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Zytiga

Abiraterone

An oral hormone therapy used to treat advanced prostate cancer.

CYP17 inhibitor
Generic name
Abiraterone
Brand name
Zytiga
Route
Oral
Marketed by
Janssen (Johnson & Johnson)
First FDA approval
28 Apr 2011

Where Abiraterone is approved

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Of the three regulators tracked here, the first to approve Abiraterone was the US, on 28 Apr 2011. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
28 Apr 2011
Zytiga
NDA202379 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
5 Sep 2011
Zytiga
EMA product page
First centralised authorisation
CACanada (Health Canada)
27 Jul 2011
Zytiga
Notice of Compliance 12519
First new-drug NOC

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.

Abiraterone patents and exclusivity

Expiry tracker →

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

US FDA Orange Book Yonsa, Zytiga
  • 2 listed patents; the last listed expires 20 May 2034 (US 10292990).
See the Orange Book listing for NDA 210308
Patents and exclusivities above are pooled across 2 applications for this substance.

Reproduced from the FDA Orange Book and Purple Book (checked 5 Oct 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 Abiraterone

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ENNHS England
£48k
35 items dispensed, Aug 2025 to Jul 2026
+29% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$18.8m
19,439 prescriptions in 2025 · Zytiga, Abiraterone, abiraterone acetate
-30% 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 Abiraterone works

All drug targets →
  • Cytochrome P450 17A1 inhibitor Inhibitor
    Target: CYP17A1 cytochrome P450 family 17 subfamily A member 1
    ChEMBL only
Diseases it has been tested for in clinical trials, by furthest phase
  • Prostate adenocarcinomaPhase 2/3
  • Cushing syndromePhase 2
  • Adrenal cortex carcinomaPhase 2
  • Bone metastasisPhase 2
  • Breast cancerPhase 2
  • CancerPhase 2
  • Classic congenital adrenal hyperplasia due to 21-hydroxylase deficiencyPhase 2
  • Congenital adrenal hyperplasiaPhase 2
  • Non-small cell lung carcinomaPhase 2
  • Salivary duct carcinomaPhase 2
15 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL271227, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 9288, 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 Abiraterone

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NICE, which decides whether the NHS in England should fund new medicines, has published 4 technology appraisals of Abiraterone. 3 are current, and 3 of these recommend it for at least some patients. 1 older appraisal was replaced or withdrawn.

AppraisalNICE recommendationPublishedStatus
Abiraterone (originator and generics) for treating newly diagnosed high-risk hormone‑sensitive metastatic prostate cancer
NICE TA1110
Recommended19 Nov 2025Current
Abiraterone for treating metastatic hormone-relapsed prostate cancer before chemotherapy is indicated
NICE TA387
Recommended27 Apr 2016
Updated 27 Jul 2016
Current
Abiraterone for castration-resistant metastatic prostate cancer previously treated with a docetaxel-containing regimen
NICE TA259
Recommended27 Jun 2012
Updated 27 Jul 2016
Current

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 Abiraterone

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

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 Abiraterone

ChEMBL
CHEMBL271227
PubChem CID
9821849
CAS number
154229-18-2
FDA UNII
EM5OCB9YJ6
Wikidata
Q27888393
Wikipedia
Abiraterone acetate

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.

What Zytiga is used for

ZYTIGA is indicated in combination with prednisone for the treatment of patients with Metastatic castration-resistant prostate cancer (CRPC) Metastatic high-risk castration-sensitive prostate cancer (CSPC) ZYTIGA is a CYP17 inhibitor indicated in combination with prednisone for the treatment of patients with metastatic castration-resistant prostate cancer (CRPC). ( 1 ) metastatic high-risk castration-sensitive prostate cancer (CSPC). ( 1 )

How it works

12.1 Mechanism of Action Abiraterone acetate (ZYTIGA) is converted in vivo to abiraterone, an androgen biosynthesis inhibitor, that inhibits 17 α-hydroxylase/C17,20-lyase (CYP17). This enzyme is expressed in testicular, adrenal, and prostatic tumor tissues and is required for androgen biosynthesis. CYP17 catalyzes two sequential reactions: 1) the conversion of pregnenolone and progesterone to their 17α-hydroxy derivatives by 17α-hydroxylase activity and 2) the subsequent formation of dehydroepiandrosterone (DHEA) and androstenedione, respectively, by C17, 20 lyase activity. DHEA and androstenedione are androgens and are precursors of testosterone. Inhibition of CYP17 by abiraterone can also…

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 5 Oct 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.