cimetidine
Trade name: tagamet
Approved
Aug 16, 1977
Cimetidine is a histamine H2-receptor antagonist. It reduces basal and nocturnal gastric acid secretion and a reduction in gastric volume, acidity, and amount of gastric acid released in response to stimuli including food, caffeine, insulin, betazole, or pentagastrin. It is used to treat gastrointestinal disorders such as gastric or duodenal ulcer, gastroesophageal reflux disease, and pathological hypersecretory conditions. Cimetidine inhibits many of the isoenzymes of the hepatic CYP450 enzyme system. Other actions of Cimetidine include an increase in gastric bacterial flora such as nitrate-reducing organisms. Cimetidine binds to an H2-receptor located on the basolateral membrane of the gastric parietal cell, blocking histamine effects. This competitive inhibition results in reduced gastric acid secretion and a reduction in gastric volume and acidity. — NCATS
Clinical trial activity
30 trials · 33 clinical orgs · 30 marketing orgs
Earliest trial started Jan 1, 1996 (NCT00002733)
Timeline
1970s
- Aug 16, 1977
GlaxoSmithKline — Earliest FDA Approval
- Aug 16, 1977
GlaxoSmithKline — NDA Secondary Org
- Aug 16, 1977
GlaxoSmithKline — NDA Organization
1990s
- May 17, 1994
Chartwell Pharmaceuticals — Marketing Organization
- May 17, 1994
Mylan — Marketing Organization
- Jun 1, 1994
G & W Laboratories Inc. — Marketing Organization
- Aug 31, 1994
Vintage — Marketing Organization
- Dec 20, 1994
Lutipold — Marketing Organization
- Dec 20, 1994
Sankyo — Marketing Organization
- Dec 22, 1994
Lannett Company, Inc. — Marketing Organization
- Dec 23, 1994
Cycle Pharmaceuticals Ltd. — Marketing Organization
- Dec 27, 1994
Hospira — Marketing Organization
- Jan 31, 1995
Fosun — Marketing Organization
- May 30, 1995
Teva — Marketing Organization
- Jun 19, 1995
Medtech Products — NDA Secondary Org
- Jun 23, 1995
DAVA Pharmaceuticals — Marketing Organization
- Jun 23, 1995
Novitium Pharma — Marketing Organization
- Jun 29, 1995
Sandoz — Marketing Organization
- Jan 1, 1996
Earliest Phase 2 Sponsor(trial)
- Jan 24, 1996
Upsher-Smith Laboratories — Marketing Organization
- Feb 28, 1996
Watson Pharmaceuticals — Marketing Organization
- Sep 26, 1996
Ani Pharmaceuticals — Marketing Organization
- Jan 27, 1997
Pharmaceutical Associates — Marketing Organization
- Feb 27, 1997
Pliva — Marketing Organization
- Oct 17, 1997
Wockhardt — Marketing Organization
- Oct 17, 1997
Xttrium Laboratories — Marketing Organization
- Oct 28, 1997
Hi Tech Pharmaceuticals — Marketing Organization
- Oct 28, 1997
Akorn, Inc. — Marketing Organization
- Jun 19, 1998
Apotex — Marketing Organization
- Jun 19, 1998
Contract Pharmacal — Marketing Organization
- Jun 19, 1998
Novartis — Marketing Organization
- Oct 29, 1998
Perrigo — Marketing Organization
- Dec 18, 1998
Hikma — Marketing Organization
Indications
Approved for
Studied for
- Amyotrophic Lateral Sclerosis · Phase 1
- Anxiety Disorders · Phase 1
- Bacterial Infections · Phase 1
- Biomarkers · Early Phase 1
- Breast Neoplasms · Phase 2/Phase 3
- Dermatitis, Atopic · Phase 3
- Endometrial Neoplasms · Phase 2
- Healthy Volunteers · Phase 1
- Immunoglobulin E · Phase 3
- Intestinal Neoplasms · Phase 3
- Kidney Neoplasms · Phase 2
- Lactation · Phase 4
- Melanoma · Phase 2
- Metabolic Side Effects of Drugs and Substances · Phase 4
- Milk, Human · Phase 4
- Neoplasms · Phase 2
- Organic Cation Transporter 1 · Phase 4
- Pancreatic Neoplasms · Phase 2
- Peptic Ulcer · Phase 3
- Positron-Emission Tomography · Phase 1
- Postpartum Period · Phase 4
- Prostatic Neoplasms, Castration-Resistant · Phase 2
- Protoporphyria, Erythropoietic · Phase 2
- Pulmonary Disease, Chronic Obstructive · Phase 1
- Respiratory Aspiration · Phase 4
- Ulcer · Phase 3
Mechanism of action
- Histamine H2 receptorANTAGONIST
HRH2 antagonist
Approval history
- approvedPriority reviewAug 16, 1977
Chemistry & pharmacology
SMILES
CN/C(=N\CCSCc1nc[nH]c1C)NC#N- Mol. weight
- 252.35 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Over the Counter
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL30 ↗
- WikipediaCimetidine ↗
- NCATS80061L1WGD ↗
- ChEMBLCHEMBL1201051 ↗
Also known as
- 1-cyano-2-methyl-3-(2-(((5-methyl-4-imidazolyl)methyl)thio)ethyl)guanidine
- 1-cyano-2-methyl-3-(2-(((5-methyl-4-imidazolyl)methyl)thio)ethyl)guanidine
- 2-cyano-1-methyl-3-(2-(((5-methylimidazol-4-yl)methyl)thio)ethyl)guanidine
- 2-cyano-1-methyl-3-(2-(((5-methylimidazol-4-yl)methyl)thio)ethyl)guanidine
- acid-eze
- acitak 200
- acitak 400
- acitak 800
- brumetadina
- brumetadina
- cimetag
- cimetag
- cimetidin
- cimetidin
- cimetidina
- cimetidina
- cimetidine
- cimetidine
- cimetidine
- cimetidine
- cimetidine
- cimetidine
- cimetidine
- cimetidine
- cimetidine
- cimetidine
- cimetidine
- cimétidine
- cimétidine
- cimetidine hcl
- cimetidine hcl
- cimetidine hcl
- cimetidine hydrochloride
- cimetidine hydrochloride
- cimetidine hydrochloride
- cimetidine hydrochloride
- cimetidinum
- cimetidinum
- dyspamet
- dyspamet
- galenamet
- galenamet
- kentamet
- n-cyano-n'-methyl-n''-(2-([(5-methyl-1h-imidazol-4-yl)methyl]sulfanyl)ethyl)guanidine
- n-cyano-n'-methyl-n''-(2-([(5-methyl-1h-imidazol-4-yl)methyl]sulfanyl)ethyl)guanidine
- n''-cyano-n-methyl-n'-(2-{[(5-methyl-1h-imidazol-4-yl)methyl]thio}ethyl)guanidine
- n''-cyano-n-methyl-n'-(2-{[(5-methyl-1h-imidazol-4-yl)methyl]thio}ethyl)guanidine
- peptimax 200
- peptimax 400
- peptimax 800
- tagadine
- tagamet
- tagamet
- tagamet
- tagamet
- tagamet 100
- tagamet hb
- tagamet hb
- tagamet hb 200
- tagamet hb 200
- tagamet hb 200
- tametin
- ulcedin
- ulcedine
- ulcerex
- ulcerfen
- ulcerfen
- ulcerfen
- ultec
- valmagen
- valmagen
- zita
- zita
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06010342 | Phase 2 | Jan 31, 2024 | Suzhou Teligene Ltd. |
| NCT06056583 | Phase 4 | Jan 15, 2024 | National Institutes of Health (NIH), University of Washington |
| NCT05881811 | Phase 1 | Mar 20, 2023 | Haisco Pharmaceutical |
| NCT05365451 | Early Phase 1 (Phase 1) | Apr 11, 2022 | National Institutes of Health (NIH), Washington State University |
| NCT05020184 | Phase 2 | Dec 31, 2021 | Harvard University, University of Texas, Galveston, Wake Forest University |
| NCT04862585 | Phase 2/Phase 3 (Phase 3) | Oct 7, 2021 | Ohio State University |
| NCT04493931 | Phase 1 | Aug 14, 2020 | GlaxoSmithKline |
| NCT03618316 | Phase 1 | Jun 19, 2018 | Poxel SA |
| NCT04018131 | Phase 3 | Mar 26, 2018 | University of Indonesia |
| NCT03380455 | Phase 1 | Jan 9, 2018 | Idorsia Pharmaceuticals Ltd. |
| NCT03307252 | Phase 1 | Oct 25, 2017 | Boehringer Ingelheim |
| NCT02202512 | Phase 1 | Sep 1, 2014 | Boehringer Ingelheim |
| NCT02157376 | Phase 3 | Jul 1, 2014 | AstraZeneca, Fudan University |
| NCT02287272 | Phase 1 | May 1, 2014 | Chiesi, SGS Life Sciences |
| NCT01659502 | Phase 2 | Dec 1, 2013 | Tiltan Pharma |
| NCT01757275 | Phase 3 | Feb 1, 2013 | AstraZeneca |
| NCT01536249 | Phase 1 | Mar 1, 2012 | Knopp Biosciences |
| NCT01509911 | Phase 2 | Jan 1, 2012 | Novatrials, Technostat, Tiltan Pharma |
| NCT02703896 | Phase 4 | Jan 1, 2012 | King Saud University |
| NCT01256879 | Phase 1 | Mar 1, 2011 | Food and Drug Administration, University of Maryland |
Organizations
Research & Development (33)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Boehringer Ingelheim | For profit | 3 | 3 | 1 | 2000 |
| Tiltan Pharma | For profit | 3 | 3 | 1 | 2009 |
| AstraZeneca | For profit | 2 | 2 | 1 | 2013 |
| Food and Drug Administration | Government | 2 | 0 | 1 | 2009 |
| National Institutes of Health (NIH) | Government | 2 | 0 | 2 | 2022 |
| University of Maryland | Academic/Hospital | 2 | 2 | 1 | 2009 |
| Bausch Health Companies | For profit | 1 | 1 | 1 | 2002 |
| Cancer Biotherapy Research Group | Academic/Hospital | 1 | 0 | 1 | 1996 |
| Chiesi | For profit | 1 | 1 | 1 | 2014 |
| Community Research Initiative of New England | Academic/Hospital | 1 | 1 | 1 | 1999 |
| Fudan University | Academic/Hospital | 1 | 0 | 1 | 2014 |
| GlaxoSmithKline | For profit | 1 | 1 | 1 | 2020 |
| Haisco Pharmaceutical | For profit | 1 | 1 | 1 | 2023 |
| Harvard University | Academic/Hospital | 1 | 1 | 1 | 2021 |
| Hoag Memorial Hospital Presbyterian | Academic/Hospital | 1 | 1 | 1 | 1996 |
| Idorsia Pharmaceuticals Ltd. | For profit | 1 | 1 | 1 | 2018 |
| King Saud University | Academic/Hospital | 1 | 1 | 1 | 2012 |
| Knopp Biosciences | For profit | 1 | 1 | 1 | 2012 |
| Novatrials | For profit | 1 | 0 | 1 | 2012 |
| Ohio State University | Academic/Hospital | 1 | 1 | 1 | 2021 |
Marketing (41)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Akorn, Inc. | For profit | MKTG | Oct 28, 1997 |
| Ani Pharmaceuticals | For profit | MKTG | Sep 26, 1996 |
| Ani Pharmaceuticals | For profit | SYN | Sep 26, 1996 |
| Apotex | For profit | MKTG | Jun 19, 1998 |
| Apotex | For profit | SYN | Mar 15, 2000 |
| Chartwell Pharmaceuticals | For profit | MKTG | May 17, 1994 |
| Chartwell Pharmaceuticals | For profit | SYN | Dec 22, 1994 |
| Chartwell Pharmaceuticals | For profit | SYN | Jan 31, 1995 |
| Contract Pharmacal | For profit | MKTG | Jun 19, 1998 |
| Cycle Pharmaceuticals Ltd. | For profit | MKTG | Dec 23, 1994 |
| Cycle Pharmaceuticals Ltd. | For profit | SYN | Dec 23, 1994 |
| DAVA Pharmaceuticals | For profit | MKTG | Jun 23, 1995 |
| Fosun | For profit | MKTG | Jan 31, 1995 |
| G & W Laboratories Inc. | For profit | MKTG | Jun 1, 1994 |
| GlaxoSmithKline | For profit | NDA2 | Aug 16, 1977 |
| GlaxoSmithKline | For profit | NDA | Aug 16, 1977 |
| Hi Tech Pharmaceuticals | For profit | MKTG | Oct 28, 1997 |
| Hikma | For profit | MKTG | Dec 18, 1998 |
| Hospira | For profit | MKTG | Dec 27, 1994 |
| Lannett Company, Inc. | For profit | MKTG | Dec 22, 1994 |
| Lutipold | For profit | MKTG | Dec 20, 1994 |
| Medtech Products | For profit | NDA2 | Jun 19, 1995 |
| Mylan | For profit | MKTG | May 17, 1994 |
| Novartis | For profit | MKTG | Jun 19, 1998 |
| Novitium Pharma | For profit | MKTG | Jun 23, 1995 |
| Perrigo | For profit | MKTG | Oct 29, 1998 |
| Perrigo | For profit | SYN | Jun 19, 1998 |
| Pharmaceutical Associates | For profit | MKTG | Jan 27, 1997 |
| Pliva | For profit | MKTG | Feb 27, 1997 |
| Sandoz | For profit | MKTG | Jun 29, 1995 |
| Sandoz | For profit | SYN | Jun 29, 1995 |
| Sankyo | For profit | MKTG | Dec 20, 1994 |
| Teva | For profit | MKTG | May 30, 1995 |
| Teva | For profit | SYN | May 17, 1994 |
| Teva | For profit | SYN | Nov 26, 1997 |
| Teva | For profit | SYN | Jul 29, 1999 |
| Upsher-Smith Laboratories | For profit | MKTG | Jan 24, 1996 |
| Vintage | For profit | MKTG | Aug 31, 1994 |
| Watson Pharmaceuticals | For profit | MKTG | Feb 28, 1996 |
| Wockhardt | For profit | MKTG | Oct 17, 1997 |
| Xttrium Laboratories | For profit | MKTG | Oct 17, 1997 |