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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.

Approved
Drugs the FDA has approved.
Phase 3
Large studies, usually the last step before a company asks the FDA for approval.

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

Phase 2
Mid-size studies that check whether a drug works and at what dose.

T-cell Non-Hodgkin Lymphoma recruiting · IgA Nephropathy

Phase 1
First studies in people, mostly checking safety.

Systemic Sclerosis recruiting · Phenylketonuria recruiting · Focal Segmental Glomerulosclerosis · Lower-risk Myelodysplastic

Other studies
Studies with no phase listed, such as registries and natural history studies.

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

Looking for volunteersPhase 1Recently updatedNCT07649265

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

This first-in-human study evaluates the safety, tolerability, pharmacokinetics, pharmacodynamics, and immunogenicity of HBM7020. The study will enroll healthy participants at low doses, followed by participants with moderate to severe autoimmune diseases with predominant B-cell involvement. Eligible participants include patients with systemic lupus erythematosus (SLE), systemic sclerosis (SSc), Sjögren's disease (SjD), and rheumatoid arthritis (RA).

Ages 18 Years - 75 Years1 location
View full study
Looking for volunteersPhase 2/3Recently updatedNCT06931080

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)

The purpose of this study is to evaluate the efficacy and examine the safety of two doses of EB-1020 QD XR capsule administered once daily orally in adult ADHD patients.

Ages 18 Years - 55 Years1 location
View full study
Looking for volunteersPhase 3Recently updatedNCT04782258

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)

To evaluate the pharmacodynamics and safety of tolvaptan in pediatric subjects with ARPKD

Ages 28 Days - 18 Years23 locations
View full study
Looking for volunteersPhase 3Recently updatedNCT06926829

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)

The purpose of this study is to evaluate the safety of long-term administration of mainly high doses of EB-1020 over 52 weeks in patients who have completed the double-blind trial (405-102-00112) conducted in Japan

Ages 18 Years - 55 Years1 location
View full study
Looking for volunteersPhase 3Recently updatedNCT06971731

A Study of JNT-517 in Participants With Phenylketonuria (PKU)

Tests JNT-517, JNT-517 Matching Placebo

For Phenylketonuria

This Phase 3 study will evaluate the safety, effectiveness, tolerability, and how the body processes JNT-517 in children, adolescents, and adults with phenylketonuria. Participants will be randomly assigned to receive either JNT-517 or placebo during an initial 6-week treatment period. After this period, eligible participants will receive JNT-517 for an additional 46 weeks.

Ages 4 Years+26 locations
View full study
Looking for volunteersRecently updatedNCT07053891

LUPKYNIS Drug-use Results Survey

Tests Voclosporin (LUPKYNIS)

For Lupus Nephritis

The purpose of this study is to survey the safety of LUPKYNIS in patients with lupus nephritis under actual use conditions. In addition, information on efficacy will be collected.

Ages 15 Years+1 location
View full study
Looking for volunteersPhase 1Updated a few months agoNCT07713758

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

This trial is intended to understand how the body processes repinatrabit in people with moderate liver impairment and severe kidney impairment and also to compare these results with people of similar age, weight, and sex who have normal liver function.

Ages 18 Years - 65 Years1 location
View full study
Looking for volunteersPhase 3No updates in a whileNCT06628128

A Long-Term Study of JNT-517 in Participants With Phenylketonuria

Tests JNT-517

For Phenylketonuria (PKU)

The goal of this Phase 3, open-label study is to evaluate the long-term safety of JNT-517 in pediatric and adult participants with Phenylketonuria (PKU) after completion of either Study JNT517-101 (NCT05781399) or JNT517-201 (NCT06637514) as well as participants who have not participated in a prior JNT-517 study. In this trial, all participants will receive JNT-517 using age- and weight-banded dosing as outlined in the protocol, regardless of any dose received in a previous study.

Ages 4 Years+12 locations
View full study
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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.

United States
91▼
Japan
46▼
Australia
28▼
China
25▼
Spain
22▼
South Korea
17▼
France
16▼
India
15▼
Italy
14▼
Canada
12▼
United Kingdom
11▼
Brazil
11▼

Rare diseases Otsuka Pharmaceutical works on

Each disease page lists every open trial, not only Otsuka Pharmaceutical's, plus approved treatments.

Acute Myeloid Leukemia

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

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

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

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

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

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

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

Polycystic Kidney Disease

Polycystic Kidney Disease is a genetic disorder characterized by the growth of thousands of cysts in the kidneys, gradually replacing normal kidney tissue and leading to kidney failure.

How common: Autosomal dominant PKD affects about 1 in 400 to 1,000 people worldwide and the recessive form about 1 in 20,000 children; about 500,000 people in the United States have PKD (NIDDK)

Sjögren's Syndrome

Sjögren's syndrome is a chronic autoimmune disorder in which the immune system attacks the moisture-producing exocrine glands, primarily the salivary and lacrimal (tear) glands.

How common: Estimated 1 to 4 million Americans (including undiagnosed); approximately 1 in 1,000 adults based on physician-diagnosed prevalence

Systemic Sclerosis

Systemic sclerosis (scleroderma) is a rare autoimmune disease in which the immune system triggers scarring (fibrosis) of the skin and internal organs while also damaging small blood vessels.

How common: About 276 per million U.S. adults in a large Detroit-area study; about 19 new cases per million adults each year

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.

Questions about Otsuka Pharmaceutical