pantoprazole
Trade name: protonix
Approved
Feb 2, 2000
Pantoprazole is a proton pump inhibitor that inhibits gastric acid secretion and used for short-term treatment of erosive esophagitis associated with gastroesophageal reflux disease. Pantoprazole suppresses the final step in gastric acid production by covalently binding to the (H+, K+)-ATPase enzyme system at the secretory surface of the gastric parietal cell. This effect leads to inhibition of both basal and stimulated gastric acid secretion, irrespective of the stimulus. The binding to the (H+, K+)-ATPase results in a duration of antisecretory effect that persists longer than 24 hours. Pantoprazole is used for short-term treatment of erosion and ulceration of the esophagus for adults and pediatric patients 5 years of age and older caused by gastroesophageal reflux disease. It can be used as a maintenance therapy for long-term use after initial response is obtained, but there have not been any controlled studies about the use of pantoprazole past a duration of 12 months. Pantoprazole may also be used in combination with antibiotics to treat ulcers caused by Helicobacter pylori. Use of pantoprazole may increase the chance of developing infections such as pneumonia, particularly in hospitalized patients. — NCATS
Clinical trial activity
205 trials · 195 clinical orgs · 51 marketing orgs
Earliest trial started Feb 3, 1983 (NCT00001191)
Timeline
1980s
- Jan 1, 1983
Earliest Phase 2 Sponsor(trial)
1990s
- Jan 1, 1998
Earliest Phase 1 Sponsor(trial)
2000s
- Jan 1, 2000
Earliest Phase 3 Sponsor(trial)
- Feb 2, 2000
Earliest FDA Approval
- Feb 2, 2000
Wyeth — NDA Secondary Org
- Aug 2, 2007
Teva — Marketing Organization
- Sep 10, 2007
Sun Pharmaceuticals — Marketing Organization
- Oct 20, 2008
Teva — NDA Secondary Org
2010s
- Jan 19, 2011
Atlantide Pharmaceuticals — Marketing Organization
- Jan 19, 2011
Dr. Reddy's Laboratories — Marketing Organization
- Jan 19, 2011
Torrent Pharmaceuticals Limited — Marketing Organization
- Jan 19, 2011
Wockhardt — Marketing Organization
- Jan 20, 2011
Lannett Company, Inc. — Marketing Organization
- Feb 7, 2011
Actavis — Marketing Organization
- Aug 30, 2011
Jubilant Innovation Ltd. — Marketing Organization
- Feb 16, 2012
Macleods Pharmaceuticals, Ltd — Marketing Organization
- May 2, 2012
Apotex — Marketing Organization
- May 2, 2012
Rubicon Research — Marketing Organization
- Sep 28, 2012
Aurobindo Pharma — Marketing Organization
- Nov 8, 2012
Akorn, Inc. — Marketing Organization
- Nov 8, 2012
Epic Pharma Llc — Marketing Organization
- May 7, 2014
Perrigo — Marketing Organization
- Sep 10, 2014
Hetero Labs Ltd — Marketing Organization
- Dec 2, 2014
Orbion Pharms — Marketing Organization
- Dec 2, 2014
Orchid Pharma — Marketing Organization
- Jul 14, 2015
Sandoz — Marketing Organization
- Jul 14, 2015
Novartis — Marketing Organization
- Jan 26, 2016
Amneal Pharmaceuticals — Marketing Organization
- Mar 30, 2016
Eugia Pharma — Marketing Organization
- Mar 8, 2017
Hospira — Marketing Organization
- Jun 30, 2017
Exela Pharma Sciences, LLC. — NDA Secondary Org
- Jun 30, 2017
Hikma — NDA Secondary Org
- May 4, 2018
Mylan — Marketing Organization
- May 4, 2018
PHARMOBEDIENT — Marketing Organization
- Mar 1, 2019
Ingenus Pharmaceuticals — Marketing Organization
2020s
- Aug 30, 2021
Acic Pharmaceuticals — Marketing Organization
- Aug 30, 2021
Hangzhou Zhongmei — Marketing Organization
- May 18, 2022
Aspiro — Marketing Organization
- May 18, 2022
BE Pharmaceuticals — Marketing Organization
- May 18, 2022
Gland Pharma Ltd — Marketing Organization
- May 18, 2022
Fosun — Marketing Organization
- May 19, 2022
KNACK — Marketing Organization
- Jul 26, 2022
Mankind Pharma — Marketing Organization
- Aug 29, 2022
Meitheal — Marketing Organization
- Feb 9, 2023
Ajanta Pharma Ltd — Marketing Organization
- Jun 16, 2023
Dexcel Pharma Technologies Ltd. — Marketing Organization
- Oct 27, 2023
Annora Pharma — Marketing Organization
- Dec 11, 2023
Granules India — Marketing Organization
- Feb 14, 2024
Baxalta — Marketing Organization
- Aug 1, 2024
Fresenius — Marketing Organization
- Jan 16, 2025
Graviti Pharmaceuticals — Marketing Organization
- Mar 31, 2025
Alembic — Marketing Organization
- Mar 31, 2025
Cipla — Marketing Organization
- May 16, 2025
Deva Holding A.S. — Marketing Organization
- Apr 22, 2026
Shuangcheng — Marketing Organization
Indications
Studied for
- Abdominal Pain · Phase 4
- Acute Coronary Syndrome · Phase 4
- Acute Kidney Injury · Phase 4
- Allergy and Immunology · Phase 2
- Aspergillosis · Phase 1
- Atrial Fibrillation · Phase 4
- Bacterial Infections · Phase 3
- Bile Reflux · Phase 4
- Brain Edema · Phase 2
- Breast Neoplasms · Phase 2
- Cholangiocarcinoma · Phase 2
- Colorectal Neoplasms · Phase 1
- Coronary Artery Bypass · Phase 4
- Coronary Artery Disease · Phase 4
- Coronary Disease · Phase 4
- Coronary Thrombosis · Phase 4
- Critical Illness · Phase 4
- Deglutition Disorders · Phase 2
- Diabetes Mellitus · Phase 3
- Diabetes Mellitus, Type 1 · Phase 2
- Diabetes Mellitus, Type 2 · Phase 2/Phase 3
- Drug Interactions · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- Duodenal Neoplasms · Phase 2
- Dysbiosis · Phase 4
- Dyspepsia · Phase 4
- Emergencies · Phase 4
- Esophageal and Gastric Varices · Phase 4
- Esophageal Diseases · Phase 3
- Esophageal Motility Disorders · Phase 2
- Esophageal Neoplasms · Phase 3
- Esophagitis · Phase 4
- Esophagitis, Peptic · Phase 2
- Eustachian Tube · Phase 4
- Fasting · Phase 1
- Gastrinoma · Phase 2
- Gastritis · Phase 3
- Gastrointestinal Diseases · Phase 2
- Gastrointestinal Hemorrhage · Phase 3
- Head and Neck Neoplasms · Phase 2
- Healthy Volunteers · Phase 4
- Heartburn · Phase 4
- Heart Failure · Phase 3
- Helicobacter Infections · Phase 4
- Helicobacter pylori · Phase 4
- Hemorrhage · Phase 4
- Herpes Simplex · Phase 1
- Hypertension, Portal · Phase 4
- Immunosuppression Therapy · Phase 4
- Inflammation · Phase 3
- Intestinal Neoplasms · Phase 4
- Kidney Failure, Chronic · Phase 4
- Laryngopharyngeal Reflux · Phase 4
- Liver Cirrhosis · Phase 4
- Mental Health · Phase 2/Phase 3
- Mucositis · Phase 2
- Multiple Sclerosis · Phase 1
- Nausea · Phase 4
- Neoplasms · Phase 3
- Neuroendocrine Tumors · Phase 2
- Non-alcoholic Fatty Liver Disease · Phase 4
- Obesity · Phase 1
- Osteosarcoma · Phase 2
- Ototoxicity · Phase 2
- Pain · Phase 4
- Pancreatic Neoplasms · Phase 2
- Pancreatitis · Phase 2
- Pediatric Obesity · Phase 4
- Peptic Ulcer Hemorrhage · Phase 4
- Pharmacokinetics · Phase 1
- Platelet Aggregation Inhibitors · Phase 4
- Postoperative Nausea and Vomiting · Phase 2
- Postoperative Pain · Phase 4
- Prostatic Neoplasms · Phase 2
- Proton Pump Inhibitors · Phase 4
- Psychotic Disorders · Phase 4
- Purpura, Thrombocytopenic, Idiopathic · Phase 3
- Renal Replacement Therapy · Phase 4
- Respiratory Aspiration · Phase 4
- Rib Fractures · Phase 4
- Schizophrenia · Phase 2/Phase 3
- Sleep Apnea, Obstructive · Phase 4
- Sprains and Strains · Phase 3
- Stomach Diseases · Phase 4
- Stomach Ulcer · Phase 4
- Stroke · Phase 2
- Thrombosis · Phase 4
- Transplantation · Phase 4
- Ulcer · Phase 4
- Wounds and Injuries · Phase 4
- Zollinger-Ellison Syndrome · Phase 2
Mechanism of action
- Potassium-transporting ATPaseINHIBITOR
Potassium-transporting ATPase inhibitor
Alpha subunit is likely binding site
Approval history
- approvedFeb 2, 2000
Chemistry & pharmacology
SMILES
COc1ccnc(C[S+]([O-])c2nc3cc(OC(F)F)ccc3[n-]2)c1OC.O.[Na+]- Mol. weight
- 423.37 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL3989559 ↗
- WikipediaPantoprazole ↗
- NCATSD8TST4O562 ↗
- ChEMBLCHEMBL4650347 ↗
- ChEMBLCHEMBL1502 ↗
- ChEMBLCHEMBL1200408 ↗
Also known as
- 1h-benzimidazole, 5-(difluoromethoxy)-2-(((3,4-dimethoxy-2-pyridinyl)methyl)sulfinyl)-
- agspt201
- by 1023
- by-1023
- by-1023
- by-1023
- controloc control
- l-pantoprazole
- l-pantoprazole
- pantoline
- pantoloc
- pantoloc
- pantoloc control
- pantoloc control
- pantoprazol
- pantoprazol
- pantoprazole
- pantoprazole
- pantoprazole
- pantoprazole
- pantoprazole
- pantoprazole
- pantoprazole
- pantoprazole
- pantoprazole
- pantoprazole
- pantoprazole
- pantoprazole magnesium
- pantoprazole sodium
- pantoprazole sodium
- pantoprazole sodium
- pantoprazole sodium
- pantoprazole sodium
- pantoprazole sodium
- pantoprazole sodium hydrate
- pantoprazole sodium hydrate
- pantoprazole sodium sesquihydrate
- pantoprazolum
- pantoprazolum
- pantozol
- protium
- protium
- protium i.v.
- protonix
- protonix
- protonix
- protonix
- protonix
- protonix iv
- protonix iv
- sk-96022
- sk-96022
- sk&f 96022
- sk&f-96022
- sk&f-96022
- sk&f-96022
- skf-96022
- s-pantoprazole
- s-pantoprazole
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06861387 | N/A | May 1, 2025 | St. Antonius Hospital, Nieuwegein |
| NCT06564246 | Phase 4 | Sep 18, 2024 | Tanta University |
| NCT06991348 | Phase 4 | Jul 30, 2024 | Carnot Laboratories |
| NCT06856447 | Phase 1 | Jun 1, 2024 | Tanta University |
| NCT06154226 | Phase 4 | Dec 1, 2023 | Society of Cardiovascular Anesthesiologists, University of Texas at Houston |
| NCT06414707 | Phase 3 | Oct 12, 2023 | Ain Shams University |
| NCT05915520 | N/A | Jul 20, 2023 | Cairo University |
| NCT05604261 | Phase 2 | Dec 31, 2022 | Xuanzhu Biopharmaceutical Co., Ltd. |
| NCT05624229 | Phase 4 | Dec 1, 2022 | Sichuan University |
| NCT06488001 | Phase 2 | Aug 26, 2022 | United States Navy |
| NCT05353933 | N/A | May 4, 2022 | Ho Chi Minh City University of Medicine and Pharmacy |
| NCT05251233 | Phase 2 | Apr 21, 2022 | Washington University in St. Louis |
| NCT05227833 | Phase 3 | Feb 15, 2022 | Alexandria University |
| NCT04821310 | Phase 2 | Nov 29, 2021 | Pfizer |
| NCT05005910 | Early Phase 1 (Phase 1) | Sep 30, 2021 | Mahidol University |
| NCT04728516 | Phase 4 | Aug 10, 2021 | Shandong University |
| NCT04935112 | Phase 1 | Jul 7, 2021 | Mirati Therapeutics Inc. |
| NCT04713969 | Phase 4 | Mar 31, 2021 | Katholieke Universiteit Leuven |
| NCT07262736 | Phase 1 | Feb 6, 2021 | Univerisiti Sains Malaysia |
| NCT04566250 | N/A | Jan 4, 2021 | Hamilton Health Sciences Corporation, McMaster University |
Organizations
Research & Development (195)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Wyeth | For profit | 14 | 0 | 4 | 2000 |
| Boehringer Ingelheim | For profit | 13 | 13 | 2 | 1998 |
| Pfizer | For profit | 13 | 13 | 4 | 2000 |
| Takeda | For profit | 11 | 10 | 2 | 2000 |
| Seoul National University | Academic/Hospital | 8 | 5 | 4 | 2009 |
| McMaster University | Academic/Hospital | 6 | 5 | 2 | 2000 |
| Taichung Veterans General Hospital | Academic/Hospital | 6 | 6 | 2 | 2010 |
| National Taiwan University | Academic/Hospital | 5 | 5 | 3 | 2006 |
| University of Copenhagen | Academic/Hospital | 5 | 2 | 2 | 2011 |
| Ahn-Gook Pharmaceuticals Co.,Ltd | For profit | 4 | 4 | 2 | 2009 |
| Inje University | Academic/Hospital | 4 | 0 | 3 | 2008 |
| Sihuan Pharmaceutical Holdings Group Ltd. | For profit | 4 | 4 | 3 | 2014 |
| Sungkyunkwan University | Academic/Hospital | 4 | 2 | 3 | 2009 |
| AstraZeneca | For profit | 3 | 3 | 1 | 2004 |
| Catholic University of Korea | Academic/Hospital | 3 | 1 | 2 | 2009 |
| Government of Taiwan | Government | 3 | 2 | 1 | 2006 |
| Johnson and Johnson | For profit | 3 | 1 | 2 | 2004 |
| Kaohsiung Medical University | Academic/Hospital | 3 | 2 | 1 | 2012 |
| Nycomed | For profit | 3 | 1 | 1 | 2005 |
| Tanta University | Academic/Hospital | 3 | 3 | 3 | 2019 |
Marketing (61)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Acic Pharmaceuticals | For profit | MKTG | Aug 30, 2021 |
| Actavis | For profit | MKTG | Feb 7, 2011 |
| Ajanta Pharma Ltd | For profit | MKTG | Feb 9, 2023 |
| Akorn, Inc. | For profit | MKTG | Nov 8, 2012 |
| Akorn, Inc. | For profit | SYN | Nov 8, 2012 |
| Alembic | For profit | MKTG | Mar 31, 2025 |
| American Home Products | For profit | NDA | — |
| Amneal Pharmaceuticals | For profit | MKTG | Jan 26, 2016 |
| Annora Pharma | For profit | MKTG | Oct 27, 2023 |
| Apotex | For profit | MKTG | May 2, 2012 |
| Apotex | For profit | SYN | Jan 19, 2011 |
| Aspiro | For profit | MKTG | May 18, 2022 |
| Atlantide Pharmaceuticals | For profit | MKTG | Jan 19, 2011 |
| Aurobindo Pharma | For profit | MKTG | Sep 28, 2012 |
| BE Pharmaceuticals | For profit | MKTG | May 18, 2022 |
| Baxalta | For profit | MKTG | Feb 14, 2024 |
| Cipla | For profit | MKTG | Mar 31, 2025 |
| Deva Holding A.S. | For profit | MKTG | May 16, 2025 |
| Dexcel Pharma Technologies Ltd. | For profit | MKTG | Jun 16, 2023 |
| Dr. Reddy's Laboratories | For profit | MKTG | Jan 19, 2011 |
| Epic Pharma Llc | For profit | MKTG | Nov 8, 2012 |
| Eugia Pharma | For profit | MKTG | Mar 30, 2016 |
| Exela Pharma Sciences, LLC. | For profit | NDA2 | Jun 30, 2017 |
| Fosun | For profit | MKTG | May 18, 2022 |
| Fresenius | For profit | MKTG | Aug 1, 2024 |
| Gland Pharma Ltd | For profit | MKTG | May 18, 2022 |
| Gland Pharma Ltd | For profit | SYN | May 18, 2022 |
| Granules India | For profit | MKTG | Dec 11, 2023 |
| Graviti Pharmaceuticals | For profit | MKTG | Jan 16, 2025 |
| Hangzhou Zhongmei | For profit | MKTG | Aug 30, 2021 |
| Hetero Labs Ltd | For profit | MKTG | Sep 10, 2014 |
| Hikma | For profit | NDA2 | Jun 30, 2017 |
| Hospira | For profit | MKTG | Mar 8, 2017 |
| Ingenus Pharmaceuticals | For profit | MKTG | Mar 1, 2019 |
| Jubilant Innovation Ltd. | For profit | MKTG | Aug 30, 2011 |
| KNACK | For profit | MKTG | May 19, 2022 |
| Lannett Company, Inc. | For profit | MKTG | Jan 20, 2011 |
| Macleods Pharmaceuticals, Ltd | For profit | MKTG | Feb 16, 2012 |
| Mankind Pharma | For profit | MKTG | Jul 26, 2022 |
| Meitheal | For profit | MKTG | Aug 29, 2022 |
| Mylan | For profit | MKTG | May 4, 2018 |
| Mylan | For profit | SYN | Jan 19, 2011 |
| Novartis | For profit | MKTG | Jul 14, 2015 |
| Orbion Pharms | For profit | MKTG | Dec 2, 2014 |
| Orchid Pharma | For profit | MKTG | Dec 2, 2014 |
| PHARMOBEDIENT | For profit | MKTG | May 4, 2018 |
| Perrigo | For profit | MKTG | May 7, 2014 |
| Perrigo | For profit | SYN | May 7, 2014 |
| Rubicon Research | For profit | MKTG | May 2, 2012 |
| Rubicon Research | For profit | SYN | May 2, 2012 |
| Sandoz | For profit | MKTG | Jul 14, 2015 |
| Sandoz | For profit | SYN | Jul 14, 2015 |
| Shuangcheng | For profit | MKTG | Apr 22, 2026 |
| Sun Pharmaceuticals | For profit | MKTG | Sep 10, 2007 |
| Sun Pharmaceuticals | For profit | SYN | Sep 10, 2007 |
| Teva | For profit | NDA2 | Oct 20, 2008 |
| Teva | For profit | MKTG | Aug 2, 2007 |
| Torrent Pharmaceuticals Limited | For profit | MKTG | Jan 19, 2011 |
| Wockhardt | For profit | MKTG | Jan 19, 2011 |
| Wockhardt | For profit | SYN | Jan 19, 2011 |
| Wyeth | For profit | NDA2 | Feb 2, 2000 |