TheraRadar
Data updated: Jun 28, 2026

SODIUM PHENYLBUTYRATE · NAVINTA LLC

Rare Disease Approved 1996-04-30

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.

Source: FDA Label
NDA
Small Molecule
6
Indications
--
Phase 3 Trials
30
Years on Market

Details

Status
Prescription
First Approved
1996-04-30
Routes
ORAL
Dosage Forms
TABLET, POWDER

SODIUM PHENYLBUTYRATE Approval History

2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
6 FDA actions from 2011 to 2026
Feb 2026 ORIGINAL
Update
Nov 2022 ORIGINAL
Update
Jun 2016 ORIGINAL
Update

What SODIUM PHENYLBUTYRATE Treats

4 indications

SODIUM PHENYLBUTYRATE is approved for 4 conditions since its original approval in 2011. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Urea Cycle Disorders
  • Carbamylphosphate Synthetase Deficiency
  • Ornithine Transcarbamylase Deficiency
  • Argininosuccinic Acid Synthetase Deficiency
Source: FDA Label

SODIUM PHENYLBUTYRATE 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.

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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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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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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.

SODIUM PHENYLBUTYRATE FDA Label Details

Indications & Usage

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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Data Sources

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