nimodipine
Trade name: nimotop
Approved
Dec 28, 1988
Nimodipine is a dihydropyridine calcium antagonist which has been shown to dilate cerebral arterioles and increase cerebral blood flow in animals and humans. It has potential in the treatment of a range of cerebrovascular disorders. Major interest to date, however, has focused on its use in the prevention and treatment of the delayed ischaemic neurological deficits that frequently occur in patients with subarachnoid haemorrhages as a result of sustained cerebral vasospasm. Nimodipine, a Ca2+ antagonist with cerebrovasodilatory and anti-ischemic effects, binds to rat, guinea pig, and human brain membranes with high affinity (less than 1 nM). Only at higher concentrations has nimodipine been reported to block the release of some neurotransmitters and hormones from neuronal tissue. — NCATS
Clinical trial activity
32 trials · 39 clinical orgs · 10 marketing orgs
Earliest trial started Sep 1, 1994 (NCT00000280)
Timeline
2000s
- Apr 17, 2007
Sun Pharmaceuticals — Marketing Organization
- May 2, 2007
Heritage Pharma — Marketing Organization
- Jan 17, 2008
Bionpharma Inc — Marketing Organization
2010s
- May 10, 2013
Arbor Pharmaceuticals — NDA Secondary Org
- May 10, 2013
Azurity — Marketing Organization
- May 10, 2013
Azurity — NDA Secondary Org
- Apr 7, 2014
Thepharmanetwork Llc — Marketing Organization
- Jul 24, 2015
Sofgen Pharmaceuticals — Marketing Organization
- Jan 1, 2016
Earliest Phase 3 Sponsor(trial)
2020s
- Feb 21, 2023
Alkem Labs Ltd — Marketing Organization
- Jul 9, 2024
Annora Pharma — Marketing Organization
Indications
Approved for
Studied for
- AIDS Dementia Complex · Phase 1
- Alcoholism · Phase 2
- Aneurysm · Phase 1/Phase 2
- Biological Availability · Early Phase 1
- Catheterization · Phase 4
- Cerebral Infarction · Phase 4
- Cerebrovascular Disorders · Early Phase 1
- Cocaine-Related Disorders · Phase 2
- Cognitive Dysfunction · Phase 4
- Coronary Vasospasm · Phase 2
- Delirium · Phase 2
- Dementia · Phase 4
- Depression · Phase 4
- Drugs, Investigational · Phase 2
- Electroconvulsive Therapy · Phase 2
- Epilepsy · Phase 2
- Hemorrhage · Phase 3
- HIV Infections · Phase 1
- Infertility · Phase 2
- Milrinone · Phase 2
- Mutation · Phase 1
- Neuroma, Acoustic · Phase 2
- Poisoning · Phase 3
- Schizophrenia · Early Phase 1
- Stroke · Phase 4
- Subarachnoid Hemorrhage · Phase 3
- Traumatology · Phase 2
- Ultrasonography · Early Phase 1
Mechanism of action
- Mineralocorticoid receptorANTAGONIST
NR3C2 antagonist
Voltage-gated L-type calcium channel blocker
Approval history
- approvedPriority reviewDec 28, 1988
Chemistry & pharmacology
SMILES
COCCOC(=O)C1=C(C)NC(C)=C(C1C2=CC=CC(=C2)[N+]([O-])=O)C(=O)OC(C)C- Mol. weight
- 418.4403 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaNimodipine ↗
- NCATS57WA9QZ5WH ↗
- ChEMBLCHEMBL1428 ↗
Also known as
- 2,6-dimethyl-4-(3'-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylic acid 3-β-methoxyethyl ester 5-isopropyl ester
- 2,6-dimethyl-4-(3'-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylic acid 3-β-methoxyethyl ester 5-isopropyl ester
- bay-e-9736
- bay-e-9736
- isopropyl 2-methoxyethyl 1,4-dihydro-2,6-dimethyl-4-(3-nitrophenyl)-3,5-pyridinedicarboxylate
- isopropyl 2-methoxyethyl 1,4-dihydro-2,6-dimethyl-4-(3-nitrophenyl)-3,5-pyridinedicarboxylate
- isopropyl 2-methoxyethyl 1,4-dihydro-2,6-dimethyl-4-(m-nitrophenyl)-3,5-pyridinedicarboxylate
- isopropyl 2-methoxyethyl 1,4-dihydro-2,6-dimethyl-4-(m-nitrophenyl)-3,5-pyridinedicarboxylate
- nemotan
- nimodipine
- nimodipine
- nimodipine
- nimodipine
- nimodipine
- nimodipine
- nimodipine
- nimodipine
- nimodipine
- nimodipine
- nimodipine
- nimodipino
- nimodipino
- nimodipinum
- nimodipinum
- nimotop
- nimotop
- nimotop
- nymalize
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07144956 | Phase 3 | Dec 15, 2025 | Centre Hospitalier St Anne |
| NCT06900998 | Phase 2 | Oct 1, 2025 | National Institute on Alcohol Abuse and Alcoholism (NIAAA), Yale University |
| NCT07048522 | N/A | May 19, 2025 | University of Ioannina |
| NCT06998368 | N/A | Oct 22, 2024 | University of Zurich |
| NCT05995405 | Phase 3 | Oct 20, 2023 | Acasti Pharma Inc. |
| NCT05418348 | Phase 1 | Aug 26, 2021 | Acasti Pharma Inc. |
| NCT04923659 | Early Phase 1 (Phase 1) | May 25, 2021 | University of Toronto |
| NCT04801953 | Phase 2 | May 4, 2021 | Medical University of Vienna |
| NCT06007573 | N/A | Feb 1, 2021 | Anhui Medical University |
| NCT05131867 | Phase 2 | Jul 1, 2020 | Zagazig University |
| NCT04028596 | Phase 2 | Oct 31, 2019 | Rijnstate Hospital, University of Amsterdam, University of Twente |
| NCT04100824 | Phase 2 | Oct 31, 2019 | Assiut University |
| NCT03925025 | Phase 3 | Jul 31, 2019 | Toxicology Society of Bangladesh, University of Edinburgh |
| NCT03671525 | Early Phase 1 (Phase 1) | Sep 30, 2018 | Johns Hopkins University |
| NCT03794843 | Early Phase 1 (Phase 1) | Aug 23, 2018 | Capital Medical University, Shenyang Dongxing Pharmaceutical Technology Co., Ltd. |
| NCT03150524 | Phase 4 | Jul 1, 2017 | Johns Hopkins University |
| NCT02893826 | Phase 1 | Sep 1, 2016 | Edge Therapeutics Inc |
| NCT02790632 | Phase 3 | Jul 1, 2016 | Edge Therapeutics Inc |
| NCT02165644 | Phase 2 | Sep 1, 2015 | University of Florida |
| NCT02537080 | N/A | Sep 1, 2015 | University Hospital Hradec Kralove |
Organizations
Research & Development (39)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Edge Therapeutics Inc | For profit | 3 | 3 | 3 | 2013 |
| Acasti Pharma Inc. | For profit | 2 | 2 | 2 | 2021 |
| Capital Medical University | Academic/Hospital | 2 | 0 | 2 | 2010 |
| Department of Veteran Affairs | Government | 2 | 0 | 2 | 1994 |
| Johns Hopkins University | Academic/Hospital | 2 | 2 | 2 | 2017 |
| National Institute on Drug Abuse (NIDA) | Government | 2 | 1 | 2 | 1994 |
| University of Toronto | Academic/Hospital | 2 | 2 | 2 | 2012 |
| Yale University | Academic/Hospital | 2 | 2 | 2 | 1994 |
| Anhui Medical University | Academic/Hospital | 1 | 1 | 1 | 2021 |
| Assiut University | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Boston IVF | Academic/Hospital | 1 | 1 | 1 | 2012 |
| Centre Hospitalier St Anne | Academic/Hospital | 1 | 1 | 1 | 2025 |
| China Medical University | Academic/Hospital | 1 | 0 | 1 | 2014 |
| Fengtian Hospital | Academic/Hospital | 1 | 1 | 1 | 2014 |
| Food and Drug Administration | Government | 1 | 1 | 1 | 1995 |
| Glaxo Wellcome | For profit | 1 | 0 | 1 | 1999 |
| Government of China | Government | 1 | 1 | 1 | 2010 |
| Harvard University | Academic/Hospital | 1 | 0 | 1 | 2012 |
| Johnson and Johnson | For profit | 1 | 1 | 1 | 2008 |
| Medical University of Vienna | Academic/Hospital | 1 | 1 | 1 | 2021 |
Marketing (14)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Alkem Labs Ltd | For profit | MKTG | Feb 21, 2023 |
| Annora Pharma | For profit | MKTG | Jul 9, 2024 |
| Arbor Pharmaceuticals | For profit | NDA2 | May 10, 2013 |
| Azurity | For profit | MKTG | May 10, 2013 |
| Azurity | For profit | NDA2 | May 10, 2013 |
| Bayer | For profit | NDA | Dec 28, 1988 |
| Bionpharma Inc | For profit | MKTG | Jan 17, 2008 |
| Bionpharma Inc | For profit | SYN | Jan 17, 2008 |
| Heritage Pharma | For profit | MKTG | May 2, 2007 |
| Heritage Pharma | For profit | SYN | May 2, 2007 |
| Heritage Pharma | For profit | SYN | May 2, 2007 |
| Sofgen Pharmaceuticals | For profit | MKTG | Jul 24, 2015 |
| Sun Pharmaceuticals | For profit | MKTG | Apr 17, 2007 |
| Thepharmanetwork Llc | For profit | MKTG | Apr 7, 2014 |