terlipressin
Trade name: Terlivaz
Approved
Sep 14, 2022
Terlipressin, sold under the brand name Terlivaz among others, is an analogue of vasopressin used as a vasoactive drug in the management of low blood pressure. It has been found to be effective when norepinephrine does not help. Terlipressin is a vasopressin receptor agonist. — Wikipedia
Clinical trial activity
81 trials · 77 clinical orgs · 2 marketing orgs
Earliest trial started Feb 1, 2002 (NCT00287664)
Timeline
2000s
2020s
- Sep 14, 2022
International Minerals and Chemical Corporation — Earliest FDA Approval
- Sep 14, 2022
Mallinckrodt — Marketing Organization
- Sep 14, 2022
International Minerals and Chemical Corporation — NDA Secondary Org
- Sep 14, 2022
International Minerals and Chemical Corporation — NDA Organization
Indications
Studied for
- Acute Kidney Injury · Phase 4
- Acute-On-Chronic Liver Failure · Phase 2/Phase 3
- Ascites · Phase 3
- Blood Loss, Surgical · Phase 2
- Blood Pressure · Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Endoscopy · Phase 3
- Esophageal and Gastric Varices · Phase 4
- Fibrosis · Phase 4
- Hematemesis · Phase 4
- Hemodynamics · Phase 2
- Hemoptysis · Phase 3
- Hemorrhage · Phase 4
- Hepatorenal Syndrome · Phase 4
- Hypertension, Portal · Phase 4
- Intestinal Neoplasms · Phase 4
- Kidney Diseases · Phase 4
- Lipocalins · Phase 4
- Liver · Phase 2
- Liver Cirrhosis · Phase 4
- Liver Failure · Phase 3
- Liver Transplantation · Phase 4
- Melena · Phase 4
- Pharmacological and Toxicological Phenomena · Phase 3
- Renal Insufficiency · Phase 2
- Sepsis · Phase 3
- Shock · Phase 3
- Shock, Septic · Phase 4
- Terlipressin · Phase 4
Mechanism of action
- Vasopressin receptorAGONIST
Vasopressin receptor agonist
- Vasopressin V2 receptorBINDING AGENT
Vasopressin V2 receptor binding agent
- Vasopressin V1 receptorBINDING AGENT
Vasopressin V1 receptor binding agent
Approval history
- approvedPriority reviewFast trackSep 14, 2022
Chemistry & pharmacology
SMILES
NCCCC[C@H](NC(=O)[C@@H]1CCCN1C(=O)[C@@H]1CSSC[C@H](NC(=O)CNC(=O)CNC(=O)CN)C(=O)N[C@@H](Cc2ccc(O)cc2)C(=O)N[C@@H](Cc2ccccc2)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(N)=O)C(=O)N1)C(=O)NCC(N)=O- Mol. weight
- 1227.4 g/mol
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
- Multi-specific
- No
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaTerlipressin ↗
- ChEMBLCHEMBL2135460 ↗
Also known as
- glipressin
- glycylpressin
- glycylpressin
- gly-gly-gly-8-lys-vasopressin
- glypressin
- glypressin
- n-(alpha)-glycyl-glycyl-glycyl-8-lysine vasopressin
- n-(n- (n-glycylglycyl)glycyl)-8-l-lysinevasopressin
- remestyp
- remestyp
- terlipressin
- terlipressin
- terlipressin
- terlipressin
- terlipressin
- terlipressin
- terlipressin
- terlipressin
- terlipressin
- terlipressina
- terlipressina
- terlipressin acetate
- terlipressin acetate
- terlipressine
- terlipressine
- terlipressinum
- terlipressinum
- terlypressin
- tglvp
- triglycyl-(8-lysine)vasopressin
- triglycyl-8-lysine-vasopressin
- triglycyl lysine vasopressin
- triglycylvasopressin
- variquel
- vasopressin, tri-gly-8-lys-
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07304466 | N/A | Dec 29, 2025 | Istanbul Medipol University |
| NCT07252401 | N/A | Dec 25, 2025 | People's Liberation Army of China |
| NCT06855758 | N/A | Mar 1, 2025 | Capital Medical University |
| NCT06815770 | Phase 2/Phase 3 (Phase 3) | Feb 10, 2025 | Institute of Liver and Biliary Sciences, India |
| NCT06556472 | N/A | Aug 15, 2024 | Institute of Liver and Biliary Sciences, India |
| NCT06256432 | Phase 2 | Apr 17, 2024 | Noorik Biopharmaceuticals AG |
| NCT06027970 | Phase 3 | Sep 30, 2023 | Postgraduate Institute of Medical Education and Research |
| NCT06108362 | Phase 4 | Aug 18, 2023 | Tsinghua University |
| NCT05875948 | Phase 2 | Jun 30, 2023 | River 3 Renal Corp. |
| NCT05207280 | Phase 3 | May 31, 2022 | Fundación Pública Andaluza, Hospital Universitario Virgen Macarena |
| NCT05315557 | N/A | Apr 5, 2022 | Institute of Liver and Biliary Sciences, India |
| NCT05170230 | N/A | Feb 27, 2022 | Wael El-Banna Clinic Cairo Egypt |
| NCT05242783 | N/A | Feb 1, 2022 | Wael El-Banna Clinic Cairo Egypt |
| NCT05266534 | N/A | Dec 30, 2021 | Wael El-Banna Clinic Cairo Egypt |
| NCT05154279 | N/A | Dec 27, 2021 | Wael El-Banna Clinic Cairo Egypt |
| NCT04961528 | Phase 3 | Nov 1, 2021 | Assistance Publique - Hôpitaux de Paris, Government of France, Hôpital Européen Georges-Pompidou |
| NCT05080543 | Phase 1 | Oct 31, 2021 | Cairo University |
| NCT04819568 | N/A | Jun 25, 2021 | Institute of Liver and Biliary Sciences, India |
| NCT04460560 | Phase 3 | Dec 11, 2020 | University of Pennsylvania |
| NCT04353193 | Phase 4 | Jun 30, 2020 | University of Barcelona |
Organizations
Research & Development (77)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Institute of Liver and Biliary Sciences, India | Academic/Hospital | 12 | 12 | 2 | 2012 |
| University of Barcelona | Academic/Hospital | 5 | 4 | 3 | 2002 |
| People's Liberation Army of China | Government | 4 | 2 | 2 | 2013 |
| Postgraduate Institute of Medical Education and Research | Academic/Hospital | 4 | 4 | 2 | 2009 |
| Wael El-Banna Clinic Cairo Egypt | Academic/Hospital | 4 | 4 | 1 | 2021 |
| Aga Khan University | Academic/Hospital | 3 | 3 | 2 | 2004 |
| Assiut University | Academic/Hospital | 3 | 3 | 1 | 2015 |
| Fudan University | Academic/Hospital | 3 | 3 | 3 | 2014 |
| Mallinckrodt | For profit | 3 | 2 | 1 | 2010 |
| Sun Yat-Sen University | Academic/Hospital | 3 | 3 | 2 | 2013 |
| Anhui Medical University | Academic/Hospital | 2 | 0 | 2 | 2013 |
| BioVie Inc. | For profit | 2 | 2 | 2 | 2017 |
| Cairo University | Academic/Hospital | 2 | 2 | 2 | 2018 |
| Government of Taiwan | Government | 2 | 2 | 1 | 2006 |
| I-Shou University | Academic/Hospital | 2 | 1 | 1 | 2006 |
| Jiao Tong University | Academic/Hospital | 2 | 0 | 2 | 2013 |
| Mahidol University | Academic/Hospital | 2 | 2 | 2 | 2016 |
| Southeast University | Academic/Hospital | 2 | 1 | 2 | 2019 |
| Southern Medical University | Academic/Hospital | 2 | 1 | 2 | 2013 |
| University of Padova | Academic/Hospital | 2 | 2 | 1 | 2005 |
Marketing (3)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| International Minerals and Chemical Corporation | For profit | NDA2 | Sep 14, 2022 |
| International Minerals and Chemical Corporation | For profit | NDA | Sep 14, 2022 |
| Mallinckrodt | For profit | MKTG | Sep 14, 2022 |