Ireland
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Priya Life Science Compound trial record
Compound · clinical trials

Tolvaptan clinical trials

Also listed in trial records as Samsca
Source: ClinicalTrials.gov, U.S. National Library of Medicine — the 2 trials in our UK, USA, Germany, Spain, Belgium, Poland and Japan registers that name Tolvaptan as an intervention. Synced 12 Nov 2026
2Current trials
1Recruiting now
2Lead sponsors
7Country registers
At a glance

Tolvaptan is named as an intervention in 2 current clinical trials in our UK, USA, Germany, Spain, Belgium, Poland and Japan registers. 1 is recruiting patients now. The most common phase is Phase 3. The sponsor with the most trials is Otsuka Pharmaceutical Development & Commercialization, Inc (1). The most-studied condition is Autosomal Recessive Polycystic Kidney (ARPKD).

Where Tolvaptan is approved

All regulators →

Of the three regulators tracked here, the first to approve Tolvaptan was the US, on 19 May 2009. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
19 May 2009
Samsca
NDA022275 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
2 Aug 2009
Samsca
EMA product page
First centralised authorisation
CACanada (Health Canada)
25 Jul 2011
Samsca
Notice of Compliance 12536
First new-drug NOC
  • 1 EU orphan designation, most recently for treatment of autosomal dominant polycystic kidney disease (5 Aug 2013, withdrawn)

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

Tolvaptan patents and exclusivity

Expiry tracker →

Protections still running for marketed products containing Tolvaptan, as listed by the regulators. Expired patents and exclusivities, and discontinued products, are not shown.

US FDA Orange Book Jynarque, Samsca
  • 1 listed patent; the last listed expires 7 Apr 2030 (US 10905694).
See the Orange Book listing for NDA 204441
Patents and exclusivities above are pooled across 2 applications for this substance.

Reproduced from the FDA Orange Book and Purple Book (checked 8 Nov 2026) and the European Commission's Union Register of medicinal products (CC BY 4.0; the EU expiry date is calculated exactly as the Commission's register displays it). Listed patents and dates are as submitted to or published by the regulator and may not reflect litigation, invalidation, settlements, lapsed fees or later extensions. This is not legal advice or a freedom-to-operate opinion, and it does not say when a generic or biosimilar will launch.

What health systems spend on Tolvaptan

All medicines →
ENNHS England
£268k
231 items dispensed, Sep 2025 to Aug 2026
-23% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$164.4m
8,856 prescriptions in 2025 · Jynarque, Tolvaptan, Jynarque
+3% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Tolvaptan works

All drug targets →
  • Vasopressin V2 receptor antagonist Antagonist
    Target: AVPR2 arginine vasopressin receptor 2
    ✓ In ChEMBL and the Guide to Pharmacology
Other medicines acting on AVPR2
Diseases it has been tested for in clinical trials, by furthest phase
  • DyspneaPhase 3
  • Autosomal recessive polycystic kidney diseasePhase 3
  • Cardiac edemaPhase 3
  • Chronic kidney diseasePhase 3
  • Congestive heart failurePhase 3
  • EdemaPhase 3
  • AscitesPhase 2/3
  • CarcinomaPhase 2
  • Chronic renal failure syndromePhase 2

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL344159, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3.1), ligand 2226, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Tolvaptan

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 1 technology appraisal of Tolvaptan. 1 is current, and 1 of it recommends it for at least some patients.

AppraisalNICE recommendationPublishedStatus
Tolvaptan for treating autosomal dominant polycystic kidney disease
NICE TA358
Optimised28 Oct 2015Current

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Tolvaptan

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 11 products on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Jinarc, Samsca, Tolvaptan Accord (generic)
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Tolvaptan

ATC code
C03XA01
ChEMBL
CHEMBL344159
PubChem CID
216237
CAS number
150683-30-0
FDA UNII
21G72T1950
Wikidata
Q426132
Wikipedia
Tolvaptan

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

Trials by status

  • Recruiting150%
  • Active, closed150%

Trials by phase

  • Phase 3150%
  • Observational150%
01

Clinical trials of Tolvaptan

2 trials
StudyPhaseStatusLead sponsorRegisters
A Study to See if Tolvaptan is Safe in Infants and Children Who at Enrollment Are 28 Days to Less Than 18 Years Old With Autosomal Recessive Polycystic Kidney Disease (ARPKD)
NCT04782258 · Autosomal Recessive Polycystic Kidney (ARPKD)
Phase 3 Recruiting Otsuka Pharmaceutical Development & Commercialization, Inc UK, USA, Germany, Spain, Belgium, Poland
Samsca Post-marketing General Drug Use-results Survey in Patients With Hyponatremia in SIADH
NCT04790175 · ClinicalTrials.gov ↗ · Antidiuretic Hormone, Inappropriate Secretion
Observational Active, closed Otsuka Pharmaceutical Co., Ltd Japan

Registers list studies that are recruiting, about to open, active but closed to enrolment, or enrolling by invitation. The UK and USA registers cover industry-sponsored studies only. Trial titles and statuses are copied from the registry as published.

02

Tolvaptan across our data

Ireland · EU · US

The same active substance in our other registers, matched by its exact name. Each entry links to the register record it comes from.

Licensed in Ireland (HPRA)

11 single-substance products containing Tolvaptan on the HPRA medicines list.

All 11 Irish products →

Supply shortages

No entry for Tolvaptan in the EMA, FDA or German BfArM shortage lists we track.

03

Conditions studied with Tolvaptan

2 conditions
Autosomal Recessive Polycystic Kidney (ARPKD)1Antidiuretic Hormone, Inappropriate Secretion1
04

Sponsors

lead sponsor per trial
Lead sponsorTrials
Otsuka Pharmaceutical Development & Commercialization, Inc1
Otsuka Pharmaceutical Co., Ltd1
05

By country register

RegisterTrialsRecruiting
Clinical trials in UK11
Clinical trials in USA11
Clinical trials in Germany11
Clinical trials in Spain11
Clinical trials in Belgium11
Clinical trials in Poland11
Clinical trials in Japan10

A trial with sites in more than one country appears in each of those registers.

06

Questions about Tolvaptan trials

How many clinical trials are testing Tolvaptan?

2 current trials in our UK, USA, Germany, Spain, Belgium, Poland and Japan registers name Tolvaptan as a drug or biological intervention, as of the registry sync on 12 November 2026. Completed and withdrawn studies are not counted.

Are Tolvaptan trials recruiting patients?

Yes. 1 of the 2 trials is recruiting: 1 with sites in UK, 1 with sites in USA, 1 with sites in Germany, 1 with sites in Spain, 1 with sites in Belgium and 1 with sites in Poland. Eligibility and site contacts are on each trial's record. Only the study team can confirm whether a patient is eligible.

Who sponsors Tolvaptan clinical trials?

Otsuka Pharmaceutical Development & Commercialization, Inc (1) and Otsuka Pharmaceutical Co., Ltd (1). The number in brackets is how many trials each organisation leads.

Is Tolvaptan licensed in Ireland?

Yes. The HPRA medicines list includes 11 single-substance products containing Tolvaptan, for example Jinarc 15 mg tablets (Otsuka Pharmaceutical Netherlands B.V.). A licence does not mean a product is currently marketed or reimbursed; see each product's record.

Is there a Tolvaptan shortage?

Not in the lists we track: Tolvaptan has no entry in the EMA, FDA or German BfArM shortage registers as of their latest sync.

Where does this information come from?

Every trial, status, phase and sponsor on this page is copied from public ClinicalTrials.gov records by a daily sync. Nothing here describes how Tolvaptan works or whether it is effective, and it is not medical advice.

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How this page is built

Everything on this page is copied from public ClinicalTrials.gov registry records — it is not written from memory, and nothing here describes how Tolvaptan works or whether it is effective. Each trial links to its own record so you can check it yourself.

This page is built automatically: a daily sync job reads the registry records behind our country trial registers, collects every trial that lists Tolvaptan (or a registered synonym) as a drug or biological intervention, and tabulates the registry fields directly. Placebos and generic comparators are excluded. There is no AI drafting and no per-compound editorial pass, and the page has not been clinically reviewed. The “last verified” date above is the timestamp of that sync, not a review date. Our general editorial approach is described in our editorial standards and corrections policy. The ClinicalTrials.gov data on this page was last retrieved on 12 Nov 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.