clobazam
Trade name: onfi
Approved
Oct 21, 2011
Clobazam belongs to the 1,5-benzodiazepine class of drugs with antiepileptic properties. It has been used to treat anxiety and epilepsy since 1970s. In the US clobazam was approved for marketing in October of 2011 for the adjunctive treatment of seizures associated with Lennox-Gastaut syndrome. It is also approved for adjunctive therapy for epilepsy in patients who have not responded to first-line drugs and in children who are refractory to first-line drugs. The mechanism of action for clobazam is not fully understood but is thought to involve what is known as potentiation of GABAergic neurotransmission resulting from binding at a benzodiazepine site at the GABA(A) receptor. Possible side effects: constipation, fever, drowsiness, sedation, ataxia, aggressive behavior, lethargy, drooling, and irritability. Other side effects include: urinary tract infection, pneumonia, cough, dysphagia, dysarthria, bronchitis, insomnia, fatigue, decreased appetite, and increased appetite. — NCATS
Clinical trial activity
15 trials · 23 clinical orgs · 27 marketing orgs
Earliest trial started Oct 1, 2005 (NCT00162981)
Timeline
2000s
2010s
- Jan 1, 2010
Earliest Phase 1 Sponsor(trial)
- Oct 21, 2011
Lundbeck — Earliest FDA Approval
- Oct 21, 2011
Lundbeck — NDA Organization
- Oct 22, 2018
Hikma — Marketing Organization
- Oct 22, 2018
Amneal Pharmaceuticals — Marketing Organization
- Oct 22, 2018
Bionpharma Inc — Marketing Organization
- Oct 22, 2018
Esteve Labs — Marketing Organization
- Oct 22, 2018
Hetero Labs Ltd — Marketing Organization
- Oct 22, 2018
Mylan — Marketing Organization
- Oct 22, 2018
Piramal — Marketing Organization
- Oct 22, 2018
Taro Pharmaceuticals — Marketing Organization
- Oct 22, 2018
Upsher-Smith Laboratories — Marketing Organization
- Oct 22, 2018
West-Ward Pharmaceutical — Marketing Organization
- Oct 22, 2018
Zydus Discovery DMCC — Marketing Organization
- Oct 22, 2018
Sun Pharmaceuticals — Marketing Organization
- Nov 1, 2018
Aquestive Therapeutics — NDA Secondary Org
- Nov 1, 2018
Aquestive Therapeutics — Marketing Organization
- Nov 1, 2018
Assertio — Marketing Organization
- Nov 1, 2018
Assertio — NDA Secondary Org
- Dec 14, 2018
Lupin — Marketing Organization
- Jan 30, 2019
Micro Labs Ltd India — Marketing Organization
- May 23, 2019
Accord Research — Marketing Organization
- Jul 10, 2019
VistaPharm, Inc. — Marketing Organization
- Sep 6, 2019
Alkem Labs Ltd — Marketing Organization
- Oct 30, 2019
Lannett Company, Inc. — Marketing Organization
2020s
- Feb 3, 2020
Teva — Marketing Organization
- Apr 24, 2020
Chartwell Pharmaceuticals — Marketing Organization
- Jun 9, 2020
Apotex — Marketing Organization
- Dec 9, 2020
Celltrion — Marketing Organization
- May 11, 2021
MSN Laboratories — Marketing Organization
- Mar 24, 2022
Aurobindo Pharma — Marketing Organization
Indications
Approved for
Studied for
- Anxiety Disorders · Phase 3
- Dementia · Phase 3
- Depression · Phase 3
- Drug Resistant Epilepsy · Phase 4
- Epilepsia Partialis Continua · Phase 3
- Epilepsies, Myoclonic · Phase 3
- Epilepsy · Phase 4
- Epilepsy, Generalized · Phase 3
- Glioma · Phase 4
- Lennox Gastaut Syndrome · Phase 3
- Low Back Pain · Phase 3
- Neuralgia · Phase 1/Phase 2
- Pain · Phase 3
- Psychophysiologic Disorders · Phase 3
- Schizophrenia · Phase 3
- Seizures · Phase 3
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
- approvedOct 21, 2011
Chemistry & pharmacology
SMILES
CN1C2=CC=C(Cl)C=C2N(C3=CC=CC=C3)C(=O)CC1=O- Mol. weight
- 300.74 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaClobazam ↗
- NCATS2MRO291B4U ↗
- ChEMBLCHEMBL70418 ↗
Also known as
- 1-phenyl-5-methyl-8-chloro-1,2,4,5- tetrahydro-2,4-diketo-3h-1,5-benzodiazepine
- 1-phenyl-5-methyl-8-chloro-1,2,4,5-tetrahydro-2,4-dioxo-3h-1,5-benzodiazepine
- 1-phenyl-5-methyl-8-chloro-1,2,4,5-tetrahydro-2,4-dioxo-3h-1,5-benzodiazepine
- 7-chloro-1-methyl-5-phenyl-1,5-dihydro-benzo[b][1,4]diazepine-2,4-dione
- 7-chloro-1-methyl-5-phenyl-1,5-dihydro-benzo[b][1,4]diazepine-2,4-dione
- clobazam
- clobazam
- clobazam
- clobazam
- clobazam
- clobazam
- clobazam
- clobazam
- clobazam
- clobazam
- clobazam
- clobazamum
- clobazamum
- clobazepam
- frisium
- frisium
- frisium
- frisium
- frizium
- h-4723
- h-4723
- hr 376
- hr-376
- hr-376
- lm-2717
- lm-2717
- lm-2717
- onfi
- onfi
- onfi
- onfi
- onfi
- perizam
- tapclob
- urbadan
- urbanyl
- urbanyl
- urbanyl
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT04650204 | Phase 4 | Dec 15, 2020 | Mayo Clinic, National Cancer Institute (NCI) |
| NCT03371836 | Phase 4 | Oct 1, 2017 | Hugo W. Moser Research Institute at Kennedy Krieger, Inc. |
| NCT02187809 | Phase 3 | Mar 1, 2015 | Lundbeck |
| NCT02174094 | Phase 3 | Mar 1, 2015 | Lundbeck |
| NCT02726919 | Phase 4 | Feb 1, 2015 | Lundbeck, Mid-Atlantic Epilepsy and Sleep Center |
| NCT02205931 | Phase 4 | Jan 1, 2015 | Lancashire Teaching Hospitals NHS Foundation Trust, National Institute for Health Research, United Kingdom, Newcastle University, Sheffield Hallam University, University of Birmingham, University of Bristol, University of Cambridge, University of Leeds, University of Liverpool, University of London, University of Manchester |
| NCT02374567 | Phase 3 | Jan 1, 2015 | Gottfried Wilhelm Leibniz Universität Hannover |
| NCT02134366 | Phase 3 | Jul 1, 2014 | Lundbeck, Rowan University |
| NCT01932502 | Phase 4 | Feb 1, 2013 | Lundbeck, University of Arizona |
| NCT01179828 | Phase 3 | Jul 1, 2010 | Aalborg University, University of Bern, University of Zurich |
| NCT01291316 | Phase 1/Phase 2 (Phase 2) | Apr 1, 2010 | University of Geneva |
| NCT01011036 | Phase 3 | Dec 1, 2009 | University of Bern |
| NCT00518713 | Phase 3 | Aug 1, 2007 | Lundbeck |
| NCT01160770 | Phase 3 | Dec 1, 2005 | Lundbeck |
| NCT00162981 | Phase 2 | Oct 1, 2005 | Lundbeck |
Organizations
Research & Development (23)
Marketing (38)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Accord Research | For profit | MKTG | May 23, 2019 |
| Alkem Labs Ltd | For profit | MKTG | Sep 6, 2019 |
| Amneal Pharmaceuticals | For profit | MKTG | Oct 22, 2018 |
| Amneal Pharmaceuticals | For profit | SYN | Oct 22, 2018 |
| Amneal Pharmaceuticals | For profit | SYN | Oct 22, 2018 |
| Apotex | For profit | MKTG | Jun 9, 2020 |
| Aquestive Therapeutics | For profit | NDA2 | Nov 1, 2018 |
| Aquestive Therapeutics | For profit | MKTG | Nov 1, 2018 |
| Assertio | For profit | MKTG | Nov 1, 2018 |
| Assertio | For profit | NDA2 | Nov 1, 2018 |
| Aurobindo Pharma | For profit | MKTG | Mar 24, 2022 |
| Bionpharma Inc | For profit | MKTG | Oct 22, 2018 |
| Bionpharma Inc | For profit | SYN | Oct 22, 2018 |
| Celltrion | For profit | MKTG | Dec 9, 2020 |
| Chartwell Pharmaceuticals | For profit | MKTG | Apr 24, 2020 |
| Esteve Labs | For profit | SYN | Oct 22, 2018 |
| Esteve Labs | For profit | MKTG | Oct 22, 2018 |
| Hetero Labs Ltd | For profit | SYN | Feb 24, 2020 |
| Hetero Labs Ltd | For profit | MKTG | Oct 22, 2018 |
| Hikma | For profit | MKTG | Oct 22, 2018 |
| Hikma | For profit | SYN | Oct 22, 2018 |
| Lannett Company, Inc. | For profit | MKTG | Oct 30, 2019 |
| Lundbeck | For profit | NDA | Oct 21, 2011 |
| Lundbeck | For profit | IND | May 25, 2005 |
| Lupin | For profit | MKTG | Dec 14, 2018 |
| MSN Laboratories | For profit | MKTG | May 11, 2021 |
| Micro Labs Ltd India | For profit | MKTG | Jan 30, 2019 |
| Mylan | For profit | MKTG | Oct 22, 2018 |
| Mylan | For profit | SYN | Oct 22, 2018 |
| Piramal | For profit | MKTG | Oct 22, 2018 |
| Sun Pharmaceuticals | For profit | MKTG | Oct 22, 2018 |
| Taro Pharmaceuticals | For profit | SYN | Oct 22, 2018 |
| Taro Pharmaceuticals | For profit | MKTG | Oct 22, 2018 |
| Teva | For profit | MKTG | Feb 3, 2020 |
| Upsher-Smith Laboratories | For profit | MKTG | Oct 22, 2018 |
| VistaPharm, Inc. | For profit | MKTG | Jul 10, 2019 |
| West-Ward Pharmaceutical | For profit | MKTG | Oct 22, 2018 |
| Zydus Discovery DMCC | For profit | MKTG | Oct 22, 2018 |