varenicline
Trade name: chantix
Approved
May 10, 2006
Varenicline is a partial nicotinic acetylcholine receptor agonist, designed to partially activate this system while displacing nicotine at its sites of action in the brain. Varenicline is an alpha-4 beta-2 neuronal nicotinic acetylcholine receptor partial agonist. The drug shows high selectiviyty for this receptor subclass, relative to other nicotinic receptors (>500-fold alpha-3 beta-4, >3500-fold alpha-7, >20,000-fold alpha-1 beta gamma delta) or non-nicotinic receptors and transporters (>2000-fold). The drug competitively inhibits the ability of nicotine to bind to and activate the alpha-4 beta-2 receptor. The drug exerts mild agonistic activity at this site, though at a level much lower than nicotine; it is presumed that this activation eases withdrawal symptoms. Varenicline is sold under the trade name Chantix and Champix, it is indicated for use as an aid to smoking cessation treatment. — NCATS
Clinical trial activity
320 trials · 184 clinical orgs · 22 marketing orgs
Earliest trial started Feb 1, 2000 (NCT00150241)
Timeline
2000s
2010s
- May 15, 2012
Apotex — Marketing Organization
- May 3, 2013
Mylan — Marketing Organization
- Sep 10, 2013
Teva — Marketing Organization
- Dec 15, 2016
Watson Pharmaceuticals — Marketing Organization
- Dec 15, 2016
Allergan PLC (2015) — Marketing Organization
2020s
- Aug 11, 2021
Par Pharmaceuticals — Marketing Organization
- Aug 11, 2021
Bristol-Myers Squibb — Marketing Organization
- Aug 11, 2021
Endo Pharmaceuticals — Marketing Organization
- Oct 15, 2021
Oyster Point Pharma, Inc. — Marketing Organization
- Oct 15, 2021
Oyster Point Pharma, Inc. — NDA Secondary Org
- Jun 12, 2023
Zydus Discovery DMCC — Marketing Organization
- Jul 25, 2023
Medley Pharmaceutical Industry SA — Marketing Organization
- Aug 1, 2023
Mankind Pharma — Marketing Organization
- Aug 23, 2023
Alkem Labs Ltd — Marketing Organization
- Oct 23, 2023
Hetero Labs Ltd — Marketing Organization
- Dec 4, 2023
Lupin — Marketing Organization
- Mar 6, 2024
Bionpharma Inc — Marketing Organization
- Mar 19, 2024
Ajanta Pharma Ltd — Marketing Organization
- Jul 23, 2024
Piramal — Marketing Organization
- Oct 1, 2024
Dr. Reddy's Laboratories — Marketing Organization
- Oct 29, 2024
Indoco Remedies — Marketing Organization
- Dec 9, 2024
Macleods Pharmaceuticals, Ltd — Marketing Organization
Indications
Approved for
Studied for
- Acute Coronary Syndrome · Phase 4
- Alcohol Drinking · Phase 4
- Alcohol-Induced Disorders · Phase 2/Phase 3
- Alcoholism · Phase 4
- Alzheimer Disease · Phase 2
- Amphetamine-Related Disorders · Phase 1
- Asthma · Phase 4
- Attention Deficit Disorder with Hyperactivity · Phase 4
- Behavior, Addictive · Phase 4
- Biological Availability · Phase 1
- Bipolar Disorder · Phase 4
- Cannabis · Phase 3
- Carcinoma · Phase 4
- Cardiovascular Diseases · Phase 3
- Chronic Pain · Phase 1
- Cigarette Smoking · Phase 4
- Cocaine-Related Disorders · Phase 2
- Cognition · Phase 1
- Community-Acquired Infections · Phase 4
- Comorbidity · Phase 4
- Corneal Diseases · Phase 2
- Coronary Disease · Phase 4
- Craving · Phase 4
- Depression · Phase 4
- Dopamine · Phase 1
- Dry Eye Syndromes · Phase 4
- Electronic Nicotine Delivery Systems · Phase 4
- Friedreich Ataxia · Phase 2/Phase 3
- Habits · Phase 2/Phase 3
- Harm Reduction · Phase 2/Phase 3
- Healthy Volunteers · Phase 1
- HIV · Phase 4
- HIV Infections · Phase 4
- Hypertension · Phase 4
- Infant, Premature · Phase 3
- Irritable Bowel Syndrome · Phase 1
- Lung Neoplasms · Phase 3
- Machado-Joseph Disease · Phase 2
- Major Depressive Disorder · Phase 4
- Marijuana Abuse · Phase 4
- Marijuana Use · Phase 3
- Medication Adherence · Phase 4
- Mental Disorders · Phase 4
- Methadone · Phase 4
- Methamphetamine · Phase 2
- Nausea · Phase 4
- Neoplasms · Phase 4
- Neoplasms, Second Primary · Phase 2
- Nicotiana · Phase 4
- Nicotine · Phase 4
- Obesity · Phase 2/Phase 3
- Opioid-Related Disorders · Phase 4
- Pain · Phase 4
- Pancreatitis · Phase 2
- Pancreatitis, Chronic · Phase 2
- Parkinson Disease · Phase 4
- Parkinsonian Disorders · Phase 4
- Pharmacokinetics · Phase 1
- Psychological Distress · Phase 4
- Psychotic Disorders · Phase 4
- Pulmonary Disease, Chronic Obstructive · Phase 4
- Recurrence · Phase 4
- Schizophrenia · Phase 4
- Sjogren's Syndrome · Phase 4
- Sleep Disorders, Intrinsic · Phase 4
- Sleep Initiation and Maintenance Disorders · Phase 2
- Smoking · Phase 4
- Smoking Cessation · Phase 4
- Smoking Reduction · Phase 3
- Stress Disorders, Post-Traumatic · Phase 2
- Substance-Related Disorders · Phase 4
- Substance Withdrawal Syndrome · Phase 4
- Tardive Dyskinesia · Phase 4
- Tobacco Smoking · Phase 4
- Tobacco Use · Phase 3
- Tobacco Use Cessation · Phase 4
- Transcranial Magnetic Stimulation · Phase 4
- Vaping · Phase 4
- Veterans · Phase 4
- Weight Gain · Phase 1/Phase 2
Mechanism of action
Neuronal acetylcholine receptor; alpha4/beta2 agonist
- Neuronal acetylcholine receptor; alpha4/beta2PARTIAL AGONIST
Neuronal acetylcholine receptor; alpha4/beta2 partial agonist
Approval history
- approvedPriority reviewMay 10, 2006
Chemistry & pharmacology
SMILES
c1cnc2cc3c(cc2n1)C1CNCC3C1- Mol. weight
- 211.27 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- Yes
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL1396 ↗
- WikipediaVarenicline ↗
- NCATSW6HS99O8ZO ↗
- ChEMBLCHEMBL6067972 ↗
- ChEMBLCHEMBL1076903 ↗
- ChEMBLCHEMBL5303393 ↗
- ChEMBLCHEMBL2062259 ↗
Also known as
- champix
- champix
- champix
- chantix
- chantix
- chantix
- chantix
- chantix
- cp-526,555
- cp-526,555
- cp-526,555-18
- cp-526555-18
- cp-526555-18
- oc-01
- varencicline
- varencline
- vareniciline
- varenicline
- varenicline
- varenicline
- varenicline
- varenicline
- varenicline
- varenicline
- varenicline
- varenicline
- varenicline
- varenicline
- varenicline
- varenicline tartrate
- varenicline tartrate
- varenicline tartrate
- varenicline tartrate
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07099638 | Phase 2 | Jan 5, 2026 | Brown University, National Cancer Institute (NCI), Thomas Jefferson University, University of Oklahoma |
| NCT06966362 | Phase 4 | Dec 1, 2025 | Department of Veteran Affairs |
| NCT07171112 | Phase 2 | Nov 6, 2025 | Mayo Clinic |
| NCT07040566 | Phase 2 | Nov 4, 2025 | Medical University of South Carolina, National Cancer Institute (NCI), Yale University |
| NCT07145866 | Phase 4 | Oct 1, 2025 | Harvard University |
| NCT06883162 | Phase 3 | May 6, 2025 | Medical University of South Carolina, National Cancer Institute (NCI) |
| NCT06832085 | Phase 4 | Apr 30, 2025 | University of Ottawa |
| NCT06854406 | Phase 1 | Apr 1, 2025 | Mayo Clinic |
| NCT06798324 | Phase 4 | Mar 1, 2025 | Canadian Institutes of Health Research (CIHR), University of Toronto |
| NCT06679374 | Phase 2 | Feb 28, 2025 | National Institute of Neurological Disorders and Stroke (NINDS), University of Michigan |
| NCT06780215 | Phase 3 | Jan 16, 2025 | Huazhong University of Science and Technology |
| NCT06582888 | Early Phase 1 (Phase 1) | Dec 15, 2024 | National Institute on Drug Abuse (NIDA), University of California, San Diego |
| NCT06688539 | Phase 4 | Dec 9, 2024 | Medical University of South Carolina, National Cancer Institute (NCI) |
| NCT06609369 | Phase 2 | Dec 1, 2024 | National Institute on Drug Abuse (NIDA), Yale University |
| NCT06474299 | Phase 4 | Sep 24, 2024 | National Cancer Institute (NCI), University of Wisconsin |
| NCT06006143 | N/A | Sep 1, 2024 | National Institute on Alcohol Abuse and Alcoholism (NIAAA), Yale University |
| NCT06218823 | Phase 4 | Mar 1, 2024 | National Cancer Institute (NCI), University of Wisconsin |
| NCT06027840 | Phase 1 | Dec 31, 2023 | National Cancer Institute (NCI), Yale University |
| NCT06029907 | Phase 4 | Dec 15, 2023 | Duke University |
| NCT05786547 | Phase 3 | Dec 15, 2023 | Harvard University, National Cancer Institute (NCI), University of Colorado, Denver |
Organizations
Research & Development (184)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Pfizer | For profit | 80 | 38 | 5 | 2000 |
| National Institute on Drug Abuse (NIDA) | Government | 54 | 1 | 5 | 2005 |
| National Cancer Institute (NCI) | Government | 27 | 1 | 5 | 2005 |
| Yale University | Academic/Hospital | 21 | 21 | 4 | 2007 |
| University of Pennsylvania | Academic/Hospital | 19 | 19 | 4 | 2006 |
| Mayo Clinic | Academic/Hospital | 16 | 15 | 5 | 2007 |
| University of Toronto | Academic/Hospital | 16 | 14 | 4 | 2007 |
| Medical University of South Carolina | Academic/Hospital | 13 | 6 | 5 | 2007 |
| National Institute on Alcohol Abuse and Alcoholism (NIAAA) | Government | 13 | 3 | 4 | 2007 |
| National Institutes of Health (NIH) | Government | 12 | 0 | 4 | 2005 |
| Duke University | Academic/Hospital | 11 | 11 | 5 | 2009 |
| Department of Veteran Affairs | Government | 10 | 5 | 4 | 2007 |
| Harvard University | Academic/Hospital | 10 | 7 | 4 | 2007 |
| Oyster Point Pharma, Inc. | For profit | 10 | 7 | 4 | 2018 |
| University of Wisconsin | Academic/Hospital | 8 | 8 | 1 | 2009 |
| University of California, Los Angeles | Academic/Hospital | 7 | 7 | 3 | 2008 |
| Brown University | Academic/Hospital | 6 | 5 | 2 | 2007 |
| University of Texas at Houston | Academic/Hospital | 6 | 6 | 3 | 2005 |
| New York University | Academic/Hospital | 5 | 4 | 3 | 2007 |
| University of Kansas | Academic/Hospital | 5 | 5 | 3 | 2008 |
Marketing (26)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Ajanta Pharma Ltd | For profit | MKTG | Mar 19, 2024 |
| Alkem Labs Ltd | For profit | MKTG | Aug 23, 2023 |
| Allergan PLC (2015) | For profit | MKTG | Dec 15, 2016 |
| Apotex | For profit | MKTG | May 15, 2012 |
| Apotex | For profit | SYN | Jun 2, 2020 |
| Bionpharma Inc | For profit | MKTG | Mar 6, 2024 |
| Bristol-Myers Squibb | For profit | MKTG | Aug 11, 2021 |
| Dr. Reddy's Laboratories | For profit | MKTG | Oct 1, 2024 |
| Endo Pharmaceuticals | For profit | MKTG | Aug 11, 2021 |
| Hetero Labs Ltd | For profit | MKTG | Oct 23, 2023 |
| Indoco Remedies | For profit | MKTG | Oct 29, 2024 |
| Lupin | For profit | MKTG | Dec 4, 2023 |
| Macleods Pharmaceuticals, Ltd | For profit | MKTG | Dec 9, 2024 |
| Mankind Pharma | For profit | MKTG | Aug 1, 2023 |
| Medley Pharmaceutical Industry SA | For profit | MKTG | Jul 25, 2023 |
| Mylan | For profit | MKTG | May 3, 2013 |
| Mylan | For profit | SYN | Feb 29, 2024 |
| Oyster Point Pharma, Inc. | For profit | MKTG | Oct 15, 2021 |
| Oyster Point Pharma, Inc. | For profit | NDA2 | Oct 15, 2021 |
| Par Pharmaceuticals | For profit | MKTG | Aug 11, 2021 |
| Pfizer | For profit | NDA | May 10, 2006 |
| Pfizer | For profit | SYN | May 10, 2006 |
| Piramal | For profit | MKTG | Jul 23, 2024 |
| Teva | For profit | MKTG | Sep 10, 2013 |
| Watson Pharmaceuticals | For profit | MKTG | Dec 15, 2016 |
| Zydus Discovery DMCC | For profit | MKTG | Jun 12, 2023 |