nitazoxanide
Trade name: Alinia
Approved
Nov 22, 2002
Nitazoxanide, sold under the brand name Alinia among others, is a broad-spectrum antiparasitic and broad-spectrum antiviral medication that is used in medicine for the treatment of various helminthic, protozoal, and viral infections. It is indicated for the treatment of infection by Cryptosporidium parvum and Giardia lamblia in immunocompetent individuals and has been repurposed for the treatment of influenza. Nitazoxanide has also been shown to have in vitro antiparasitic activity and clinical treatment efficacy for infections caused by other protozoa and helminths; evidence as of 2014 suggested that it possesses efficacy in treating a number of viral infections as well. — Wikipedia
Clinical trial activity
111 trials · 168 clinical orgs · 4 marketing orgs
Earliest trial started Oct 1, 1995 (NCT00002444)
Timeline
1990s
2000s
2020s
- Nov 27, 2020
Rising Pharmaceuticals — Marketing Organization
- Feb 3, 2025
Ani Pharmaceuticals — Marketing Organization
- Apr 15, 2025
Annora Pharma — Marketing Organization
Indications
Approved for
Studied for
- Acute-On-Chronic Liver Failure · Phase 1
- Adenoviridae Infections · Phase 2/Phase 3
- Amebiasis · Phase 3
- Arthritis, Rheumatoid · Phase 3
- Ascites · Phase 4
- Bronchiolitis · Phase 2
- Caliciviridae Infections · Phase 2/Phase 3
- Clostridioides difficile · Phase 2
- Clostridium Infections · Phase 3
- Cognition Disorders · Phase 2/Phase 3
- Colitis, Ulcerative · Phase 2
- Colorectal Neoplasms · Phase 3
- Coronavirus · Phase 2
- Coronavirus Infections · Phase 4
- COVID-19 · Phase 4
- Crohn Disease · Phase 2
- Cryptosporidiosis · Phase 3
- Diabetes Mellitus, Type 2 · Phase 4
- Diarrhea · Phase 3
- Dyspepsia · Phase 3
- Enterocolitis, Pseudomembranous · Phase 3
- Enterovirus · Phase 3
- Fatty Liver · Phase 2
- Gastritis · Phase 3
- Gastroenteritis · Phase 2
- Growth Disorders · Phase 2/Phase 3
- Helicobacter Infections · Phase 3
- Helicobacter pylori · Phase 3
- Helminthiasis · Phase 1/Phase 2
- Hepatic Encephalopathy · Phase 3
- Hepatitis B, Chronic · Phase 2
- Hepatitis C · Phase 2/Phase 3
- Hepatitis C, Chronic · Phase 4
- HIV Infections · Phase 3
- Influenza, Human · Phase 3
- Intestinal Diseases · Phase 2/Phase 3
- Irritable Bowel Syndrome · Phase 4
- Kidney Diseases · Phase 1
- Kidney Failure, Chronic · Phase 1
- Liver Cirrhosis · Phase 4
- Liver Diseases · Phase 1
- Lung Diseases · Phase 3
- Malnutrition · Phase 2/Phase 3
- Neoplasms · Phase 2
- Non-alcoholic Fatty Liver Disease · Phase 2
- Periodontitis · Phase 2
- Peritonitis · Phase 4
- Pharmacokinetics · Phase 3
- Pneumonia · Phase 2
- Pneumonia, Viral · Phase 2
- Protozoan Infections · Phase 1/Phase 2
- Rhinovirus · Phase 3
- Rotavirus Infections · Phase 2/Phase 3
- SARS-CoV-2 · Phase 2/Phase 3
- Severe Acute Respiratory Syndrome · Phase 2
- Sexually Transmitted Diseases · Phase 2/Phase 3
- Tuberculosis · Phase 2
Mechanism of action
- Pyruvate:ferredoxin oxidoreductaseINHIBITOR
PFOR inhibitor
- Pyruvate:ferredoxin oxidoreductaseINHIBITOR
Pyruvate:ferredoxin oxidoreductase inhibitor
Approval history
- approvedPriority reviewNov 22, 2002
Chemistry & pharmacology
SMILES
CC(=O)Oc1ccccc1C(=O)Nc1ncc([N+](=O)[O-])s1- Mol. weight
- 307.29 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
- WikipediaNitazoxanide ↗
- ChEMBLCHEMBL1401 ↗
Also known as
- 2-(acetolyloxy)-n-(5-nitro-2-thiazolyl)benzamide
- adrovet
- adrovet
- alinia
- alinia
- alinia
- alinia
- colufase
- columbia brand 1 of nitazoxanide
- columbia brand 2 of nitazoxanide
- columbia brand 3 of nitazoxanide
- cryptaz
- daxon
- heliton
- nitaxozanid
- nitaxozanid
- nitaxozanide
- nitaxozanide
- nitazode
- nitazoxanida
- nitazoxanida
- nitazoxanida
- nitazoxanide
- nitazoxanide
- nitazoxanide
- nitazoxanide
- nitazoxanide
- nitazoxanide
- nitazoxanide
- nitazoxanide
- nitazoxanide
- nitazoxanide
- nitazoxanide
- nitazoxanidum
- nitazoxanidum
- nizonide
- nodik
- nodik
- ntz
- omniparax
- omniparax
- ph-5776
- ph-5776
- romark brand 1 of nitazoxanide
- romark brand 2 of nitazoxanide
- taenitaz
- xerovirinc
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07110441 | Phase 1 | Aug 26, 2025 | Genfit |
| NCT07010744 | N/A | Jun 30, 2025 | Dhaka Medical College |
| NCT06993974 | Phase 2 | May 30, 2025 | Alexandria University, Kafrelsheikh University |
| NCT06817096 | Phase 3 | Feb 28, 2025 | Azidus, Farmoquimica S.A. |
| NCT07086937 | N/A | Jan 1, 2025 | RESnTEC, Institute of Research, Ziauddin University |
| NCT06600711 | Phase 3 | Nov 30, 2024 | Johns Hopkins University, National Institute of Allergy and Infectious Diseases (NIAID) |
| NCT06560853 | N/A | Feb 27, 2024 | Medical Research Council, Stellenbosch University, United States Agency for International Development, University of London, University of Virginia |
| NCT07312721 | Phase 4 | Jan 5, 2024 | Shahida Islam Medical Complex |
| NCT06010992 | Phase 2 | Oct 1, 2023 | Menoufia University, Tanta University |
| NCT05897034 | Phase 2/Phase 3 (Phase 3) | Jun 20, 2023 | Horus University, Tanta University |
| NCT06049901 | Phase 3 | Mar 1, 2023 | Tanta University |
| NCT05648422 | N/A | Jan 16, 2023 | Anahuac University |
| NCT05480878 | Phase 3 | Dec 2, 2022 | Tanta University |
| NCT05453916 | Phase 1/Phase 2 (Phase 2) | Jul 1, 2022 | Sadat City University |
| NCT05368935 | Phase 1 | Apr 25, 2022 | Genfit |
| NCT05157269 | Phase 3 | Jan 31, 2022 | Romark |
| NCT05157243 | Phase 3 | Jan 31, 2022 | Romark |
| NCT05116826 | Phase 1 | Nov 5, 2021 | Genfit |
| NCT04918927 | Phase 2 | Oct 12, 2021 | Government of Mexico, Hakken Enterprise, Instituto Mexicano del Seguro Social, National Polytechnic Institute, Mexico, Siegfried, Strides Pharma Science, Universidad Autonoma De Guadalajara, Mexico, University of London |
| NCT04920838 | Phase 2/Phase 3 (Phase 3) | Apr 12, 2021 | Alliance for International Medical Action, Centre Muraz, Government of France, Institut National de la Santé Et de la Recherche Médicale, France, Programme PACCI Abidjan, University of Barcelona, University of Bordeaux |
Organizations
Research & Development (168)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Romark | For profit | 29 | 29 | 3 | 1999 |
| Tanta University | Academic/Hospital | 20 | 17 | 3 | 2005 |
| Alexandria University | Academic/Hospital | 7 | 2 | 2 | 2004 |
| Cairo University | Academic/Hospital | 6 | 1 | 3 | 2005 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 6 | 5 | 2 | 1999 |
| Azidus | For profit | 5 | 5 | 3 | 2020 |
| Department of Veteran Affairs | Government | 5 | 1 | 2 | 2004 |
| Farmoquimica S.A. | For profit | 5 | 0 | 3 | 2020 |
| Cornell University | Academic/Hospital | 3 | 1 | 1 | 2007 |
| Genfit | For profit | 3 | 3 | 1 | 2021 |
| Mansoura University | Academic/Hospital | 3 | 2 | 1 | 2018 |
| National Institutes of Health (NIH) | Government | 3 | 1 | 2 | 2003 |
| University of Liverpool | Academic/Hospital | 3 | 1 | 2 | 2020 |
| University of Virginia | Academic/Hospital | 3 | 0 | 2 | 2017 |
| Al Azhar University | Academic/Hospital | 2 | 0 | 2 | 2014 |
| Anahuac University | Academic/Hospital | 2 | 2 | 1 | 2015 |
| Assiut University | Academic/Hospital | 2 | 1 | 2 | 2018 |
| ATCGen | For profit | 2 | 0 | 1 | 2020 |
| Atlanta Gastroenterology Associates | Academic/Hospital | 2 | 0 | 1 | 2007 |
| Baylor University | Academic/Hospital | 2 | 0 | 2 | 2004 |
Marketing (4)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Ani Pharmaceuticals | For profit | MKTG | Feb 3, 2025 |
| Annora Pharma | For profit | MKTG | Apr 15, 2025 |
| Rising Pharmaceuticals | For profit | MKTG | Nov 27, 2020 |
| Romark | For profit | NDA | Nov 22, 2002 |