
- acido ursodeoxicolico
- acido ursodeoxicolico
- acidum ursodeoxycholicum
- acidum ursodeoxycholicum
- actigall
- actigall
- actigall
- bifendatatum
- cholurso
- deoxyursocholic acid
- destolit
- destolit
- dwj1319
- dwp10292
- human menstrual blood-derived mesenchymal stem cells
- ncx1000
- ncx 1000
- ncx-1000
- ncx-1000
- ncx-1000
- nor-udca
- no-udca
- udca
- udca
- udca
- urdox
- urdox
- urosiol
- urosiol
- urosiol
- urosiol
- urosiol
- urosiol
- ursacholic acid
- urso
- urso
- urso 250
- urso 250
- ursochol
- ursochol
- ursocol
- ursodeoxycholate
- ursodeoxycholate
- ursodeoxycholate
- ursodeoxycholic acid
- ursodeoxycholic acid
- ursodeoxycholic acid
- ursodeoxycholic acid
- ursodeoxycholic acid
- ursodeoxycholic acid
- ursodesoxycholic acid
- ursodesoxycholic acid
- ursodesoxycholic acid
- ursodiol
- ursodiol
- ursodiol
- ursodiol
- ursodiol
- ursodiol
- ursodiol
- ursodiol
- ursofalk
- ursofalk
- urso forte
- urso forte
- ursogal
- ursogal
- ursolvan
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07273734 | N/A | Jan 1, 2026 | Chongqing Medical University, Kunming Medical University, Sichuan University |
| NCT07296458 | Phase 3 | Dec 17, 2025 | People's Liberation Army of China |
| NCT06884748 | Early Phase 1 (Phase 1) | Dec 1, 2025 | Medical College of Wisconsin |
| NCT07102979 | N/A | Sep 1, 2025 | Chang Gung University |
| NCT07100392 | Phase 2 | Aug 14, 2025 | Fudan University |
| NCT07064668 | Phase 2 | Jul 30, 2025 | Huazhong University of Science and Technology |
| NCT07005752 | Phase 4 | Jul 28, 2025 | Myungmoon Pharm. Co. |
| NCT07110987 | N/A | Jun 26, 2025 | Tishreen University |
| NCT06922669 | N/A | Jun 24, 2025 | Government of China, Huazhong University of Science and Technology, People's Liberation Army of China, Shandong University, Tianjin Medical University |
| NCT07068191 | N/A | Jun 19, 2025 | Phenomen Pharma |
| NCT06827873 | N/A | Feb 28, 2025 | Tsinghua University |
| NCT06842472 | Phase 2 | Feb 28, 2025 | Chinese Academy of Medical Sciences |
| NCT06684106 | N/A | Nov 11, 2024 | Jiao Tong University |
| NCT06610760 | Phase 4 | Nov 1, 2024 | Air Force Military Medical University, China, People's Liberation Army of China |
| NCT06443606 | Phase 3 | Sep 30, 2024 | Assistance Publique - Hôpitaux de Paris |
| NCT06591468 | Phase 2/Phase 3 (Phase 3) | Sep 15, 2024 | People's Liberation Army of China |
| NCT06591455 | Early Phase 1 (Phase 1) | Sep 15, 2024 | People's Liberation Army of China |
| NCT06517862 | Phase 4 | Sep 1, 2024 | Ain Shams University, Egyptian Chinese University, Future University in Egypt |
| NCT06294847 | Phase 3 | Jul 31, 2024 | University of Versailles |
| NCT06755541 | Phase 3 | Jan 30, 2024 | People's Liberation Army of China |
Organizations
Research & Development (190)
Marketing (35)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AbbVie | For profit | MKTG | Dec 10, 1997 |
| Abhai LLC | For profit | MKTG | May 17, 2018 |
| Allergan | For profit | MKTG | Dec 31, 1987 |
| Allergan | For profit | NDA2 | Dec 31, 1987 |
| Amneal Pharmaceuticals | For profit | MKTG | Oct 16, 2018 |
| Amylyx Pharmaceuticals Inc. | For profit | NDA2 | Sep 29, 2022 |
| Apicore | For profit | MKTG | Jul 28, 2021 |
| Aurobindo Pharma | For profit | MKTG | Nov 28, 2022 |
| Chartwell Pharmaceuticals | For profit | MKTG | Aug 17, 2020 |
| Ciba-Geigy | For profit | NDA | — |
| Epic Pharma Llc | For profit | MKTG | Mar 14, 2000 |
| Epic Pharma Llc | For profit | SYN | Aug 14, 2024 |
| Eywa Pharma | For profit | MKTG | Oct 30, 2019 |
| Glenmark Pharmaceuticals | For profit | MKTG | Jul 12, 2011 |
| Glenmark Pharmaceuticals | For profit | SYN | Jul 12, 2011 |
| HIBROW HLTHCARE | For profit | MKTG | Oct 30, 2019 |
| Impax Laboratories | For profit | MKTG | Jul 27, 2006 |
| LGM Pharma | For profit | MKTG | May 8, 2020 |
| Lannett Company, Inc. | For profit | MKTG | Dec 15, 2008 |
| Mylan | For profit | MKTG | Feb 17, 2010 |
| Nexgen Pharma, Inc | For profit | MKTG | May 8, 2020 |
| PH HEALTH | For profit | MKTG | Feb 14, 2013 |
| Par Pharmaceuticals | For profit | MKTG | Feb 14, 2013 |
| Quagen Pharma | For profit | MKTG | Feb 17, 2010 |
| Rising Pharmaceuticals | For profit | MKTG | Feb 12, 2020 |
| SmithKline Beecham | For profit | NDA2 | Dec 10, 1997 |
| Strides Pharma Science | For profit | MKTG | Aug 20, 2020 |
| Teva | For profit | SYN | Dec 31, 1987 |
| Teva | For profit | MKTG | May 25, 2000 |
| Teva | For profit | SYN | May 13, 2009 |
| Teva | For profit | NDA2 | Dec 31, 1987 |
| Upsher-Smith Laboratories | For profit | MKTG | Aug 17, 2020 |
| Vgyaan | For profit | MKTG | Jul 28, 2021 |
| Zydus Discovery DMCC | For profit | MKTG | Oct 30, 2018 |
| Zydus Discovery DMCC | For profit | SYN | Oct 30, 2018 |