metoprolol
Trade name: lopressor
Approved
Aug 7, 1978
Mrtoprolol is a beta-adrenergic receptor blocking agent. In vitro and in vivo animal studies have shown that it has a preferential effect on beta-1 adrenoreceptors, chiefly located in cardiac muscle. Clinical pharmacology studies have confirmed the beta-blocking activity of metoprolol in man, as shown by (1) reduction in heart rate and cardiac output at rest and upon exercise, (2) reduction of systolic blood pressure upon exercise, (3) inhibition of isoproterenol-induced tachycardia, and (4) reduction of reflex orthostatic tachycardia. Mrtoprolol is indicated for the treatment of hypertension, angina pectoris and myocardial infarction — NCATS
Clinical trial activity
236 trials · 242 clinical orgs · 58 marketing orgs
Earliest trial started Sep 1, 1980 (NCT00000499)
Timeline
1970s
- Aug 7, 1978
Earliest FDA Approval
- Aug 7, 1978
Validus Pharmaceuticals — NDA Secondary Org
1990s
- Jan 10, 1992
Aralez Pharmaceuticals — NDA Secondary Org
- Jan 10, 1992
AstraZeneca — Marketing Organization
- Jan 10, 1992
AstraZeneca — NDA Secondary Org
- Dec 21, 1993
Hospira — Marketing Organization
- Dec 21, 1993
Mylan — Marketing Organization
- Dec 21, 1993
Watson Pharmaceuticals — Marketing Organization
- Dec 21, 1993
Mutual Pharmaceutical — Marketing Organization
- Dec 21, 1993
PHARMOBEDIENT — Marketing Organization
- Jan 27, 1994
Apothecon — Marketing Organization
- Jan 27, 1994
Teva — Marketing Organization
- Mar 25, 1994
Fosun — Marketing Organization
- Mar 25, 1994
Chartwell Pharmaceuticals — Marketing Organization
- Jan 1, 1995
Earliest Phase 3 Sponsor(trial)
- Jan 31, 1995
Heritage Pharma — Marketing Organization
- Apr 27, 1995
Renata — Marketing Organization
2000s
- Jan 1, 2000
AstraZeneca — Earliest Phase 1 Sponsor(trial)
- Jul 7, 2003
Hikma — Marketing Organization
- Jul 7, 2003
West-Ward Pharmaceutical — Marketing Organization
- Jul 31, 2006
Sandoz — Marketing Organization
- Jul 31, 2006
Novartis — Marketing Organization
- Aug 28, 2006
Advanz Pharma — Marketing Organization
- Aug 28, 2006
Advanz Pharma — NDA Secondary Org
- May 18, 2007
Nesher Pharms — Marketing Organization
- Sep 11, 2007
Aurobindo Pharma — Marketing Organization
- Jun 17, 2008
IPCA Laboratories Ltd. — Marketing Organization
- Sep 30, 2009
Lutipold — Marketing Organization
- Sep 30, 2009
Sankyo — Marketing Organization
- Sep 30, 2009
Daiichi Sankyo — Marketing Organization
2010s
- Apr 19, 2010
STERISCIENCE — Marketing Organization
- Apr 19, 2010
ONESOURCE SPECIALTY — Marketing Organization
- Jul 22, 2010
Wockhardt — Marketing Organization
- Oct 25, 2010
Fresenius — Marketing Organization
- Jan 19, 2012
Sun Pharmaceuticals — Marketing Organization
- Aug 15, 2012
Dr. Reddy's Laboratories — Marketing Organization
- Apr 29, 2013
Baxalta — Marketing Organization
- May 28, 2013
Alembic — Marketing Organization
- Aug 27, 2014
Gland Pharma Ltd — Marketing Organization
- Oct 28, 2014
Rubicon Research — Marketing Organization
- Nov 25, 2016
Actavis — Marketing Organization
- Nov 25, 2016
Allergan PLC (2015) — Marketing Organization
- Jan 26, 2018
Sun Pharmaceuticals — NDA Secondary Org
- Feb 6, 2018
Novast Labs — Marketing Organization
- Mar 23, 2018
Zydus Discovery DMCC — Marketing Organization
- Oct 26, 2018
Cipla — Marketing Organization
- Dec 19, 2018
TWi Biotechnology, Inc. — Marketing Organization
- Dec 19, 2018
Suzhou Kintor Pharmaceutical Inc, — Marketing Organization
2020s
- Feb 5, 2020
Youngtech Pharmaceuticals — Marketing Organization
- Feb 5, 2020
Sciegen Pharmaceticals — Marketing Organization
- Mar 30, 2020
Pharmadax Inc — Marketing Organization
- Nov 6, 2020
Hetero Labs Ltd — Marketing Organization
- Nov 25, 2020
Alkem Labs Ltd — Marketing Organization
- Feb 12, 2021
Yichang Humanwell Pharmaceutical Co.,Ltd — Marketing Organization
- Jan 4, 2022
Prinston Inc — Marketing Organization
- Sep 26, 2022
Sunshine Lake Pharma Co., Ltd. — Marketing Organization
- Oct 18, 2022
Accord Research — Marketing Organization
- Jun 12, 2023
Granules India — Marketing Organization
- Aug 15, 2023
Lupin — Marketing Organization
- Jul 26, 2024
Zhejiang Jutai Pharm — Marketing Organization
- Jan 8, 2025
Senores Pharms — Marketing Organization
- Aug 28, 2025
XTM CONSULTING — Marketing Organization
Indications
Studied for
- Acute Coronary Syndrome · Phase 4
- Adrenergic beta-Antagonists · Phase 4
- Aged · Phase 2
- Aging · Phase 2
- Anesthesia and Analgesia · Phase 4
- Angina Pectoris · Phase 4
- Angina, Stable · Early Phase 1
- Angina, Unstable · Phase 4
- Anterior Wall Myocardial Infarction · Phase 2
- Aortic Valve Insufficiency · Phase 4
- Aortic Valve Stenosis · Phase 2
- Arrhythmias, Cardiac · Phase 4
- Asthma · Phase 4
- Atherosclerosis · Phase 3
- Atrial Fibrillation · Phase 4
- Atrial Flutter · Phase 4
- Bariatric Surgery · Phase 4
- beta-Thalassemia · Phase 2/Phase 3
- Blood Pressure · Phase 4
- Breast Neoplasms · Phase 3
- Cardiomyopathies · Phase 4
- Cardiomyopathy, Dilated · Phase 4
- Cardiomyopathy, Hypertrophic · Phase 4
- Cardiotoxicity · Phase 3
- Cognitive Dysfunction · Phase 2
- Coronary Artery Disease · Phase 4
- Coronary Disease · Phase 4
- COVID-19 · Early Phase 1
- Death, Sudden, Cardiac · Phase 4
- Dermatitis, Atopic · Phase 1
- Diabetes Mellitus · Phase 4
- Diabetes Mellitus, Type 2 · Phase 4
- Diagnosis · Phase 2
- Drug Overdose · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Drugs, Investigational · Phase 4
- Dyspnea · Early Phase 1
- Endothelium · Phase 4
- Essential Hypertension · Phase 4
- Fasting · Phase 1
- Fibrosis · Phase 3
- Foramen Ovale, Patent · Phase 4
- Gastric Bypass · Phase 4
- Graves Disease · Phase 4
- Healthy Volunteers · Phase 1
- Heart · Phase 4
- Heart Arrest · Phase 2
- Heart Diseases · Phase 4
- Heart Failure · Phase 4
- Heart Failure, Diastolic · Phase 4
- Heart Failure, Systolic · Phase 4
- Heart Rate · Phase 4
- Heart Valve Diseases · Phase 4
- Hematologic Neoplasms · Phase 1/Phase 2
- HIV Infections · Phase 1
- Hypercholesterolemia · Phase 3
- Hypersensitivity · Phase 4
- Hypertension · Phase 4
- Hypertrophy, Left Ventricular · Phase 4
- Infant, Premature · Phase 2
- Ischemic Stroke · Phase 3
- Kidney Failure, Chronic · Phase 3
- Lung Neoplasms · Phase 3
- Macular Edema · Phase 1/Phase 2
- Malaria · Phase 1
- Medicine, Chinese Traditional · Phase 4
- Metabolic Detoxication, Phase I · Phase 1
- Metabolic Syndrome · Phase 4
- Metoprolol · Phase 4
- Microcirculation · Phase 4
- Migraine Disorders · Phase 4
- Mitral Valve Insufficiency · Phase 2/Phase 3
- Mitral Valve Prolapse · Phase 3
- Multiple Trauma · Phase 2
- Muscular Dystrophy, Duchenne · Phase 3
- Myocardial Infarction · Phase 4
- Myocardial Stunning · Phase 4
- Nasal Polyps · Phase 4
- Neoplasms · Phase 1/Phase 2
- Non-ST Elevated Myocardial Infarction · Phase 4
- Obesity · Phase 4
- Osteoarthritis · Phase 4
- Percutaneous Coronary Intervention · Phase 4
- Peripheral Arterial Disease · Phase 3
- Pharmacokinetics · Phase 1
- Pharmacology · Phase 1
- Plasma · Early Phase 1
- Pneumonia, Ventilator-Associated · Phase 2
- Polycystic Kidney Diseases · Phase 3
- Postural Orthostatic Tachycardia Syndrome · Phase 2
- Prader-Willi Syndrome · Phase 2
- Prehypertension · Phase 4
- Psoriasis · Phase 1
- Pulmonary Disease, Chronic Obstructive · Phase 4
- Recurrence · Phase 2/Phase 3
- Renal Dialysis · Phase 4
- Renal Insufficiency, Chronic · Phase 3
- Respiratory Distress Syndrome · Phase 3
- Sclerosis · Phase 3
- Severe acute respiratory syndrome-related coronavirus · Phase 4
- Sexual Dysfunction, Physiological · Phase 4
- Shock, Septic · Phase 2
- Sleep Apnea Syndromes · Phase 2/Phase 3
- Sports Medicine · Phase 1
- ST Elevation Myocardial Infarction · Phase 4
- Subarachnoid Hemorrhage · Phase 4
- Syncope, Vasovagal · Phase 4
- Tachycardia · Phase 3
- Tachycardia, Ventricular · Phase 2
- Takotsubo Cardiomyopathy · Phase 1/Phase 2
- Thoracic Surgery · Phase 4
- Tuberculosis · Phase 4
- Vaccines · Phase 4
- Vascular Diseases · Phase 4
- Ventricular Dysfunction, Left · Phase 4
- Ventricular Fibrillation · Phase 2
- Ventricular Premature Complexes · Phase 4
- Virus Diseases · Phase 4
Mechanism of action
- Beta-1 adrenergic receptorANTAGONIST
ADRB1 antagonist
Combination products
lopressidone
with chlorthalidone
lopressor hct
with hydrochlorothiazide
Also known as dutoprol
Approval history
- approvedPriority reviewAug 7, 1978
Chemistry & pharmacology
SMILES
COCCC1=CC=C(OCC(O)CNC(C)C)C=C1- Mol. weight
- 267.3639 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
No
Sources
- WikipediaMetoprolol ↗
- NCATSGEB06NHM23 ↗
- ChEMBLCHEMBL2062335 ↗
- ChEMBLCHEMBL13 ↗
- ChEMBLCHEMBL3989566 ↗
- ChEMBLCHEMBL1200898 ↗
- ChEMBLCHEMBL1200337 ↗
- ChEMBLCHEMBL1256957 ↗
- ChEMBLCHEMBL2356097 ↗
Also known as
- 1-(isopropylamino)-3-[4-(2-methoxyethyl)phenoxy]propan-2-ol
- 1-(isopropylamino)-3-[4-(2-methoxyethyl)phenoxy]propan-2-ol
- arbralene
- arbralene
- beatrolol
- beloc cor
- betaloc
- betaloc
- betaloc
- betaloc s.a.
- cgp-2175c
- cgp-2175c
- cgp-2175e
- cgp-2175e
- dl-metoprolol
- dl-metoprolol
- h-93/26
- h-93/26
- h 93/26 succinate
- h 93/26 succinate
- lopresor
- lopresor
- lopresor sr
- lopressidone
- lopressidone
- lopressor
- lopressor
- lopressor
- lopressor
- mepranix 100
- mepranix 50
- metopolol
- metoprolol
- metoprolol
- metoprolol
- metoprolol
- metoprolol
- metoprolol
- metoprolol
- metoprolol
- metoprolol fumarate
- metoprolol fumarate
- metoprolol fumarate
- metoprolol fumarate
- metoprolol fumarate
- metoprolol fumarate
- metoprolol fumarate
- metoprolol succinate
- metoprolol succinate
- metoprolol succinate
- metoprolol succinate
- metoprolol succinate
- metoprolol tartrate
- metoprolol tartrate
- metoprolol tartrate
- metoprolol tartrate
- metoprolol tartrate
- metoros
- metoros ls
- (rs)-metoprolol
- (rs)-metoprolol
- tensomex
- toprol
- toprol
- toprol
- toprol xl
- toprol xl
- toprol-xl
- toprol-xl
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07103655 | Phase 4 | Jan 1, 2026 | Zhejiang University |
| NCT07268170 | Phase 2/Phase 3 (Phase 3) | Dec 15, 2025 | Gødstrup Hospital |
| NCT06964464 | Phase 4 | Aug 17, 2025 | Patient-Centered Outcomes Research Institute, University of Rochester |
| NCT06864234 | Phase 4 | Jul 3, 2025 | VZW Cardiovascular Research Center Aalst |
| NCT06967194 | N/A | May 21, 2025 | Tel Aviv University |
| NCT06825728 | Phase 4 | Feb 28, 2025 | Central South University |
| NCT06808802 | Phase 1 | Feb 28, 2025 | Eli Lilly |
| NCT06686628 | Phase 1 | Nov 13, 2024 | Sanofi |
| NCT06569212 | Phase 4 | Sep 30, 2024 | MaineGeneral Health |
| NCT05931276 | Phase 3 | Jan 1, 2024 | Department of Veteran Affairs |
| NCT05847517 | Phase 3 | Nov 30, 2023 | Consorcio Centro de Investigación Biomédica en Red, M.P., European Commission, Universidad Carlos III Madrid |
| NCT06035978 | Phase 4 | Nov 30, 2023 | University of Ostrava |
| NCT06853951 | Phase 3 | Jul 18, 2023 | Ain Shams University |
| NCT05767346 | Phase 3 | Jun 19, 2023 | Cytokinetics |
| NCT05891119 | Early Phase 1 (Phase 1) | Jun 3, 2023 | Amgen |
| NCT05741385 | N/A | Apr 25, 2023 | Boehringer Ingelheim |
| NCT05711810 | Phase 4 | Jan 2, 2023 | University of Pennsylvania |
| NCT05631730 | Phase 3 | Dec 31, 2022 | Government of Norway, University of Oslo |
| NCT05546320 | Phase 4 | Oct 15, 2022 | Chinese Academy of Medical Sciences |
| NCT06592547 | Phase 2 | Apr 1, 2022 | Alexandria University |
Organizations
Research & Development (242)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| AstraZeneca | For profit | 20 | 11 | 5 | 1999 |
| Forest Laboratories | For profit | 17 | 3 | 3 | 2007 |
| Boehringer Ingelheim | For profit | 6 | 4 | 4 | 2003 |
| Capital Medical University | Academic/Hospital | 6 | 3 | 4 | 2013 |
| GlaxoSmithKline | For profit | 6 | 4 | 2 | 2000 |
| Mylan | For profit | 6 | 5 | 2 | 2002 |
| National Heart, Lung, and Blood Institute (NHLBI) | Government | 6 | 2 | 4 | 1980 |
| Saniona | For profit | 6 | 6 | 2 | 2016 |
| Vanderbilt University | Academic/Hospital | 6 | 5 | 3 | 2001 |
| Sanofi | For profit | 5 | 3 | 2 | 1999 |
| University of Copenhagen | Academic/Hospital | 5 | 3 | 1 | 2004 |
| Kuopio University Hospital | Academic/Hospital | 4 | 4 | 3 | 2007 |
| People's Liberation Army of China | Government | 4 | 3 | 3 | 2005 |
| University of Alabama, Birmingham | Academic/Hospital | 4 | 2 | 3 | 1980 |
| University of Oslo | Academic/Hospital | 4 | 3 | 3 | 2006 |
| China Academy of Chinese Medical Sciences | Academic/Hospital | 3 | 3 | 1 | 2017 |
| Cliantha Research Limited | For profit | 3 | 0 | 1 | 2013 |
| Creighton University | Academic/Hospital | 3 | 3 | 2 | 2005 |
| Danish Heart Foundation | Academic/Hospital | 3 | 0 | 1 | 2004 |
| Eli Lilly | For profit | 3 | 3 | 2 | 2009 |
Marketing (77)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Accord Research | For profit | MKTG | Oct 18, 2022 |
| Actavis | For profit | MKTG | Nov 25, 2016 |
| Actavis | For profit | SYN | Aug 3, 2009 |
| Advanz Pharma | For profit | MKTG | Aug 28, 2006 |
| Advanz Pharma | For profit | NDA2 | Aug 28, 2006 |
| Alembic | For profit | MKTG | May 28, 2013 |
| Alembic | For profit | SYN | Nov 6, 2013 |
| Alkem Labs Ltd | For profit | MKTG | Nov 25, 2020 |
| Allergan PLC (2015) | For profit | MKTG | Nov 25, 2016 |
| Apothecon | For profit | MKTG | Jan 27, 1994 |
| Aralez Pharmaceuticals | For profit | NDA2 | Jan 10, 1992 |
| AstraZeneca | For profit | MKTG | Jan 10, 1992 |
| AstraZeneca | For profit | NDA2 | Jan 10, 1992 |
| Aurobindo Pharma | For profit | MKTG | Sep 11, 2007 |
| Baxalta | For profit | MKTG | Apr 29, 2013 |
| Chartwell Pharmaceuticals | For profit | MKTG | Mar 25, 1994 |
| Ciba-Geigy | For profit | NDA | — |
| Cipla | For profit | MKTG | Oct 26, 2018 |
| Daiichi Sankyo | For profit | MKTG | Sep 30, 2009 |
| Dr. Reddy's Laboratories | For profit | SYN | Aug 1, 2012 |
| Dr. Reddy's Laboratories | For profit | MKTG | Aug 15, 2012 |
| Fosun | For profit | MKTG | Mar 25, 1994 |
| Fresenius | For profit | MKTG | Oct 25, 2010 |
| Gland Pharma Ltd | For profit | MKTG | Aug 27, 2014 |
| Gland Pharma Ltd | For profit | SYN | Aug 27, 2014 |
| Granules India | For profit | MKTG | Jun 12, 2023 |
| Heritage Pharma | For profit | MKTG | Jan 31, 1995 |
| Hetero Labs Ltd | For profit | MKTG | Nov 6, 2020 |
| Hikma | For profit | MKTG | May 30, 2007 |
| Hikma | For profit | MKTG | Jul 7, 2003 |
| Hikma | For profit | SYN | Jul 7, 2003 |
| Hospira | For profit | MKTG | Dec 21, 1993 |
| IPCA Laboratories Ltd. | For profit | MKTG | Jun 17, 2008 |
| Lupin | For profit | MKTG | Aug 15, 2023 |
| Lutipold | For profit | MKTG | Sep 30, 2009 |
| Mutual Pharmaceutical | For profit | MKTG | Dec 21, 1993 |
| Mylan | For profit | MKTG | Dec 21, 1993 |
| Mylan | For profit | SYN | Apr 19, 2010 |
| Mylan | For profit | SYN | Dec 15, 2011 |
| Nesher Pharms | For profit | MKTG | May 18, 2007 |
| Novartis | For profit | NDA2 | Mar 30, 1984 |
| Novartis | For profit | MKTG | Jul 31, 2006 |
| Novast Labs | For profit | MKTG | Feb 6, 2018 |
| ONESOURCE SPECIALTY | For profit | MKTG | Apr 19, 2010 |
| PHARMOBEDIENT | For profit | MKTG | Dec 21, 1993 |
| Pharmadax Inc | For profit | MKTG | Mar 30, 2020 |
| Prinston Inc | For profit | MKTG | Jan 4, 2022 |
| Puracap Pharmaceutical | For profit | MKTG | — |
| Renata | For profit | MKTG | Apr 27, 1995 |
| Rubicon Research | For profit | MKTG | Oct 28, 2014 |
| Rubicon Research | For profit | SYN | Oct 28, 2014 |
| STERISCIENCE | For profit | MKTG | Apr 19, 2010 |
| Sandoz | For profit | MKTG | Jul 31, 2006 |
| Sandoz | For profit | SYN | Oct 2, 2007 |
| Sankyo | For profit | MKTG | Sep 30, 2009 |
| Sciegen Pharmaceticals | For profit | MKTG | Feb 5, 2020 |
| Senores Pharms | For profit | MKTG | Jan 8, 2025 |
| Sun Pharmaceuticals | For profit | NDA2 | Jan 26, 2018 |
| Sun Pharmaceuticals | For profit | MKTG | Jan 19, 2012 |
| Sun Pharmaceuticals | For profit | SYN | Dec 10, 1996 |
| Sun Pharmaceuticals | For profit | SYN | Dec 21, 1993 |
| Sunshine Lake Pharma Co., Ltd. | For profit | MKTG | Sep 26, 2022 |
| Suzhou Kintor Pharmaceutical Inc, | For profit | MKTG | Dec 19, 2018 |
| TWi Biotechnology, Inc. | For profit | MKTG | Dec 19, 2018 |
| Teva | For profit | SYN | Sep 30, 1994 |
| Teva | For profit | MKTG | Jan 27, 1994 |
| Validus Pharmaceuticals | For profit | SYN | Aug 7, 1978 |
| Validus Pharmaceuticals | For profit | NDA2 | Aug 7, 1978 |
| Watson Pharmaceuticals | For profit | MKTG | Dec 21, 1993 |
| West-Ward Pharmaceutical | For profit | MKTG | Jul 7, 2003 |
| Wockhardt | For profit | MKTG | Jul 22, 2010 |
| Wockhardt | For profit | SYN | Jul 22, 2010 |
| XTM CONSULTING | For profit | MKTG | Aug 28, 2025 |
| Yichang Humanwell Pharmaceutical Co.,Ltd | For profit | MKTG | Feb 12, 2021 |
| Youngtech Pharmaceuticals | For profit | MKTG | Feb 5, 2020 |
| Zhejiang Jutai Pharm | For profit | MKTG | Jul 26, 2024 |
| Zydus Discovery DMCC | For profit | MKTG | Mar 23, 2018 |