Last update 24 Feb 2026

Odevixibat

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
(2S)-2-{[(2R)-2-[({[3,3-dibutyl-7-(methylthio)-1,1-dioxido-5-phenyl-2,3,4,5-tetrahydro- 1,2,5-benzothiadiazepin-8-yl]oxy}acetyl)amino]-2-(4-hydroxyphenyl)acetyl]amino}butanoic acid, Odevixibat (USAN), Odevixibat sesquihydrate
+ [8]
Target
Action
inhibitors
Mechanism
ISBT inhibitors(Ileal bile acid transporter inhibitors)
Originator Organization
Inactive Organization-
Drug Highest PhaseApproved
First Approval Date
European Union (16 Jul 2021),
RegulationOrphan Drug (United States), Orphan Drug (European Union), Orphan Drug (Japan), Orphan Drug (South Korea), Orphan Drug (Australia), Priority Review (United States), Orphan Drug (United Kingdom), Priority Review (China)
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Structure/Sequence

Molecular FormulaC37H48N4O8S2
InChIKeyXULSCZPZVQIMFM-IPZQJPLYSA-N
CAS Registry501692-44-0

External Link

KEGGWikiATCDrug Bank
D11716--

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Cholestatic pruritus
European Union
19 Sep 2024
Cholestatic pruritus
Iceland
19 Sep 2024
Cholestatic pruritus
Liechtenstein
19 Sep 2024
Cholestatic pruritus
Norway
19 Sep 2024
Pruritus
South Korea
23 Aug 2024
Alagille Syndrome
United States
13 Jun 2023
progressive familial intrahepatic cholestasis
European Union
16 Jul 2021
progressive familial intrahepatic cholestasis
Iceland
16 Jul 2021
progressive familial intrahepatic cholestasis
Liechtenstein
16 Jul 2021
progressive familial intrahepatic cholestasis
Norway
16 Jul 2021
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Dystonia Musculorum DeformansPhase 3
Netherlands
16 Dec 2020
Biliary AtresiaPhase 3
United Kingdom
04 Jun 2020
Liver DiseasesPhase 3
United Kingdom
04 Jun 2020
Cholestasis, Progressive Familial Intrahepatic 1Phase 3
United States
16 May 2018
Cholestasis, Progressive Familial Intrahepatic 1Phase 3
Australia
16 May 2018
Cholestasis, Progressive Familial Intrahepatic 1Phase 3
Belgium
16 May 2018
Cholestasis, Progressive Familial Intrahepatic 1Phase 3
Canada
16 May 2018
Cholestasis, Progressive Familial Intrahepatic 1Phase 3
France
16 May 2018
Cholestasis, Progressive Familial Intrahepatic 1Phase 3
Germany
16 May 2018
Cholestasis, Progressive Familial Intrahepatic 1Phase 3
Israel
16 May 2018
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
116
Placebo+Odevixibat
(Cohort 1: Placebo/Odevixibat)
efqseztogm(hkfnebxlsb) = ueupgbkizg rbhpmauvvs (rldwpdlcvp, 167.318)
-
10 Jul 2025
(Cohort 1: Odevixibat/Odevixibat)
efqseztogm(hkfnebxlsb) = gxzpcwpdlj rbhpmauvvs (rldwpdlcvp, 172.070)
Phase 3
50
Bylvay/Bylvay
dpbkuxmitx(wxjpkrfkjo) = At week 72, 93 percent (n=28/30) of patients who received Bylvay throughout the 24 weeks ASSERT trial and 77 percent (n=10/13) of those who transitioned from placebo to Bylvay at week 24 experienced a clinically meaningful ≥1 point reduction in pruritus score. hnggksrqxe (zrthigtqqs )
Positive
18 Nov 2024
Placebo/Bylvay
Phase 3
116
wfxauigxxl(lttdylshsb) = bbzquywzgi ddyiddamaz (wfvxadbjvl )
Positive
18 Nov 2024
transition to Bylvay at week 24
ysydxrncvd(ogokmovekr) = dqepunmrtx oyzlskbwzg (fdsynewhos )
Phase 3
52
Odevixibat 120 μg/kg per day
wyvjxrtpaw(bwadxjyxss) = xvpracdcga ikolqcbsny (mcnisvtsue, -2.0 to -1.3)
Positive
23 Apr 2024
Placebo
wyvjxrtpaw(bwadxjyxss) = utrgpgcvxy ikolqcbsny (mcnisvtsue, -1.3 to -0.3)
Phase 3
52
(Odevixibat (A4250))
axykfupubr(hmznxajqgo) = smxwcarkka mqvgsvrsgz (pgqmcnyrcs, 0.174)
-
02 Nov 2023
Placebo
(Placebo)
axykfupubr(hmznxajqgo) = sorzpnexbe mqvgsvrsgz (pgqmcnyrcs, 0.233)
Phase 3
69
paabyjorwb(pdyuehuaqr) = cdtqhoxnfy vbsdwwzdlq (sgxgitlcxq )
-
01 Aug 2023
Phase 3
62
Placebo
irzdsospqy(epepjulczq) = krgvdjtvtw znsosswiej (hssmcyoeqv, 8.7)
Positive
13 Jun 2023
(40 mcg/kg)
irzdsospqy(epepjulczq) = zcuzotiaef znsosswiej (hssmcyoeqv, 8.1)
Phase 3
52
vuuitsiadi(wlyfqjnfec) = pliicsqqgj dtvahvhccn (yglgwwwtkq )
Positive
11 Oct 2022
Placebo
vuuitsiadi(wlyfqjnfec) = paeektxdbv dtvahvhccn (yglgwwwtkq )
Phase 3
62
xrwivrnckq(fezeltiaxp) = vsulufsqhx xpvkhvstvw (yjlqdldriy, 8)
Positive
30 Jun 2022
Placebo
xrwivrnckq(fezeltiaxp) = sdospgikwx xpvkhvstvw (yjlqdldriy, 9)
Phase 3
82
jlyzivcxgf(bmemzzplli) = janrkcopho ornqgexvgc (ouwjmopyie )
Positive
24 Jun 2022
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