famotidine
Trade name: pepcid
Approved
Oct 15, 1986
Famotidine, a competitive histamine H2-receptor antagonist, is used to treat gastrointestinal disorders such as gastric or duodenal ulcer, gastroesophageal reflux disease, and pathological hypersecretory conditions. Famotidine inhibits many of the isoenzymes of the hepatic CYP450 enzyme system. Other actions of Famotidine include an increase in gastric bacterial flora such as nitrate-reducing organisms. Famotidine binds competitively to H2-receptors located on the basolateral membrane of the parietal cell, blocking histamine affects. This competitive inhibition results in reduced basal and nocturnal gastric acid secretion and a reduction in gastric volume, acidity, and amount of gastric acid released in response to stimuli including food, caffeine, insulin, betazole, or pentagastrin. — NCATS
Clinical trial activity
115 trials · 113 clinical orgs · 53 marketing orgs
Earliest trial started Oct 1, 1998 (NCT01511731)
Timeline
1980s
- Oct 15, 1986
Bausch Health Companies — Earliest FDA Approval
- Oct 15, 1986
Bausch Health Companies — NDA Secondary Org
- Oct 15, 1986
Bausch Health Companies — NDA Organization
- Oct 15, 1986
Bausch Health Companies — Marketing Organization
- Nov 4, 1986
Merck — Marketing Organization
- Nov 4, 1986
Merck — NDA Secondary Org
- Feb 2, 1987
Salix — NDA Secondary Org
1990s
- Apr 28, 1995
Johnson and Johnson — NDA Secondary Org
- Jan 1, 1998
Dr. Reddy's Laboratories — Earliest Phase 1 Sponsor(trial)
- Nov 20, 1998
Marsam Pharmaceuticals — Marketing Organization
- Nov 20, 1998
Henry Schein, Inc — Marketing Organization
2000s
- Feb 7, 2001
Apothecon — Marketing Organization
- Apr 16, 2001
Athenex, Inc. — Marketing Organization
- Apr 16, 2001
Ionis Pharmaceuticals, Inc. — Marketing Organization
- Apr 16, 2001
Dr. Reddy's Laboratories — Marketing Organization
- Apr 16, 2001
Fresenius — Marketing Organization
- Apr 16, 2001
Hospira — Marketing Organization
- Apr 16, 2001
Mylan — Marketing Organization
- Apr 16, 2001
PL Developments — Marketing Organization
- Apr 16, 2001
Sandoz — Marketing Organization
- Apr 16, 2001
Watson Pharmaceuticals — Marketing Organization
- Apr 16, 2001
West-Ward Pharmaceutical — Marketing Organization
- Apr 16, 2001
Celltrion — Marketing Organization
- Apr 16, 2001
Hikma — Marketing Organization
- Apr 16, 2001
Mankind Pharma — Marketing Organization
- Apr 16, 2001
Rising Pharmaceuticals — Marketing Organization
- Apr 16, 2001
Novartis — Marketing Organization
- May 10, 2001
Baxalta — Marketing Organization
- May 10, 2001
Baxter — Marketing Organization
- Jul 23, 2001
Apotex — Marketing Organization
- Jul 26, 2001
P&L Development — Marketing Organization
- Sep 14, 2001
Actavis — Marketing Organization
- Dec 17, 2001
AbbVie — Marketing Organization
- Aug 22, 2003
Perrigo — Marketing Organization
- Sep 24, 2004
UCB — NDA Secondary Org
- Jan 1, 2005
Earliest Phase 2 Sponsor(trial)
- Jan 1, 2005
Earliest Phase 3 Sponsor(trial)
- Mar 7, 2005
Glenmark Pharmaceuticals — Marketing Organization
- Mar 7, 2005
Wockhardt — Marketing Organization
- May 22, 2009
Alembic — Marketing Organization
- Nov 17, 2009
Sun Pharmaceuticals — Marketing Organization
2010s
- May 27, 2010
Navinta — Marketing Organization
- Jun 29, 2010
Lupin — Marketing Organization
- Apr 23, 2011
Horizon Pharma — Marketing Organization
- Apr 23, 2011
Horizon Pharma — NDA Secondary Org
- Dec 17, 2012
Novel Anti-Infective Technologies, LLC — Marketing Organization
- May 30, 2014
Hi Tech Pharmaceuticals — Marketing Organization
- May 30, 2014
Akorn, Inc. — Marketing Organization
- Dec 22, 2015
Aurobindo Pharma — Marketing Organization
- Dec 23, 2019
Alkem Labs Ltd — Marketing Organization
2020s
- Apr 20, 2021
Novitium Pharma — Marketing Organization
- Apr 20, 2021
Ani Pharmaceuticals — Marketing Organization
- Oct 15, 2021
Ascent Pharmahealth — Marketing Organization
- Oct 29, 2021
Teva — Marketing Organization
- Nov 4, 2021
Annora Pharma — Marketing Organization
- Jan 7, 2022
VKT Pharma — Marketing Organization
- Jun 3, 2022
Zydus Discovery DMCC — Marketing Organization
- Aug 4, 2022
Amneal Pharmaceuticals — Marketing Organization
- Mar 8, 2023
Marksans Pharma — Marketing Organization
- Jun 16, 2023
Appco Pharma — Marketing Organization
- Jul 7, 2023
CARNEGIE — Marketing Organization
Indications
Approved for
Studied for
- Acute Coronary Syndrome · Phase 4
- Acute Kidney Injury · Phase 4
- Analgesics, Opioid · Phase 4
- Anemia, Sickle Cell · Phase 2/Phase 3
- Anesthesia · Phase 4
- Anesthesia, General · Phase 4
- Arthritis, Juvenile · Phase 4
- Arthritis, Rheumatoid · Phase 3
- Aspirin · Phase 4
- Back Pain · Phase 3
- Biological Availability · Phase 1
- Brain Edema · Phase 2
- Breast Neoplasms · Phase 2/Phase 3
- Carcinoma · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 1
- Carcinoma, Squamous Cell · Phase 2
- Chronic Pain · Phase 3
- Colorectal Neoplasms · Phase 1
- Coronary Disease · Phase 4
- COVID-19 · Phase 4
- Drug Interactions · Phase 1
- Drug-Related Side Effects and Adverse Reactions · Phase 1/Phase 2
- Dyskinesias · Phase 2
- Dyspepsia · Phase 4
- Eosinophilic Esophagitis · Phase 2
- Epileptic Syndromes · Phase 2
- Esophageal Motility Disorders · Phase 4
- Esophagitis · Phase 3
- Gastric Emptying · Phase 4
- Hamartoma · Phase 1/Phase 2
- Healthy Volunteers · Phase 1
- Heartburn · Phase 4
- Heart Failure · Phase 2
- Hematopoietic Stem Cell Transplantation · Phase 2
- Hemorrhage · Phase 4
- HIV · Phase 4
- HIV Infections · Phase 4
- Immune System Diseases · Phase 2/Phase 3
- Immunoglobulin G4-Related Disease · Phase 2
- Intestinal Neoplasms · Phase 3
- Laryngomalacia · Phase 1/Phase 2
- Lupus Erythematosus, Systemic · Phase 1
- Lymphoma · Phase 3
- Melanoma · Phase 1
- Multiple Myeloma · Phase 4
- Myocardial Infarction · Phase 4
- Neoplasm Metastasis · Phase 1/Phase 2
- Neoplasms · Phase 1
- Osteoarthritis · Phase 3
- Pneumonia, Aspiration · Phase 4
- Psoriasis · Phase 1
- Pulmonary Arterial Hypertension · Phase 2
- Respiratory Aspiration · Phase 4
- Schizophrenia · Phase 4
- Spasms, Infantile · Phase 2
- Spinal Diseases · Phase 3
- Squamous Cell Carcinoma of Head and Neck · Phase 2
- Stomach Diseases · Phase 1
- Stomach Neoplasms · Phase 2
- Stomach Ulcer · Phase 4
- Stroke · Phase 2
- Thyroid Cancer, Papillary · Phase 1
- Ulcer · Phase 4
- Volunteers · Phase 1
Mechanism of action
- Histamine H2 receptorANTAGONIST
HRH2 antagonist
Combination products
duexis
with ibuprofen
pepcid complete
Approval history
- approvedOct 15, 1986
Chemistry & pharmacology
SMILES
NC(=N)NC1=NC(CSCCC(=N)NS(N)(=O)=O)=CS1- Mol. weight
- 337.445 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Over the Counter
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- WikipediaFamotidine ↗
- NCATS5QZO15J2Z8 ↗
- ChEMBLCHEMBL902 ↗
Also known as
- (1-amino-3-(((2-((diaminomethylene)amino)-4-thiazolyl)methyl)thio)propylidene)sulfamide
- (1-amino-3-(((2-((diaminomethylene)amino)-4-thiazolyl)methyl)thio)propylidene)sulfamide
- 3-(((2-((aminoiminomethyl)amino)-4-thiazolyl)methyl)thio)-n-(aminosulfonyl)propanimidamide
- 3-(((2-((aminoiminomethyl)amino)-4-thiazolyl)methyl)thio)-n-(aminosulfonyl)propanimidamide
- 3-(((2-((diaminomethylene)amino)-4-thiazolyl)methyl)thio)-n(sup 2)-sulfamoylpropionamidine
- 3-(((2-((diaminomethylene)amino)-4-thiazolyl)methyl)thio)-n(sup 2)-sulfamoylpropionamidine
- agufam
- amfamox
- antodine
- apogastine
- bestidine
- brolin
- cepal
- digervin
- dispromil
- famotidina
- famotidina
- famotidine
- famotidine
- famotidine
- famotidine
- famotidine
- famotidine
- famotidine
- famotidine
- famotidine
- famotidine
- famotidine
- famotidinum
- famotidinum
- fluxid
- fluxid
- mk-2048
- mk-2048
- mk-208
- mk-208
- n-sulfamoyl-3-((2-guanidinothiazol-4-yl)methylthio)propionamide
- n-sulfamoyl-3-((2-guanidinothiazol-4-yl)methylthio)propionamide
- pepcid
- pepcid
- pepcid
- pepcid
- pepcid ac
- pepcid ac
- pepcid rpd
- pepcid rpd
- t502
- t502
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07101445 | Phase 4 | Sep 24, 2025 | Emory University, Gamida Cell, National Cancer Institute (NCI) |
| NCT07171619 | Phase 1 | Sep 9, 2025 | Medpace, Inc., SpringWorks Therapeutics, Inc. |
| NCT07018635 | Phase 1 | Jul 16, 2025 | Incyte |
| NCT06743243 | Phase 4 | Mar 31, 2025 | Chung-Ang University, Inno.N, Korea University, University of Ulsan |
| NCT06507904 | Phase 1 | Mar 31, 2025 | Pfizer |
| NCT06819670 | Phase 2 | Mar 1, 2025 | Pediatric Epilepsy Research Foundation, University of California, Los Angeles |
| NCT06851871 | Phase 1 | Jan 23, 2025 | Bristol-Myers Squibb |
| NCT06332638 | Phase 1 | Mar 19, 2024 | Inno.N |
| NCT06265077 | Phase 1/Phase 2 (Phase 2) | Feb 29, 2024 | Mansoura University |
| NCT05965492 | Phase 3 | Feb 1, 2024 | University of Miami |
| NCT05946551 | Phase 3 | Jan 31, 2024 | Emory University |
| NCT06207305 | Phase 1/Phase 2 (Phase 2) | Jan 30, 2024 | University of Texas at Houston |
| NCT06144697 | Phase 1 | Jan 17, 2024 | Bristol-Myers Squibb |
| NCT06170723 | Phase 1 | Jan 12, 2024 | Bristol-Myers Squibb, Celgene |
| NCT06154226 | Phase 4 | Dec 1, 2023 | Society of Cardiovascular Anesthesiologists, University of Texas at Houston |
| NCT06241183 | Phase 4 | Nov 9, 2023 | Stony Brook University |
| NCT06054464 | Phase 1 | Sep 19, 2023 | PMV Pharmaceuticals, Inc |
| NCT05977998 | Phase 2 | Sep 8, 2023 | University of Texas at Houston |
| NCT05866627 | Phase 1 | Jul 4, 2023 | Bristol-Myers Squibb |
| NCT06211088 | N/A | Jan 1, 2023 | Aswan University |
Organizations
Research & Development (113)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Bristol-Myers Squibb | For profit | 20 | 16 | 3 | 2006 |
| University of Texas at Houston | Academic/Hospital | 6 | 6 | 4 | 2015 |
| Horizon Pharma | For profit | 5 | 5 | 2 | 2007 |
| Emory University | Academic/Hospital | 4 | 4 | 2 | 2021 |
| The University of Hong Kong | Academic/Hospital | 4 | 4 | 1 | 2004 |
| Department of Defense | Government | 3 | 0 | 1 | 2021 |
| Harvard University | Academic/Hospital | 3 | 2 | 3 | 2018 |
| Leidos | For profit | 3 | 3 | 1 | 2021 |
| Merck | For profit | 3 | 2 | 1 | 2006 |
| Pfizer | For profit | 3 | 3 | 1 | 2014 |
| Chinese University of Hong Kong | Academic/Hospital | 2 | 2 | 2 | 2010 |
| Far Eastern Memorial Hospital | Academic/Hospital | 2 | 2 | 1 | 2007 |
| Inno.N | For profit | 2 | 1 | 2 | 2024 |
| Korea University | Academic/Hospital | 2 | 1 | 2 | 2011 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 2 | 2 | 2 | 2015 |
| Northwell Health | Academic/Hospital | 2 | 2 | 2 | 2020 |
| Perrigo | For profit | 2 | 2 | 1 | 2004 |
| Ranbaxy | For profit | 2 | 2 | 1 | 2007 |
| Taichung Veterans General Hospital | Academic/Hospital | 2 | 2 | 1 | 2012 |
| University of Helsinki | Academic/Hospital | 2 | 2 | 2 | 2008 |
Marketing (69)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AbbVie | For profit | MKTG | Dec 17, 2001 |
| Actavis | For profit | MKTG | Sep 14, 2001 |
| Akorn, Inc. | For profit | MKTG | May 30, 2014 |
| Alembic | For profit | MKTG | May 22, 2009 |
| Alkem Labs Ltd | For profit | MKTG | Dec 23, 2019 |
| Amneal Pharmaceuticals | For profit | MKTG | Aug 4, 2022 |
| Ani Pharmaceuticals | For profit | MKTG | Apr 20, 2021 |
| Annora Pharma | For profit | MKTG | Nov 4, 2021 |
| Apotex | For profit | MKTG | Jul 23, 2001 |
| Apotex | For profit | SYN | Aug 2, 2002 |
| Apothecon | For profit | MKTG | Feb 7, 2001 |
| Appco Pharma | For profit | MKTG | Jun 16, 2023 |
| Ascent Pharmahealth | For profit | MKTG | Oct 15, 2021 |
| Athenex, Inc. | For profit | MKTG | Apr 16, 2001 |
| Aurobindo Pharma | For profit | MKTG | Dec 22, 2015 |
| Aurobindo Pharma | For profit | SYN | Apr 26, 2016 |
| Bausch Health Companies | For profit | NDA2 | Oct 15, 1986 |
| Bausch Health Companies | For profit | NDA | Oct 15, 1986 |
| Bausch Health Companies | For profit | MKTG | Oct 15, 1986 |
| Baxalta | For profit | MKTG | May 10, 2001 |
| Baxter | For profit | MKTG | May 10, 2001 |
| CARNEGIE | For profit | MKTG | Jul 7, 2023 |
| Celltrion | For profit | MKTG | Apr 16, 2001 |
| Dr. Reddy's Laboratories | For profit | MKTG | Apr 16, 2001 |
| Fresenius | For profit | MKTG | Apr 16, 2001 |
| Glenmark Pharmaceuticals | For profit | MKTG | Mar 7, 2005 |
| Henry Schein, Inc | For profit | MKTG | Nov 20, 1998 |
| Hi Tech Pharmaceuticals | For profit | MKTG | May 30, 2014 |
| Hikma | For profit | MKTG | Apr 16, 2001 |
| Hikma | For profit | MKTG | Apr 16, 2001 |
| Horizon Pharma | For profit | MKTG | Apr 23, 2011 |
| Horizon Pharma | For profit | NDA2 | Apr 23, 2011 |
| Hospira | For profit | MKTG | Apr 16, 2001 |
| Ionis Pharmaceuticals, Inc. | For profit | MKTG | Apr 16, 2001 |
| Johnson and Johnson | For profit | NDA2 | Apr 28, 1995 |
| Lupin | For profit | MKTG | Jun 29, 2010 |
| Mankind Pharma | For profit | MKTG | Apr 16, 2001 |
| Marksans Pharma | For profit | MKTG | Mar 8, 2023 |
| Marsam Pharmaceuticals | For profit | MKTG | Nov 20, 1998 |
| Merck | For profit | SYN | Feb 18, 1994 |
| Merck | For profit | MKTG | Nov 4, 1986 |
| Merck | For profit | NDA2 | Nov 4, 1986 |
| Mylan | For profit | MKTG | Apr 16, 2001 |
| Mylan | For profit | SYN | Jun 25, 2008 |
| Mylan | For profit | SYN | Apr 18, 2001 |
| Navinta | For profit | MKTG | May 27, 2010 |
| Novartis | For profit | MKTG | Apr 16, 2001 |
| Novel Anti-Infective Technologies, LLC | For profit | MKTG | Dec 17, 2012 |
| Novitium Pharma | For profit | MKTG | Apr 20, 2021 |
| P&L Development | For profit | MKTG | Jul 26, 2001 |
| PL Developments | For profit | MKTG | Apr 16, 2001 |
| Perrigo | For profit | MKTG | Aug 22, 2003 |
| Perrigo | For profit | SYN | Jul 27, 2005 |
| Rising Pharmaceuticals | For profit | SYN | Apr 16, 2001 |
| Rising Pharmaceuticals | For profit | MKTG | Apr 16, 2001 |
| Salix | For profit | NDA2 | Feb 2, 1987 |
| Sandoz | For profit | MKTG | Apr 16, 2001 |
| Sun Pharmaceuticals | For profit | MKTG | Nov 17, 2009 |
| Sun Pharmaceuticals | For profit | SYN | Dec 12, 2001 |
| Teva | For profit | SYN | Apr 16, 2001 |
| Teva | For profit | MKTG | Apr 16, 2001 |
| Teva | For profit | MKTG | Oct 29, 2021 |
| UCB | For profit | NDA2 | Sep 24, 2004 |
| VKT Pharma | For profit | MKTG | Jan 7, 2022 |
| Watson Pharmaceuticals | For profit | MKTG | Apr 16, 2001 |
| West-Ward Pharmaceutical | For profit | MKTG | Apr 16, 2001 |
| Wockhardt | For profit | MKTG | Mar 7, 2005 |
| Wockhardt | For profit | SYN | Apr 16, 2001 |
| Zydus Discovery DMCC | For profit | MKTG | Jun 3, 2022 |