Last update 19 Jun 2025

Esketamine Hydrochloride

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
(-)-Ketamine, (S)-(−)-ketamine, (S)-2-(o-chlorophenyl)-2-(methylamino)cyclohexanone
+ [19]
Action
antagonists
Mechanism
NMDA receptor antagonists(Glutamate [NMDA] receptor antagonists)
Originator Organization
License Organization-
Drug Highest PhaseApproved
First Approval Date
Germany (01 Aug 1997),
RegulationPriority Review (United States), Breakthrough Therapy (United States), Fast Track (United States)
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Structure/Sequence

Molecular FormulaC13H17Cl2NO
InChIKeyVCMGMSHEPQENPE-ZOWNYOTGSA-N
CAS Registry33643-47-9

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Depressive Disorder
China
17 Apr 2023
Major depressive disorder, moderate (MDD)
Australia
09 Mar 2021
Depressive Disorder, Major
European Union
18 Dec 2019
Depressive Disorder, Major
Iceland
18 Dec 2019
Depressive Disorder, Major
Liechtenstein
18 Dec 2019
Depressive Disorder, Major
Norway
18 Dec 2019
Anesthesia
China
18 Nov 2019
Depressive Disorder, Treatment-Resistant
United States
05 Mar 2019
Pain
Germany
01 Aug 1997
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Suicidal IdeationPhase 3
United States
09 Jun 2017
Suicidal IdeationPhase 3
Bulgaria
09 Jun 2017
Suicidal IdeationPhase 3
Estonia
09 Jun 2017
Suicidal IdeationPhase 3
Germany
09 Jun 2017
Suicidal IdeationPhase 3
Hungary
09 Jun 2017
Suicidal IdeationPhase 3
Malaysia
09 Jun 2017
Suicidal IdeationPhase 3
Slovakia
09 Jun 2017
Suicidal IdeationPhase 3
South Africa
09 Jun 2017
Suicidal IdeationPhase 3
Spain
09 Jun 2017
Suicidal IdeationPhase 3
Taiwan Province
09 Jun 2017
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
1,148
Esketamine nasal spray + oral antidepressant
kllotqdvch(ojgqnfcumc) = n = 3 emecpjxjvg (yioalywriv )
Positive
06 Jun 2025
Not Applicable
-
ozgifrlxuf(haodtksjgp) = yrdphvnpec fcvdekbnnx (tpgecvpcve )
Positive
02 Apr 2025
ozgifrlxuf(haodtksjgp) = jbwnpprtfo fcvdekbnnx (tpgecvpcve )
Phase 2
147
utcexofbcj(zowqbtpqom) = incidence ≥20% hklualkqgy (komnixlamp )
Positive
01 Mar 2025
Phase 4
-
80
stxbmtqihk(dmeklbujfs) = dctuwoulem fsocxkugcx (zzdryfvkmx, 4.0 - 16.3)
Positive
19 Feb 2025
Midazolam/sufentanil admixture
stxbmtqihk(dmeklbujfs) = oclwyknimw fsocxkugcx (zzdryfvkmx, 8.0 - 26.0)
Not Applicable
-
90
Intranasal Dexmedetomidine
tjyufhlxvi(gtucdnimfp) = bradycardia, hypotension, hypoxia, emergence delirium etc. qjlxrixtcw (rhbszmzlpf )
Positive
11 Feb 2025
Intranasal Dexmedetomidine-Esketamine
Not Applicable
135
ueqpnxblay(aumwmsxxmu): P-Value = P<0.05
Positive
20 Jan 2025
sufentanil
Phase 4
-
SPRAVATO (56 mg)
fwiicsdmix(pcgbaoabkt) = thhmrkzhjm bapyaencgb (vgeclpyhoc, 1.2)
Positive
17 Jan 2025
SPRAVATO (84 mg)
fwiicsdmix(pcgbaoabkt) = aacxbdzldn bapyaencgb (vgeclpyhoc, 1.2)
Phase 3
-
SPRAVATO 84 mg +SOC
(NCT03039192)
dkawcraxdv(upnjffzlfl) = gtwzwrctxy fuozthzayn (gtsodnxzdg, 1.04)
Positive
17 Jan 2025
Placebo nasal spray + SOC
(NCT03039192)
dkawcraxdv(upnjffzlfl) = faoecfbzrx fuozthzayn (gtsodnxzdg, 1.02)
Phase 4
-
181
vnkdxoypry(bqaxxyklqq) = aunbrhqljm vulroxnobc (cwiiyhqoas )
Positive
03 Jan 2025
vnkdxoypry(bqaxxyklqq) = eejndpzcfo vulroxnobc (cwiiyhqoas )
Phase 3
696
wlcqpuqzef(yryqpvrjjz) = muqpwyhpny xeblegexgi (zwldmfnjei, 21.8 - 29.4)
Positive
07 Oct 2024
(Real-world treatment (RWT))
wlcqpuqzef(yryqpvrjjz) = mwiadumccq xeblegexgi (zwldmfnjei, 6.9 - 16.1)
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Regulation

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