MedPath

Isotretinoin

Generic Name
Isotretinoin
Brand Names
Absorica, Accutane, Amnesteem, Claravis, Clarus, Epuris, Myorisan, Sotret, Zenatane
Drug Type
Small Molecule
Chemical Formula
C20H28O2
CAS Number
4759-48-2
Unique Ingredient Identifier
EH28UP18IF

Overview

Isotretinoin is a retinoid derivative of vitamin A used in the treatment of severe recalcitrant acne. It was most widely marketed under the brand name Accutane, which has since been discontinued. Isotretinoin is associated with major risks in pregnancy and is therefore only available under the iPLEDGE program in the United States. The first isotretinoin-containing product was FDA approved on 7 May 1982.

Indication

Isotretinoin is indicated to treat severe recalcitrant nodular acne and patients ≥12 years enrolled in the iPLEDGE program.

Associated Conditions

  • Acne conglobata
  • Neuroblastoma (NB)
  • Rosacea
  • Sezary Syndrome
  • Early Mycosis Fungoides (MF)
  • Refractory Acne vulgaris
  • Severe Recalcitrant nodular acne

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2025/07/08
Not Applicable
Recruiting
2025/04/24
Early Phase 1
Not yet recruiting
C17 Council
2025/03/12
Phase 4
Completed
SB Istanbul Education and Research Hospital
2024/11/20
Phase 4
Not yet recruiting
University Hospital, Strasbourg, France
2024/07/03
Phase 1
Not yet recruiting
2024/06/11
Phase 3
Completed
2024/06/07
Phase 3
Recruiting
2024/04/23
Not Applicable
Recruiting
2024/02/05
Phase 3
Completed
Mostafa Bahaa
2024/01/26
Early Phase 1
Recruiting

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Physicians Total Care, Inc.
54868-6308
ORAL
40 mg in 1 1
1/20/2014
JG Pharma Inc.
72143-253
ORAL
30 mg in 1 1
11/10/2022
Sun Pharmaceutical Industries, Inc.
57664-024
ORAL
35 mg in 1 1
1/10/2024
Aurobindo Pharma Limited
59651-633
ORAL
25 mg in 1 1
1/31/2024
Mylan Pharmaceuticals Inc.
0378-6614
ORAL
40 mg in 1 1
11/23/2021
Galephar Pharmaceutical Research Inc.
66277-339
ORAL
30 mg in 1 1
1/29/2022
Zydus Pharmaceuticals USA Inc.
70710-1025
ORAL
40 mg in 1 1
9/1/2023
Amneal Pharmaceuticals NY LLC
69238-1176
ORAL
40 mg in 1 1
12/30/2023
Sun Pharmaceutical Industries, Inc.
57664-025
ORAL
40 mg in 1 1
1/10/2024
Upsher-Smith Laboratories, LLC
0832-8304
ORAL
40 mg in 1 1
6/8/2023

EMA Drug Approvals

Approved Product
Authorization Holder
Status
Issued Date
No EMA approvals found for this drug.

HSA Drug Approvals

Approved Product
Manufacturer
Approval Number
Dosage Form
Strength
Approval Date
ROACCUTANE CAPSULE 20 mg
SIN04921P
CAPSULE, LIQUID FILLED
20 mg
7/10/1990
NIMEGEN SOFT CAP. 10 mg
SIN10767P
CAPSULE, LIQUID FILLED
10 mg
2/23/1999
ORATANE CAPSULE 10 mg
SIN11782P
CAPSULE
10 mg
1/23/2002
ROACCUTANE CAPSULE 10 mg
SIN04920P
CAPSULE, LIQUID FILLED
10 mg
7/10/1990
ORATANE CAPSULE 5 mg
SIN14628P
CAPSULE
5MG
9/22/2014
ACNOTIN 10
SIN13333P
CAPSULE
10MG
8/8/2007
ORATANE CAPSULE 20 mg
SIN11781P
CAPSULE
20.00mg
1/23/2002
ACNOTIN 20
SIN13051P
CAPSULE
20 mg
3/4/2005

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
No NMPA approvals found for this drug.

PPB Drug Approvals

Approved Product
Registration No.
Company
Licence No.
Strength
Registration Date
ROACCUTANE CAP 20MG
N/A
N/A
N/A
1/31/1984
ROACCUTANE CAP 10MG
N/A
N/A
N/A
1/31/1984

Health Canada Drug Approvals

Approved Product
Company
DIN
Dosage Form
Strength
Market Date
CLARUS
Mylan Pharmaceuticals ULC
02257955
Capsule - Oral
10 MG
4/1/2005
EPURIS
02396971
Capsule - Oral
10 MG
5/7/2013
EPURIS
02397013
Capsule - Oral
40 MG
5/7/2013
ABSORICA LD
02539063
Capsule - Oral
24 MG
9/26/2023
RAN-ISOTRETINOIN
ranbaxy pharmaceuticals canada inc.
02309173
Capsule - Oral
10 MG
N/A
EPURIS
02397005
Capsule - Oral
30 MG
5/7/2013
ABSORICA LD
02539055
Capsule - Oral
16 MG
9/26/2023
ACCUTANE ROCHE
Hoffmann-La Roche Limited
00582352
Capsule - Oral
40 MG
12/31/1983
EPURIS
02396998
Capsule - Oral
20 MG
5/7/2013
ABSORICA LD
02539071
Capsule - Oral
32 MG
9/26/2023

CIMA AEMPS Drug Approvals

Approved Product
Company
Registration Number
Pharmaceutical Form
Prescription Type
Status
No CIMA AEMPS (Spain) approvals found for this drug.

Philippines FDA Drug Approvals

Approved Product
Company
License Number
Dosage Form
Strength
Approval Date
No Philippines FDA approvals found for this drug.

Saudi SFDA Drug Approvals

Approved Product
Company
License Number
Dosage Form
Strength
Approval Date
No Saudi SFDA approvals found for this drug.

Malaysia NPRA Drug Approvals

Approved Product
Company
Registration Number
Dosage Form
Strength
Approval Date
No Malaysia NPRA approvals found for this drug.

UK EMC Drug Information

Medicine Name
MA Holder
MA Number
Pharmaceutical Form
Active Ingredient
Authorization Date
No UK EMC drug information found for this drug.

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