terbinafine
Trade name: lamisil
Approved
Dec 30, 1992
Terbinafine (brand name Lamisil, Terbisil, Terboderm and others) is an antifungal medication used to treat ringworm and fungal nail infections. Terbinafine inhibits ergosterol synthesis by inhibiting squalene epoxidase, an enzyme that is part of the fungal cell membrane synthesis pathway. Because terbinafine prevents the conversion of squalene to lanosterol, ergosterol cannot be synthesized. This is thought to change cell membrane permeability, causing fungal cell lysis. Many side effects and adverse drug reactions have been reported with oral terbinafine hydrochloride possibly due to its extensive biodistribution and the often extended durations involved in antifungal treatment (longer than two months). — NCATS
Clinical trial activity
56 trials · 47 clinical orgs · 23 marketing orgs
Earliest trial started Nov 2, 1999 (NCT00002394)
Timeline
1990s
- Dec 30, 1992
Novartis — Earliest FDA Approval
- Dec 30, 1992
Novartis — NDA Secondary Org
- Dec 30, 1992
Novartis — NDA Organization
- Mar 9, 1999
GlaxoSmithKline — NDA Secondary Org
2000s
- Jan 1, 2002
- Jan 1, 2004
- May 19, 2004
Andrx — Marketing Organization
- Jan 1, 2005
Earliest Phase 2 Sponsor(trial)
- Mar 11, 2005
Gedeon Richter Ltd. — Marketing Organization
- Jun 27, 2005
Roxane Laboratories — Marketing Organization
- Jun 27, 2005
Boehringer Ingelheim — Marketing Organization
- Dec 13, 2005
Mylan — Marketing Organization
- Jul 2, 2007
Apotex — Marketing Organization
- Jul 2, 2007
Aurobindo Pharma — Marketing Organization
- Jul 2, 2007
Cipla — Marketing Organization
- Jul 2, 2007
Dr. Reddy's Laboratories — Marketing Organization
- Jul 2, 2007
Glenmark Pharmaceuticals — Marketing Organization
- Jul 2, 2007
Harris Laboratories, Incorporated — Marketing Organization
- Jul 2, 2007
Invagen Pharms — Marketing Organization
- Jul 2, 2007
Orchid Pharma — Marketing Organization
- Jul 2, 2007
Taro Pharmaceuticals — Marketing Organization
- Jul 2, 2007
Teva — Marketing Organization
- Jul 2, 2007
Wockhardt — Marketing Organization
- Jul 2, 2007
Emed Medcl — Marketing Organization
- Jul 2, 2007
Orbion Pharms — Marketing Organization
- Jul 2, 2007
Heritage Pharma — Marketing Organization
- Jul 2, 2007
Chartwell Pharmaceuticals — Marketing Organization
2010s
- Jun 4, 2010
Esteve Labs — Marketing Organization
Indications
Approved for
Studied for
- Axial Spondyloarthritis · Early Phase 1
- Colitis, Ulcerative · Phase 2
- Crohn Disease · Phase 2
- Dermatomycoses · Phase 3
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Drug Resistance, Fungal · Phase 1
- Erythema · Phase 1
- Fasting · Phase 1
- Healthy Volunteers · Phase 1
- Hepatitis B, Chronic · Phase 1/Phase 2
- Inflammatory Bowel Diseases · Phase 2
- Intestinal Diseases · Early Phase 1
- Mycoses · Phase 2
- Neoplasms · Phase 2
- Onychomycosis · Phase 4
- Platelet-Rich Plasma · Phase 3
- Psoriasis · Early Phase 1
- Spondylarthropathies · Early Phase 1
- Spondylitis, Ankylosing · Early Phase 1
- Tinea · Phase 2/Phase 3
- Tinea Capitis · Phase 3
- Tinea Cruris · Phase 2/Phase 3
- Tinea Pedis · Phase 3
Mechanism of action
- Squalene monooxygenaseANTAGONIST
SQLE antagonist
- Squalene monooxygenaseINHIBITOR
Squalene monooxygenase inhibitor
Approval history
- approvedDec 30, 1992
Chemistry & pharmacology
SMILES
CN(C/C=C/C#CC(C)(C)C)Cc1cccc2ccccc12- Mol. weight
- 291.44 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Topical
- Availability
- Over the Counter
Oral
Yes
Parenteral
No
Topical
Yes
Sources
- ChEMBLCHEMBL822 ↗
- WikipediaTerbinafine ↗
- NCATSG7RIW8S0XP ↗
- ChEMBLCHEMBL1200832 ↗
Also known as
- athlete's foot
- da 5505
- (e)-n-(6,6-dimethyl-2-hepten-4-ynyl)-n-methyl-1-naphthalene methanamine
- (e)-n-(6,6-dimethyl-2-hepten-4-ynyl)-n-methyl-1-naphthalene methanamine
- (e)-n-(6,6-dimethyl-2-hepten-4-ynyl)-n-methyl-1-naphthalenemethylamine
- (e)-n-(6,6-dimethyl-2-hepten-4-ynyl)-n-methyl-1-naphthalenemethylamine
- (e)-n-(6,6-dimethyl-2-heptenynyl)-n-methyl-1-naphthalenementhamin hydrochloride
- lamisil
- lamisil
- lamisil
- lamisil
- lamisil
- lamisil at
- lamisil at
- lamisil once
- mob015
- p-3058
- sf 86-327
- sf-86327
- sf-86327
- sf-86-327
- sf-86-327
- sf-86-327
- tdt067
- tdt-067
- terbinafina
- terbinafina
- terbinafine
- terbinafine
- terbinafine
- terbinafine
- terbinafine
- terbinafine
- terbinafine
- terbinafine
- terbinafine
- terbinafine
- terbinafine
- terbinafine hcl
- terbinafine hcl
- terbinafine hcl
- terbinafine hydrochloride
- terbinafine hydrochloride
- terbinafine hydrochloride
- terbinafine hydrochloride
- terbinafine hydrochloride
- terbinafine hydrochloride
- terbinafine, (z)-isomer
- terbinafinum
- terbinafinum
- terbinol
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07242703 | N/A | Dec 1, 2025 | Cairo University |
| NCT07152327 | N/A | Oct 1, 2025 | Assiut University |
| NCT07068256 | N/A | Apr 1, 2025 | RESnTEC, Institute of Research |
| NCT06400056 | Phase 1 | May 31, 2024 | Assiut University |
| NCT05881980 | Phase 2/Phase 3 (Phase 3) | May 31, 2023 | Dhaka Medical College |
| NCT05279846 | Phase 3 | May 9, 2022 | Moberg Pharma AB |
| NCT06295328 | Phase 1/Phase 2 (Phase 2) | Apr 13, 2022 | University of Amsterdam |
| NCT05578950 | Phase 1 | Mar 1, 2022 | Government of Pakistan |
| NCT05049525 | Phase 2 | Jan 31, 2022 | University of Montreal |
| NCT05135910 | Phase 2 | Dec 1, 2021 | Hallux, Inc., OrthoArizona, East Valley Foot & Ankle Specialists |
| NCT05128916 | Phase 3 | Dec 1, 2021 | Sohag University |
| NCT05119712 | Early Phase 1 (Phase 1) | Mar 9, 2021 | Oregon Health and Science University, The Malassezia Foundation |
| NCT04880980 | Phase 3 | Mar 1, 2021 | Government of Pakistan |
| NCT04188574 | Phase 2 | Jan 31, 2020 | Blueberry Therapeutics, IQVIA |
| NCT03999437 | Phase 2 | Jan 2, 2019 | United Laboratories Inc |
| NCT02019446 | N/A | Jul 1, 2018 | BCDiabetes.Ca, BritaMed, Inc., University of British Columbia |
| NCT03471455 | Phase 2 | Apr 30, 2018 | Postgraduate Institute of Medical Education and Research |
| NCT03244280 | Phase 1 | Dec 16, 2017 | Moberg Pharma AB |
| NCT06369675 | Phase 1 | Oct 19, 2017 | Moberg Pharma AB, TKL Research |
| NCT06369727 | Phase 1 | Oct 15, 2017 | Moberg Pharma AB |
Organizations
Research & Development (47)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Moberg Pharma AB | For profit | 8 | 8 | 3 | 2010 |
| Novartis | For profit | 7 | 7 | 2 | 1999 |
| PRACS | For profit | 4 | 0 | 2 | 2004 |
| Assiut University | Academic/Hospital | 3 | 3 | 3 | 2017 |
| Polichem S.A. | For profit | 3 | 3 | 1 | 2014 |
| Celtic Pharma Development Services | For profit | 2 | 2 | 2 | 2009 |
| Dr. Reddy's Laboratories | For profit | 2 | 2 | 1 | 2002 |
| Government of Pakistan | Government | 2 | 2 | 2 | 2021 |
| Mylan | For profit | 2 | 2 | 1 | 2004 |
| Nitric BioTherapeutics, Inc | For profit | 2 | 2 | 1 | 2010 |
| Novum Pharmaceutical Research Services | For profit | 2 | 0 | 1 | 2002 |
| PPD | For profit | 2 | 0 | 2 | 2009 |
| Roxane Laboratories | For profit | 2 | 2 | 1 | 2004 |
| SFBC Anapharm | For profit | 2 | 0 | 1 | 2002 |
| Teva | For profit | 2 | 2 | 1 | 2002 |
| Almirall | For profit | 1 | 0 | 1 | 2017 |
| Apricus Biosciences | For profit | 1 | 1 | 1 | 2005 |
| Bayer | For profit | 1 | 1 | 1 | 2009 |
| BCDiabetes.Ca | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Blueberry Therapeutics | For profit | 1 | 1 | 1 | 2020 |
Marketing (26)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Andrx | For profit | MKTG | May 19, 2004 |
| Apotex | For profit | MKTG | Jul 2, 2007 |
| Aurobindo Pharma | For profit | MKTG | Jul 2, 2007 |
| Boehringer Ingelheim | For profit | MKTG | Jun 27, 2005 |
| Chartwell Pharmaceuticals | For profit | MKTG | Jul 2, 2007 |
| Cipla | For profit | MKTG | Jul 2, 2007 |
| Dr. Reddy's Laboratories | For profit | MKTG | Jul 2, 2007 |
| Emed Medcl | For profit | MKTG | Jul 2, 2007 |
| Esteve Labs | For profit | MKTG | Jun 4, 2010 |
| Gedeon Richter Ltd. | For profit | MKTG | Mar 11, 2005 |
| GlaxoSmithKline | For profit | NDA2 | Mar 9, 1999 |
| GlaxoSmithKline | For profit | SYN | Oct 17, 1997 |
| Glenmark Pharmaceuticals | For profit | MKTG | Jul 2, 2007 |
| Harris Laboratories, Incorporated | For profit | MKTG | Jul 2, 2007 |
| Heritage Pharma | For profit | SYN | Jul 2, 2007 |
| Heritage Pharma | For profit | MKTG | Jul 2, 2007 |
| Invagen Pharms | For profit | MKTG | Jul 2, 2007 |
| Mylan | For profit | MKTG | Dec 13, 2005 |
| Novartis | For profit | NDA2 | Dec 30, 1992 |
| Novartis | For profit | NDA | Dec 30, 1992 |
| Orbion Pharms | For profit | MKTG | Jul 2, 2007 |
| Orchid Pharma | For profit | MKTG | Jul 2, 2007 |
| Roxane Laboratories | For profit | MKTG | Jun 27, 2005 |
| Taro Pharmaceuticals | For profit | MKTG | Jul 2, 2007 |
| Teva | For profit | MKTG | Jul 2, 2007 |
| Wockhardt | For profit | MKTG | Jul 2, 2007 |