TheraRadar
Data updated: Jun 28, 2026

TIOPRONIN · Teva

Generic · see TIOCYSTIN Cystine Disulfide Reduction
Renal Approved 1988-08-11

Tiopronin helps patients with severe homozygous cystinuria by preventing the formation of cystine stones. It is used for adults and children 9 years of age and older who have not responded sufficiently to high fluid intake, alkali, and diet modifications alone. This medication works as a reducing and complexing thiol to supplement these other preventative strategies.

Source: FDA Label • Reducing and Complexing Thiol

How TIOPRONIN Works

This drug works by lowering the concentration of cystine in the urine until it is below its solubility limit. It acts as a reducing agent that undergoes a chemical exchange with cystine to form a water-soluble disulfide, which reduces the amount of insoluble cystine available to form stones.

Source: FDA Label
5
Indications
--
Phase 3 Trials
37
Years on Market

Details

Status
Prescription
First Approved
1988-08-11
Routes
ORAL
Dosage Forms
TABLET, DELAYED RELEASE, TABLET

Companies

Active Ingredient: TIOPRONIN

TIOPRONIN Approval History

2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
10 FDA actions from 2021 to 2025
Aug 2025 SUPPL
Mfg · Manufacturing (CMC)
Jul 2024 ORIGINAL
Update
Aug 2023 ORIGINAL
Update

What TIOPRONIN Treats

2 indications

TIOPRONIN is approved for 2 conditions since its original approval in 2021. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Cystine Stone Formation
  • Cystinuria
Source: FDA Label

TIOPRONIN 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 TIOPRONIN

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VENXXIVA
TIOPRONIN
2 shared
TORRENT
Shared indications:
Cystine Stone FormationCystinuria
DEPEN
PENICILLAMINE
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Viatris
Shared indications:
Cystinuria
PENICILLAMINE
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PH HEALTH
Shared indications:
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Teva's other novel FDA approvals

Other CDER-designated drugs from the same sponsor (2016–2025).

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Clinical Trial Registry

2 trials
Trial Sponsor ID Phase Status Title
NCT01095731 results posted AAAA8597 1R01FD003728-01 Ph 2 completed The Effects of Tiopronin on 3-Aminopropanal Level & Neurologic Outcome After Aneurysmal Subarachnoid Hemorrhage
NCT03663855 results posted 18-00642 Ph 2 completed Effect of Increasing Doses of Tiopronin on Cystine Capacity in Patients With Cystinuria
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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.

TIOPRONIN FDA Label Details

Indications & Usage

Tiopronin delayed-release tablets are indicated, in combination with high fluid intake, alkali, and diet modification, for the prevention of cystine stone formation in adults and pediatric patients 9 years of age and older with severe homozygous cystinuria, who are not responsive to these measures alone. Additional pediatric use information is approved for Mission Pharmacal Company’s Thiola EC (tiopronin) delayed release tablets. However, due to Mission Pharmacal Company’s marketing exclusivity rights, this drug product is not labeled with that information. Tiopronin delayed-release tablets ar...

Looking for the branded version?

TIOCYSTIN

Full clinical data, patents, trials, and competitive landscape for tiopronin.

See TIOCYSTIN

Data Sources

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