clonazepam
Trade name: klonopin
Approved
Jun 4, 1975
Clonazepam, a benzodiazepine, is used primarily as an anticonvulsant in the treatment of absence seizures, petit mal variant seizures (Lennox-Gastaut syndrome), akinetic and myoclonic seizures, and nocturnal myoclonus. Klonopin is the brand name for Clonazepam, an anxiolytic and anticonvulsant. The precise mechanism by which clonazepam exerts its antiseizure and antipanic effects is unknown, although it is believed to be related to its ability to enhance the activity of gamma aminobutyric acid (GABA), the major inhibitory neurotransmitter in the central nervous system. Allosteric interactions between central benzodiazepine receptors and gamma-aminobutyric acid (GABA) receptors potentiate the effects of GABA. As GABA is an inhibitory neurotransmitter, this results in increased inhibition of the ascending reticular activating system. Benzodiazepines, in this way, block the cortical and limbic arousal that occurs following stimulation of the reticular pathways. — NCATS
Clinical trial activity
34 trials · 52 clinical orgs · 21 marketing orgs
Earliest trial started Mar 1, 1999 (NCT00118417)
Timeline
1970s
- Jun 4, 1975
Roche — Earliest FDA Approval
- Jun 4, 1975
CheplaPharm — Marketing Organization
- Jun 4, 1975
Roche — NDA Organization
- Jun 4, 1975
CheplaPharm — NDA Secondary Org
1990s
- Sep 10, 1996
Teva — Marketing Organization
- Oct 31, 1996
Actavis — Marketing Organization
- Aug 29, 1997
Sandoz — Marketing Organization
- Aug 29, 1997
Novartis — Marketing Organization
- Sep 30, 1997
Chartwell Pharmaceuticals — Marketing Organization
- Oct 30, 1997
PHARMOBEDIENT — Marketing Organization
- Oct 30, 1997
Quagen Pharma — Marketing Organization
- Dec 30, 1997
Watson Pharmaceuticals — Marketing Organization
- Oct 5, 1998
Mylan — Marketing Organization
- Oct 5, 1998
Aurobindo Pharma — Marketing Organization
- Jan 1, 1999
Earliest Phase 2 Sponsor(trial)
2000s
- Oct 6, 2000
Apotex — Marketing Organization
- Oct 6, 2000
Rubicon Research — Marketing Organization
- Apr 27, 2001
Sun Pharmaceuticals — Marketing Organization
- Jan 1, 2004
Par Pharmaceuticals — Earliest Phase 1 Sponsor(trial)
- May 2, 2005
Accord Research — Marketing Organization
- Aug 3, 2005
Par Pharmaceuticals — Marketing Organization
- Aug 3, 2005
PH HEALTH — Marketing Organization
- Aug 10, 2005
Barr Laboratories — Marketing Organization
- Jun 28, 2006
Prinston Inc — Marketing Organization
- Jan 1, 2009
Earliest Phase 3 Sponsor(trial)
2010s
- Jun 28, 2019
Alembic — Marketing Organization
Indications
Studied for
- Agoraphobia · Phase 4
- Anxiety Disorders · Phase 3
- Burning Mouth Syndrome · Phase 4
- Cannabis · Phase 2
- Cerebral Palsy · Phase 4
- Crying · Phase 4
- Dementia · Phase 3
- Depression · Phase 3
- Drug Resistant Epilepsy · Phase 4
- Drugs, Generic · Phase 1
- Epilepsia Partialis Continua · Phase 3
- Glossalgia · Phase 2
- Heart Arrest · Phase 4
- Neuralgia · Phase 1/Phase 2
- Pain · Phase 4
- Panic Disorder · Phase 4
- Parkinson Disease · Phase 2
- Pharmacokinetics · Phase 1
- Phobia, Social · Phase 4
- Psychophysiologic Disorders · Phase 3
- Psychotic Disorders · Phase 4
- REM Sleep Behavior Disorder · Phase 2
- Schizophrenia · Phase 4
- Status Epilepticus · Phase 3
- Stress Disorders, Post-Traumatic · 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
- approvedPriority reviewJun 4, 1975
Chemistry & pharmacology
SMILES
[O-][N+](=O)C1=CC=C2NC(=O)CN=C(C3=CC=CC=C3Cl)C2=C1- Mol. weight
- 315.711 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
- WikipediaClonazepam ↗
- NCATS5PE9FDE8GB ↗
- ChEMBLCHEMBL452 ↗
Also known as
- 1,3-dihydro-7-nitro-5-(2-chlorophenyl)-2h-1,4.benzodiazepin-2-one
- 1,3-dihydro-7-nitro-5-(2-chlorophenyl)-2h-1,4.benzodiazepin-2-one
- 5-(2-chloro-phenyl)-7-nitro-1,3-dihydro-benzo[e][1,4]diazepin-2-one
- 5-(2-chloro-phenyl)-7-nitro-1,3-dihydro-benzo[e][1,4]diazepin-2-one
- 5-(2-chlorophenyl)-7-nitro-1h-benzo[e][1,4]diazepin-2(3h)-one
- 5-(2-chlorophenyl)-7-nitro-1h-benzo[e][1,4]diazepin-2(3h)-one
- 5-(o-chlorophenyl)-7-nitro-1,3-dihydro-2h-1,4-benzodiazepin-2-one
- 5-(o-chlorophenyl)-7-nitro-1,3-dihydro-2h-1,4-benzodiazepin-2-one
- cloazepam
- cloazepam
- clonazepam
- clonazepam
- clonazepam
- clonazepam
- clonazepam
- clonazepam
- clonazepam
- clonazepam
- clonazepam
- clonazepam
- clonazepam
- clonazepamum
- clonazepamum
- klonopin
- klonopin
- klonopin
- klonopin
- klonopin rapidly disintegrating
- klonopin rapidly disintegrating
- lonazep
- rivotril
- rivotril
- rivotril
- ro-54023
- ro-54023
- ro-5-4023
- ro-5-4023
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07313371 | Phase 4 | Dec 31, 2025 | University of Sao Paulo |
| NCT06040190 | Phase 4 | Nov 1, 2023 | Federal University of Minas Gerais |
| NCT06056349 | N/A | May 1, 2023 | El Instituto Nacional de Neurologia y Neurocirugia Manuel Velasco Suarez |
| NCT05059418 | N/A | Nov 1, 2021 | Lund University, Malmö University |
| NCT04364321 | N/A | May 1, 2020 | Queen Sirikit National Institute of Child Health |
| NCT04189367 | N/A | Dec 31, 2019 | Chang Gung University, Government of Taiwan |
| NCT04313907 | Phase 4 | Aug 16, 2019 | National Autonomous University of Mexico |
| NCT04884503 | Phase 2 | Jan 12, 2019 | Wroclaw Medical University |
| NCT03255642 | N/A | Dec 1, 2017 | Kyung Hee University |
| NCT03375034 | Phase 1 | Mar 30, 2017 | University of Geneva |
| NCT03061136 | Phase 4 | Oct 1, 2016 | Palo Alto Veterans Institute for Research, Stanford University, University of California, Los Angeles |
| NCT02913924 | Phase 2 | Sep 1, 2016 | Columbia University, National Institute on Drug Abuse (NIDA) |
| NCT02789592 | Phase 2 | Jul 1, 2016 | Kuhnil Pharmaceutical Co., Ltd., Seoul National University |
| NCT02690844 | Phase 4 | Apr 1, 2016 | University of Alberta |
| NCT02312908 | Phase 2 | Mar 1, 2015 | Government of Korea, Seoul National University |
| 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 |
| NCT02382029 | Early Phase 1 (Phase 1) | Mar 1, 2014 | University of Zagreb |
| NCT01870024 | Phase 3 | Jun 1, 2013 | University of Paris |
Organizations
Research & Development (52)
Marketing (25)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Accord Research | For profit | MKTG | May 2, 2005 |
| Actavis | For profit | MKTG | Oct 31, 1996 |
| Alembic | For profit | MKTG | Jun 28, 2019 |
| Alembic | For profit | SYN | Jun 28, 2019 |
| Apotex | For profit | MKTG | Oct 6, 2000 |
| Aurobindo Pharma | For profit | MKTG | Oct 5, 1998 |
| Barr Laboratories | For profit | MKTG | Aug 10, 2005 |
| Chartwell Pharmaceuticals | For profit | MKTG | Sep 30, 1997 |
| CheplaPharm | For profit | MKTG | Jun 4, 1975 |
| CheplaPharm | For profit | NDA2 | Jun 4, 1975 |
| Mylan | For profit | MKTG | Oct 5, 1998 |
| Mylan | For profit | SYN | Oct 30, 1997 |
| Novartis | For profit | MKTG | Aug 29, 1997 |
| PH HEALTH | For profit | MKTG | Aug 3, 2005 |
| PHARMOBEDIENT | For profit | MKTG | Oct 30, 1997 |
| Par Pharmaceuticals | For profit | MKTG | Aug 3, 2005 |
| Prinston Inc | For profit | MKTG | Jun 28, 2006 |
| Quagen Pharma | For profit | MKTG | Oct 30, 1997 |
| Roche | For profit | NDA | Jun 4, 1975 |
| Rubicon Research | For profit | MKTG | Oct 6, 2000 |
| Rubicon Research | For profit | SYN | Oct 6, 2000 |
| Sandoz | For profit | MKTG | Aug 29, 1997 |
| Sun Pharmaceuticals | For profit | MKTG | Apr 27, 2001 |
| Teva | For profit | MKTG | Sep 10, 1996 |
| Watson Pharmaceuticals | For profit | MKTG | Dec 30, 1997 |