TheraRadar
Data updated: May 26, 2026

ELCYS (cysteine hydrochloride)

Hepatology Approved 2019-04-16

ELCYS is a sulfur-containing amino acid used as an additive to nutritional solutions for patients receiving total parenteral nutrition. It helps newborn infants and individuals with severe liver disease meet their specific nutritional requirements, especially when impaired enzymatic processes prevent them from producing enough cysteine naturally. Adding this drug to amino acid mixtures provides a more complete profile of nutrients necessary for protein synthesis.

Source: FDA Label • EXELA PHARMA

How ELCYS Works

This medication works by providing cysteine directly to the systemic circulation for patients who cannot synthesize enough of it naturally due to low cystathionase activity. As a precursor substrate, the cysteine provided helps the body produce glutathione and taurine while supporting the trans-sulfuration pathway.

1
Indication
--
Phase 3 Trials
1
Priority Reviews
7
Years on Market

Details

Status
Prescription
First Approved
2019-04-16
Patent Cliff
2039

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Routes
INTRAVENOUS
Dosage Forms
SOLUTION

Companies

Active Ingredient: CYSTEINE HYDROCHLORIDE

ELCYS Approval History

2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2019 to 2023
Dec 2023 SUPPL
Mfg · Manufacturing (CMC)
Apr 2019 ORIGINAL Priority
Update · Type 5 - New Formulation or New Manufacturer

What ELCYS Treats

1 indications

ELCYS is approved for 1 conditions since its original approval in 2019. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Liver Disease
Source: FDA Label

ELCYS Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

Indication competitors

1

Same indication, different mechanism — what else might this patient receive?

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 ELCYS

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

CHOLBAM
CHOLIC ACID
1 shared
MIRUM
Shared indications:
Liver Disease
🔬

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Key Completed Trials

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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.

ELCYS FDA Label Details

Indications & Usage

FDA Label (PDF)

ELCYS is indicated for the treatment of Liver Disease.

View full patent landscape →
16 OB patents · 1 families · 22 international docs across 1 countries

ELCYS Patents & Exclusivity

Latest Patent: Jan 2039

Patents (16 active)

US11510942 Expires Jan 15, 2039
US11969439 Expires Jan 15, 2039
US10478453 Expires Jan 15, 2039
US10583155 Expires Jan 15, 2039
US10653719 Expires Jan 15, 2039
US10918662 Expires Jan 15, 2039
US10905713 Expires Jan 15, 2039
US10905714 Expires Jan 15, 2039
US11684636 Expires Jan 15, 2039
US10933089 Expires Jan 15, 2039
US11826383 Expires Jan 15, 2039
US11679125 Expires Jan 15, 2039
US11648262 Expires Jan 15, 2039
US10912795 Expires Jan 15, 2039
US11642370 Expires Jan 15, 2039
US11510941 Expires Jan 15, 2039
Source: FDA Orange Book

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Patent Timeline

  • Cliff: 2039
  • 32 active patents

Trial Analysis

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  • Development stage analysis

Competitive Landscape

  • 1 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.