valaciclovir
Trade name: Valtrex
Approved
Jun 23, 1995
Valaciclovir, also spelled valacyclovir, is an antiviral medication used to treat outbreaks of herpes simplex or herpes zoster (shingles). It is also used to prevent cytomegalovirus following a kidney transplant in high risk cases. It is taken by mouth. — Wikipedia
Clinical trial activity
124 trials · 118 clinical orgs · 27 marketing orgs
Earliest trial started Jan 1, 1997 (NCT00006131)
Timeline
1990s
- Jun 23, 1995
Earliest FDA Approval
- Jun 23, 1995
GlaxoSmithKline — NDA Secondary Org
- Jan 1, 1997
Earliest Phase 3 Sponsor(trial)
- Jan 1, 1998
Earliest Phase 1 Sponsor(trial)
2000s
- Jan 1, 2001
Earliest Phase 2 Sponsor(trial)
- Jan 31, 2007
Sun Pharmaceuticals — Marketing Organization
2010s
- May 24, 2010
Atlantide Pharmaceuticals — Marketing Organization
- May 24, 2010
Hikma — Marketing Organization
- May 24, 2010
Chartwell Pharmaceuticals — Marketing Organization
- May 24, 2010
Aurobindo Pharma — Marketing Organization
- May 24, 2010
Cipla — Marketing Organization
- May 24, 2010
Mylan — Marketing Organization
- May 24, 2010
Sandoz — Marketing Organization
- May 24, 2010
Teva — Marketing Organization
- May 24, 2010
Time-Cap Labs Inc — Marketing Organization
- May 24, 2010
West-Ward Pharmaceutical — Marketing Organization
- May 24, 2010
Wockhardt — Marketing Organization
- May 24, 2010
Novartis — Marketing Organization
- May 24, 2010
Adaptis Pharma — Marketing Organization
- May 24, 2010
Graviti Pharmaceuticals — Marketing Organization
- May 24, 2010
AiPing Pharm Inc — Marketing Organization
- May 24, 2010
PHARMOBEDIENT — Marketing Organization
- May 24, 2010
Rising Pharmaceuticals — Marketing Organization
- Mar 16, 2011
Watson Pharmaceuticals — Marketing Organization
- Apr 3, 2012
Jubilant Innovation Ltd. — Marketing Organization
- Apr 4, 2014
Apotex — Marketing Organization
- Apr 8, 2015
Hetero Labs Ltd — Marketing Organization
- Dec 29, 2017
Zydus Discovery DMCC — Marketing Organization
- Dec 29, 2017
Cadila Healthcare — Marketing Organization
2020s
- Mar 18, 2020
Yiling Pharmaceutical Inc. — Marketing Organization
Indications
Studied for
- Abscess · Phase 4
- Acute Pain · Phase 2
- Alzheimer Disease · Phase 2
- Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis · Phase 2
- Astrocytoma · Phase 2
- Bell Palsy · Phase 4
- Bipolar Disorder · Phase 2
- Bone Marrow Transplantation · Phase 1
- Brain Neoplasms · Phase 1
- Breast Neoplasms · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 2
- Chronic Pain · Phase 1
- Cognitive Dysfunction · Phase 2
- COVID-19 · Phase 2
- Critical Illness · Phase 2
- Cytomegalovirus Infections · Phase 4
- Encephalitis · Phase 3
- Ependymoma · Phase 1
- Epstein-Barr Virus Infections · Phase 2
- Esophageal Achalasia · Phase 4
- Glioblastoma · Phase 2
- Glioma · Phase 2
- Healthy Volunteers · Phase 1
- Hepatitis C, Chronic · Phase 2
- Herpes Simplex · Phase 4
- Herpesviridae Infections · Phase 4
- Herpesvirus 2, Human · Phase 1
- Herpesvirus 4, Human · Phase 2
- Herpes Zoster Ophthalmicus · Phase 4
- HIV · Phase 3
- HIV Infections · Phase 4
- Infections · Phase 4
- Infectious Mononucleosis · Phase 1/Phase 2
- Leukemia · Phase 2
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 2
- Lung Neoplasms · Phase 2
- Melanoma · Phase 2
- Meningitis, Viral · Phase 4
- Mesothelioma · Phase 1
- Neoplasms · Phase 3
- Neuralgia, Postherpetic · Phase 3
- Ovarian Neoplasms · Phase 1
- Pancreatic Neoplasms · Phase 1/Phase 2
- Periodontitis · Early Phase 1
- Pharmacological and Toxicological Phenomena · Phase 1
- Pleural Effusion, Malignant · Phase 1
- Pregnant People · Phase 3
- Prostatic Neoplasms · Phase 3
- Psychotic Disorders · Phase 4
- Pulmonary Disease, Chronic Obstructive · Phase 2
- Quality of Life · Phase 1
- Schizophrenia · Phase 4
- Sexually Transmitted Diseases · Phase 3
- Small Cell Lung Carcinoma · Phase 2
- Stomatitis, Herpetic · Phase 2
- Transplantation · Phase 2
- Urinary Bladder, Overactive · Phase 1
- Urinary Incontinence, Urge · Phase 1
- Varicella Zoster Virus Infection · Phase 4
- Waldenstrom Macroglobulinemia · Phase 2
Mechanism of action
- Human herpesvirus 1 DNA polymeraseINHIBITOR
Human herpesvirus 1 DNA polymerase inhibitor
Approval history
- approvedJun 23, 1995
Chemistry & pharmacology
SMILES
CC(C)[C@H](N)C(=O)OCCOCn1cnc2c(=O)nc(N)[nH]c21- Mol. weight
- 324.34 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
- ChEMBLCHEMBL1349 ↗
- WikipediaValaciclovir ↗
- ChEMBLCHEMBL1201110 ↗
Also known as
- 2-((2-amino-1,6-dihydro-6-oxo-9h-purin-9-yl)methoxy)ethyl l-valinate
- 256u
- 256u87
- 256u87 hcl
- 256u87 hcl
- acyclovir, l-valyl ester
- bw256u87
- l-valine, 2-((2-amino-1,6-dihydro-6-oxo-9h-purin-9-yl)methoxy)ethyl ester
- l-valine, 2-((2-amino-1,6-dihydro-6-oxo-9h-purin-9-yl)methoxy)ethyl ester
- l-valine ester with 9-((2-hydroxyethoxy)methyl)guanine
- l-valine ester with 9-((2-hydroxyethoxy)methyl)guanine
- l-valylacyclovir
- valaciclovir
- valaciclovir
- valaciclovir
- valaciclovir
- valaciclovir
- valaciclovir
- valaciclovir
- valaciclovir
- valaciclovirum
- valaciclovirum
- valacyclovir
- valacyclovir
- valacyclovir
- valacyclovir
- valacyclovir
- valacyclovir
- valacyclovir
- valacyclovir
- valacyclovir, (d)-isomer
- valacyclovir, (dl)-isomer
- valacyclovir hcl
- valacyclovir hcl
- valacyclovir hcl
- valacyclovir hydrochloride
- valacyclovir hydrochloride
- valacyclovir hydrochloride
- valacyclovir hydrochloride
- valacyclovir hydrochloride
- valacyclovir hydrochloride, (dl)-isomer
- valacyclovir, (l)-isomer
- valacyclovir, x-hydrochloride, (d)-isomer
- valacyclovir, x-hydrochloride, (dl)-isomer
- valcivir
- valtrex
- valtrex
- valtrex
- valtrex
- valtrex
- zelitrex
- zelitrex
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07294547 | N/A | Nov 27, 2025 | National Taiwan University |
| NCT06914479 | Phase 1 | Nov 1, 2025 | University of Michigan |
| NCT07014397 | N/A | Nov 1, 2024 | University of Tehran |
| NCT06344195 | Phase 4 | Mar 27, 2024 | Dow University of Health Sciences, Duke University |
| NCT06316843 | Phase 2 | Oct 15, 2023 | Bateman Horne Center |
| NCT05712343 | Early Phase 1 (Phase 1) | May 25, 2023 | University of California, San Francisco |
| NCT05446571 | Phase 3 | Dec 31, 2022 | APHP - Hôpital Necker, Assistance Publique - Hôpitaux de Paris |
| NCT05550194 | Phase 4 | Dec 31, 2022 | Columbia University, Vanderbilt University |
| NCT05536349 | Phase 2 | Dec 20, 2022 | Loxo Oncology, The Leukemia and Lymphoma Society, University of Texas at Houston |
| NCT05452928 | Phase 4 | Oct 1, 2022 | Aalborg University |
| NCT05468619 | Phase 1 | Sep 23, 2022 | National Institute of Allergy and Infectious Diseases (NIAID) |
| NCT05492591 | Phase 2 | Aug 15, 2022 | China National Biotec Group Co., Ltd, Chinese Academy of Medical Sciences |
| NCT05266040 | Phase 2 | May 1, 2022 | University of California, San Francisco |
| NCT05094414 | Phase 1 | Jul 1, 2021 | Government of Taiwan, Hualien Tzu Chi General Hospital, Tzu Chi University |
| NCT04710030 | Phase 2 | Feb 1, 2021 | Alzheimer's Association, Columbia University |
| NCT04448392 | Phase 1 | Nov 30, 2020 | University of Alabama, Birmingham |
| NCT04165122 | Phase 2 | Nov 15, 2019 | Heidelberg ImmunoTherapeutics GmbH |
| NCT04081480 | N/A | Sep 30, 2019 | Radboud University |
| NCT03626376 | Phase 4 | Oct 31, 2018 | New York University |
| NCT03699904 | Phase 2 | Oct 11, 2018 | Northern Ireland Clinical Trials Unit, Queen's University, Belfast |
Organizations
Research & Development (118)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| GlaxoSmithKline | For profit | 18 | 8 | 5 | 2001 |
| University of Washington | Academic/Hospital | 11 | 11 | 5 | 2002 |
| Candel Therapeutics | For profit | 9 | 8 | 3 | 2005 |
| Glaxo Wellcome | For profit | 6 | 4 | 3 | 1999 |
| Stanley Medical Research Institute | Academic/Hospital | 6 | 0 | 2 | 2005 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 5 | 5 | 2 | 1997 |
| University of Texas at Houston | Academic/Hospital | 5 | 4 | 1 | 2003 |
| Methodist Cancer Center, Houston, Texas | Academic/Hospital | 4 | 3 | 1 | 2007 |
| National Institutes of Health (NIH) | Government | 4 | 0 | 2 | 2003 |
| Ohio State University | Academic/Hospital | 4 | 0 | 2 | 2005 |
| Astellas | For profit | 3 | 3 | 2 | 2007 |
| Columbia University | Academic/Hospital | 3 | 2 | 2 | 2018 |
| Department of Veteran Affairs | Government | 3 | 3 | 2 | 2010 |
| Kendle International Inc. | For profit | 3 | 0 | 1 | 2005 |
| Mylan | For profit | 3 | 3 | 1 | 2005 |
| PRACS | For profit | 3 | 0 | 2 | 2005 |
| Radboud University | Academic/Hospital | 3 | 3 | 3 | 2012 |
| University of Pittsburgh | Academic/Hospital | 3 | 3 | 3 | 2007 |
| University of Toronto | Academic/Hospital | 3 | 3 | 2 | 2010 |
| Asociación Civil Impacta Salud y Educación, Peru | Academic/Hospital | 2 | 0 | 1 | 2003 |
Marketing (33)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Adaptis Pharma | For profit | MKTG | May 24, 2010 |
| AiPing Pharm Inc | For profit | MKTG | May 24, 2010 |
| Apotex | For profit | SYN | Apr 4, 2014 |
| Apotex | For profit | MKTG | Apr 4, 2014 |
| Atlantide Pharmaceuticals | For profit | MKTG | May 24, 2010 |
| Aurobindo Pharma | For profit | MKTG | May 24, 2010 |
| Cadila Healthcare | For profit | MKTG | Dec 29, 2017 |
| Chartwell Pharmaceuticals | For profit | MKTG | May 24, 2010 |
| Cipla | For profit | MKTG | May 24, 2010 |
| Glaxo Wellcome | For profit | NDA | — |
| GlaxoSmithKline | For profit | NDA2 | Jun 23, 1995 |
| Graviti Pharmaceuticals | For profit | MKTG | May 24, 2010 |
| Hetero Labs Ltd | For profit | MKTG | Apr 8, 2015 |
| Hikma | For profit | MKTG | May 24, 2010 |
| Hikma | For profit | SYN | May 24, 2010 |
| Jubilant Innovation Ltd. | For profit | MKTG | Apr 3, 2012 |
| Mylan | For profit | MKTG | May 24, 2010 |
| Mylan | For profit | SYN | May 24, 2010 |
| Novartis | For profit | MKTG | May 24, 2010 |
| PHARMOBEDIENT | For profit | MKTG | May 24, 2010 |
| Rising Pharmaceuticals | For profit | MKTG | May 24, 2010 |
| Sandoz | For profit | MKTG | May 24, 2010 |
| Sun Pharmaceuticals | For profit | MKTG | Jan 31, 2007 |
| Teva | For profit | MKTG | May 24, 2010 |
| Time-Cap Labs Inc | For profit | MKTG | May 24, 2010 |
| Watson Pharmaceuticals | For profit | MKTG | Mar 16, 2011 |
| West-Ward Pharmaceutical | For profit | MKTG | May 24, 2010 |
| Wockhardt | For profit | SYN | May 24, 2010 |
| Wockhardt | For profit | MKTG | May 24, 2010 |
| Yiling Pharmaceutical Inc. | For profit | MKTG | Mar 18, 2020 |
| Yiling Pharmaceutical Inc. | For profit | SYN | Mar 18, 2020 |
| Zydus Discovery DMCC | For profit | MKTG | Dec 29, 2017 |
| Zydus Discovery DMCC | For profit | SYN | Dec 29, 2017 |