Drug

Naltrexone

As of the edition of 20 October 2026, Naltrexone is a small molecule: marketed, first approved in 1984 (US); acts on OPRD1, OPRK1 and OPRM1; no US protection is listed.

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

The drug

Status
Marketed; latest approval 2018
Kind
Small molecule
Brand name
Revia
First approved
20 November 1984 (US)
Approvals on record
17 in 3 regions
Holder of the most recent approval
Bausch Health; 7 holders in all
Registered trials
317, 43 stopped early
Disease areas
Mental health; Chemically induced; Nutrition and metabolism; Nervous system; Immune system; Infections

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

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

Companies on route B for this drug

In the product

6 company-target rows are on route B because of Naltrexone.

Targets

GeneProteinUniProt
OPRM1Mu-type opioid receptorP35372
OPRD1Delta-type opioid receptorP41143
OPRK1Kappa-type opioid receptorP41145

Registered trials

PhaseTrialsCompletedActiveStopped early
Phase not stated332424
Phase 1463843
Phase 2107751416
Phase 3574065
Phase 47447715
All trials317

Who has held its approvals

CompanyRoleYears
Dupont MerckEarlier holder1984 to now
AlkermesLater holder and Lead sponsor of trials2002 to now
Orexigen TherapeuticsApplicant and Lead sponsor of trials2005 to now
TevaAcquired holder2013 to now
Bausch HealthAcquired holder2018 to now