TheraRadar
Data updated: Jun 28, 2026

OLPRUVA (sodium phenylbutyrate) · ACER

Rare Disease Approved 2022-12-22

Sodium phenylbutyrate tablets are indicated as adjunctive therapy in the chronic management of patients with urea cycle disorders involving deficiencies of carbamylphosphate synthetase (CPS), ornithine transcarbamylase (OTC), or argininosuccinic acid synthetase (AS). It is important that the diagnosis be made early and treatment initiated immediately to improve survival. Any episode of acute hyperammonemia should be treated as a life-threatening emergency.

2
Indications
--
Phase 3 Trials
3
Years on Market

Details

Status
Prescription
First Approved
2022-12-22
Patent Cliff
2036

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Routes
ORAL
Dosage Forms
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Active Ingredient: SODIUM PHENYLBUTYRATE

OLPRUVA Approval History

2023
2024
2025
2026
Original
New Indication
New Form
Label Update
16 FDA actions from 2022 to 2025 · 1 indication expansions
Oct 2025 SUPPL
Efficacy
Dec 2022 ORIGINAL
Update · Type 5 - New Formulation or New Manufacturer

What OLPRUVA Treats

2 indications

OLPRUVA is approved for 2 conditions since its original approval in 2022. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Urea Cycle Disorder
  • Hyperammonemic Encephalopathy
Source: FDA Label

OLPRUVA Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to OLPRUVA

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

PHEBURANE
SODIUM PHENYLBUTYRATE
1 shared
MEDUNIK
Shared indications:
Urea Cycle Disorder
RAVICTI
GLYCEROL PHENYLBUTYRATE
1 shared
HORIZON THERAP US
Shared indications:
Urea Cycle Disorder
SODIUM PHENYLACETATE AND SODIUM BENZOATE
SODIUM BENZOATE
1 shared
NAVINTA LLC
Shared indications:
Urea Cycle Disorder
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Clinical Trial Registry

9 trials
Trial Sponsor ID Phase Status Title
NCT06069375 STUDY23060034 Ph 2 suspended Study of Sodium Phenylbutyrate (ACER-001) for the Treatment of Patients With Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCADD)
NCT07125066 STUDY25060137 Ph 1 enrolling by invitation An Individual Patient, Open Label Study to Use ACER-001 to Treat Combined D,L-2 Hydroxyglutaric Aciduria (C-2HGA)
NCT06773026 STUDY24100064 Ph 2 recruiting Study of Sodium Phenylbutyrate (ACER-001) for the Treatment of Pediatric and Adults Patients With Medium Chain Acyl-CoA Dehydrogenase Deficiency (MCADD)
NCT05349435 PBI-4050-CT-9-21 Ph 1 terminated A Healthy Volunteer Study to Compare Fezagepras (PBI-4050) With Sodium Phenylbutyrate
NCT03734263 TIGEM2-PDH TIGEM2-PDH Ph 2 completed Use of Phenylbutyrate Therapy for Patients With Pyruvate Dehydrogenase Complex Deficiency.
NCT00345605 results posted RDCRN 5102 U54HD061221 Ph 2 completed Arginine and Buphenyl in Patients With Argininosuccinic Aciduria (ASA), a Urea Cycle Disorder
NCT01096095 CONEP CAAE 0527.0.001.000-07 Ph 2 withdrawn Pilot Study of Safety and Efficacy of Sodium Phenylbutyrate in Spinocerebellar Ataxia Type 3
NCT00439218 NPTUNE 02 results posted N01NS42361_NPTUNE02 HHSN265200423611C, N01NS42361 Ph 1, Ph 2 terminated Clinical Trial of Sodium Phenylbutyrate in Children With Spinal Muscular Atrophy Type I
NCT00439569 NPTUNE01 results posted N01NS42361_NPTUNE01 HHSN265200423611C, N01NS42361 Ph 1, Ph 2 terminated Clinical Trial of Sodium Phenylbutyrate in Children With Spinal Muscular Atrophy Types II or III
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Active Pipeline

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

OLPRUVA FDA Label Details

Indications & Usage

FDA Label (PDF)

Sodium phenylbutyrate tablets are indicated as adjunctive therapy in the chronic management of patients with urea cycle disorders involving deficiencies of carbamylphosphate synthetase (CPS), ornithine transcarbamylase (OTC), or argininosuccinic acid synthetase (AS). It is indicated in all patients with neonatal-onset deficiency (complete enzymatic deficiency, presenting within the first 28 days of life). It is also indicated in patients with late-onset disease (partial enzymatic deficiency, presenting after the first month of life) who have a history of hyperammonemic encephalopathy. It is im...

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3 OB patents · 1 families · 53 international docs across 23 countries

OLPRUVA Patents & Exclusivity

Latest Patent: Oct 2036

Patents (3 active)

US11202767 Expires Oct 17, 2036
US11433041 Expires Oct 17, 2036
US11154521 Expires Oct 17, 2036
Source: FDA Orange Book

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Revenue Insights

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Patent Timeline

  • Cliff: 2036
  • 192 active patents

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • 3 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.