Asset profile

Tolvaptan · Samsca / Jinarc

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: Chronic Kidney Disease (label: rapidly progressing autosomal dominant polycystic kidney disease)

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

track record: Reliable signal

Also in development:Heart Failure · Phase 3

How the evidence outlook works ↗

Competitive landscape

109 competitors in this universe: 1 direct rival (same mechanism and indication), 0 same-class, 108 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Tolvaptan (Samsca / Jinarc): this drugApprovedSmall moleculeVasopressin V2 receptor
OPC-61815Phase 3Small moleculeVasopressin V2 receptor
Atrasentan (Vanrafia)ApprovedSmall moleculeEndothelin A receptor
Avacopan (Tavneos)ApprovedSmall moleculeComplement C5a receptor 1 (C5aR1/CD88)
Baxdrostat (Baxfendy)ApprovedSmall moleculeAldosterone synthase (CYP11B2)
Budesonide (targeted-Release) (TARPEYO / Nefecon)ApprovedSmall moleculeGlucocorticoid receptor
Canagliflozin (Invokana)ApprovedSmall moleculeSGLT2
Dapagliflozin (Farxiga / Forxiga)ApprovedSmall moleculeSGLT2
Daprodustat (Jesduvroq)ApprovedSmall moleculeHIF prolyl hydroxylase (HIF-PH1/2/3)
Difelikefalin (Korsuva)ApprovedPeptideKappa-opioid receptor (agonist, peripherally restricted)
Empagliflozin (Jardiance)ApprovedSmall moleculeSGLT2
Etelcalcetide (Parsabiv)ApprovedPeptideCalcium-sensing receptor (CaSR), allosteric agonist on parathyroid chief cells
Extended-Release Calcifediol (Rayaldee)ApprovedSmall moleculeVitamin D receptor (VDR), via conversion to calcitriol
Ferric Carboxymaltose (Injectafer / Ferinject)ApprovedIron Complex (iv)Iron repletion
Ferric Derisomaltose (Monoferric / Monofer)ApprovedIron Complex (iv)Iron repletion
Ferric Pyrophosphate Citrate (Triferic)ApprovedSmall moleculeIron-replacement therapy delivered via dialysate

…and 94 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

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Upcoming events

(1 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2028 (1)
July 2028 (1)
Phase 3Autosomal Recessive Polycystic Kidney (ARPKD)Recruiting
Est. primary completion 2028-07-31 · NCT04782258 · CT.gov ↗
What to watch
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All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (35)
Phase 2/3 (2)
Phase 2 (23)
Phase 1/2 (1)
Phase 1 (10)
Phase 4 (19)
Early phase / not applicable (8)
Used as active comparator (3)
Appears in other studies (1)