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Esketamine

Generic Name
Esketamine
Brand Names
Spravato
Drug Type
Small Molecule
Chemical Formula
C13H16ClNO
CAS Number
33643-46-8
Unique Ingredient Identifier
50LFG02TXD

Overview

Major depressive disorder (MDD) is a significant cause of disability worldwide and the most common illness preceding suicide. On March 5, 2019, the nasal spray drug, esketamine, also known as Spravato (by Janssen Pharmaceuticals), was approved by the FDA for treatment-resistant major depression. Esketamine is the s-enantiomer of Ketamine. Ketamine is a mixture of two enantiomers (mirror image molecules). This is the first time that the FDA has approved esketamine for any use. The FDA approved ketamine (Ketalar) in 1970. Esketamine may prove to be a promising treatment for patients diagnosed with major depressive disorder who have not experienced an improvement in symptoms despite treatment with various medications and therapies. The intranasal route of administration for this drug allows for easy administration and a fast onset of action, which sets it apart from many other antidepressant agents that may take several weeks to take effect.

Background

Major depressive disorder (MDD) is a significant cause of disability worldwide and the most common illness preceding suicide. On March 5, 2019, the nasal spray drug, esketamine, also known as Spravato (by Janssen Pharmaceuticals), was approved by the FDA for treatment-resistant major depression. Esketamine is the s-enantiomer of Ketamine. Ketamine is a mixture of two enantiomers (mirror image molecules). This is the first time that the FDA has approved esketamine for any use. The FDA approved ketamine (Ketalar) in 1970. Esketamine may prove to be a promising treatment for patients diagnosed with major depressive disorder who have not experienced an improvement in symptoms despite treatment with various medications and therapies. The intranasal route of administration for this drug allows for easy administration and a fast onset of action, which sets it apart from many other antidepressant agents that may take several weeks to take effect.

Indication

Esketamine is indicated in combination with an oral antidepressant for the treatment of treatment-resistant depression in adults. It is also indicated for the treatment of depressive symptoms in adults with major depressive disorder experiencing acute suicidal ideation or behaviour.

Associated Conditions

  • Major Depressive Disorder (MDD)
  • Major depressive disorder, recurrent episode
  • Pain

Clinical Trials

Early Phase 1
Active, not recruiting
Posted: 2024/01/10
Not Applicable
Not yet recruiting
Posted: 2024/01/10
Sponsor:
The Second Hospital ...
Phase 3
Recruiting
Posted: 2023/12/08
Sponsor:
Reinier de Graaf Gro...
Phase 2
Not yet recruiting
Posted: 2023/11/07
Sponsor:
Beijing Tiantan Hosp...

FDA Approved Products

No FDA products found for this drug

Singapore Approved Products

No Singapore products found for this drug

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