Drug

Telotristat ethyl

As of the edition of 20 October 2026, Telotristat ethyl is a small molecule: marketed, first approved in 2017 (US); acts on TPH1 and TPH2; US protection ends in 2031.

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
Xermelo
First approved
28 February 2017 (US)
Approvals on record
2 in 2 regions
Holder of the most recent approval
Serb; 2 holders in all
Registered trials
26, 6 stopped early
Disease areas
Chemically induced; Cancer; Digestive system; Hormones; Heart and blood vessels; Pregnancy and women's health

US protection

US protection ends in 2031.

The last listed US drug-substance patent ends in 2031. The application that gives this date is held by TerSera Therapeutics.

This is the US only, and it is not the date generics or biosimilars can enter.

The exact date and the listings behind it

In the product

3 listings count towards this date. The exact date and each listing are in the product.

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Companies that need a new molecule because of this drug

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

Companies on route B for this drug

In the product

4 company-target rows are on route B because of Telotristat ethyl.

Targets

GeneProteinUniProt
TPH1Tryptophan 5-hydroxylase 1P17752
TPH2Tryptophan 5-hydroxylase 2Q8IWU9

Registered trials

PhaseTrialsCompletedActiveStopped early
Phase not stated2101
Phase 1101000
Phase 29504
Phase 35311
All trials26

Who has held its approvals

CompanyRoleYears
Lexicon PharmaceuticalsOriginator and Lead sponsor of trials2009 to now
TerSera TherapeuticsAcquired holder and Lead sponsor of trials2017 to now
SerbApplicant2017 to now