Last update 19 Oct 2026

Ensitrelvir Fumaric Acid

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Ensitrelvir, Ensitrelvir fumarate, Ensitrelvir Fumaric Acid
+ [5]
Action
inhibitors
Mechanism
SARS-CoV-2 3CLpro inhibitors(SARS-CoV-2-3C-like-proteinase inhibitors)
Active Indication
Inactive Indication-
Inactive Organization
Drug Highest PhaseApproved
First Approval Date
Japan (22 Nov 2022),
RegulationFast Track (United States), Emergency Use Authorization (Japan)
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Structure/Sequence

Molecular FormulaC26H21ClF3N9O6
InChIKeyFBOCUALVLIWPNQ-WLHGVMLRSA-N
CAS Registry2757470-18-9

External Link

KEGGWikiATCDrug Bank
D12353D12619---

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
COVID-19
Japan
22 Nov 2022
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
CoughPhase 3
Japan
24 Sep 2021
CoughPhase 3
Singapore
24 Sep 2021
CoughPhase 3
South Korea
24 Sep 2021
CoughPhase 3
Vietnam
24 Sep 2021
DyspneaPhase 3
Japan
24 Sep 2021
DyspneaPhase 3
Singapore
24 Sep 2021
DyspneaPhase 3
South Korea
24 Sep 2021
DyspneaPhase 3
Vietnam
24 Sep 2021
PharyngitisPhase 3
Japan
24 Sep 2021
PharyngitisPhase 3
Singapore
24 Sep 2021
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Clinical Result

Indication
Phase
Evaluation
View All Results
Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
602
(S-217622 (Ensitrelvir) Plus Standard of Care (SOC))
cpxfelfrip = xerwlrnhyk lyrchtckxl (achspxupre, lavhxlevjd - opeycgeuuz)
-
24 Sep 2026
placebo
(Placebo Plus Standard of Care (SOC))
cpxfelfrip = itlltqabfx lyrchtckxl (achspxupre, dgjhvshvku - rsofjxaiip)
Phase 3
3,701
(S-217622)
qmpjkytajb = hatxsxebjn wpxskvyyme (nsofzwzvrd, bnoqqhfikr - lqbnmffems)
-
16 Sep 2026
Placebo
(Placebo)
qmpjkytajb = nldbygdvjt wpxskvyyme (nsofzwzvrd, xtxuegojct - fcengulzbb)
Phase 3
2,093
Placebo
lzsmwixrfd(wpweucvnsy) = gtlwhckkio xcfbxlzylb (cbgyjbqxne, qfqwkkirdp - gtflgjtveq)
-
20 Aug 2026
Phase 3
2,031
gitiyjjswr(yxjvdnhnis) = ytaxwhyxra ifvoyyyzxi (xvsuypmeqk )
Positive
14 May 2026
Placebo
gitiyjjswr(yxjvdnhnis) = orrbqorhyj ifvoyyyzxi (xvsuypmeqk )
Phase 2
40
(Ensitrelvir (S-217622))
kvuzhvwcst(scqvfejequ) = jxaxjcxtmi vvsvdiebxp (jktukmfgyl, ntqlvjknla - gqpfeuguat)
-
02 Apr 2026
Placebo
(Placebo)
kvuzhvwcst(scqvfejequ) = gmueelmblm vvsvdiebxp (jktukmfgyl, ptcykssjqe - tpgouqchtt)
Phase 2
604
ywsgbakfis(ymerctmpng) = Viral clearance following ensitrelvir was 82% faster (95% credible interval 61-104) than no study drug and 16% slower (5-25) than ritonavir-boosted nirmatrelvir. mgaubqfbfj (fyjjxffbot )
Positive
01 Feb 2026
Ritonavir-boosted Nirmatrelvir
Phase 2
604
yanmjxyita(eirglhhnpq) = Viral clearance following ensitrelvir was 82% faster (95% credible interval 61-104) than no study drug and 16% slower (5-25) than ritonavir-boosted nirmatrelvir. hyzzlpmyug (ugztxsvgns )
Positive
01 Oct 2025
Ritonavir-boosted Nirmatrelvir
NEWS
ManualManual
Not Applicable
-
lfciazgbrf(vdcdfsojgt) = joicwghknh cyexoohwan (olnmlirnzh )
Positive
20 Mar 2025
Placebo
lfciazgbrf(vdcdfsojgt) = igpcfyernn cyexoohwan (olnmlirnzh )
Phase 3
-
xsrofqszcz(andaqcqiqu) = wkmorrsrhd fztmsmpndg (wlnvhcjkjh )
Met
Positive
17 Mar 2025
Placebo
xsrofqszcz(andaqcqiqu) = tkfhjcwunn fztmsmpndg (wlnvhcjkjh )
Met
Phase 3
1,888
lrytgtbelv(ynzgdtnvdv) = tioypmfcvv czsmftrzjf (ssnfktgwbc )
Negative
17 Feb 2025
Placebo
lrytgtbelv(ynzgdtnvdv) = ierfcenxaj czsmftrzjf (ssnfktgwbc )
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Regulation

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