TheraRadar
Data updated: May 26, 2026

ALVAIZ (eltrombopag choline)

Trial Activity: Declining 12 active trials
Infectious Disease Approved 2023-11-29

ALVAIZ is indicated for the treatment of Thrombocytopenia; Immune Thrombocytopenia; Hepatitis C; Aplastic Anemia.

How ALVAIZ Works

Eltrombopag is a thrombopoietin (TPO) receptor agonist that interacts with the transmembrane domain of the human TPO receptor (also known as c-Mpl). This interaction initiates intracellular signaling cascades that induce the proliferation and differentiation of megakaryocytes from bone marrow progenitor cells, ultimately leading to an increase in platelet production.

Development Insights

Novartis Pharmaceuticals conducting 14 trials (17%)
69 indications explored (Broad Platform)
thrombocytopenia (16 trials)
severe aplastic anemia (4 trials)
leukemia (4 trials)
1
Indication
--
Phase 3 Trials
2
Years on Market

Details

Status
Prescription
First Approved
2023-11-29
Patent Cliff
2038

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Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: ELTROMBOPAG CHOLINE

ALVAIZ Approval History

2024
2025
2026
Original
New Indication
New Form
Label Update
8 FDA actions from 2023 to 2026
Jan 2026 SUPPL
Label · Labeling
Nov 2023 ORIGINAL
New Ingredient · Type 2 - New Active Ingredient

What ALVAIZ Treats

4 indications

ALVAIZ is approved for 4 conditions since its original approval in 2023. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Thrombocytopenia
  • Immune Thrombocytopenia
  • Hepatitis C
  • Aplastic Anemia
Source: FDA Label

ALVAIZ Boxed Warning

RISK FOR HEPATIC DECOMPENSATION IN PATIENTS WITH CHRONIC HEPATITIS C and RISK OF HEPATOTOXICITY In patients with chronic hepatitis C, ALVAIZ in combination with interferon and ribavirin may increase the risk of hepatic decompensation [see Warnings and Precautions ( 5.1 )] . ALVAIZ may increase the risk of severe and potentially life-threatening hepatotoxicity. Monitor hepatic function and discontinue dosing as recommended [see Warnings and Precautions ( 5.2 )] . WARNING: RISK FOR HEPATIC DECOMPE...

ALVAIZ 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.

What's emerging in ALVAIZ's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications ALVAIZ treats. First-in-class if their pivotal trials read out positive.

Drugs Similar to ALVAIZ

3 of 17

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

ELTROMBOPAG OLAMINE
ELTROMBOPAG OLAMINE
3 shared
Dr. Reddy's
Shared indications:
ThrombocytopeniaImmune ThrombocytopeniaAplastic Anemia
DOPTELET
AVATROMBOPAG MALEATE
2 shared
AKARX INC
Shared indications:
ThrombocytopeniaImmune Thrombocytopenia
DOPTELET SPRINKLE
AVATROMBOPAG MALEATE
2 shared
AKARX INC
Shared indications:
ThrombocytopeniaImmune Thrombocytopenia
🔬

Active Pipeline

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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.

ALVAIZ FDA Label Details

Indications & Usage

FDA Label (PDF)

ALVAIZ is indicated for the treatment of Thrombocytopenia; Immune Thrombocytopenia; Hepatitis C; Aplastic Anemia.

⚠️ BOXED WARNING

WARNING: RISK FOR HEPATIC DECOMPENSATION IN PATIENTS WITH CHRONIC HEPATITIS C and RISK OF HEPATOTOXICITY In patients with chronic hepatitis C, ALVAIZ in combination with interferon and ribavirin may increase the risk of hepatic decompensation [see Warnings and Precautions ( 5.1 )] . ALVAIZ may incre...

View full patent landscape →
1 OB patents · 1 families · 4 international docs across 3 countries

ALVAIZ Patents & Exclusivity

Latest Patent: Nov 2038

Patents (1 active)

US11072586 Expires Nov 5, 2038
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for ALVAIZ

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2038
  • 48 active patents

Trial Analysis

  • 81 total trials
  • Stage: Declining

Competitive Landscape

  • 17 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.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment