Drug

Guanfacine

As of the edition of 20 October 2026, Guanfacine is a small molecule: marketed, first approved in 1986 (US); acts on ADRA2A, ADRA2B and ADRA2C; no US protection is listed.

Sources: FDA Orange Book and Purple Book, other approval registers, ClinicalTrials.gov, ChEMBL.

The drug

Status
Marketed; latest approval 2017
Kind
Small molecule
Brand name
Tenex
First approved
27 October 1986 (US)
Approvals on record
16 in 5 regions
Holder of the most recent approval
Takeda; 4 holders in all
Registered trials
65, 5 stopped early
Disease areas
Mental health; Nervous system; Chemically induced; Inherited and neonatal; Heart and blood vessels; Nutrition and metabolism

US protection

No US protection is listed.

The FDA registers list no drug-substance patent or exclusivity that counts for this drug.

This is the US only.

Companies that need a new molecule because of this drug

12 company-target rows on route B because of this drug.

Companies on route B for this drug

In the product

12 company-target rows are on route B because of Guanfacine.

Targets

GeneProteinUniProt
ADRA2AAlpha-2A adrenergic receptorP08913
ADRA2BAlpha-2B adrenergic receptorP18089
ADRA2CAlpha-2C adrenergic receptorP18825

Registered trials

PhaseTrialsCompletedActiveStopped early
Phase not stated9601
Phase 16510
Phase 2191540
Phase 3121200
Phase 4191404
All trials65

Who has held its approvals

CompanyRoleYears
PfizerOriginator and Applicant1986 to now
TakedaApplicant, Later holder and Lead sponsor of trials2003 to now
Dr. Reddy'sAcquired holder2008 to now
ShionogiApplicant2017 to now