eszopiclone
Trade name: lunesta
Approved
Dec 15, 2004
Eszopiclone is a nonbenzodiazepine hypnotic, pyrrolopyrazine derivative of the cyclopyrrolone class and is indicated for the short-term treatment of insomnia. While Eszopiclone is a hypnotic agent with a chemical structure unrelated to benzodiazepines, barbiturates, or other drugs with known hypnotic properties, it interacts with the gamma-aminobutyric acid-benzodiazepine (GABABZ) receptor complex. Subunit modulation of the GABABZ receptor chloride channel macromolecular complex is hypothesized to be responsible for some of the pharmacological properties of benzodiazepines, which include sedative, anxiolytic, muscle relaxant, and anticonvulsive effects in animal models. Eszopiclone binds selectively to the brain alpha subunit of the GABA A omega-1 receptor. The mechanism of action of Eszopiclone is not completely understood. It is thought that Eszopiclone acts on the benzodiazepine receptors as an agonist and interacts with GABA-receptor complexes. Used for the treatment of insomnia. — NCATS
Clinical trial activity
68 trials · 42 clinical orgs · 23 marketing orgs
Earliest trial started Feb 1, 2001 (NCT01710631)
Timeline
2000s
2010s
- May 23, 2011
Teva — Marketing Organization
- Jul 14, 2011
Wockhardt — Marketing Organization
- Jul 14, 2011
Chartwell Pharmaceuticals — Marketing Organization
- Sep 13, 2011
Lupin — Marketing Organization
- Mar 26, 2013
Mylan — Marketing Organization
- Apr 3, 2013
Sun Pharmaceuticals — Marketing Organization
- Apr 15, 2014
Dr. Reddy's Laboratories — Marketing Organization
- Apr 15, 2014
Glenmark Pharmaceuticals — Marketing Organization
- Apr 15, 2014
West-Ward Pharmaceutical — Marketing Organization
- Apr 15, 2014
Hikma — Marketing Organization
- Jun 10, 2014
Orbion Pharms — Marketing Organization
- Jun 10, 2014
Orchid Pharma — Marketing Organization
- Jan 30, 2015
Macleods Pharmaceuticals, Ltd — Marketing Organization
- Jan 30, 2015
Neogen — Marketing Organization
- Sep 15, 2016
Aurobindo Pharma — Marketing Organization
- May 8, 2019
Nostrum Laboratories — Marketing Organization
- May 8, 2019
Esteve Labs — Marketing Organization
- May 8, 2019
PHARMOBEDIENT — Marketing Organization
2020s
- Dec 29, 2023
IPCA Laboratories Ltd. — Marketing Organization
- Jan 4, 2024
Hetero Labs Ltd — Marketing Organization
Indications
Approved for
Studied for
- Acute Coronary Syndrome · Phase 4
- Anxiety · Phase 4
- Anxiety Disorders · Phase 4
- Arthritis, Rheumatoid · Phase 3
- Attention Deficit Disorder with Hyperactivity · Phase 3
- Depression · Phase 4
- Diabetes Mellitus · Phase 1
- Fibromyalgia · Phase 4
- Glucose Intolerance · Phase 1
- Healthy Volunteers · Phase 4
- Hypertension · Phase 4
- Insulin Resistance · Phase 4
- Major Depressive Disorder · Phase 4
- Marijuana Abuse · Phase 1
- Migraine Disorders · Phase 4
- Parkinson Disease · Phase 3
- Prediabetic State · Phase 1
- Sleep · Phase 4
- Sleep Apnea, Obstructive · Phase 4
- Sleep Apnea Syndromes · Phase 2
- Sleep Disorders, Intrinsic · Phase 4
- Sleep Wake Disorders · Phase 4
- Stress Disorders, Post-Traumatic · Phase 4
- Therapeutic Equivalency · Phase 1
- Tobacco Use Disorder · Phase 4
Mechanism of action
- GABA-A receptor; anion channelPOSITIVE ALLOSTERIC MODULATOR
GABA-A receptor; anion channel positive allosteric modulator
Benzodiazepine site
- Gamma-aminobutyric acid receptor subunit alpha-1 (GABRA1) ↗
- Gamma-aminobutyric acid receptor subunit beta-2 (GABRB2) ↗
- Gamma-aminobutyric acid receptor subunit gamma-2 (GABRG2) ↗
- Gamma-aminobutyric acid receptor subunit beta-3 (GABRB3) ↗
- Gamma-aminobutyric acid receptor subunit alpha-4 (GABRA4) ↗
- Gamma-aminobutyric acid receptor subunit gamma-3 (GABRG3) ↗
- Gamma-aminobutyric acid receptor subunit theta (GABRQ) ↗
- Gamma-aminobutyric acid receptor subunit alpha-3 (GABRA3) ↗
- Gamma-aminobutyric acid receptor subunit pi (GABRP) ↗
- Gamma-aminobutyric acid receptor subunit delta (GABRD) ↗
- Gamma-aminobutyric acid receptor subunit gamma-1 (GABRG1) ↗
- Gamma-aminobutyric acid receptor subunit beta-1 (GABRB1) ↗
- Gamma-aminobutyric acid receptor subunit epsilon (GABRE) ↗
- Gamma-aminobutyric acid receptor subunit alpha-2 (GABRA2) ↗
- Gamma-aminobutyric acid receptor subunit alpha-5 (GABRA5) ↗
- Gamma-aminobutyric acid receptor subunit alpha-6 (GABRA6) ↗
- GABA receptor alpha-1 subunit
- GABA receptor beta-2 subunit
- GABA receptor alpha-4 subunit
- GABA receptor delta subunit
- GABA receptor alpha-5 subunit
- GABA receptor alpha-6 subunit
- GABA receptor beta-3 subunit
- GABA receptor alpha-3 subunit
- GABA receptor alpha-2 subunit
- GABA-A receptor; GABA-A site (alpha1/beta2 interface)
- GABA-A receptor; alpha-3/beta-3/gamma-2
- GABA-A receptor; alpha-1/beta-3/gamma-2
- GABA-A receptor; alpha-5/beta-3/gamma-2
- GABA-A receptor; alpha-2/beta-3/gamma-2
- GABA-A receptor; alpha-1/beta-2/gamma-2
- GABA-A receptor; alpha-6/beta-3/gamma-2
- GABA-A receptor; benzodiazepine site
- GABA-A receptor; agonist GABA site
- GABA A receptor alpha-2/beta-2/gamma-2
- GABA A receptor alpha-3/beta-2/gamma-2
- GABA A receptor alpha-6/beta-2/gamma-2
- GABA A receptor alpha-1/beta-1/gamma-2
- GABA A receptor alpha-4/beta-3/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta3/delta
- Gamma-aminobutyric acid receptor subunit alpha-1/ beta-1
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-3/ beta-2
- Gamma-aminobutyric acid receptor subunit alpha-3/ beta-3/gamma-3
- Gamma-aminobutyric acid receptor subunit alpha-3/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-3/beta-3/theta
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-3/gamma-3
- Gamma-aminobutyric acid receptor subunit alpha-6/beta-3
- GABA-A receptor alpha-1/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-1/beta-2/delta
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-2/delta
- Gamma-aminobutyric acid receptor subunit beta-1/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-1/alpha-2/beta-2/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-1/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-2/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-1/delta
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-2/gamma-2
- GABA receptor beta-1 subunit
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-1/gamma-2
Approval history
- approvedDec 15, 2004
Chemistry & pharmacology
SMILES
CN1CCN(CC1)C(=O)O[C@@H]2N(C(=O)C3=C2N=CC=N3)C4=CC=C(Cl)C=N4- Mol. weight
- 388.808 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
- WikipediaEszopiclone ↗
- NCATSUZX80K71OE ↗
- ChEMBLCHEMBL1522 ↗
Also known as
- 1-piperazinecarobxylic acid,4-methyl-,(5s)-6-(5-chloro-2-pyridinyl)-6,7-dihydro-7-oxo-5h-pyrrolo[3,4-b]pyrazin-5-yl ester
- 1-piperazinecarobxylic acid,4-methyl-,(5s)-6-(5-chloro-2-pyridinyl)-6,7-dihydro-7-oxo-5h-pyrrolo[3,4-b]pyrazin-5-yl ester
- (+)-(5s)-6-(5-chloropyridin-2-yl)-7-oxo-6,7-dihydro-5h-pyrrolo(3,4-b)pyrazin-5-yl 4-methylpiperazine-1-carboxylate
- (+)-(5s)-6-(5-chloropyridin-2-yl)-7-oxo-6,7-dihydro-5h-pyrrolo(3,4-b)pyrazin-5-yl 4-methylpiperazine-1-carboxylate
- (+)-(5s)-6-(5-chloropyridin-2-yl)-7-oxo-6,7-dihydro-5h-pyrrolo[3,4-b]pyrazin-5-yl-4-methylpiperazine-1-carboxylate
- (+)-(5s)-6-(5-chloropyridin-2-yl)-7-oxo-6,7-dihydro-5h-pyrrolo[3,4-b]pyrazin-5-yl-4-methylpiperazine-1-carboxylate
- esopiclone
- esopiclone
- esopiclone
- estorra
- estorra
- eszopiclone
- eszopiclone
- eszopiclone
- eszopiclone
- eszopiclone
- eszopiclone
- eszopiclone
- eszopiclone
- eszopiclone
- eszopiclone
- eszopiclone
- lunesta
- lunesta
- lunesta
- lunesta
- (s)-6-(5-chloro-2-pyridinyl)- 7-oxo- 6,7-dihydro- 5h-pyrrolo[3,4-b]pyrazin-5-yl- 4-methyl- 1-piperazinecarboxylate
- (s)-6-(5-chloro-2-pyridinyl)- 7-oxo- 6,7-dihydro- 5h-pyrrolo[3,4-b]pyrazin-5-yl- 4-methyl- 1-piperazinecarboxylate
- (s)-zopiclone
- (s)-zopiclone
- (s)-zopiclone
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07018557 | Phase 4 | Jun 4, 2025 | Eurofarma Laboratorios S.A., University of Sao Paulo |
| NCT06928766 | Phase 2 | May 1, 2025 | Flinders University |
| NCT05953610 | Phase 2 | Dec 1, 2023 | National Heart, Lung, and Blood Institute (NHLBI), University of California, Los Angeles |
| NCT05951023 | Phase 2 | Aug 31, 2023 | American Academy of Sleep Medicine, University of California, San Diego |
| NCT06017921 | Phase 4 | Aug 24, 2023 | University of Sao Paulo |
| NCT05293600 | Phase 1/Phase 2 (Phase 2) | Sep 1, 2022 | Harvard University |
| NCT05349396 | Phase 1 | Apr 11, 2022 | Grunenthal |
| NCT04875364 | Phase 2 | Jan 1, 2022 | University of California, San Diego |
| NCT04639193 | Phase 2 | Dec 1, 2020 | University of California, San Diego |
| NCT06452953 | N/A | Sep 10, 2020 | Central South University |
| NCT03937713 | Phase 4 | Oct 1, 2019 | Department of Veteran Affairs |
| NCT03668041 | Phase 3 | Aug 1, 2019 | Department of Veteran Affairs |
| NCT02456532 | Phase 4 | Jul 1, 2015 | Henry Ford Health System |
| NCT02087488 | N/A | Mar 1, 2014 | Chengdu University of Traditional Chinese Medicines |
| NCT01887691 | Phase 1 | Oct 1, 2012 | Harvard University |
| NCT01633827 | N/A | Aug 1, 2012 | Harvard University, National Heart, Lung, and Blood Institute (NHLBI) |
| NCT01641900 | N/A | Jul 1, 2012 | Harvard University, Mclean Hospital |
| NCT01605253 | Phase 4 | Mar 1, 2012 | National Institute of Mental Health (NIMH), Rush University |
| NCT01100164 | Phase 3 | Mar 1, 2011 | Eurofarma Laboratorios S.A. |
| NCT01055834 | Phase 1 | Jan 1, 2010 | Eisai |
Organizations
Research & Development (42)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Sunovion | For profit | 34 | 14 | 5 | 2001 |
| Harvard University | Academic/Hospital | 10 | 10 | 4 | 2005 |
| University of California, San Diego | Academic/Hospital | 5 | 5 | 2 | 2006 |
| Department of Veteran Affairs | Government | 4 | 3 | 3 | 2007 |
| Eisai | For profit | 3 | 3 | 2 | 2008 |
| National Heart, Lung, and Blood Institute (NHLBI) | Government | 3 | 0 | 3 | 2009 |
| BA Research India Ltd | For profit | 2 | 0 | 1 | 2008 |
| Dr. Reddy's Laboratories | For profit | 2 | 2 | 1 | 2008 |
| Eurofarma Laboratorios S.A. | For profit | 2 | 1 | 2 | 2011 |
| Johns Hopkins University | Academic/Hospital | 2 | 2 | 2 | 2006 |
| Mclean Hospital | Academic/Hospital | 2 | 0 | 1 | 2006 |
| National Institute of Mental Health (NIMH) | Government | 2 | 0 | 1 | 2005 |
| Rutgers University | Academic/Hospital | 2 | 0 | 2 | 2006 |
| United States Army | Government | 2 | 2 | 1 | 2007 |
| University of California, Los Angeles | Academic/Hospital | 2 | 2 | 2 | 2008 |
| University of Medicine and Dentistry of New Jersey | Academic/Hospital | 2 | 2 | 2 | 2006 |
| University of Sao Paulo | Academic/Hospital | 2 | 2 | 1 | 2023 |
| Yale University | Academic/Hospital | 2 | 2 | 2 | 2007 |
| Abiant, Inc. | For profit | 1 | 0 | 1 | 2008 |
| American Academy of Sleep Medicine | Academic/Hospital | 1 | 0 | 1 | 2023 |
Marketing (31)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Aurobindo Pharma | For profit | MKTG | Sep 15, 2016 |
| Aurobindo Pharma | For profit | SYN | Sep 15, 2016 |
| Chartwell Pharmaceuticals | For profit | MKTG | Jul 14, 2011 |
| Dr. Reddy's Laboratories | For profit | MKTG | Apr 15, 2014 |
| Dr. Reddy's Laboratories | For profit | SYN | Apr 15, 2014 |
| Esteve Labs | For profit | SYN | May 8, 2019 |
| Esteve Labs | For profit | MKTG | May 8, 2019 |
| Glenmark Pharmaceuticals | For profit | SYN | Apr 15, 2014 |
| Glenmark Pharmaceuticals | For profit | MKTG | Apr 15, 2014 |
| Hetero Labs Ltd | For profit | MKTG | Jan 4, 2024 |
| Hikma | For profit | MKTG | Apr 15, 2014 |
| Hikma | For profit | SYN | Apr 15, 2014 |
| IPCA Laboratories Ltd. | For profit | MKTG | Dec 29, 2023 |
| Lupin | For profit | MKTG | Sep 13, 2011 |
| Macleods Pharmaceuticals, Ltd | For profit | MKTG | Jan 30, 2015 |
| Mylan | For profit | MKTG | Mar 26, 2013 |
| Neogen | For profit | MKTG | Jan 30, 2015 |
| Nostrum Laboratories | For profit | MKTG | May 8, 2019 |
| Orbion Pharms | For profit | MKTG | Jun 10, 2014 |
| Orchid Pharma | For profit | MKTG | Jun 10, 2014 |
| PHARMOBEDIENT | For profit | MKTG | May 8, 2019 |
| Sun Pharmaceuticals | For profit | MKTG | Apr 3, 2013 |
| Sun Pharmaceuticals | For profit | SYN | Apr 3, 2013 |
| Sunovion | For profit | NDA2 | Dec 15, 2004 |
| Sunovion | For profit | NDA | Dec 15, 2004 |
| Teva | For profit | MKTG | May 23, 2011 |
| Waylis Therap | For profit | MKTG | Dec 15, 2004 |
| West-Ward Pharmaceutical | For profit | MKTG | Apr 15, 2014 |
| Wockhardt | For profit | MKTG | Jul 14, 2011 |
| Woodward | For profit | MKTG | Dec 15, 2004 |
| Woodward | For profit | NDA2 | Dec 15, 2004 |