Synonyms: OPC-41061 | Samsca®
tolvaptan is an approved drug (FDA and EMA (2009))
Compound class:
Synthetic organic
Comment: Tolvaptan is a selective, competitive vasopressin receptor 2 (V2) antagonist.
Ligand Activity Visualisation ChartsThese are box plot that provide a unique visualisation, summarising all the activity data for a ligand taken from ChEMBL and GtoPdb across multiple targets and species. Click on a plot to see the median, interquartile range, low and high data points. A value of zero indicates that no data are available. A separate chart is created for each target, and where possible the algorithm tries to merge ChEMBL and GtoPdb targets by matching them on name and UniProt accession, for each available species. However, please note that inconsistency in naming of targets may lead to data for the same target being reported across multiple charts. ✖ |
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No information available. |
Summary of Clinical Use |
Approved to treat hyponatraemia (abnormally low levels of sodium in the blood). Hyponatraemia may be caused by excessive (inappropriate) production of vasopressin (aka antidiuretic hormone), leading to retention of water in the bloodstream, which has a diluting effect on blood sodium levels. The EMA expanded marketing approval to include treatment of genetically inherited autosomal dominant polycystic kidney disease (ADPKD) in mid-2015 under the brand name (Jynarc®). This is the first drug approved for this serious genetic kidney disease. The FDA followed in April 2018, approving the use of Jynarque® branded tolvaptan as a first-line treatment aimed at slowing down the decline in kidney function in adults at risk of rapidly progressing ADPKD. |
Mechanism Of Action and Pharmacodynamic Effects |
Tolvaptan is a competitive antagonist of vasopressin receptor 2 (AVPR2). Antagonism of the effect of endogenous vasopressin leads to an increase in urine production, decreased water in the blood and an increased blood sodium level. |
External links |
For extended ADME data see the following: Electronic Medicines Compendium (eMC) Drugs.com European Medicines Agency (EMA) |