atomoxetine
Trade name: strattera
Approved
Nov 26, 2002
Atomoxetine is indicated for the treatment of Attention-Deficit/Hyperactivity Disorder. The precise mechanism by which atomoxetine produces its therapeutic effects in Attention-Deficit/Hyperactivity Disorder (ADHD) is unknown, but is thought to be related to selective inhibition of the pre-synaptic norepinephrine transporter. Most common adverse reactions are: nausea, vomiting, fatigue, decreased appetite, abdominal pain, and somnolence, constipation, dry mouth, dizziness, erectile dysfunction, and urinary hesitation. Atomoxetine is a substrate for CYP2D6 and hence concurrent treatment with CYP2D6 inhibitors such as bupropion (Wellbutrin) or fluoxetine (Prozac) is not recommended, as this can lead to significant elevations of plasma atomoxetine levels. — NCATS
Clinical trial activity
187 trials · 98 clinical orgs · 13 marketing orgs
Earliest trial started Apr 1, 1997 (NCT00262470)
Timeline
1990s
- Jan 1, 1997
Earliest Phase 1 Sponsor(trial)
2000s
2010s
- Sep 16, 2010
Zydus Discovery DMCC — Marketing Organization
- May 11, 2012
Actavis — Marketing Organization
- May 11, 2012
Mylan — Marketing Organization
- May 11, 2012
Sun Pharmaceuticals — Marketing Organization
- May 11, 2012
Novartis — Marketing Organization
- Aug 31, 2015
Hetero Labs Ltd — Marketing Organization
- May 30, 2017
Apotex — Marketing Organization
- May 30, 2017
Aurobindo Pharma — Marketing Organization
- May 30, 2017
Glenmark Pharmaceuticals — Marketing Organization
- May 30, 2017
Teva — Marketing Organization
- Feb 23, 2018
Dr. Reddy's Laboratories — Marketing Organization
2020s
- Feb 18, 2021
Strides Pharma Science — Marketing Organization
Indications
Approved for
Studied for
- Alcohol-Induced Disorders · Phase 1
- Alcoholism · Phase 2
- Alzheimer Disease · Phase 2/Phase 3
- Anxiety Disorders · Phase 4
- Asperger Syndrome · Phase 4
- Atomoxetine Hydrochloride · Phase 2
- Atrophy · Phase 2
- Attention Deficit and Disruptive Behavior Disorders · Phase 4
- Autistic Disorder · Phase 4
- Autonomic Nervous System Diseases · Phase 3
- Binge-Eating Disorder · Phase 4
- Central Nervous System Stimulants · Phase 2
- Chorea · Phase 2
- Cocaine-Related Disorders · Phase 2
- Cognition · Phase 2
- Cognition Disorders · Phase 3
- Cognitive Dysfunction · Phase 2
- Comorbidity · Phase 4
- Deficiency Diseases · Phase 4
- Depression · Phase 4
- Depressive Disorder · Phase 4
- Diabetes Mellitus, Type 1 · Early Phase 1
- Dopamine beta-Hydroxylase · Phase 3
- Down Syndrome · Phase 2
- Drugs, Investigational · Phase 1
- Dyslexia · Phase 4
- Executive Function · Phase 4
- Fetal Alcohol Spectrum Disorders · Phase 3
- Gait · Phase 3
- Growth and Development · Phase 4
- Healthy Volunteers · Phase 1
- Huntington Disease · Phase 2
- Hypertension · Phase 2
- Hypotension · Phase 4
- Hypotension, Orthostatic · Phase 3
- Marijuana Abuse · Phase 4
- Memory Disorders · Phase 2
- Methamphetamine · Phase 1/Phase 2
- Mood Disorders · Phase 1
- Multiple Sclerosis · Phase 2
- Neoplasms · Phase 3
- Nocturnal Enuresis · Early Phase 1
- Opioid-Related Disorders · Phase 2
- Orthostatic Intolerance · Phase 3
- Parkinson Disease · Phase 4
- Phobia, Social · Phase 2/Phase 3
- Placebos · Phase 2
- Psychological Distress · Phase 1/Phase 2
- Psychotic Disorders · Phase 4
- Pure Autonomic Failure · Phase 1
- Reading · Phase 4
- Schizophrenia · Phase 4
- Sleep Apnea, Obstructive · Phase 4
- Sleep Apnea Syndromes · Phase 2
- Sleep Initiation and Maintenance Disorders · Phase 4
- Smoking · Phase 2
- Stress Disorders, Post-Traumatic · Phase 4
- Stress, Physiological · Phase 1/Phase 2
- Substance Abuse, Oral · Phase 4
- Substance-Related Disorders · Phase 4
- Syncope, Vasovagal · Phase 4
- Tachycardia · Phase 1/Phase 2
- Tobacco Use Disorder · Phase 1/Phase 2
- Tourette Syndrome · Phase 2
- Whiplash Injuries · Phase 4
Mechanism of action
- Norepinephrine transporterINHIBITOR
SLC6A2 inhibitor
reuptake inhibitor
Approval history
- approvedNov 26, 2002
Chemistry & pharmacology
SMILES
CNCC[C@@H](Oc1ccccc1C)c1ccccc1- Mol. weight
- 255.36 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL641 ↗
- WikipediaAtomoxetine ↗
- NCATSASW034S0B8 ↗
- ChEMBLCHEMBL1702 ↗
Also known as
- atomexetine
- atomoxetine
- atomoxetine
- atomoxetine
- atomoxetine
- atomoxetine
- atomoxetine
- atomoxetine
- atomoxetine
- atomoxetine hcl
- atomoxetine hcl
- atomoxetine hcl
- atomoxetine hydrochloride
- atomoxetine hydrochloride
- atomoxetine hydrochloride
- atomoxetine hydrochloride
- atomoxetine hydrochloride
- ly139603
- ly139603
- ly139603
- ly139603
- ly139603
- ly139603
- ly-139603
- ly-139603
- strattera
- strattera
- strattera
- strattera
- strattera
- stratterra
- tomoxetina
- tomoxetina
- tomoxetine
- tomoxetine
- tomoxetine
- tomoxetine
- (-)-tomoxetine
- (-)-tomoxetine
- (-)-tomoxetine
- tomoxetine hcl
- tomoxetine hcl
- tomoxetine hcl
- tomoxetine hydrochloride
- tomoxetinum
- tomoxetinum
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07280468 | Phase 4 | Feb 1, 2026 | Patient-Centered Outcomes Research Institute, University of Arizona |
| NCT07239791 | N/A | Nov 18, 2025 | Centre Hospitalier St Anne |
| NCT06899178 | Phase 2 | Apr 30, 2025 | Icahn School of Medicine at Mount Sinai, Vanderbilt University |
| NCT06841666 | Early Phase 1 (Phase 1) | Feb 28, 2025 | Tanta University |
| NCT06827431 | Phase 3 | Feb 14, 2025 | Shijiazhuang Pharma Group (CSPC) |
| NCT06573970 | Phase 4 | Dec 16, 2024 | Department of Veteran Affairs, Medical University of South Carolina |
| NCT06295562 | Phase 4 | Oct 14, 2024 | China Medical University |
| NCT06542887 | Phase 2 | Oct 1, 2024 | Ain Shams University |
| NCT05550246 | Phase 1/Phase 2 (Phase 2) | Oct 31, 2023 | Harvard University |
| NCT05944965 | Phase 1/Phase 2 (Phase 2) | Oct 22, 2023 | Harvard University |
| NCT05933603 | Phase 2 | Aug 1, 2023 | National Heart, Lung, and Blood Institute (NHLBI), National Institutes of Health (NIH), University of Arizona |
| NCT05762458 | Phase 2 | Feb 28, 2023 | Shijiazhuang Pharma Group (CSPC) |
| NCT05293600 | Phase 1/Phase 2 (Phase 2) | Sep 1, 2022 | Harvard University |
| NCT05159687 | Phase 4 | Dec 31, 2021 | University of Calgary |
| NCT05071612 | Phase 2 | Dec 15, 2021 | Apnimed, Inc. |
| NCT05101122 | Phase 1/Phase 2 (Phase 2) | Oct 6, 2021 | Apnimed, Inc. |
| NCT05018013 | Phase 2 | Aug 21, 2021 | Jiao Tong University, Shijiazhuang Pharma Group (CSPC) |
| NCT04905979 | Phase 2 | Jul 31, 2021 | Apnimed, Inc. |
| NCT04782830 | N/A | Feb 5, 2021 | Vanderbilt University |
| NCT04565288 | Phase 2 | Nov 30, 2020 | Brown University, National Institute on Alcohol Abuse and Alcoholism (NIAAA) |
Organizations
Research & Development (98)
Marketing (18)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Actavis | For profit | MKTG | May 11, 2012 |
| Apotex | For profit | SYN | May 30, 2017 |
| Apotex | For profit | MKTG | May 30, 2017 |
| Aurobindo Pharma | For profit | MKTG | May 30, 2017 |
| Aurobindo Pharma | For profit | SYN | May 30, 2017 |
| Dr. Reddy's Laboratories | For profit | SYN | Feb 23, 2018 |
| Dr. Reddy's Laboratories | For profit | MKTG | Feb 23, 2018 |
| Eli Lilly | For profit | NDA | Nov 26, 2002 |
| Glenmark Pharmaceuticals | For profit | MKTG | May 30, 2017 |
| Hetero Labs Ltd | For profit | MKTG | Aug 31, 2015 |
| Hetero Labs Ltd | For profit | SYN | Aug 31, 2015 |
| Mylan | For profit | MKTG | May 11, 2012 |
| Mylan | For profit | SYN | Feb 18, 2021 |
| Novartis | For profit | MKTG | May 11, 2012 |
| Strides Pharma Science | For profit | MKTG | Feb 18, 2021 |
| Sun Pharmaceuticals | For profit | MKTG | May 11, 2012 |
| Teva | For profit | MKTG | May 30, 2017 |
| Zydus Discovery DMCC | For profit | MKTG | Sep 16, 2010 |