ivabradine
Trade name: corlanor
Approved
Apr 15, 2015
Ivabradine (CORLANOR®) is a hyperpolarization-activated cyclic nucleotide-gated channel blocker that reduces the spontaneous pacemaker activity of the cardiac sinus node by selectively inhibiting the If-current, resulting in heart rate reduction at concentrations that do not affect other cardiac ionic currents. Specific heart-rate lowering with ivabradine (CORLANOR®) reduces myocardial oxygen demand, simultaneously improving oxygen supply. It has no negative inotropic or lusitropic effects, preserving ventricular contractility, and does not change any major electrophysiological parameters unrelated to heart rate. — NCATS
Clinical trial activity
84 trials · 91 clinical orgs · 8 marketing orgs
Earliest trial started Sep 1, 2004 (NCT00202579)
Timeline
2000s
2020s
- Dec 30, 2021
Ingenus Pharmaceuticals — Marketing Organization
- Dec 30, 2021
Centaur Pharmaceuticals — Marketing Organization
- Apr 19, 2022
Alembic — Marketing Organization
- Oct 5, 2022
Annora Pharma — Marketing Organization
- Nov 29, 2023
Zydus Discovery DMCC — Marketing Organization
- Sep 5, 2024
Bionpharma Inc — Marketing Organization
- Apr 28, 2025
MSN Laboratories — Marketing Organization
Indications
Approved for
Studied for
- Acute Coronary Syndrome · Phase 4
- Aging · Phase 3
- Angina Pectoris · Phase 4
- Angina, Stable · Phase 4
- Arterial Pressure · Phase 4
- Asthma-Chronic Obstructive Pulmonary Disease Overlap Syndrome · Phase 4
- Atrial Fibrillation · Phase 4
- Atrial Remodeling · Phase 4
- Blood Pressure · Phase 4
- Cancer Survivors · Phase 2
- Cardiomyopathy, Dilated · Phase 4
- Cardiovascular Diseases · Phase 4
- Coronary Artery Disease · Phase 4
- Coronary Disease · Phase 4
- COVID-19 · Phase 2
- Diabetic Nephropathies · Phase 3
- General Surgery · Phase 3
- Healthy Volunteers · Phase 3
- Heart Diseases · Phase 4
- Heart Failure · Phase 4
- Heart Failure, Diastolic · Phase 2
- Heart Failure, Systolic · Phase 4
- Heart Rate · Phase 4
- Heart Transplantation · Phase 4
- Hemodynamics · Phase 4
- Hypotension · Phase 2
- Ivabradine · Phase 4
- Livedoid Vasculopathy · Phase 4
- Lymphoma · Phase 2
- Mitral Valve Stenosis · Phase 4
- Multiple Organ Failure · Phase 2
- Myocardial Ischemia · Phase 4
- Myocardium · Phase 4
- Neoplasms · Phase 3
- Non-ST Elevated Myocardial Infarction · Phase 2/Phase 3
- Post-Acute COVID-19 Syndrome · Phase 4
- Postural Balance · Phase 2
- Postural Orthostatic Tachycardia Syndrome · Phase 4
- Renal Dialysis · Phase 4
- Sepsis · Phase 4
- Shock, Cardiogenic · Phase 4
- Shock, Septic · Phase 3
- Tachycardia · Phase 4
- Vascular Stiffness · Phase 3
- Ventricular Dysfunction, Left · Phase 3
- Ventricular Remodeling · Phase 4
Mechanism of action
Approval history
- approvedPriority reviewFast trackApr 15, 2015
Chemistry & pharmacology
SMILES
COc1cc2c(cc1OC)CC(=O)N(CCCN(C)C[C@H]1Cc3cc(OC)c(OC)cc31)CC2- Mol. weight
- 468.59 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
- ChEMBLCHEMBL471737 ↗
- WikipediaIvabradine ↗
- NCATS3H48L0LPZQ ↗
- ChEMBLCHEMBL2145077 ↗
Also known as
- 3-[3-({[(7s)-3,4-dimethoxybicyclo[4.2.0]octa-1,3,5-trien-7-yl]methyl}(methyl)amino)propyl]-7,8-dimethoxy-2,3,4,5-tetrahydro-1h-3-benzazepin-2-one
- 3-[3-({[(7s)-3,4-dimethoxybicyclo[4.2.0]octa-1,3,5-trien-7-yl]methyl}(methyl)amino)propyl]-7,8-dimethoxy-2,3,4,5-tetrahydro-1h-3-benzazepin-2-one
- 7,8-dimethoxy-3-(3-(((4,5-dimethoxybenzocyclobutan-1-yl)methyl)methylamino)propyl)-1,3,4,5-tetrahydro-2h-benzazepin-2-one
- amg-998
- amg-998
- coraxan
- corlanor
- corlanor
- corlanor
- corlanor
- corlanor
- corlanor
- corlanor
- corlanor
- corlentor
- ivabradin
- ivabradin
- ivabradina
- ivabradina
- ivabradine
- ivabradine
- ivabradine
- ivabradine
- ivabradine
- ivabradine
- ivabradine
- ivabradine
- ivabradine
- ivabradine
- ivabradine hcl
- ivabradine hydrochloride
- ivabradine hydrochloride
- ivabradine hydrochloride
- ivabradine hydrochloride
- ivabradine hydrochloride
- ivabradinum
- ivabradinum
- procoralan
- procoralan
- procoralan
- s 16257
- s-16257
- s-16257
- s-16257
- s 16257-2
- s-16257-2
- s 16260-2
- s-16260-2
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07268170 | Phase 2/Phase 3 (Phase 3) | Dec 15, 2025 | Gødstrup Hospital |
| NCT07135258 | Phase 4 | Oct 1, 2025 | The University of Hong Kong |
| NCT06742164 | N/A | Dec 30, 2024 | Ain Shams University |
| NCT06305806 | Phase 2 | Mar 11, 2024 | Duke University, Harvard University, Johns Hopkins University, University of California, San Diego, Vanderbilt University |
| NCT06305780 | Phase 2 | Mar 11, 2024 | Duke University, Harvard University, Johns Hopkins University, University of California, San Diego, Vanderbilt University |
| NCT06670690 | N/A | Sep 1, 2023 | Menoufia University |
| NCT05882708 | Phase 4 | Jun 1, 2023 | Guangzhou Medical University |
| NCT06371222 | Phase 4 | Feb 1, 2023 | Bangladesh Medical University |
| NCT05481177 | Phase 4 | Nov 15, 2022 | Uniformed Services University of the Health Sciences |
| NCT05594342 | Phase 3 | Jul 1, 2022 | The Young Investigator Group of Cardiovascular Research |
| NCT05279651 | Phase 3 | Jun 13, 2022 | Jagiellonian University, McMaster University, Vanderbilt University |
| NCT05141071 | Phase 2 | Nov 25, 2021 | Cairo University |
| NCT05348057 | Phase 4 | Aug 1, 2021 | People's Liberation Army of China |
| NCT04853797 | N/A | Apr 16, 2021 | University of Copenhagen |
| NCT05261464 | Phase 4 | Jan 30, 2021 | Mahidol University |
| NCT04580342 | Phase 2 | Oct 15, 2020 | Assiut University |
| NCT04436016 | Phase 4 | Sep 30, 2020 | University of Geneva |
| NCT04448899 | Phase 4 | Jun 1, 2020 | Alexandria University, Damanhour University |
| NCT04405804 | Phase 2 | May 31, 2020 | Bambino Gesù Hospital and Research Institute, Government of Italy |
| NCT04186286 | Phase 2 | Dec 15, 2019 | Dysautonomia International, University of Calgary |
Organizations
Research & Development (91)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Amgen | For profit | 7 | 2 | 3 | 2016 |
| Servier | For profit | 7 | 5 | 3 | 2004 |
| Ain Shams University | Academic/Hospital | 3 | 3 | 2 | 2018 |
| Duke University | Academic/Hospital | 3 | 3 | 2 | 2016 |
| Harvard University | Academic/Hospital | 3 | 1 | 1 | 2017 |
| University of California, San Diego | Academic/Hospital | 3 | 1 | 2 | 2017 |
| University of Campania Luigi Vanvitelli | Academic/Hospital | 3 | 3 | 1 | 2010 |
| Vanderbilt University | Academic/Hospital | 3 | 0 | 2 | 2022 |
| Alexandria University | Academic/Hospital | 2 | 1 | 2 | 2019 |
| Cairo University | Academic/Hospital | 2 | 2 | 2 | 2014 |
| Johns Hopkins University | Academic/Hospital | 2 | 0 | 1 | 2024 |
| Monash University | Academic/Hospital | 2 | 2 | 1 | 2008 |
| Policlinico Casilino | Academic/Hospital | 2 | 2 | 2 | 2013 |
| University of Copenhagen | Academic/Hospital | 2 | 2 | 2 | 2018 |
| University of Leeds | Academic/Hospital | 2 | 2 | 1 | 2013 |
| University of Sao Paulo | Academic/Hospital | 2 | 2 | 2 | 2013 |
| Vita-Salute University of Milano. Italy | Academic/Hospital | 2 | 1 | 2 | 2009 |
| American Heart Association | Academic/Hospital | 1 | 0 | 1 | 2016 |
| Assistance Publique - Hôpitaux de Paris | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Assiut University | Academic/Hospital | 1 | 1 | 1 | 2020 |
Marketing (9)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Alembic | For profit | MKTG | Apr 19, 2022 |
| Alembic | For profit | SYN | Nov 8, 2024 |
| Amgen | For profit | NDA | Apr 15, 2015 |
| Annora Pharma | For profit | MKTG | Oct 5, 2022 |
| Bionpharma Inc | For profit | MKTG | Sep 5, 2024 |
| Centaur Pharmaceuticals | For profit | MKTG | Dec 30, 2021 |
| Ingenus Pharmaceuticals | For profit | MKTG | Dec 30, 2021 |
| MSN Laboratories | For profit | MKTG | Apr 28, 2025 |
| Zydus Discovery DMCC | For profit | MKTG | Nov 29, 2023 |