MedPath

Remimazolam

Generic Name
Remimazolam
Brand Names
Byfavo
Drug Type
Small Molecule
Chemical Formula
C21H19BrN4O2
CAS Number
308242-62-8
Unique Ingredient Identifier
7V4A8U16MB

Overview

Remimazolam is an ultra short-acting benzodiazepine used in the induction and maintenance of sedation during short (<30 minute) procedures. Recent trends in anesthesia-related drug development have touted the benefits of so-called "soft drugs" - these agents, such as remifentanil, are designed to be metabolically fragile and thus susceptible to rapid biotransformation and elimination as inactive metabolites. These "soft drugs" are useful in the context of surgical procedures, wherein a rapid onset/offset is desirable, enabling anesthesiologists to manipulate drug concentrations as needed. Remimazolam was the first "soft" benzodiazepine analog to be developed and was approved for use by the FDA in July 2020 under the brand name Byfavo.

Background

Remimazolam is an ultra short-acting benzodiazepine used in the induction and maintenance of sedation during short (<30 minute) procedures. Recent trends in anesthesia-related drug development have touted the benefits of so-called "soft drugs" - these agents, such as remifentanil, are designed to be metabolically fragile and thus susceptible to rapid biotransformation and elimination as inactive metabolites. These "soft drugs" are useful in the context of surgical procedures, wherein a rapid onset/offset is desirable, enabling anesthesiologists to manipulate drug concentrations as needed. Remimazolam was the first "soft" benzodiazepine analog to be developed and was approved for use by the FDA in July 2020 under the brand name Byfavo.

Indication

Remimazolam is indicated for the induction and maintenance of procedural sedation in adults undergoing procedures lasting 30 minutes or less.

Associated Conditions

  • Procedural Sedation

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2025/07/01
Not Applicable
Not yet recruiting
Qianfoshan Hospital
2025/07/01
Not Applicable
Recruiting
2025/06/25
Not Applicable
Recruiting
Harbin Medical University
2025/06/25
Phase 2
Not yet recruiting
2025/06/10
Early Phase 1
Not yet recruiting
Second Hospital of Shanxi Medical University
2025/05/25
Not Applicable
Not yet recruiting
Second Hospital of Shanxi Medical University
2025/02/10
Phase 4
Not yet recruiting
Second Affiliated Hospital of Wenzhou Medical University
2025/01/16
Phase 4
Recruiting
2025/01/15
Not Applicable
Not yet recruiting
2025/01/01
Not Applicable
Recruiting

FDA Drug Approvals

Approved Product
Manufacturer
NDC Code
Route
Strength
Effective Date
Acacia Pharma, Ltd.
71390-011
INTRAVENOUS
2.5 mg in 1 mL
6/29/2021

EMA Drug Approvals

Approved Product
Authorization Holder
Status
Issued Date
Authorised
3/26/2021
Authorised
3/26/2021

HSA Drug Approvals

Approved Product
Manufacturer
Approval Number
Dosage Form
Strength
Approval Date
No HSA approvals found for this drug.

NMPA Drug Approvals

Approved Product
Company
Approval Number
Drug Type
Dosage Form
Approval Date
Remimazolam Tosilate for Injection
国药准字H20217078
化学药品
注射剂
9/10/2021
Remimazolam Tosilate for Injection
国药准字H20190034
化学药品
注射剂
12/26/2019
Remimazolam Besylate for Injection
国药准字H20227087
化学药品
注射剂
6/29/2022
Remimazolam Besylate for Injection
国药准字H20200006
化学药品
注射剂
7/16/2020

PPB Drug Approvals

Approved Product
Registration No.
Company
Licence No.
Strength
Registration Date
No PPB approvals found for this drug.

TGA Drug Approvals

Approved Product
ARTG ID
Sponsor
Registration Type
Status
Registration Date
No TGA approvals found for this drug.
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