MedPath

Alprazolam

Generic Name
Alprazolam
Brand Names
Niravam, Xanax
Drug Type
Small Molecule
Chemical Formula
C17H13ClN4
CAS Number
28981-97-7
Unique Ingredient Identifier
YU55MQ3IZY
Background

Alprazolam is a triazolobenzodiazepine indicated for the treatment of anxiety and panic disorders. It is mainly metabolized by CYP3As and so is contraindicated with CYP3A inhibitors like ketoconazole and itraconazole. Benzodiazepine treatment should be stopped gradually by tapering down a patient's dose to avoid withdrawal symptoms. Alprazolam's adverse effects are generally related to the sedation it can cause. Alprazolam has been mixed with alcohol as a drug of abuse to potentiate the sedative effects of the drug which may lead to coma and death. Alprazolam was given FDA approval on October 16, 1981.

Indication

Alprazolam is indicated for the acute treatment of generalized anxiety disorder in adults. Alprazolam is also indicated, either as a standard or extended-release formulation, for the treatment of panic disorder with or without agoraphobia in adults.

Alprazolam may also be prescribed off-label for insomnia, premenstrual syndrome, and depression.

Associated Conditions
Generalized Anxiety Disorder, Panic Disorder

Opioid/Benzodiazepine Polydrug Abuse: Aim 3

Phase 2
Recruiting
Conditions
Polysubstance Abuse
Opioid Abuse
Benzodiazepine Abuse
Interventions
First Posted Date
2021-08-16
Last Posted Date
2024-08-29
Lead Sponsor
Wayne State University
Target Recruit Count
24
Registration Number
NCT05006079
Locations
🇺🇸

Tolan Park Medical Building, Detroit, Michigan, United States

Validation of the Drug Impaired Driving Scenario (DIDS) on the CRCDS-miniSim

Phase 1
Completed
Conditions
Driving Behavior
Driving Under the Influence
Interventions
First Posted Date
2021-07-21
Last Posted Date
2023-07-25
Lead Sponsor
Timothy L. Brown
Target Recruit Count
13
Registration Number
NCT04970342
Locations
🇺🇸

National Advanced Driving Simulator, Iowa City, Iowa, United States

A Study to Assess the Pharmacokinetics (PK) and Safety of Staccato Alprazolam in Adolescent Study Participants With Epilepsy

Phase 1
Completed
Conditions
Epilepsy
Interventions
First Posted Date
2021-04-23
Last Posted Date
2022-06-30
Lead Sponsor
UCB Biopharma SRL
Target Recruit Count
14
Registration Number
NCT04857307
Locations
🇺🇸

Up0100 105, Memphis, Tennessee, United States

🇺🇸

Up0100 103, Honolulu, Hawaii, United States

🇺🇸

Up0100 106, Cincinnati, Ohio, United States

and more 5 locations

A Study to Assess the Pulmonary Safety of Staccato Alprazolam in Healthy Study Participants and in Study Participants With Mild Asthma

Phase 1
Completed
Conditions
Participants With Mild Asthma
Healthy Study Participants
Interventions
Other: Placebo
First Posted Date
2021-03-17
Last Posted Date
2023-11-28
Lead Sponsor
UCB Biopharma SRL
Target Recruit Count
78
Registration Number
NCT04802746
Locations
🇺🇸

Up0099 102, Raleigh, North Carolina, United States

🇺🇸

Up0099 101, North Dartmouth, Massachusetts, United States

Study to Assess the Safety, Tolerability, And Pharmacokinetics of Staccato Alprazolam in Healthy Japanese, Chinese, and Caucasian Participants

Phase 1
Completed
Conditions
Healthy Study Participants
Interventions
Other: Placebo
First Posted Date
2021-03-04
Last Posted Date
2021-05-17
Lead Sponsor
UCB Biopharma SRL
Target Recruit Count
30
Registration Number
NCT04782388
Locations
🇺🇸

Up0101 101, Anaheim, California, United States

Role of Alprazolam in the Management of Acute Coronary Syndrome

Phase 1
Conditions
Myocardial Infarction
Heart Diseases
Acute Coronary Syndrome
ST Elevation Myocardial Infarction
Anxiety
Interventions
Other: Placebo
First Posted Date
2021-01-20
Last Posted Date
2021-01-20
Lead Sponsor
Sohaib Ashraf
Target Recruit Count
48
Registration Number
NCT04715269
Locations
🇵🇰

Shaikh Zayed Post-Graduate Medical Institute, Lahore, Pakistan

A Trial of the Effect of CVL-865 on Panic Symptoms Induced by Carbon Dioxide Inhalation in Healthy Subjects

Phase 1
Completed
Conditions
Panic Disorder
Interventions
Drug: CVL-865 High dose
Drug: Placebo
Drug: CVL-865 low dose
First Posted Date
2020-10-19
Last Posted Date
2022-01-11
Lead Sponsor
Cerevel Therapeutics, LLC
Target Recruit Count
56
Registration Number
NCT04592536
Locations
🇳🇱

Centre for Human Drug Research, Leiden, Zernikedreef 8, Netherlands

Preoperative Use of Alprazolam and Hydroxyzine in Anxiety

Phase 4
Conditions
Agitation on Recovery From Sedation
Interventions
First Posted Date
2019-12-03
Last Posted Date
2019-12-06
Lead Sponsor
Istanbul Medeniyet University
Target Recruit Count
90
Registration Number
NCT04184141

Licorice Botanical Dietary Supplements - Metabolism and Safety in Women

Phase 1
Completed
Conditions
Food-drug Interaction
Interventions
First Posted Date
2019-05-13
Last Posted Date
2023-05-06
Lead Sponsor
University of Illinois at Chicago
Target Recruit Count
19
Registration Number
NCT03948243
Locations
🇺🇸

University of Illinois at Chicago, Chicago, Illinois, United States

Assessment of Effect of Rapastinel on Driving Performance

First Posted Date
2019-01-24
Last Posted Date
2019-07-11
Lead Sponsor
Naurex, Inc, an affiliate of Allergan plc
Target Recruit Count
107
Registration Number
NCT03814733
Locations
🇺🇸

Collaborative Neuroscience Network, San Clemente, California, United States

🇨🇦

Algorithme Pharma, Aurora, Ontario, Canada

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