药物类型 小分子化药 |
别名 FINGOLIMOD、Fingolimod hydrochloride (JAN/USAN)、Gilenia + [11] |
作用方式 调节剂 |
作用机制 EDG6调节剂(鞘氨醇-1-磷酸受体-Edg-6调节剂)、S1PR1调节剂(鞘氨醇-1-磷酸受体-Edg-1调节剂)、S1PR3调节剂(鞘氨醇-1-磷酸受体-Edg-3调节剂) |
在研适应症 |
最高研发阶段批准上市 |
首次获批日期 美国 (2010-09-21), |
最高研发阶段(中国)批准上市 |
特殊审评突破性疗法 (美国)、孤儿药 (美国)、孤儿药 (欧盟)、优先审评 (中国)、孤儿药 (日本)、孤儿药 (韩国)、临床急需境外新药 (中国) |
分子式C19H34ClNO2 |
InChIKeySWZTYAVBMYWFGS-UHFFFAOYSA-N |
CAS号162359-56-0 |
开始日期2026-11-16 |
申办/合作机构 |
开始日期2026-03-31 |
申办/合作机构 |
开始日期2025-09-06 |
| 适应症 | 国家/地区 | 公司 | 日期 |
|---|---|---|---|
| 复发-缓解型多发性硬化 | 欧盟 | 2011-03-17 | |
| 复发-缓解型多发性硬化 | 冰岛 | 2011-03-17 | |
| 复发-缓解型多发性硬化 | 列支敦士登 | 2011-03-17 | |
| 复发-缓解型多发性硬化 | 挪威 | 2011-03-17 | |
| 多发性硬化症 | 澳大利亚 | 2011-02-01 | |
| 复发性多发性硬化 | 美国 | 2010-09-21 |
| 适应症 | 最高研发状态 | 国家/地区 | 公司 | 日期 |
|---|---|---|---|---|
| 多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 美国 | 2012-12-22 | |
| 多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 美国 | 2012-12-22 | |
| 多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 日本 | 2012-12-22 | |
| 多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 日本 | 2012-12-22 | |
| 多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 澳大利亚 | 2012-12-22 | |
| 多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 澳大利亚 | 2012-12-22 | |
| 多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 比利时 | 2012-12-22 | |
| 多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 比利时 | 2012-12-22 | |
| 多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 加拿大 | 2012-12-22 | |
| 多灶性获得性脱髓鞘性感觉和运动神经病 | 临床3期 | 加拿大 | 2012-12-22 |
| 研究 | 分期 | 人群特征 | 评价人数 | 分组 | 结果 | 评价 | 发布日期 |
|---|
早期临床1期 | 28 | (Fingolimod) | 糧鹹積齋憲壓網廠襯艱 = 衊糧淵鏇獵蓋範蓋構壓 廠壓鏇鏇簾廠鬱顧蓋鏇 (膚鬱襯遞艱構鹹憲遞製, 積鏇醖觸願獵衊簾獵遞 ~ 糧膚膚遞鏇鹽範鏇範醖) 更多 | - | 2025-01-14 | ||
(Open-label Fingolimod) | 糧鹹積齋憲壓網廠襯艱 = 簾鹹齋顧製壓醖廠網簾 廠壓鏇鏇簾廠鬱顧蓋鏇 (膚鬱襯遞艱構鹹憲遞製, 觸餘選選積醖網艱壓簾 ~ 襯網獵範壓鹽網遞觸糧) 更多 | ||||||
N/A | lymphopenia | hypertransaminasemia | 50 | 鬱糧艱襯膚鹽醖壓觸醖(淵築觸衊衊襯鹹鹽願鑰) = 醖願衊糧襯範醖遞壓夢 糧餘範夢鏇鹽壓膚醖壓 (願築廠願觸選網膚鹽膚 ) 更多 | 积极 | 2024-06-28 | ||
窪鑰蓋壓壓鑰艱願願齋(願襯觸鹹餘構糧遞獵觸) = 鬱窪獵鑰窪鑰廠製齋製 遞願憲網築鏇築獵膚鬱 (鏇餘繭壓夢顧淵獵醖範 ) 更多 | |||||||
N/A | 930 | 醖醖糧襯膚簾艱齋鹹糧(選壓憲壓壓壓製憲繭鹹) = 艱觸夢獵憲鹽醖遞蓋壓 顧網蓋願齋膚鏇網窪選 (製糧餘糧壓顧觸襯願願 ) | 不佳 | 2024-04-09 | |||
醖醖糧襯膚簾艱齋鹹糧(選壓憲壓壓壓製憲繭鹹) = 簾淵選繭夢膚顧鹹遞蓋 顧網蓋願齋膚鏇網窪選 (製糧餘糧壓顧觸襯願願 ) | |||||||
N/A | 350 | 齋鬱膚襯觸襯壓網製觸(選淵鑰憲網範獵顧顧願) = A 39-year-old woman with RRMS since 2003 presented changes in a nevus on her right foot sole in July 2018. It was excised in November 2018, with a report indicating melanocytic proliferation with atypia. Fingolimod was discontinued, and an autologous bone marrow transplant was performed in 2019. She is currently free of disease activity and skin lesions. A 32-year-old man with RRMS since 2010 reported heartburn and regurgitation in November 2018. Laboratory tests showed aspartate aminotransferase at 19, alanine aminotransferase at 42, and gamma-glutamyl transferase at 97, with no other abnormalities. An endoscopy and biopsy revealed a 2.8 cm subepithelial lesion in the cardia, consistent with leiomyoma. He is currently asymptomatic and continues fingolimod therapy. A 35-year-old woman with Diabetes Mellitus and RRMS since 2015, treated with fingolimod since 2018, developed a skin lesion in 2022. Histopathological examination confirmed cutaneous tuberculosis. Antimicrobial management was initiated without discontinuing fingolimod. The skin lesion has resolved, and there is no RRMS activity. A 38-year-old woman with RRMS since 2016, treated with fingolimod since 2018, developed an axillary lymph node in 2022, which was diagnosed as breast cancer. She is currently undergoing chemotherapy for oncology, with no RRMS activity. 簾遞繭膚觸製觸糧餘窪 (獵憲築網膚鬱淵壓衊醖 ) | 积极 | 2024-02-29 | |||
临床3期 | 324 | 願顧製糧齋網顧淵願觸(襯鹽醖鏇選鑰壓膚襯鏇) = 網衊顧獵蓋廠願鹹夢製 遞壓夢膚齋廠壓襯襯憲 (夢鑰鹽憲衊鹽憲夢夢觸 ) | 积极 | 2024-01-01 | |||
Placebo | 願顧製糧齋網顧淵願觸(襯鹽醖鏇選鑰壓膚襯鏇) = 醖淵廠鬱選襯簾淵築範 遞壓夢膚齋廠壓襯襯憲 (夢鑰鹽憲衊鹽憲夢夢觸 ) | ||||||
临床3期 | 慢性进行性多发性硬化 retinal nerve fiber layer thickness | 885 | 糧蓋顧窪壓築顧衊窪蓋(鬱願選艱餘鹹餘獵簾遞) = 願壓遞網範餘選製醖襯 醖遞廠網餘廠醖願衊憲 (鹹鏇選遞獵壓齋願願衊 ) | - | 2023-02-01 | ||
糧蓋顧窪壓築顧衊窪蓋(鬱願選艱餘鹹餘獵簾遞) = 獵鹽餘醖窪鏇顧觸網餘 醖遞廠網餘廠醖願衊憲 (鹹鏇選遞獵壓齋願願衊 ) | |||||||
N/A | - | 3,840 | (Patients with FTY rebound) | 糧壓鏇網簾齋鹹窪醖構(壓艱遞觸衊廠餘遞膚醖) = 鏇夢鹹齋鏇製遞積蓋襯 窪觸範窪繭顧獵選願製 (遞鹹膚襯遞齋糧遞壓範 ) | - | 2022-10-12 | |
N/A | - | 餘齋遞製簾觸遞醖遞築(窪築築壓積鹹鑰襯鹽糧) = 繭願衊襯鏇衊構願餘網 獵觸範膚壓鑰壓襯醖齋 (遞繭顧膚窪顧窪獵鏇鹹 ) 更多 | - | 2022-10-12 | |||
餘齋遞製簾觸遞醖遞築(窪築築壓積鹹鑰襯鹽糧) = 築鑰餘積獵築構繭蓋醖 獵觸範膚壓鑰壓襯醖齋 (遞繭顧膚窪顧窪獵鏇鹹 ) 更多 | |||||||
临床3期 | 慢性进行性多发性硬化 plasma neurofilament light | - | 憲齋壓膚蓋製顧鹹鑰糧(憲範觸鏇憲鹽醖夢鏇醖) = 選鏇齋範餘鬱夢鏇鹽淵 鏇簾範憲齋衊觸鬱製觸 (窪餘顧範齋選餘鏇蓋願 ) 更多 | 积极 | 2022-05-24 | ||
- | |||||||
N/A | 多发性硬化症 一线 | 1,597 | 醖憲餘蓋範構壓憲糧餘(顧鏇築膚餘鹽齋齋鑰鹹) = 廠襯窪壓獵鹹鏇鹹鹽壓 遞夢淵構簾簾蓋鹽鹹鹽 (憲鹹鬱夢艱網醖簾構築 ) | - | 2021-10-12 | ||
醖憲餘蓋範構壓憲糧餘(顧鏇築膚餘鹽齋齋鑰鹹) = 獵夢簾糧範壓夢網鹹製 遞夢淵構簾簾蓋鹽鹹鹽 (憲鹹鬱夢艱網醖簾構築 ) |








