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Drug

Ivacaftor

Approved · EMA
ClassCystic fibrosis transmembrane conductance regulator positive modulatorEmerging researchLate-stage development

Also known as Kalydeco, ORKAMBI, Ivacaftorum, N-(2,4-di-tert-butyl-5-hydroxyphenyl)-4-oxo-1,4-dihydroquinoline-3-carboxamide.

2
Research papers
2
Active clinical trials
CFTR
Primary target
1
Regulatory events
Latest activity
beta

Recent clinical, regulatory, research and industry developments relating to this drug.

Profile

Identifiers & mechanism

Canonical identifiers, marketed brand names and mechanism, resolved across RxNorm, ChEMBL and ATC.

Canonical name
Ivacaftor
Aliases & brands
KalydecoORKAMBIIvacaftorumN-(2,4-di-tert-butyl-5-hydroxyphenyl)-4-oxo-1,4-dihydroquinoline-3-carboxamide
RxNorm CUI
1243041
ChEMBL ID
CHEMBL2010601
ATC codes
R07AX02
UNII
1Y740ILL1Z
Primary mechanism
Cystic fibrosis transmembrane conductance regulator positive modulator
Regulatory jurisdictions
ema

Pharmacology & targets

1 target

Known molecular targets and mechanisms supported by curated pharmacology databases.

POSITIVE MODULATORCystic fibrosis transmembrane conductance regulator positive modulator

Regulatory timeline

1 event

The complete regulatory record, grouped by authority — approvals, safety advisories and label changes. Each authority shows its most recent events; expand one to read its full history.

Earliest approval
2012-07-23
Latest approval
2012-07-23
Authorities
EMA
Total events
1
emaEuropean Medicines Agency· 1 event
2012-07-23Accelerated approval
Accelerated approval: Kalydeco (EMA)
Indication: Kalydeco tablets are indicated:  - As monotherapy for the treatment of adults, adolescents, and children aged 6 years and older and weighing 25 kg or more with cysticShow full indication

Kalydeco tablets are indicated:  - As monotherapy for the treatment of adults, adolescents, and children aged 6 years and older and weighing 25 kg or more with cystic fibrosis (CF) who have an R117H CFTR mutation or one of the following gating (Class III) mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene: G551D, G1244E, G1349D, G178R, G551S, S1251N, S1255P, S549N or S549R. - In a combination regimen with tezacaftor/ivacaftor tablets for the treatment of adults, adolescents, and children aged 6 years and older with cystic fibrosis (CF) who are homozygous for the F508del mutation or who are heterozygous for the F508del mutation and have one of the following mutations in the CFTR gene: P67L, R117C, L206W, R352Q, A455E, D579G, 711+3A→G, S945L, S977F, R1070W, D1152H, 2789+5G→A, 3272 26A→G, and 3849+10kbC→T. - In a combination regimen with ivacaftor/tezacaftor/elexacaftor tablets for the treatment of adults, adolescents, and children aged 6 years and older with cystic fibrosis (CF) who have at least one non-Class I mutation in the CFTR gene. Kalydeco granules are indicated: - As monotherapy for the treatment of infants aged at least 1 month, toddlers and children weighing 3 kg to less than 25 kg with cystic fibrosis (CF) who have an R117H CFTR mutation or one of the following gating (Class III) mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene: G551D, G1244E, G1349D, G178R, G551S, S1251N, S1255P, S549N or S549R. - In a combination regimen with ivacaftor/tezacaftor/elexacaftor for the treatment of cystic fibrosis (CF) in paediatric patients aged 2 to less than 6 years who have at least one non-Class I mutation in the CFTR gene.

Evidence ↗

Contains information from the European Medicines Agency (European Medicines Agency), © EMA, reused under CC BY 4.0.

Clinical trials

48 trials

The current development programme across all trial phases — status mix, phase distribution and the late-stage studies shaping the evidence base.

Development programme
CLINICALTRIALS.GOV · LIVE REGISTRY
48
registered trials across all phases
LATEST COMPLETION 2022
2
Active studies
2
Recruiting
25
Late-stage (III+)
41
Completed
5
Discontinued
PHASE DISTRIBUTIONn = 48
Early Phase 12Phase 17Phase 214Phase 321Phase 42Phase N / A2

Late-stage studies

Phase III+ trials still open or recently active — where late-stage evidence is being generated.

Recent completions

Trials that read out recently, adding to the completed evidence base.

Research activity

2 papers

Key research shaping understanding of this drug, combining the latest publications with the most influential evidence.

Publications over time
20172023
Major research themes1
Cystic Fibrosis1
Journals, researchers & institutions
Top journals
  • Pediatric pulmonology1
  • Respiratory research1
Leading researchers
  • Conrad D1
  • Finkbeiner WE1
  • Gil M1
  • Gonzalez CT1
  • Guzior DV1
  • Illek B1
  • Ly NP1
  • Martin C1
Leading institutions
free-text, unnormalised
  • Children's Hospital Oakland Research Institute1
  • College of Pharmacy1
  • Medical University of Vienna1
  • Michigan State University1
  • University of California1
  • University of California San Diego1

Related drugs

2 matches

Drugs sharing diseases, protein targets and literature with this one. Ranked by graph evidence (shared targets + diseases weighted above co-mentions).

Acts on the same molecular target as Ivacaftor, with an overlapping disease area.

Shared target1 shared disease1 shared paper

Acts on the same molecular target as Ivacaftor, with an overlapping disease area.

Shared target1 shared disease1 shared paper
References & data sources
  • RxNorm (U.S. National Library of Medicine) — drug identity
  • ChEMBL (EMBL-EBI) & UniProt — pharmacology and targets
  • Europe PMC — research literature
  • ClinicalTrials.gov — clinical trials
  • Regulatory event sources are credited in the Regulatory Timeline above.