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Oral Naltrexone (O-NTX)

NYU Langone Health · FDA-approved active Small molecule

Oral naltrexone is an opioid receptor antagonist that blocks opioid signaling in the central and peripheral nervous system.

Oral naltrexone is an opioid antagonist that blocks opioid receptors in the central and peripheral nervous system. Used for Opioid use disorder, Alcohol use disorder.

At a glance

Generic nameOral Naltrexone (O-NTX)
Also known asRevia
SponsorNYU Langone Health
Drug classOpioid antagonist
TargetOpioid receptors (mu, delta, kappa)
ModalitySmall molecule
Therapeutic areaPsychiatry / Addiction Medicine
PhaseFDA-approved

Mechanism of action

Naltrexone competitively binds to opioid receptors (mu, delta, and kappa), preventing endogenous opioids and exogenous opioid drugs from activating these receptors. This mechanism is used clinically to reduce cravings and block the rewarding effects of opioids in opioid use disorder, and at lower doses to modulate immune and pain pathways in other conditions.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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