verapamil
Trade name: calan
Approved
Aug 12, 1981
Verapamil is a FDA approved drug used to treat high blood pressure and to control chest pain. Verapamil is an L-type calcium channel blocker that also has antiarrythmic activity. The R-enantiomer is more effective at reducing blood pressure compared to the S-enantiomer. However, the S-enantiomer is 20 times more potent than the R-enantiomer at prolonging the PR interval in treating arrhythmias. Verapamil inhibits voltage-dependent calcium channels. Specifically, its effect on L-type calcium channels in the heart causes a reduction in ionotropy and chronotropy, thuis reducing heart rate and blood pressure. Verapamil's mechanism of effect in cluster headache is thought to be linked to its calcium-channel blocker effect, but which channel subtypes are involved is presently not known. — NCATS
Clinical trial activity
101 trials · 118 clinical orgs · 48 marketing orgs
Earliest trial started Nov 1, 1994 (NCT00518947)
Timeline
1980s
- Aug 12, 1981
Earliest FDA Approval
- Aug 12, 1981
Mt Adams Technologies — NDA Secondary Org
- Mar 30, 1984
Exela Pharma Sciences, LLC. — NDA Secondary Org
- Mar 30, 1984
G D Searle — NDA Secondary Org
- Mar 30, 1984
Exela Pharma Sciences, LLC. — Marketing Organization
- Nov 12, 1985
Lutipold — Marketing Organization
- Dec 16, 1985
International Medication — Marketing Organization
- Aug 20, 1986
Warner Chilcott — Marketing Organization
- Sep 23, 1986
Actavis — Marketing Organization
- Sep 23, 1986
Mutual Pharmaceutical — Marketing Organization
- Sep 23, 1986
Watson Pharmaceuticals — Marketing Organization
- Dec 16, 1986
Pfizer — First NDA Organization
- Dec 16, 1986
Pfizer — NDA Organization
- Feb 2, 1987
Hospira — Marketing Organization
- Jan 13, 1988
Sun Pharmaceuticals — Marketing Organization
- Apr 5, 1988
Heritage Pharma — Marketing Organization
- May 25, 1988
Fosun — Marketing Organization
- May 25, 1988
Chartwell Pharmaceuticals — Marketing Organization
- Jan 26, 1989
Pliva — Marketing Organization
- Feb 15, 1989
Rising Pharmaceuticals — Marketing Organization
- Feb 15, 1989
Mylan — Marketing Organization
1990s
- May 29, 1990
Recro Pharma, Inc. — NDA Secondary Org
- May 29, 1990
Azurity — Marketing Organization
- May 29, 1990
SOCIETAL CDMO — Marketing Organization
- May 29, 1990
SOCIETAL CDMO — NDA Secondary Org
- Jul 31, 1992
Teva — Marketing Organization
- Feb 26, 1993
Marsam Pharmaceuticals — Marketing Organization
- Jan 1, 1994
Earliest Phase 3 Sponsor(trial)
- Jul 28, 1995
Bedford Pharmaceuticals — Marketing Organization
- Oct 22, 1996
AbbVie — Marketing Organization
- Oct 22, 1996
AbbVie — NDA Secondary Org
- May 25, 1999
Strides Pharma Science — Marketing Organization
- May 25, 1999
Par Pharmaceuticals — Marketing Organization
2000s
- Jan 1, 2006
- Jan 1, 2007
Earliest Phase 2 Sponsor(trial)
- Sep 17, 2009
Glenmark Pharmaceuticals — Marketing Organization
2010s
- Apr 20, 2012
Apotex — Marketing Organization
- May 5, 2017
Cadila Healthcare — Marketing Organization
- Jun 18, 2018
ANDA Repository — Marketing Organization
- Jun 18, 2018
Somerset Pharmaceuticals — Marketing Organization
- Jul 13, 2018
Amneal Pharmaceuticals — Marketing Organization
- Dec 28, 2018
Micro Labs Ltd India — Marketing Organization
2020s
- Mar 17, 2020
Areva Med LLC — Marketing Organization
- Mar 17, 2020
Nephron Pharmaceuticals Corporation — Marketing Organization
- Mar 25, 2020
Caplin Point Laboratories — Marketing Organization
- Jul 6, 2020
Aurobindo Pharma — Marketing Organization
- Jul 6, 2020
Eugia Pharma — Marketing Organization
- Oct 15, 2020
Gland Pharma Ltd — Marketing Organization
- Oct 15, 2020
Zydus Discovery DMCC — Marketing Organization
- Mar 17, 2022
Acic Pharmaceuticals — Marketing Organization
- Jun 15, 2022
Mankind Pharma — Marketing Organization
- Apr 23, 2024
Fresenius — Marketing Organization
Indications
Approved for
Studied for
- Arrhythmias, Cardiac · Phase 3
- Atrial Fibrillation · Phase 3
- Bipolar Disorder · Phase 3
- Blood Loss, Surgical · Early Phase 1
- Brain Neoplasms · Phase 2
- Cardiomyopathies · Phase 4
- Cardiomyopathy, Dilated · Phase 4
- Cardiomyopathy, Hypertrophic · Phase 1
- Cardiovascular Diseases · Phase 3
- Catheterization · Phase 4
- Cluster Headache · Phase 4
- Coronary Artery Disease · Phase 4
- Coronary Vasospasm · Early Phase 1
- COVID-19 · Phase 2/Phase 3
- Crohn Disease · Phase 1
- Dermatology · Phase 4
- Diabetes Mellitus · Phase 4
- Diabetes Mellitus, Type 1 · Phase 3
- Diabetes Mellitus, Type 2 · Phase 1
- Dizziness · Phase 1
- Drug Interactions · Phase 1
- Drug-Related Side Effects and Adverse Reactions · Phase 1
- Drugs, Investigational · Early Phase 1
- Endoscopy · Early Phase 1
- Epilepsies, Myoclonic · Phase 2
- Epilepsy · Phase 2
- General Surgery · Phase 4
- Healthy Volunteers · Phase 1/Phase 2
- Heart Diseases · Phase 3
- Heart Failure, Systolic · Phase 4
- Heart Rate · Early Phase 1
- Hodgkin Disease · Phase 1
- Hypertension · Phase 4
- Hypertrophy, Left Ventricular · Phase 4
- Hypoglycemia · Phase 4
- Irritable Bowel Syndrome · Phase 3
- Ischemic Stroke · Phase 1
- Kidney Calculi · Phase 4
- Mania · Phase 3
- Marfan Syndrome · Phase 4
- Meningioma · Phase 2
- Mental Disorders · Phase 2
- Metabolic Syndrome · Phase 4
- Migraine Disorders · Phase 1
- Myocardial Infarction · Phase 4
- Myocardial Ischemia · Phase 4
- Nasal Polyps · Phase 1/Phase 2
- Neoplasms · Phase 2
- Obesity · Phase 4
- Opioid-Related Disorders · Phase 1
- Osteoarthritis, Knee · Phase 1/Phase 2
- Pain · Early Phase 1
- Panic Disorder · Phase 2
- Percutaneous Coronary Intervention · Phase 4
- Pharmacokinetics · Phase 1
- Pharmacology · Phase 1
- Proteinuria · Phase 4
- Pulmonary Disease, Chronic Obstructive · Phase 1
- Radial Artery · Phase 4
- Respiratory Syncytial Virus Infections · Phase 1
- Sinusitis · Phase 1/Phase 2
- Sleep Apnea, Obstructive · Phase 3
- Substance-Related Disorders · Phase 1
- Tachycardia, Supraventricular · Phase 3
- Tachycardia, Ventricular · Phase 4
- Tinnitus · Phase 4
- Vasospasm, Intracranial · Phase 4
- Ventricular Fibrillation · Phase 2
- Verapamil · Early Phase 1
Mechanism of action
Voltage-gated L-type calcium channel blocker
Combination products
tarka
with trandolapril
Approval history
- approvedPriority reviewAug 12, 1981
Chemistry & pharmacology
SMILES
COc1ccc(CCN(C)CCCC(C#N)(c2ccc(OC)c(OC)c2)C(C)C)cc1OC- Mol. weight
- 454.61 g/mol
- Lipinski Ro5
- 1 violation(s)
- Rule of 3
- No
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL6966 ↗
- WikipediaVerapamil ↗
- NCATSCJ0O37KU29 ↗
- ChEMBLCHEMBL1280 ↗
Also known as
- arverapamil
- arverapamil
- berkatens
- berkatens
- calan
- calan
- calan sr
- calan sr
- cordilox
- cordilox
- cordilox i.v.
- cordilox mr 240
- covera
- covera
- covera-hs
- covera-hs
- cp-165331
- cp-165331
- cp-16533-1
- cp-16533-1
- d-365
- d-365
- ethimil mr 240
- geangin
- geangin
- half securon sr
- iproveratril
- iproveratril
- iproveratril
- isoptin
- isoptin
- isoptin
- isoptin
- isoptin sr
- isoptin sr
- manidon sr
- ranvera mr
- rs-verapamil
- securon
- securon
- securon iv
- securon mid
- securon sr
- tarka
- tarka
- univer
- univer
- verapamil
- verapamil
- verapamil
- verapamil
- verapamil
- verapamil
- verapamil
- verapamil
- verapamil
- verapamil
- (+/-)-verapamil
- vérapamil
- vérapamil
- verapamil hcl
- verapamil hcl
- verapamil hcl
- verapamil hydrochloride
- verapamil hydrochloride
- verapamil hydrochloride
- verapamil hydrochloride
- verapamil hydrochloride
- verapamilo
- verapamilo
- verapamilum
- verapamilum
- verapress mr 240
- vera-til sr
- verelan
- verelan
- verelan
- verelan pm
- verelan pm
- vertab sr 240
- zolvera
- zolvera
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07061574 | Phase 1/Phase 2 (Phase 2) | Dec 15, 2026 | City of Hope National Medical Center, Jaeb Center for Health Research |
| NCT07199946 | Phase 1/Phase 2 (Phase 2) | Aug 6, 2025 | Government of Sweden, Linkoping University, Region Östergötland |
| NCT06455319 | Phase 2 | Apr 30, 2025 | University of Colorado, Denver, University of Florida, University of Miami |
| NCT06897969 | Phase 4 | Apr 1, 2025 | Nishtar Medical University |
| NCT06799169 | Phase 4 | Mar 31, 2025 | University of California, Irvine |
| NCT06916897 | Phase 1 | Jan 8, 2025 | Edgewise Therapeutics, Inc. |
| NCT06717685 | Phase 3 | Oct 28, 2024 | Rashid Latif Medical College, University of the Punjab |
| NCT06483789 | Phase 2 | Aug 31, 2024 | Honeybrains Biotech LLC, Ramsay General Health |
| NCT06447688 | Phase 4 | Jun 5, 2024 | Mersin Medicalpark Hastanesi |
| NCT06354556 | Phase 1 | Apr 26, 2024 | Suzhou Suncadia Biopharmaceuticals Co., Ltd. |
| NCT06847620 | Phase 4 | Mar 1, 2024 | Ain Shams University |
| NCT06118684 | Phase 1 | Oct 23, 2023 | Clinical Trial Consultants AB, EpiEndo Pharmaceuticals |
| NCT06031454 | Phase 1 | Sep 1, 2023 | Guangdong Raynovent Biotech Co., Ltd |
| NCT05855070 | N/A | May 20, 2023 | Benha University |
| NCT05625503 | Early Phase 1 (Phase 1) | Nov 14, 2022 | University of Illinois at Chicago |
| NCT05593757 | Phase 2 | Oct 31, 2022 | University of Amsterdam |
| NCT05569382 | Phase 4 | Aug 10, 2022 | Aarhus University, University of Copenhagen, University of Southern Denmark, Viborg Regional Hospital |
| NCT05304533 | Phase 1 | Apr 21, 2022 | Bristol-Myers Squibb |
| NCT05183997 | N/A | Jan 31, 2022 | Assiut University |
| NCT04790331 | Early Phase 1 (Phase 1) | Mar 1, 2021 | Assiut University |
Organizations
Research & Development (118)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Abbott | For profit | 6 | 5 | 2 | 1997 |
| Mylan | For profit | 5 | 5 | 1 | 2006 |
| PRACS | For profit | 5 | 0 | 1 | 2006 |
| AstraZeneca | For profit | 4 | 3 | 1 | 2008 |
| Harvard University | Academic/Hospital | 4 | 2 | 4 | 2015 |
| Assiut University | Academic/Hospital | 3 | 3 | 2 | 2020 |
| Boehringer Ingelheim | For profit | 3 | 3 | 1 | 2008 |
| Hoosier Cancer Research Network | Academic/Hospital | 3 | 3 | 1 | 2006 |
| Mayo Clinic | Academic/Hospital | 3 | 1 | 3 | 2012 |
| University of Kentucky | Academic/Hospital | 3 | 3 | 1 | 2013 |
| Ain Shams University | Academic/Hospital | 2 | 2 | 2 | 2020 |
| Astellas | For profit | 2 | 2 | 1 | 2009 |
| Bristol-Myers Squibb | For profit | 2 | 2 | 2 | 2011 |
| Cardiff University | Academic/Hospital | 2 | 1 | 2 | 2006 |
| City of Hope National Medical Center | Academic/Hospital | 2 | 2 | 2 | 2017 |
| Isfahan University | Academic/Hospital | 2 | 2 | 1 | 2010 |
| Jaeb Center for Health Research | Academic/Hospital | 2 | 1 | 2 | 2020 |
| Juvenile Diabetes Research Foundation | Academic/Hospital | 2 | 0 | 1 | 2015 |
| National Institute on Drug Abuse (NIDA) | Government | 2 | 0 | 1 | 2008 |
| Parexel | For profit | 2 | 0 | 1 | 2008 |
Marketing (59)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| ANDA Repository | For profit | MKTG | Jun 18, 2018 |
| AbbVie | For profit | MKTG | Oct 22, 1996 |
| AbbVie | For profit | NDA2 | Oct 22, 1996 |
| Abraxis | For profit | MKTG | — |
| Acic Pharmaceuticals | For profit | MKTG | Mar 17, 2022 |
| Actavis | For profit | MKTG | Sep 23, 1986 |
| Amneal Pharmaceuticals | For profit | MKTG | Jul 13, 2018 |
| Amneal Pharmaceuticals | For profit | SYN | Jul 13, 2018 |
| Apotex | For profit | MKTG | Apr 20, 2012 |
| Areva Med LLC | For profit | MKTG | Mar 17, 2020 |
| Athenex, Inc. | For profit | MKTG | — |
| Aurobindo Pharma | For profit | MKTG | Jul 6, 2020 |
| Azurity | For profit | MKTG | May 29, 1990 |
| Bedford Pharmaceuticals | For profit | MKTG | Jul 28, 1995 |
| Cadila Healthcare | For profit | MKTG | May 5, 2017 |
| Caplin Point Laboratories | For profit | MKTG | Mar 25, 2020 |
| Chartwell Pharmaceuticals | For profit | MKTG | May 25, 1988 |
| Eugia Pharma | For profit | MKTG | Jul 6, 2020 |
| Exela Pharma Sciences, LLC. | For profit | NDA2 | Mar 30, 1984 |
| Exela Pharma Sciences, LLC. | For profit | MKTG | Mar 30, 1984 |
| Fosun | For profit | MKTG | May 25, 1988 |
| Fresenius | For profit | MKTG | Apr 23, 2024 |
| G D Searle | For profit | NDA2 | Mar 30, 1984 |
| Gland Pharma Ltd | For profit | MKTG | Oct 15, 2020 |
| Gland Pharma Ltd | For profit | SYN | Oct 15, 2020 |
| Glenmark Pharmaceuticals | For profit | MKTG | Sep 17, 2009 |
| Glenmark Pharmaceuticals | For profit | SYN | Sep 17, 2009 |
| Heritage Pharma | For profit | MKTG | Apr 5, 1988 |
| Heritage Pharma | For profit | SYN | Apr 5, 1988 |
| Heritage Pharma | For profit | SYN | Apr 5, 1988 |
| Hospira | For profit | MKTG | Feb 2, 1987 |
| International Medication | For profit | MKTG | Dec 16, 1985 |
| Lutipold | For profit | MKTG | Nov 12, 1985 |
| Mankind Pharma | For profit | MKTG | Jun 15, 2022 |
| Marsam Pharmaceuticals | For profit | MKTG | Feb 26, 1993 |
| Micro Labs Ltd India | For profit | MKTG | Dec 28, 2018 |
| Mt Adams Technologies | For profit | NDA2 | Aug 12, 1981 |
| Mutual Pharmaceutical | For profit | MKTG | Sep 23, 1986 |
| Mylan | For profit | MKTG | Feb 15, 1989 |
| Nephron Pharmaceuticals Corporation | For profit | MKTG | Mar 17, 2020 |
| Par Pharmaceuticals | For profit | MKTG | May 25, 1999 |
| Pfizer | For profit | NDA | Dec 16, 1986 |
| Pliva | For profit | MKTG | Jan 26, 1989 |
| Recro Pharma, Inc. | For profit | NDA2 | May 29, 1990 |
| Rising Pharmaceuticals | For profit | MKTG | Feb 15, 1989 |
| Rising Pharmaceuticals | For profit | SYN | Feb 15, 1989 |
| SOCIETAL CDMO | For profit | MKTG | May 29, 1990 |
| SOCIETAL CDMO | For profit | NDA2 | May 29, 1990 |
| SOLOPAK | For profit | MKTG | — |
| Smith & Nephew | For profit | MKTG | — |
| Somerset Pharmaceuticals | For profit | MKTG | Jun 18, 2018 |
| Somerset Pharmaceuticals | For profit | SYN | Jun 18, 2018 |
| Strides Pharma Science | For profit | MKTG | May 25, 1999 |
| Sun Pharmaceuticals | For profit | SYN | Dec 30, 2011 |
| Sun Pharmaceuticals | For profit | MKTG | Jan 13, 1988 |
| Teva | For profit | MKTG | Jul 31, 1992 |
| Warner Chilcott | For profit | MKTG | Aug 20, 1986 |
| Watson Pharmaceuticals | For profit | MKTG | Sep 23, 1986 |
| Zydus Discovery DMCC | For profit | MKTG | Oct 15, 2020 |