Kalydeco(ivacaftor)
Kaftrio, Kalydeco, Orkambi, Symdeko, Symkevi, Trikafta (ivacaftor) is a small molecule pharmaceutical. Ivacaftor was first approved as Kalydeco on 2012-01-31. It is used to treat cystic fibrosis in the USA. It has been approved in Europe to treat cystic fibrosis. It is known to target cystic fibrosis transmembrane conductance regulator.
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FDA Novel Drug Approvals 2019
Top 200 Pharmaceuticals by Retail Sales
Commercial
Trade Name
FDA
EMA
Kalydeco
CombinationsOrkambi, Symdeko, Trikafta
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Elexacaftor
+
ivacaftor
+
tezacaftor
+
Ivacaftor
Ivacaftor
Ivacaftor
+
Ivacaftor
+
tezacaftor
Tradename | Company | Number | Date | Products |
---|---|---|---|---|
SYMDEKO (COPACKAGED) | Vertex Pharmaceuticals | N-210491 RX | 2018-02-12 | 2 products, RLD, RS |
Indications
FDA
EMA
Indication | Ontology | MeSH | ICD-10 |
---|---|---|---|
cystic fibrosis | EFO_0000390 | D003550 | E84 |
Agency Specific
FDA
EMA
Expiration | Code | ||
---|---|---|---|
IVACAFTOR / LUMACAFTOR, ORKAMBI, VERTEX PHARMS INC | |||
2029-09-02 | ODE-408 | ||
2025-09-02 | NPP, NS | ||
2025-08-07 | ODE-195 | ||
2023-09-28 | ODE-123 | ||
ELEXACAFTOR, IVACAFTOR, TEZACAFTOR / IVACAFTOR, TRIKAFTA (COPACKAGED), VERTEX PHARMS INC | |||
2028-06-08 | ODE-357 | ||
2027-12-21 | ODE-323 | ||
2026-10-21 | ODE-275 | ||
2026-04-26 | NP | ||
2024-10-21 | NCE | ||
2024-06-08 | NPP | ||
2023-02-12 | NCE | ||
IVACAFTOR, KALYDECO, VERTEX PHARMS | |||
2027-12-21 | ODE-338 | ||
2025-08-15 | ODE-199 | ||
2024-07-31 | ODE-189 | ||
2024-05-17 | ODE-190 | ||
IVACAFTOR, KALYDECO, VERTEX PHARMS INC | |||
2027-12-21 | ODE-338 | ||
2026-04-29 | ODE-236 | ||
2025-08-15 | ODE-199 | ||
2024-07-31 | ODE-189 | ||
2024-05-17 | ODE-190 | ||
IVACAFTOR / IVACAFTOR, TEZACAFTOR, SYMDEKO (COPACKAGED), VERTEX PHARMS INC | |||
2027-12-21 | ODE-335 | ||
2026-06-21 | ODE-247 | ||
2025-02-12 | ODE-173 | ||
2023-02-12 | NCE |
Patent Expiration
Patent | Expires | Flag | FDA Information |
---|---|---|---|
Elexacaftor, Ivacaftor, Tezacaftor / Ivacaftor, Trikafta (Copackaged), Vertex Pharms Inc | |||
10793547 | 2037-12-08 | DS, DP | U-2645, U-3028, U-3144, U-3588 |
11179367 | 2037-12-08 | DP | U-3253, U-3597 |
11453655 | 2037-12-08 | DS, DP | |
11517564 | 2037-12-08 | DP | U-3498, U-3586 |
10758534 | 2035-10-06 | DS, DP | U-2645, U-3028, U-3144, U-3589 |
11426407 | 2035-10-06 | DS, DP | U-3425, U-3595 |
9012496 | 2033-07-15 | U-2248, U-2649, U-3154 | |
8883206 | 2033-02-27 | DP | |
10272046 | 2033-02-27 | DP | U-2531, U-2967, U-3599, U-3605 |
11147770 | 2033-02-27 | DP | U-3339, U-3598, U-3604 |
10081621 | 2031-03-25 | DP | U-2420, U-2571, U-2652, U-3024, U-3025, U-3032, U-3157, U-3600 |
11578062 | 2031-03-25 | DP | U-3544, U-3545, U-3584 |
10646481 | 2029-08-13 | DP | |
11564916 | 2029-08-13 | U-3525, U-3526, U-3527, U-3528, U-3529, U-3530, U-3585, U-3603 | |
8415387 | 2027-11-12 | U-2246, U-2645, U-3028, U-3144, U-3589 | |
8324242 | 2027-08-05 | U-1311, U-1906, U-1911, U-2246, U-2374, U-2527, U-2645, U-2963, U-3028, U-3144, U-3424, U-3589, U-3609 | |
7776905 | 2027-06-03 | DS, DP | |
7495103 | 2027-05-20 | DS, DP | |
7645789 | 2027-05-01 | DS, DP | |
8598181 | 2027-05-01 | U-2246, U-2645, U-3028, U-3144, U-3589 | |
8623905 | 2027-05-01 | DS, DP | |
9974781 | 2027-04-09 | DP | U-2318, U-2574, U-2645, U-3028, U-3144, U-3589 |
10022352 | 2027-04-09 | DP | U-2343, U-2573, U-2651, U-3156, U-3596 |
10239867 | 2027-04-09 | DS, DP | U-2512, U-2569, U-2653, U-3033, U-3158, U-3590 |
11639347 | 2027-04-09 | DS, DP | U-2569, U-3583, U-3587 |
8410274 | 2026-12-28 | DP | |
8754224 | 2026-12-28 | DS, DP | |
9670163 | 2026-12-28 | DP | U-1311, U-1911, U-2246, U-2376, U-2530, U-2650, U-2966, U-3031, U-3155, U-3429, U-3591, U-3606 |
9931334 | 2026-12-28 | DP | U-2275, U-2276, U-2376, U-2575, U-2650, U-3031, U-3155, U-3429, U-3591 |
8354427 | 2026-07-06 | U-1311, U-1905, U-2528, U-2646, U-2964, U-3021, U-3029, U-3145, U-3593, U-3608 | |
8629162 | 2025-06-24 | U-2234, U-2247, U-2529, U-2648, U-2965, U-3030, U-3146, U-3592, U-3607 | |
Ivacaftor / Ivacaftor, Tezacaftor, Symdeko (Copackaged), Vertex Pharms Inc | |||
10206877 | 2035-04-14 | DP | U-2498, U-2570, U-3026, U-3027 |
10058546 | 2033-07-15 | U-2399, U-2572, U-3022, U-3023 | |
Ivacaftor / Lumacaftor, Orkambi, Vertex Pharms Inc | |||
8993600 | 2030-12-11 | DP | |
8507534 | 2030-09-20 | DS, DP | |
8716338 | 2030-09-20 | DP | U-1718, U-1910, U-2396, U-3426 |
9192606 | 2029-09-29 | DP | U-1912, U-2397, U-3428 |
8846718 | 2029-07-02 | U-1717, U-1908, U-2375, U-3427 | |
8653103 | 2028-12-04 | DP | |
9150552 | 2028-12-04 | U-1908, U-2375, U-3427 | |
10076513 | 2028-12-04 | DP | U-2411 |
10597384 | 2028-12-04 | DS, DP | U-2777, U-2778, U-3430 |
11052075 | 2028-12-04 | DP | U-3181 |
7973038 | 2026-11-08 | U-1973, U-2374, U-3424 | |
8741933 | 2026-11-08 | U-1717, U-1909, U-2374, U-3424 | |
9216969 | 2026-11-08 | DP |
ATC Codes
R: Respiratory system drugs
— R07: Other respiratory system products in atc
— R07A: Other respiratory system products in atc
— R07AX: Other respiratory system products in atc
— R07AX02: Ivacaftor
— R07AX30: Ivacaftor and lumacaftor
— R07AX31: Ivacaftor and tezacaftor
— R07AX32: Ivacaftor, tezacaftor and elexacaftor
HCPCS
No data
Clinical
Clinical Trials
93 clinical trials
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Indications Phases 4
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Cystic fibrosis | D003550 | EFO_0000390 | E84 | 12 | 15 | 24 | 5 | 25 | 81 |
Chronic bronchitis | D029481 | J42 | — | 1 | — | 1 | — | 2 | |
Drug interactions | D004347 | — | — | — | 1 | — | 1 | ||
Gastrointestinal diseases | D005767 | — | — | — | 1 | — | 1 | ||
Medication adherence | D055118 | EFO_0006344 | — | — | — | 1 | — | 1 |
Indications Phases 3
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Lung diseases | D008171 | EFO_0003818 | J98.4 | — | — | 1 | — | 1 | 2 |
Indications Phases 2
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Chronic obstructive pulmonary disease | D029424 | EFO_0000341 | J44.9 | 1 | 2 | — | — | — | 3 |
Long qt syndrome | D008133 | HP_0001657 | I45.81 | — | 1 | — | — | — | 1 |
Ciliary motility disorders | D002925 | EFO_0003900 | — | 1 | — | — | — | 1 |
Indications Phases 1
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Healthy volunteers/patients | — | 3 | — | — | — | — | 3 | ||
Hepatic insufficiency | D048550 | 1 | — | — | — | — | 1 |
Indications Without Phase
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
---|---|---|---|---|---|---|---|---|---|
Glucose intolerance | D018149 | HP_0000833 | R73.03 | — | — | — | — | 1 | 1 |
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
Drug common name | IVACAFTOR |
INN | ivacaftor |
Description | Ivacaftor is an aromatic amide obtained by formal condensation of the carboxy group of 4-oxo-1,4-dihydroquinoline-3-carboxylic acid with the amino group of 5-amino-2,4-di-tert-butylphenol. Used for the treatment of cystic fibrosis. It has a role as a CFTR potentiator and an orphan drug. It is a quinolone, a member of phenols, an aromatic amide and a monocarboxylic acid amide. |
Classification | Small molecule |
Drug class | cystic fibrosis transmembrane regulator (CFTR) protein modulators |
Image (chem structure or protein) | |
Structure (InChI/SMILES or Protein Sequence) | CC(C)(C)c1cc(C(C)(C)C)c(NC(=O)c2c[nH]c3ccccc3c2=O)cc1O |
Identifiers
PDB | — |
CAS-ID | 873054-44-5 |
RxCUI | 1243041 |
ChEMBL ID | CHEMBL2010601 |
ChEBI ID | 66901 |
PubChem CID | 16220172 |
DrugBank | DB08820 |
UNII ID | 1Y740ILL1Z (ChemIDplus, GSRS) |
Target
Agency Approved
No data
Alternate
CFTR
CFTR
Organism
Homo sapiens
Gene name
CFTR
Gene synonyms
ABCC7
NCBI Gene ID
Protein name
cystic fibrosis transmembrane conductance regulator
Protein synonyms
ATP-binding cassette sub-family C member 7, cAMP-dependent chloride channel, Channel conductance-controlling ATPase, cystic fibrosis transmembrane conductance regulating, cystic fibrosis transmembrane conductance regulator (ATP-binding cassette sub-family C, member 7)
Uniprot ID
Mouse ortholog
Cftr (12638)
cystic fibrosis transmembrane conductance regulator (Q9JKQ6)
Variants
Clinical Variant
Identifier | Target mutation | Effect | Evaluation | Status |
---|---|---|---|---|
VCV002502286 | CFTR, 3808G>T, Asp1270Tyr | drug response | 2021-03-24 | 1A |
VCV000196277 | CFTR, 220C>T, Arg74Trp | drug response | 2021-03-24 | 1A |
VCV000053714 | CFTR, 330C>A, Asp110Glu | drug response | 2021-03-24 | 1A |
VCV000053688 | CFTR, 3222T>A, Phe1074Leu | drug response | 2021-03-24 | 1A |
VCV000053685 | CFTR, 3208C>T, Arg1070Trp | drug response | 2021-03-24 | 1A |
VCV000053671 | CFTR, 3179A>C, Lys1060Thr | drug response | 2021-03-24 | 1A |
VCV000053601 | CFTR, 2930C>T, Ser977Phe | drug response | 2021-03-24 | 1A |
VCV000053365 | CFTR, 1736A>G, Asp579Gly | drug response | 2021-03-24 | 1A |
VCV000035867 | CFTR, 3454G>C, Asp1152His | drug response | 2021-03-24 | 1A |
VCV000035866 | CFTR, 3209G>A, Arg1070Gln | drug response | 2021-03-24 | 1A |
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Financial
Trikafta - Vertex Pharmaceuticals
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Kalydeco - Vertex Pharmaceuticals
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Orkambi - Vertex Pharmaceuticals
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Symdeko - Vertex Pharmaceuticals
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Trends
PubMed Central
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Additional graphs summarizing 3,349 documents
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Safety
Black-box Warning
No Black-box warning
Adverse Events
Top Adverse Reactions
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3,602 adverse events reported
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