diazepam
Trade name: valium
Approved
Nov 15, 1963
Diazepam is a benzodiazepine first discovered at Hoffman-La Roche in the late 1950s. Diazepam was approved by FDA for the treatment of anxiety disorders as well as for such conditions as skeletal muscle spasm, alcohol withdrawal syndrom and convulsions (under the most known brand Valium). The drug acts by binding to GABA-A receptors and potentiating GABA evoked current. Chronic diazepam use is associated with tolerance, dependence, and withdrawal. — NCATS
Clinical trial activity
77 trials · 74 clinical orgs · 43 marketing orgs
Earliest trial started Nov 1, 1995 (NCT00004297)
Timeline
1960s
- Nov 15, 1963
Roche — Earliest FDA Approval
- Nov 15, 1963
Waylis Therap — Marketing Organization
- Nov 15, 1963
Roche — NDA Organization
- Nov 15, 1963
Waylis Therap — NDA Secondary Org
1980s
- Sep 4, 1985
Mylan — Marketing Organization
- Sep 26, 1985
DAVA Pharmaceuticals — Marketing Organization
- Sep 26, 1985
Endo Pharmaceuticals — Marketing Organization
- Nov 1, 1985
Barr Laboratories — Marketing Organization
- Nov 1, 1985
Teva — Marketing Organization
- Dec 16, 1985
West-Ward Pharmaceutical — Marketing Organization
- Dec 20, 1985
Upsher-Smith Laboratories — Marketing Organization
- Feb 25, 1986
Virtus Pharms — Marketing Organization
- Feb 25, 1986
Nuvo Research Inc. — Marketing Organization
- Mar 19, 1986
Actavis — Marketing Organization
- Aug 15, 1986
Halsey — Marketing Organization
- Aug 27, 1986
Duramed Research — Marketing Organization
- Feb 3, 1987
Mayne Pharma — Marketing Organization
- Feb 3, 1987
Dr. Reddy's Laboratories — Marketing Organization
- Apr 1, 1987
Ferndale Laboratories, Inc. — Marketing Organization
- Apr 3, 1987
Hikma — Marketing Organization
- Apr 16, 1987
Quantum Pharmaceutical — Marketing Organization
- Oct 13, 1987
Hospira — Marketing Organization
- Apr 1, 1988
Abraxis — Marketing Organization
1990s
- Jan 16, 1990
Roxane Laboratories — Marketing Organization
- Dec 5, 1990
United States Army — NDA Secondary Org
- Jan 29, 1993
Watson Pharmaceuticals — Marketing Organization
- Jan 29, 1993
Marsam Pharmaceuticals — Marketing Organization
- Jan 1, 1995
Earliest Phase 3 Sponsor(trial)
- Jul 29, 1997
Bausch Health Companies — NDA Secondary Org
2000s
- Jan 3, 2000
Boehringer Ingelheim — Marketing Organization
- Apr 15, 2004
Parenta Pharmaceuticals — Marketing Organization
- Jan 1, 2005
Earliest Phase 2 Sponsor(trial)
- Mar 31, 2006
Vintage — Marketing Organization
- Mar 31, 2006
Strides Pharma Science — Marketing Organization
- Jan 1, 2009
Earliest Phase 1 Sponsor(trial)
2010s
- Apr 14, 2014
Chartwell Pharmaceuticals — Marketing Organization
- Apr 14, 2014
Lannett Company, Inc. — Marketing Organization
- Mar 18, 2019
Beloteca Inc — Marketing Organization
2020s
- Jan 10, 2020
Neurelis, Inc. — Marketing Organization
- Jan 10, 2020
Neurelis, Inc. — NDA Secondary Org
- Aug 30, 2022
Aquestive Therapeutics — Marketing Organization
- Aug 30, 2022
Aquestive Therapeutics — NDA Secondary Org
- Nov 10, 2022
Fresenius — Marketing Organization
- May 30, 2023
Novel Anti-Infective Technologies, LLC — Marketing Organization
- Dec 14, 2023
Aurobindo Pharma — Marketing Organization
- Apr 25, 2024
Alembic — Marketing Organization
Indications
Approved for
Studied for
- Abdominal Pain · Phase 2
- Alcoholism · Phase 4
- Alcohol Withdrawal Delirium · Phase 4
- Anterior Cruciate Ligament Injuries · Phase 2/Phase 3
- Anti-Anxiety Agents · Phase 4
- Anxiety Disorders · Phase 3
- Arthritis, Rheumatoid · Phase 1
- Behavior · Phase 4
- Cannabinoids · Phase 2
- Cerebral Palsy · Phase 4
- Crying · Phase 4
- Dementia · Phase 3
- Dental Care for Persons with Disabilities · Phase 4
- Depression · Phase 3
- Dronabinol · Phase 2
- Drug Resistant Epilepsy · Phase 2
- Epilepsies, Partial · Phase 3
- Epilepsy, Complex Partial · Phase 3
- Epilepsy, Generalized · Phase 3
- Healthy Volunteers · Phase 1
- Infertility · Phase 4
- Labor, Obstetric · Phase 2
- Landau-Kleffner Syndrome · Phase 2/Phase 3
- Low Back Pain · Phase 4
- Marijuana Abuse · Phase 1/Phase 2
- Meniscus · Early Phase 1
- Metabolism · Phase 1
- Methamphetamine · Phase 4
- Narcotics · Phase 2/Phase 3
- Opiate Overdose · Phase 4
- Pain · Phase 4
- Pancreatitis, Chronic · Phase 2
- Pelvic Floor Disorders · Phase 4
- Pelvic Pain · Phase 2
- Postoperative Pain · Phase 4
- Psychophysiologic Disorders · Phase 3
- Rotator Cuff Injuries · Phase 2
- Schizophrenia · Phase 3
- Seizures · Phase 4
- Seizures, Febrile · Phase 4
- Sleep Wake Disorders · Phase 4
- Status Epilepticus · Phase 3
- Stress Disorders, Post-Traumatic · Phase 4
- Substance Abuse, Oral · Phase 4
- Vertigo · Phase 3
- Whiplash Injuries · Phase 4
Mechanism of action
- GABA-A receptor; anion channelPOSITIVE ALLOSTERIC MODULATOR
GABA-A receptor; anion channel positive allosteric modulator
Benzodiazepine site
- Gamma-aminobutyric acid receptor subunit alpha-1 (GABRA1) ↗
- Gamma-aminobutyric acid receptor subunit beta-2 (GABRB2) ↗
- Gamma-aminobutyric acid receptor subunit gamma-2 (GABRG2) ↗
- Gamma-aminobutyric acid receptor subunit beta-3 (GABRB3) ↗
- Gamma-aminobutyric acid receptor subunit alpha-4 (GABRA4) ↗
- Gamma-aminobutyric acid receptor subunit gamma-3 (GABRG3) ↗
- Gamma-aminobutyric acid receptor subunit theta (GABRQ) ↗
- Gamma-aminobutyric acid receptor subunit alpha-3 (GABRA3) ↗
- Gamma-aminobutyric acid receptor subunit pi (GABRP) ↗
- Gamma-aminobutyric acid receptor subunit delta (GABRD) ↗
- Gamma-aminobutyric acid receptor subunit gamma-1 (GABRG1) ↗
- Gamma-aminobutyric acid receptor subunit beta-1 (GABRB1) ↗
- Gamma-aminobutyric acid receptor subunit epsilon (GABRE) ↗
- Gamma-aminobutyric acid receptor subunit alpha-2 (GABRA2) ↗
- Gamma-aminobutyric acid receptor subunit alpha-5 (GABRA5) ↗
- Gamma-aminobutyric acid receptor subunit alpha-6 (GABRA6) ↗
- GABA receptor alpha-1 subunit
- GABA receptor beta-2 subunit
- GABA receptor alpha-4 subunit
- GABA receptor delta subunit
- GABA receptor alpha-5 subunit
- GABA receptor alpha-6 subunit
- GABA receptor beta-3 subunit
- GABA receptor alpha-3 subunit
- GABA receptor alpha-2 subunit
- GABA-A receptor; GABA-A site (alpha1/beta2 interface)
- GABA-A receptor; alpha-3/beta-3/gamma-2
- GABA-A receptor; alpha-1/beta-3/gamma-2
- GABA-A receptor; alpha-5/beta-3/gamma-2
- GABA-A receptor; alpha-2/beta-3/gamma-2
- GABA-A receptor; alpha-1/beta-2/gamma-2
- GABA-A receptor; alpha-6/beta-3/gamma-2
- GABA-A receptor; benzodiazepine site
- GABA-A receptor; agonist GABA site
- GABA A receptor alpha-2/beta-2/gamma-2
- GABA A receptor alpha-3/beta-2/gamma-2
- GABA A receptor alpha-6/beta-2/gamma-2
- GABA A receptor alpha-1/beta-1/gamma-2
- GABA A receptor alpha-4/beta-3/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta3/delta
- Gamma-aminobutyric acid receptor subunit alpha-1/ beta-1
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-3/ beta-2
- Gamma-aminobutyric acid receptor subunit alpha-3/ beta-3/gamma-3
- Gamma-aminobutyric acid receptor subunit alpha-3/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-3/beta-3/theta
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-3/gamma-3
- Gamma-aminobutyric acid receptor subunit alpha-6/beta-3
- GABA-A receptor alpha-1/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-1/beta-2/delta
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-2/delta
- Gamma-aminobutyric acid receptor subunit beta-1/beta-2
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-3
- Gamma-aminobutyric acid receptor subunit alpha-1/alpha-2/beta-2/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-1/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-2/gamma-2
- Gamma-aminobutyric acid receptor subunit alpha-4/beta-1/delta
- Gamma-aminobutyric acid receptor subunit alpha-5/beta-2/gamma-2
- GABA receptor beta-1 subunit
- Gamma-aminobutyric acid receptor subunit alpha-2/beta-1/gamma-2
Approval history
- approvedNov 15, 1963
Chemistry & pharmacology
SMILES
CN1C2=CC=C(Cl)C=C2C(=NCC1=O)C3=CC=CC=C3- Mol. weight
- 284.74 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral, Topical
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
Yes
Sources
- WikipediaDiazepam ↗
- NCATSQ3JTX2Q7TU ↗
- ChEMBLCHEMBL12 ↗
Also known as
- 7-chloro-1,3-dihydro-1-methyl-5-phenyl-2h-1,4-benzodiazepin-2-one
- 7-chloro-1,3-dihydro-1-methyl-5-phenyl-2h-1,4-benzodiazepin-2-one
- alupram 10
- alupram 2
- alupram 5
- apozepam
- apozepam
- atensine
- atensine
- dialar
- dialar
- dialar fte
- diastat
- diastat
- diastat acudial
- diastat acudial
- diazemuls
- diazemuls
- diazepam
- diazepam
- diazepam
- diazepam
- diazepam
- diazepam
- diazepam
- diazepam
- diazepam
- diazepam intensol
- diazepam intensol
- dizac
- dizac
- e-pam
- e-pam
- la-iii
- la-iii
- methyl diazepinone
- methyl diazepinone
- paxel
- paxel
- q-pam
- q-pam
- relanium
- relanium
- ro-52807
- ro-52807
- ro-5-2807
- ro-5-2807
- ro-5-2807
- ro-5-2807
- ro-5-2807
- ro-5-2807
- scriptopam
- serenack
- serenack
- solis
- solis
- stesolid
- stesolid
- tensium
- tensium
- tranimul
- tranimul
- valclair
- valium
- valium
- valium
- valium
- valium
- valrelease
- valrelease
- vivol
- vivol
- wy-3467
- wy-3467
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07020988 | Phase 1 | Jun 12, 2025 | UCB |
| NCT06293989 | Phase 3 | May 1, 2024 | University of Monastir |
| NCT06103188 | Phase 3 | Oct 2, 2023 | University of Jordan |
| NCT05860153 | N/A | Jun 1, 2023 | Assiut University |
| NCT05361447 | Phase 1/Phase 2 (Phase 2) | Jan 31, 2023 | Mayo Clinic |
| NCT05076838 | Phase 1/Phase 2 (Phase 2) | Nov 8, 2021 | Neurelis, Inc. |
| NCT04858490 | N/A | Sep 30, 2021 | Canadian Institutes of Health Research (CIHR), Government of Ontario, University of Toronto |
| NCT04885075 | Phase 4 | May 30, 2021 | Shaheed Zulfiqar Ali Bhutto Medical University |
| NCT04570436 | Phase 4 | Oct 30, 2020 | Pfizer |
| NCT05872789 | N/A | May 2, 2020 | University of Catania |
| NCT04364321 | N/A | May 1, 2020 | Queen Sirikit National Institute of Child Health |
| NCT04198233 | Phase 4 | Mar 31, 2020 | TriHealth |
| NCT04216797 | Phase 4 | Jan 13, 2020 | University of Washington |
| NCT05041985 | Phase 4 | Jan 1, 2020 | Cantonal Hospital Dr. Safet Mujic Mostar |
| NCT06271096 | Early Phase 1 (Phase 1) | Nov 1, 2019 | Khyber Medical University Peshawer |
| NCT06190483 | N/A | Jul 24, 2019 | University of London, Wellcome Trust |
| NCT03953820 | Phase 1/Phase 2 (Phase 2) | Apr 13, 2019 | Aquestive Therapeutics |
| NCT03818919 | Phase 2 | Jan 22, 2019 | Henry Ford Health System, University of Vermont |
| NCT03825809 | Phase 2/Phase 3 (Phase 3) | Jan 22, 2019 | Henry Ford Health System |
| NCT03818932 | Phase 2/Phase 3 (Phase 3) | Jan 22, 2019 | Henry Ford Health System, University of Vermont |
Organizations
Research & Development (74)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Acorda Therapeutics | For profit | 4 | 4 | 2 | 2011 |
| Aquestive Therapeutics | For profit | 4 | 4 | 2 | 2017 |
| Henry Ford Health System | Academic/Hospital | 4 | 4 | 3 | 2019 |
| Neurelis, Inc. | For profit | 4 | 3 | 3 | 2011 |
| Assiut University | Academic/Hospital | 3 | 3 | 3 | 2013 |
| Covance | For profit | 3 | 0 | 2 | 2017 |
| inVentiv | For profit | 3 | 0 | 2 | 2017 |
| TriHealth | Academic/Hospital | 3 | 3 | 2 | 2010 |
| Johns Hopkins University | Academic/Hospital | 2 | 2 | 2 | 2009 |
| Mayo Clinic | Academic/Hospital | 2 | 2 | 2 | 2016 |
| Pfizer | For profit | 2 | 2 | 2 | 2006 |
| Radboud University | Academic/Hospital | 2 | 2 | 1 | 2011 |
| The University of Hong Kong | Academic/Hospital | 2 | 1 | 1 | 2015 |
| United States Army | Government | 2 | 1 | 2 | 2012 |
| University of Vermont | Academic/Hospital | 2 | 0 | 2 | 2019 |
| Avanti Anesthesia | Academic/Hospital | 1 | 1 | 1 | 2017 |
| Canadian Institutes of Health Research (CIHR) | Academic/Hospital | 1 | 0 | 1 | 2021 |
| Cantonal Hospital Dr. Safet Mujic Mostar | Academic/Hospital | 1 | 1 | 1 | 2020 |
| Centro Medico Nacional La Raza, IMSS | Academic/Hospital | 1 | 1 | 1 | 2017 |
| Changhai Hospital | Academic/Hospital | 1 | 1 | 1 | 2016 |
Marketing (53)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Abraxis | For profit | MKTG | Apr 1, 1988 |
| Actavis | For profit | MKTG | Mar 19, 1986 |
| Alembic | For profit | MKTG | Apr 25, 2024 |
| Aquestive Therapeutics | For profit | MKTG | Aug 30, 2022 |
| Aquestive Therapeutics | For profit | NDA2 | Aug 30, 2022 |
| Aurobindo Pharma | For profit | MKTG | Dec 14, 2023 |
| Barr Laboratories | For profit | MKTG | Nov 1, 1985 |
| Bausch Health Companies | For profit | NDA2 | Jul 29, 1997 |
| Beloteca Inc | For profit | MKTG | Mar 18, 2019 |
| Beloteca Inc | For profit | SYN | Mar 18, 2019 |
| Boehringer Ingelheim | For profit | MKTG | Jan 3, 2000 |
| Chartwell Pharmaceuticals | For profit | MKTG | Apr 14, 2014 |
| Chartwell Pharmaceuticals | For profit | SYN | Dec 20, 1985 |
| DAVA Pharmaceuticals | For profit | MKTG | Sep 26, 1985 |
| Dow Chemical | For profit | MKTG | — |
| Dr. Reddy's Laboratories | For profit | MKTG | Feb 3, 1987 |
| Dr. Reddy's Laboratories | For profit | SYN | Jul 18, 2024 |
| Duramed Research | For profit | MKTG | Aug 27, 1986 |
| Endo Pharmaceuticals | For profit | MKTG | Sep 26, 1985 |
| Ferndale Laboratories, Inc. | For profit | MKTG | Apr 1, 1987 |
| Fresenius | For profit | MKTG | Nov 10, 2022 |
| Halsey | For profit | MKTG | Aug 15, 1986 |
| Hikma | For profit | MKTG | Apr 3, 1987 |
| Hikma | For profit | SYN | Apr 3, 1987 |
| Hospira | For profit | MKTG | Oct 13, 1987 |
| Lannett Company, Inc. | For profit | MKTG | Apr 14, 2014 |
| Marsam Pharmaceuticals | For profit | MKTG | Jan 29, 1993 |
| Mayne Pharma | For profit | MKTG | Feb 3, 1987 |
| Mylan | For profit | MKTG | Sep 4, 1985 |
| Neurelis, Inc. | For profit | MKTG | Jan 10, 2020 |
| Neurelis, Inc. | For profit | NDA2 | Jan 10, 2020 |
| Novel Anti-Infective Technologies, LLC | For profit | MKTG | May 30, 2023 |
| Nuvo Research Inc. | For profit | MKTG | Feb 25, 1986 |
| Parenta Pharmaceuticals | For profit | MKTG | Apr 15, 2004 |
| Pharmacia & Upjohn | For profit | NDA2 | — |
| Quantum Pharmaceutical | For profit | MKTG | Apr 16, 1987 |
| Roche | For profit | NDA | Nov 15, 1963 |
| Roxane Laboratories | For profit | MKTG | Jan 16, 1990 |
| Soremartec Italia S.r.l. | For profit | MKTG | — |
| Strides Pharma Science | For profit | MKTG | Mar 31, 2006 |
| Teva | For profit | SYN | Dec 10, 1986 |
| Teva | For profit | MKTG | Nov 1, 1985 |
| United States Army | Government | NDA2 | Dec 5, 1990 |
| Upsher-Smith Laboratories | For profit | MKTG | Dec 20, 1985 |
| Vintage | For profit | MKTG | Mar 31, 2006 |
| Virtus Pharms | For profit | MKTG | Feb 25, 1986 |
| Virtus Pharms | For profit | SYN | Feb 25, 1986 |
| Warner Chilcott | For profit | MKTG | — |
| Watson Pharmaceuticals | For profit | SYN | Feb 12, 1986 |
| Watson Pharmaceuticals | For profit | MKTG | Jan 29, 1993 |
| Waylis Therap | For profit | MKTG | Nov 15, 1963 |
| Waylis Therap | For profit | NDA2 | Nov 15, 1963 |
| West-Ward Pharmaceutical | For profit | MKTG | Dec 16, 1985 |