TheraRadar
Data updated: May 26, 2026

THIOLA EC (tiopronin)

Cystine Disulfide Reduction
Renal Approved 2019-06-28

Thiola EC helps patients with severe homozygous cystinuria prevent the formation of cystine stones. It is used for adults and children weighing at least 20 kg when lifestyle changes like diet, high fluid intake, and alkali therapy are not sufficient on their own. This medication provides an additional layer of protection for those at risk of developing these specific types of kidney stones.

Source: FDA Label • MISSION PHARMACAL • Reducing and Complexing Thiol

How THIOLA EC Works

This drug works by lowering the concentration of cystine in the urine so it stays below the level where it would normally crystallize. As a reducing agent, tiopronin interacts with cystine to create a new, water-soluble substance called a tiopronin-cysteine disulfide. By converting the hard-to-dissolve cystine into this soluble form, the medication prevents stones from forming.

1
Indication
--
Phase 3 Trials
6
Years on Market

Details

Status
Prescription
First Approved
2019-06-28
Patent Cliff
2038

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Routes
ORAL
Dosage Forms
TABLET, DELAYED RELEASE

Companies

Active Ingredient: TIOPRONIN

THIOLA EC Approval History

2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2019 to 2021
Mar 2021 SUPPL
Label · Labeling
Jun 2019 ORIGINAL
New Form · Type 3 - New Dosage Form

What THIOLA EC Treats

1 indications

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

  • Cystinuria
Source: FDA Label

THIOLA EC 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 THIOLA EC

3 of 6

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

DEPEN
PENICILLAMINE
1 shared
Viatris
Shared indications:
Cystinuria
PENICILLAMINE
PENICILLAMINE
1 shared
INVAGEN PHARMS
Shared indications:
Cystinuria
SYPRINE
TRIENTINE HYDROCHLORIDE
1 shared
BAUSCH
Shared indications:
Cystinuria
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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

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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.

THIOLA EC FDA Label Details

Indications & Usage

FDA Label (PDF)

THIOLA EC is indicated for the treatment of Cystinuria.

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

THIOLA EC Patents & Exclusivity

Latest Patent: Nov 2038
Exclusivity: Jun 2026

Patents (1 active)

US11458104 Expires Nov 14, 2038

Exclusivity

ODE* Until Jun 2026
ODE* Until Jun 2026
ODE* Until Jun 2026
ODE* Until Jun 2026
Source: FDA Orange Book

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Patent Timeline

  • Cliff: 2038
  • 4 active patents

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • 6 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.