apomorphine
Trade name: apokyn
Approved
Apr 20, 2004
Apomorphine, sold under the brand name Apokyn among others, is a type of aporphine having activity as a non-selective dopamine agonist which activates both D2-like and, to a much lesser extent, D1-like receptors. It also acts as an antagonist of 5-HT2 and α-adrenergic receptors with high affinity. The compound is an alkaloid belonging to nymphaea caerulea, or blue lotus, but is also historically known as a morphine decomposition product made by boiling morphine with concentrated acid, hence the -morphine suffix. Contrary to its name, apomorphine does not actually contain morphine or its skeleton, nor does it bind to opioid receptors. The apo- prefix relates to it being a morphine derivative ("[comes] from morphine"). — Wikipedia
Clinical trial activity
53 trials · 42 clinical orgs · 9 marketing orgs
Earliest trial started Aug 1, 1998 (NCT00003822)
Timeline
1990s
2000s
- Apr 20, 2004
Mylan — Earliest FDA Approval
- Apr 20, 2004
US WorldMeds — NDA Secondary Org
- Apr 20, 2004
Mylan — NDA Organization
- Apr 20, 2004
Supernus Pharmaceuticals — Marketing Organization
- Apr 20, 2004
Supernus Pharmaceuticals — NDA Secondary Org
2020s
- May 21, 2020
Sunovion — Marketing Organization
- May 21, 2020
Sumitomo — Marketing Organization
- May 21, 2020
Sumitomo Dainippon — NDA Secondary Org
- Feb 23, 2022
Sage Products, Inc. — Marketing Organization
- Feb 23, 2022
Stryker — Marketing Organization
- Feb 23, 2022
TRUPHARMA — Marketing Organization
Indications
Approved for
Studied for
- Alcoholism · Phase 2
- Back Pain · Phase 4
- Brain Injuries · Phase 2
- Consciousness Disorders · Phase 2/Phase 3
- Dermatology · Phase 2
- Dopamine · Phase 4
- Hallucinations · Phase 2
- Healthy Volunteers · Early Phase 1
- Joint Diseases · Phase 4
- Neoplasms · Phase 1
- Opioid-Related Disorders · Phase 3
- Osteoporosis · Phase 1/Phase 2
- Restless Legs Syndrome · Phase 4
- Signs and Symptoms · Phase 4
- Sleep Disorders, Intrinsic · Phase 2
Mechanism of action
Approval history
- approvedPriority reviewFast trackApr 20, 2004
Chemistry & pharmacology
SMILES
CN1CCC2=C3[C@@H]1CC4=CC=C(O)C(O)=C4C3=CC=C2- Mol. weight
- 267.3224 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- Yes
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
No
Sources
- NCATSLH812IV7LI ↗
- WikipediaApomorphine ↗
- ChEMBLCHEMBL459324 ↗
- ChEMBLCHEMBL3187985 ↗
- ChEMBLCHEMBL2106627 ↗
- ChEMBLCHEMBL1616 ↗
- ChEMBLCHEMBL1256708 ↗
- NCATSN21FAR7B4S ↗
- ChEMBLCHEMBL5314363 ↗
- NCATS622ULQ7RBO ↗
- ChEMBLCHEMBL53 ↗
Also known as
- (-)-10,11-dihydroxyaporphine
- (-)-10,11-dihydroxyaporphine
- (−)-10,11-dihydroxyaporphine
- (−)-10,11-dihydroxyaporphine
- (6ar)-6-methyl-5,6,6a,7-tetrahydro-4h-dibenzo[de,g]quinoline-10,11-diol
- (6ar)-6-methyl-5,6,6a,7-tetrahydro-4h-dibenzo[de,g]quinoline-10,11-diol
- acetomorphin
- acetomorphine
- apl-130277
- apl-130277
- apo-go
- apo-go pen
- apo-go pfs
- apokyn
- apokyn
- apokyn
- apokyn
- apomorphin
- apomorphin
- apomorphin
- apomorphine
- apomorphine
- apomorphine
- apomorphine
- apomorphine
- apomorphine
- apomorphine
- apomorphine
- apomorphine
- apomorphine
- apomorphine
- (-)-apomorphine
- apomorphine chloride
- apomorphine hcl
- apomorphine hcl
- apomorphine hcl
- apomorphine hydrochloride
- apomorphine hydrochloride
- apomorphine hydrochloride
- apomorphine hydrochloride
- apomorphine hydrochloride
- apomorphine hydrochloride hemihydrate
- apomorphine hydrochloride hydrate
- britaject
- britaject
- bromophin
- diagesil
- diagesil
- diamorph,cocaine,chlorpromazine
- diamorph hcl
- diamorphine hcl
- diamorphine hydrochloride
- diamorphine hydrochloride
- diamorphine hydrochloride
- diamorphine hydrochloride
- diamorphine hydrochloride
- diamorphine hydrochloride
- diamorphine hydrochloride
- diamorph roche
- diaphine
- euphorin
- euphorin
- in 10 003
- kw-6500
- l-apomorphine
- (r)-5,6,6a,7-tetrahydro-6-methyl-4h-dibenzo[de,g]quinoline-10,11-diol
- r-(-)-apomorphine
- r-(-)-apomorphine
- r-(−)-apomorphine
- r-(−)-apomorphine
- uprima
- uprima
- vr040
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06954428 | Phase 1 | Jun 20, 2025 | Beyond Drug Development, CMAX Clinical Research, Nano PharmaSolutions |
| NCT05979415 | Phase 2 | Sep 30, 2023 | Alexza Pharmaceuticals, Inc., Peachtree BioResearch Solutions Inc. |
| NCT05529095 | Phase 4 | Sep 1, 2022 | Sumitomo Dainippon, The University of Texas, Dallas |
| NCT04957095 | N/A | Feb 18, 2022 | National Institute of Neurological Disorders and Stroke (NINDS), The University of Texas, Dallas, University of California, Los Angeles |
| NCT04879134 | Phase 2/Phase 3 (Phase 3) | Sep 30, 2021 | Paladin Labs, University of Calgary |
| NCT04887467 | Phase 4 | Sep 16, 2021 | University of Rennes |
| NCT05213169 | Phase 2/Phase 3 (Phase 3) | Jun 18, 2021 | University of Liege |
| NCT04157933 | Phase 1 | Oct 16, 2019 | Alexza Pharmaceuticals, Inc., Leiden University |
| NCT03693872 | N/A | May 15, 2019 | University of Rennes |
| NCT03822364 | Phase 1 | Nov 26, 2018 | Alexza Pharmaceuticals, Inc., Leiden University |
| NCT03391882 | Phase 3 | Sep 24, 2018 | Sunovion |
| NCT03623828 | Phase 2 | Sep 15, 2018 | Université catholique de Louvain, University of Liege |
| NCT03292016 | Phase 2 | Aug 22, 2017 | Sunovion |
| NCT03187301 | Phase 2 | Jun 28, 2017 | Sunovion |
| NCT02702076 | Phase 2 | May 1, 2017 | University of Groningen |
| NCT02864004 | Phase 3 | Mar 3, 2017 | University of Rennes |
| NCT02940912 | Phase 4 | Oct 1, 2016 | Clinique Beau Soleil, University of Paris |
| NCT02688465 | Phase 4 | Mar 1, 2016 | Adolphe Rothschild Ophtalmologic Foundation |
| NCT02549573 | Phase 4 | Jan 1, 2016 | US WorldMeds |
| NCT02542696 | Phase 3 | Aug 1, 2015 | Sunovion |
Organizations
Research & Development (42)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Sunovion | For profit | 6 | 6 | 2 | 2014 |
| Kyowa Hakko Kirin | For profit | 4 | 4 | 2 | 2007 |
| Mylan | For profit | 4 | 4 | 1 | 1999 |
| National Institute of Neurological Disorders and Stroke (NINDS) | Government | 4 | 1 | 2 | 2002 |
| University of Rennes | Academic/Hospital | 4 | 4 | 3 | 2009 |
| Alexza Pharmaceuticals, Inc. | For profit | 3 | 3 | 2 | 2018 |
| Genzyme | For profit | 3 | 3 | 2 | 1998 |
| US WorldMeds | For profit | 3 | 3 | 2 | 2012 |
| Britannia Pharmaceuticals Ltd. | For profit | 2 | 2 | 1 | 2006 |
| Leiden University | Academic/Hospital | 2 | 0 | 1 | 2018 |
| Oregon Health and Science University | Academic/Hospital | 2 | 2 | 1 | 2005 |
| Technion University | Academic/Hospital | 2 | 2 | 2 | 2009 |
| The University of Texas, Dallas | Academic/Hospital | 2 | 2 | 2 | 2022 |
| University of Glasgow | Academic/Hospital | 2 | 2 | 1 | 2006 |
| University of Groningen | Academic/Hospital | 2 | 2 | 1 | 2015 |
| University of Liege | Academic/Hospital | 2 | 2 | 2 | 2018 |
| University of Toulouse | Academic/Hospital | 2 | 2 | 2 | 2007 |
| Vectura | For profit | 2 | 0 | 1 | 2006 |
| Adolphe Rothschild Ophtalmologic Foundation | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Beyond Drug Development | For profit | 1 | 0 | 1 | 2025 |
Marketing (10)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Mylan | For profit | NDA | Apr 20, 2004 |
| Sage Products, Inc. | For profit | MKTG | Feb 23, 2022 |
| Stryker | For profit | MKTG | Feb 23, 2022 |
| Sumitomo | For profit | MKTG | May 21, 2020 |
| Sumitomo Dainippon | For profit | NDA2 | May 21, 2020 |
| Sunovion | For profit | MKTG | May 21, 2020 |
| Supernus Pharmaceuticals | For profit | MKTG | Apr 20, 2004 |
| Supernus Pharmaceuticals | For profit | NDA2 | Apr 20, 2004 |
| TRUPHARMA | For profit | MKTG | Feb 23, 2022 |
| US WorldMeds | For profit | NDA2 | Apr 20, 2004 |