escitalopram
Trade name: lexapro
Approved
Aug 14, 2002
Escitalopram is one of a class of antidepressants known as selective serotonin reuptake inhibitors (SSRIs). Escitalopram, also known by the brand names Lexapro and Cipralex among others, is an antidepressant. The mechanism of antidepressant action of escitalopram, the S-enantiomer of racemic citalopram, is presumed to be linked to potentiation of serotonergic activity in the central nervous system (CNS) resulting from its inhibition of CNS neuronal reuptake of serotonin (5-HT). In vitro and in vivo studies in animals suggest that escitalopram is a highly selective serotonin reuptake inhibitor (SSRI) with minimal effects on norepinephrine and dopamine neuronal reuptake. Escitalopram is at least 100-fold more potent than the R-enantiomer with respect to inhibition of 5-HT reuptake and inhibition of 5-HT neuronal firing rate. LEXAPRO (escitalopram) is indicated for the treatment of major depressive disorder and generalized anxiety disorder . — NCATS
Clinical trial activity
431 trials · 330 clinical orgs · 36 marketing orgs
Earliest trial started Feb 1, 2002 (NCT00177216)
Timeline
2000s
- Jan 1, 2002
Earliest Phase 2 Sponsor(trial)
- Jan 1, 2002
Earliest Phase 3 Sponsor(trial)
- Aug 14, 2002
Earliest FDA Approval
- Aug 14, 2002
Allergan — NDA Secondary Org
- Aug 14, 2002
Allergan — Marketing Organization
- Aug 14, 2002
AbbVie — Marketing Organization
- Aug 14, 2002
AbbVie — NDA Secondary Org
- Aug 29, 2002
Forest Laboratories — First NDA Organization
- Aug 29, 2002
Forest Laboratories — NDA Organization
- Jan 1, 2004
- May 31, 2006
Alphapharm — Marketing Organization
- Jul 26, 2006
Teva — Marketing Organization
- Jul 16, 2007
Dr. Reddy's Laboratories — Marketing Organization
- Jul 31, 2007
Mylan — Marketing Organization
- Oct 18, 2007
Sandoz — Marketing Organization
- Oct 18, 2007
Novartis — Marketing Organization
- Nov 29, 2007
Caraco Pharmaceutical Laboratories — Marketing Organization
- Nov 29, 2007
Sun Pharmaceuticals — Marketing Organization
- Mar 3, 2008
Watson Pharmaceuticals — Marketing Organization
2010s
- Mar 14, 2012
Amneal Pharmaceuticals — Marketing Organization
- Apr 2, 2012
Aurobindo Pharma — Marketing Organization
- May 3, 2012
Taro Pharmaceuticals — Marketing Organization
- Jun 12, 2012
Hetero Labs Ltd — Marketing Organization
- Sep 11, 2012
Accord Research — Marketing Organization
- Sep 11, 2012
Apotex — Marketing Organization
- Sep 11, 2012
Hikma — Marketing Organization
- Sep 11, 2012
Invagen Pharms — Marketing Organization
- Sep 11, 2012
Lupin — Marketing Organization
- Sep 11, 2012
Macleods Pharmaceuticals, Ltd — Marketing Organization
- Sep 11, 2012
Torrent Pharmaceuticals Limited — Marketing Organization
- Sep 11, 2012
Zydus Discovery DMCC — Marketing Organization
- Sep 11, 2012
Cadila Healthcare — Marketing Organization
- Sep 11, 2012
Graviti Pharmaceuticals — Marketing Organization
- Sep 11, 2012
Rising Pharmaceuticals — Marketing Organization
- Sep 12, 2012
Jubilant Innovation Ltd. — Marketing Organization
- Sep 12, 2012
Pharmaceutical Associates — Marketing Organization
- Jun 12, 2013
Lannett Company, Inc. — Marketing Organization
- Jun 12, 2013
Chartwell Pharmaceuticals — Marketing Organization
- May 14, 2015
Dash Pharms — Marketing Organization
- May 26, 2015
Antrim Pharmaceuticals — Marketing Organization
- May 26, 2015
Allied Pharmaceutical Services — Marketing Organization
- Aug 28, 2015
Prinston Inc — Marketing Organization
- Mar 31, 2016
Neogen — Marketing Organization
Indications
Studied for
- Abdominal Pain · Phase 4
- Agoraphobia · Phase 4
- Alcoholism · Phase 4
- Altruism · Phase 1/Phase 2
- Alzheimer Disease · Phase 4
- Amyloid beta-Peptides · Phase 4
- Amyotrophic Lateral Sclerosis · Phase 3
- Anxiety · Phase 4
- Anxiety Disorders · Phase 4
- Anxiety, Separation · Phase 3
- Apathy · Phase 1/Phase 2
- Aphasia · Phase 2
- Arthritis, Rheumatoid · Phase 3
- Asthma · Phase 4
- Autism Spectrum Disorder · Phase 2
- Behavior, Addictive · Phase 2
- Bile Duct Neoplasms · Phase 3
- Bipolar Disorder · Phase 4
- Borderline Personality Disorder · Phase 2
- Brain Injuries, Traumatic · Phase 2
- Burning Mouth Syndrome · Phase 3
- Carcinoma · Phase 3
- Central Nervous System · Phase 1
- Cocaine-Related Disorders · Phase 2/Phase 3
- Cognition Disorders · Phase 3
- Cognitive Dysfunction · Phase 2/Phase 3
- Colorectal Neoplasms · Phase 3
- Constipation · Phase 2/Phase 3
- Coronary Artery Disease · Phase 4
- Coronary Disease · Phase 4
- Decision Making · Phase 1/Phase 2
- Dementia · Phase 4
- Depression · Phase 4
- Depression, Postpartum · Phase 4
- Depressive Disorder, Treatment-Resistant · Phase 3
- Diabetes Mellitus · Phase 4
- Disruptive, Impulse Control, and Conduct Disorders · Phase 4
- Dyspepsia · Phase 3
- Dysthymic Disorder · Phase 4
- Epilepsy · Phase 4
- Epilepsy, Temporal Lobe · Phase 4
- Esophageal Neoplasms · Phase 3
- Facial Pain · Phase 4
- Fatigue · Phase 3
- Fear · Phase 4
- Fibromyalgia · Phase 3
- Gallbladder Neoplasms · Phase 3
- Gender Dysphoria · Phase 4
- Glioblastoma · Phase 2/Phase 3
- Glioma · Phase 2
- Healthy Volunteers · Phase 4
- Heart Failure · Phase 4
- Hepacivirus · Phase 1
- Hepatitis C · Phase 2/Phase 3
- Hepatitis C, Chronic · Phase 2
- HIV · Phase 4
- HIV Infections · Phase 3
- Hypercapnia · Phase 1
- Hypersensitivity · Phase 2
- Hypertension, Pulmonary · Phase 3
- Infertility, Male · Phase 2
- Internet Addiction Disorder · Phase 4
- Irritable Bowel Syndrome · Phase 4
- Kidney Failure, Chronic · Phase 2
- Liver Neoplasms · Phase 3
- Low Back Pain · Phase 4
- Lung Neoplasms · Phase 3
- Major Depressive Disorder · Phase 4
- Multiple Sclerosis · Phase 4
- Myocardial Ischemia · Phase 4
- Neoplasm Metastasis · Phase 3
- Neoplasms · Phase 3
- Neuronal Plasticity · Phase 4
- Night Eating Syndrome · Phase 3
- Obsessive Behavior · Phase 4
- Obsessive-Compulsive Disorder · Phase 4
- Opioid-Related Disorders · Phase 3
- Pain · Phase 4
- Pancreatic Neoplasms · Phase 3
- Panic Disorder · Phase 4
- Parkinson Disease · Phase 3
- Phobia, Social · Phase 4
- Phobic Disorders · Phase 2/Phase 3
- Polycystic Ovary Syndrome · Phase 4
- Polyneuropathies · Phase 4
- Postoperative Pain · Phase 4
- Premature Ejaculation · Early Phase 1
- Premenstrual Syndrome · Phase 4
- Prostatic Neoplasms · Phase 2/Phase 3
- Prostatic Neoplasms, Castration-Resistant · Phase 2
- Psychiatry · Phase 2
- Psychomotor Agitation · Phase 4
- Psychophysiologic Disorders · Phase 3
- Psychotic Disorders · Phase 4
- Pulmonary Disease, Chronic Obstructive · Phase 3
- Respiratory Insufficiency · Phase 1
- Schizophrenia · Phase 4
- Selective Serotonin Reuptake Inhibitors · Phase 4
- Sinusitis · Phase 4
- Sleep Initiation and Maintenance Disorders · Phase 4
- Sleep Wake Disorders · Phase 4
- Somatoform Disorders · Phase 3
- Spinal Cord Injuries · Phase 1
- Stomach Diseases · Phase 2/Phase 3
- Stomach Neoplasms · Phase 3
- Stress Disorders, Post-Traumatic · Phase 4
- Stroke · Phase 4
- Substance-Related Disorders · Phase 1
- Suicide, Attempted · Phase 2/Phase 3
- Treatment Outcome · Phase 3
- Urinary Bladder, Overactive · Phase 4
Mechanism of action
- Serotonin transporterINHIBITOR
SLC6A4 inhibitor
reuptake inhibitor
Approval history
- approvedAug 14, 2002
Chemistry & pharmacology
SMILES
CN(C)CCC[C@@]1(c2ccc(F)cc2)OCc2cc(C#N)ccc21- Mol. weight
- 324.4 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
- ChEMBLCHEMBL1508 ↗
- WikipediaEscitalopram ↗
- NCATS4O4S742ANY ↗
- ChEMBLCHEMBL1200322 ↗
Also known as
- cipralex
- cipralex
- (+)-citalopram
- (+)-citalopram
- (+)-citalopram
- escitalopram
- escitalopram
- escitalopram
- escitalopram
- escitalopram
- escitalopram
- escitalopram
- escitalopram
- escitalopram
- escitalopram oxalate
- escitalopram oxalate
- escitalopram oxalate
- escitalopram oxalate
- escitalopramum
- escitalopramum
- escitaloprim
- lexapro
- lexapro
- lexapro
- lu-260540
- lu-260540
- (+)-(s)-citalopram
- (s)-citalopram
- (s)-citalopram
- (s)-citalopram
- s-citalopram
- s-citalopram
- s-(+)-citalopram
- s-(+)-citalopram
- s-(+)-citalopram
- s(+)-citalopram
- s(+)-citalopram
- (s)-citalopram-d6 oxalate
- seroplex
- seroplex
- seroplex
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07139834 | Phase 1 | Jan 31, 2026 | Columbia University |
| NCT06937476 | N/A | May 8, 2025 | Central South University, National Natural Science Foundation of China |
| NCT06957223 | N/A | May 6, 2025 | CMH Nowshera, Pakistan Army |
| NCT06957210 | N/A | May 6, 2025 | CMH Nowshera, Pakistan Army |
| NCT07025590 | N/A | Apr 22, 2025 | Shantou University |
| NCT06965569 | Phase 1 | Apr 21, 2025 | Alar Pharmaceuticals Inc. |
| NCT06216535 | Phase 2 | Apr 1, 2025 | National Heart, Lung, and Blood Institute (NHLBI), The University of Texas, Dallas |
| NCT06826326 | Phase 2 | Mar 1, 2025 | University of Kansas |
| NCT06828887 | Phase 2 | Mar 1, 2025 | Government of China, Jiao Tong University |
| NCT06696482 | Phase 1/Phase 2 (Phase 2) | Jan 31, 2025 | University of Oxford, Wellcome Trust |
| NCT06705478 | Phase 2 | Jan 17, 2025 | Cipla, National Institute of Allergy and Infectious Diseases (NIAID) |
| NCT06692361 | N/A | Dec 31, 2024 | Capital Medical University, Hebei University, Sichuan University, Tianjin Medical University, Wuhu Fourth People's Hospital, Zhejiang University |
| NCT06433635 | Phase 4 | Sep 1, 2024 | Harvard University, Patient-Centered Outcomes Research Institute |
| NCT06680531 | Phase 1 | Aug 31, 2024 | Shanghai Haiyan Pharmaceutical Technology Co., Ltd. |
| NCT06476509 | Phase 1 | May 30, 2024 | Government of China, Jiao Tong University |
| NCT05737511 | Phase 4 | Dec 30, 2023 | Sultan Qaboos University |
| NCT05818735 | N/A | Dec 1, 2023 | Jiao Tong University, Shanghai University of Traditional Chinese Medicine, Shanghai Xuhui District Central Hospital |
| NCT05973786 | Phase 4 | Nov 1, 2023 | University of Munster, Utrecht University |
| NCT05901571 | N/A | Sep 30, 2023 | Shanghai 7th People's Hospital, Shanghai University of Traditional Chinese Medicine |
| NCT05603104 | Phase 4 | Aug 1, 2023 | University of Munster, Utrecht University |
Organizations
Research & Development (330)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Institute of Mental Health (NIMH) | Government | 41 | 3 | 5 | 2002 |
| Forest Laboratories | For profit | 37 | 7 | 4 | 2002 |
| Lundbeck | For profit | 37 | 8 | 5 | 2004 |
| Harvard University | Academic/Hospital | 18 | 18 | 4 | 2002 |
| Columbia University | Academic/Hospital | 17 | 16 | 5 | 2004 |
| Otsuka | For profit | 12 | 10 | 3 | 2004 |
| Johnson and Johnson | For profit | 11 | 11 | 3 | 2007 |
| The University of Texas, Dallas | Academic/Hospital | 11 | 6 | 3 | 2007 |
| Cornell University | Academic/Hospital | 10 | 8 | 3 | 2002 |
| Duke University | Academic/Hospital | 10 | 9 | 4 | 2002 |
| Tel Aviv University | Academic/Hospital | 10 | 9 | 4 | 2004 |
| University of Pittsburgh | Academic/Hospital | 10 | 9 | 3 | 2002 |
| Jiao Tong University | Academic/Hospital | 9 | 6 | 5 | 2009 |
| Seoul National University | Academic/Hospital | 9 | 8 | 5 | 2008 |
| University of Copenhagen | Academic/Hospital | 9 | 9 | 3 | 2004 |
| Emory University | Academic/Hospital | 8 | 8 | 2 | 2002 |
| University of Pennsylvania | Academic/Hospital | 8 | 7 | 3 | 2002 |
| University of Toronto | Academic/Hospital | 8 | 7 | 4 | 2005 |
| Bristol-Myers Squibb | For profit | 7 | 6 | 3 | 2004 |
| Zhejiang University | Academic/Hospital | 7 | 6 | 2 | 2019 |
Marketing (41)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AbbVie | For profit | MKTG | Aug 14, 2002 |
| AbbVie | For profit | NDA2 | Aug 14, 2002 |
| Accord Research | For profit | MKTG | Sep 11, 2012 |
| Allergan | For profit | NDA2 | Aug 14, 2002 |
| Allergan | For profit | MKTG | Aug 14, 2002 |
| Allied Pharmaceutical Services | For profit | MKTG | May 26, 2015 |
| Alphapharm | For profit | MKTG | May 31, 2006 |
| Amneal Pharmaceuticals | For profit | MKTG | Mar 14, 2012 |
| Antrim Pharmaceuticals | For profit | MKTG | May 26, 2015 |
| Apotex | For profit | MKTG | Sep 11, 2012 |
| Aurobindo Pharma | For profit | MKTG | Apr 2, 2012 |
| Cadila Healthcare | For profit | MKTG | Sep 11, 2012 |
| Caraco Pharmaceutical Laboratories | For profit | MKTG | Nov 29, 2007 |
| Chartwell Pharmaceuticals | For profit | MKTG | Jun 12, 2013 |
| Dash Pharms | For profit | MKTG | May 14, 2015 |
| Dr. Reddy's Laboratories | For profit | MKTG | Jul 16, 2007 |
| Forest Laboratories | For profit | NDA | Aug 29, 2002 |
| Graviti Pharmaceuticals | For profit | MKTG | Sep 11, 2012 |
| Hetero Labs Ltd | For profit | MKTG | Jun 12, 2012 |
| Hikma | For profit | MKTG | Sep 11, 2012 |
| Invagen Pharms | For profit | MKTG | Sep 11, 2012 |
| Jubilant Innovation Ltd. | For profit | MKTG | Sep 12, 2012 |
| Jubilant Innovation Ltd. | For profit | SYN | Sep 12, 2012 |
| Lannett Company, Inc. | For profit | MKTG | Jun 12, 2013 |
| Lupin | For profit | MKTG | Sep 11, 2012 |
| Macleods Pharmaceuticals, Ltd | For profit | MKTG | Sep 11, 2012 |
| Mylan | For profit | MKTG | Jul 31, 2007 |
| Mylan | For profit | SYN | May 14, 2015 |
| Neogen | For profit | MKTG | Mar 31, 2016 |
| Novartis | For profit | MKTG | Oct 18, 2007 |
| Pharmaceutical Associates | For profit | MKTG | Sep 12, 2012 |
| Prinston Inc | For profit | MKTG | Aug 28, 2015 |
| Rising Pharmaceuticals | For profit | MKTG | Sep 11, 2012 |
| Sandoz | For profit | MKTG | Oct 18, 2007 |
| Sun Pharmaceuticals | For profit | MKTG | Nov 29, 2007 |
| Taro Pharmaceuticals | For profit | MKTG | May 3, 2012 |
| Teva | For profit | MKTG | Jul 26, 2006 |
| Teva | For profit | SYN | Mar 14, 2012 |
| Torrent Pharmaceuticals Limited | For profit | MKTG | Sep 11, 2012 |
| Watson Pharmaceuticals | For profit | MKTG | Mar 3, 2008 |
| Zydus Discovery DMCC | For profit | MKTG | Sep 11, 2012 |