Otsuka Pharmaceutical
Drugmaker with rare disease work · based in Tokyo, Japan · founded 1964 · ticker 4578 · otsuka.co.jp
Otsuka Pharmaceutical works on 11 rare diseases we track, including Acute Myeloid Leukemia, Amyotrophic Lateral Sclerosis and 9 more. It has 16 active clinical trials, and 11 are looking for volunteers now. It also has 2 FDA-approved rare disease drugs.
Otsuka Pharmaceutical is a Japanese drugmaker whose medicines span mental health, kidney disease and rare disease.
Otsuka Pharmaceutical pipeline
Each row lists the diseases Otsuka Pharmaceutical is studying at that stage, from the ones closest to approval down to the earliest work.
Attention Deficit Hyperactivity Disorder (ADHD) 2 trials recruiting · Phenylketonuria 2 trials recruiting · Attention-Deficit Hyperactivity Disorder(ADHD) 2 trials recruiting · Autosomal Recessive Polycystic Kidney (ARPKD) recruiting · IgA Nephropathy · Myelodysplastic Syndromes
T-cell Non-Hodgkin Lymphoma recruiting · IgA Nephropathy
Systemic Sclerosis recruiting · Phenylketonuria recruiting · Focal Segmental Glomerulosclerosis · Lower-risk Myelodysplastic
Lupus Nephritis recruiting
Otsuka Pharmaceutical clinical trials
These are Otsuka Pharmaceutical trials for the rare diseases we track, from ClinicalTrials.gov. Statuses there can lag behind company news, so confirm with the study team before you plan around one.
11 trials looking for volunteers now
A Trial in Healthy Adult Participants and Adults With Autoimmune Diseases to Test How HBM7020 is Tolerated and How it Behaves in the Body
Tests HBM7020
For Rheumatoid Arthritis, Systemic Lupus Erythematosus, Systemic Sclerosis and Sjögren's Disease
Evaluation of the Efficacy and Safety of EB-1020 in Adult ADHD Patients
Tests EB-1020 (Centanafadine) 164.4 mg, EB-1020 (Centanafadine) 328.8 mg, Placebo
For Attention Deficit Hyperactivity Disorder (ADHD)
A Study to See if Tolvaptan is Safe in Infants and Children Who at Enrollment Are 28 Days to Less Than 18 Years Old With Autosomal Recessive Polycystic Kidney Disease (ARPKD)
Tests Tolvaptan Suspension, Tolvaptan Tablets
For Autosomal Recessive Polycystic Kidney (ARPKD)
A Long-term Trial of EB-1020 in Adult Patients With ADHD
Tests EB-1020 (Centanafadine) 164.4 mg, EB-1020 (Centanafadine) 328.8 mg
For Attention Deficit Hyperactivity Disorder (ADHD)
A Study of JNT-517 in Participants With Phenylketonuria (PKU)
Tests JNT-517, JNT-517 Matching Placebo
For Phenylketonuria
LUPKYNIS Drug-use Results Survey
Tests Voclosporin (LUPKYNIS)
For Lupus Nephritis
A Trial to Examine if Repinatrabit is Processed Differently in Adults With Reduced Liver or Kidney Function Compared to Adults With Normal Liver and Kidney Function
Tests Repinatrabit
For Phenylketonuria
A Long-Term Study of JNT-517 in Participants With Phenylketonuria
Tests JNT-517
Pick a condition. One email when a new trial opens, a trial changes or the FDA decides, from any company, not only Otsuka Pharmaceutical. Unsubscribe anytime.
- Trial Alerts, when a new trial opens or a trial changes
- Disease Updates, FDA decisions and condition news, usually 1 or 2 emails a month
FDA-approved drugs from Otsuka Pharmaceutical
From the openFDA database. Tap a drug for side effects, dosing and help paying.
Jynarque tolvaptan
For Polycystic Kidney Disease. Approved Apr 23, 2018. Taken by mouth.
Voyxact sibeprenlimab
For IgA Nephropathy. Approved Nov 25, 2025. Taken by subcutaneous route.
More about Otsuka Pharmaceutical
Its rare disease medicines include Jynarque (tolvaptan), approved in April 2018 as the first treatment to slow kidney function decline in adults at risk of rapidly progressing autosomal dominant polycystic kidney disease, and Voyxact (sibeprenlimab), given accelerated approval on November 25, 2025 to lower protein in the urine of adults with primary IgA nephropathy at risk of getting worse.
On October 22, 2026 Otsuka said it had completed its application to the FDA for traditional approval of Voyxact, using 2-year kidney function results from the VISIONARY trial.
Otsuka is also testing repinatrabit (code name JNT-517) in Phase 3 for phenylketonuria, with the main trial started in October 2025, and holds an exclusive global license from Ionis for ulefnersen in ALS caused by FUS gene changes, whose Phase 3 FUSION trial met its main goal in September 2026.
Where Otsuka Pharmaceutical trials take place
The trials above run at 415 study sites in 35 countries. Tap a country to see its states, cities and hospitals.
Rare diseases Otsuka Pharmaceutical works on
Each disease page lists every open trial, not only Otsuka Pharmaceutical's, plus approved treatments.
Acute myeloid leukemia (AML) is a fast-growing cancer of the bone marrow in which immature white blood cells called blasts crowd out normal blood cells, causing fatigue, infections and bleeding...
How common: The National Cancer Institute's SEER program estimates 22,720 new US cases and 11,500 deaths in 2026, about 1.1% of new cancers, and 83,311 people were living with AML in 2023
Amyotrophic lateral sclerosis is a progressive neurodegenerative disease destroying motor neurons in the brain and spinal cord.
How common: About 5,000 new cases per year in the U.S.; CDC's National ALS Registry estimates about 33,000 Americans were living with ALS in 2022, a number projected to pass 36,000 by 2030
Focal Segmental Glomerulosclerosis
Focal Segmental Glomerulosclerosis (FSGS) is a kidney disease characterized by scarring of some glomeruli, the tiny filtering units that remove waste from the blood.
How common: Approximately 7% of all kidney biopsies in the United States show FSGS; incidence is 0.2-1.7 cases per 100,000 person-years
IgA nephropathy is the most common primary glomerulonephritis worldwide, caused by abnormal IgA1 antibodies depositing in the kidney's mesangium, activating complement pathways and triggering...
How common: About 2 new cases per 100,000 people each year in the U.S., and an estimated 199,000 to 208,000 Americans were living with IgA nephropathy in 2021 (Otsuka-funded study, Clinical Nephrology, 2025)
Lupus nephritis is kidney inflammation caused by systemic lupus erythematosus (SLE), in which the immune system attacks the kidneys' filters and, without treatment, can lead to kidney failure.
How common: About 21 per 100,000 people in a Minnesota population study in 2015 (Lupus Midwest Network, 2022)
Membranous nephropathy is a rare autoimmune kidney disease where the body's own antibodies attack proteins in the kidney's filtering units (glomeruli).
How common: About 12 new cases per million people each year in the U.S.; roughly 40,000-50,000 Americans living with the disease
Myelodysplastic syndromes are a group of blood cancers in which the bone marrow fails to produce enough healthy blood cells.
How common: 10,000 to 15,000 new cases annually in the U.S.; estimated 60,000 to 170,000 Americans living with MDS
Phenylketonuria is an inherited metabolic disorder caused by a missing enzyme that prevents the body from properly breaking down the amino acid phenylalanine.
How common: 1 in 13,500 to 19,000 newborns in the U.S., based on newborn screening (NORD); MedlinePlus Genetics puts it at 1 in 25,000
Where to get support
Patient groups can explain a diagnosis, point you to specialists and tell you about trials before they open. Otsuka Pharmaceutical's own site is otsuka.co.jp, and our help paying for treatment page lists drugmaker programs and charity funds.
- National Kidney FoundationIgA Nephropathy and Membranous Nephropathy
- NCI SEER Cancer Stat Facts: Acute Myeloid LeukemiaAcute Myeloid Leukemia
- NCI PDQ: Acute Myeloid Leukemia Treatment, patient versionAcute Myeloid Leukemia
- The ALS AssociationAmyotrophic Lateral Sclerosis
- ALS Therapy Development InstituteAmyotrophic Lateral Sclerosis
- Travere Therapeutics — Filspari FSGS ApprovalFocal Segmental Glomerulosclerosis
- National Kidney FoundationFocal Segmental Glomerulosclerosis
- IgA Nephropathy FoundationIgA Nephropathy