> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/asset/esomeprazole-sodium-443a1b83-63ad-4041-bb0b-41c60091bcb8
> Record changed: 2026-10-13

# Esomeprazole sodium

Highest phase reached

Approved

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200470)

Drug type

Small molecule

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200470)

First approval year

2005

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200470)

## Development status

**First approval year**

2005

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200470)

**Listing at source**

Listed

**Highest phase reached**

Approved

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200470)

## Names and chemistry

**Drug type**

Small molecule

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200470)

**Drug name**

Esomeprazole sodium

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200470)

**Molecular weight**

367.41

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200470)

**Structure (SMILES)**

COc1ccc2\[n-\]c(\[S@@+\](\[O-\])Cc3ncc(C)c(OC)c3C)nc2c1.\[Na+\]

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200470)

### Brand names (4)

- esomeprazole sodium
- Esomeprazole sodium
- nexium iv
- Nexium iv

### Other names (20)

- 5 methoxy 2 s 4 methoxy 3 5 dimethyl 2 pyridyl methyl sulfinyl 1h benzimidazole sodium salt
- 5-Methoxy-2-\[(S)-\[(4-methoxy-3,5-dimethyl-2-pyridyl)methyl\]sulfinyl\]-1H-benzimidazole, sodium salt
- Esomeprazole (as sodium)
- esomeprazole as sodium
- esomeprazole sodium
- Esomeprazole sodium
- ESOMEPRAZOLE SODIUM \[EP MONOGRAPH\]
- ESOMEPRAZOLE SODIUM \[MART.\]
- ESOMEPRAZOLE SODIUM \[ORANGE BOOK\]
- ESOMEPRAZOLE SODIUM \[USAN\]
- ESOMEPRAZOLE SODIUM \[VANDF\]
- Esomeprazole sodium \[WHO-DD\]
- esomeprazole sodium ep monograph
- esomeprazole sodium mart
- esomeprazole sodium orange book
- esomeprazole sodium usan
- esomeprazole sodium vandf
- esomeprazole sodium who dd
- h199 18 sodium
- H199/18 SODIUM

## Identifiers

**CAS registry numbers**

- 161796-78-7

**ChEMBL ID**

CHEMBL1200470

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200470)

**InChIKey**

RYXPMWYHEBGTRV-JIDHJSLPSA-N

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL1200470)

**RxNorm IDs (RxCUI)**

- 1294569

**FDA ingredient codes (UNII)**

- L2C9GWQ43H

### PubChem compound IDs (3)

- 23674541
- 46853837
- 170922324

## Regulatory information

### United States

**Applicant**

ASTRAZENECA

**Approval date**

31 Mar 2005

**Application number**

NDA021689

### Other regulatory facts

**First in class**

No

**Orphan designation**

No

**Availability**

Prescription only

## Pharmacology

### Drug classification

**Drug name stem**

\-prazole

#### Administration routes

- Parenteral

### Mechanisms of action (2)

- **Mechanism**  
Potassium-transporting ATPase inhibitor

**Action type**  
Inhibitor

**Target**  
Potassium-transporting ATPase

**Protein identifier**  
P20648
- **Mechanism**  
Potassium-transporting ATPase inhibitor

**Action type**  
Inhibitor

**Target**  
Potassium-transporting ATPase

**Protein identifier**  
P51164

### Open Targets mechanisms

- **Mechanism**  
Potassium-transporting ATPase inhibitor

**Action type**  
Inhibitor

**Target**  
Potassium-transporting ATPase

### Investigated indications (3)

- **Condition**  
Gastroesophageal Reflux

**Highest recorded phase**  
4

**Condition identifier**  
EFO:0003948

**Subject identifier**  
D005764
- **Condition**  
Duodenal Ulcer

**Highest recorded phase**  
4

**Condition identifier**  
EFO:0004607

**Subject identifier**  
D004381
- **Condition**  
Peptic Ulcer

**Highest recorded phase**  
1

**Condition identifier**  
MONDO:0004247

**Subject identifier**  
D010437

### Open Targets indications (4)

- **Condition identifier**  
EFO\_0003948
- **Condition identifier**  
EFO\_0004607
- **Condition identifier**  
MONDO\_0005412

**Highest recorded phase**  
4
- **Condition identifier**  
MONDO\_0007186

**Highest recorded phase**  
4

### Reported adverse events (72)

- **Event**  
abdominal pain upper

**Reports**  
13

**Reporting signal score**

12.2183
- **Event**  
adjustment disorder

**Reports**  
3

**Reporting signal score**

12.1502
- **Event**  
affect lability

**Reports**  
4

**Reporting signal score**

8.07294
- **Event**  
angina pectoris

**Reports**  
13

**Reporting signal score**

29.2997
- **Event**  
antinuclear antibody positive

**Reports**  
3

**Reporting signal score**

7.6453
- **Event**  
aphasia

**Reports**  
5

**Reporting signal score**

7.13783
- **Event**  
arterial occlusive disease

**Reports**  
13

**Reporting signal score**

53.674
- **Event**  
arthritis

**Reports**  
19

**Reporting signal score**

40.6504
- **Event**  
asthenia

**Reports**  
22

**Reporting signal score**

16.3277
- **Event**  
blood pressure increased

**Reports**  
15

**Reporting signal score**

19.6945
- **Event**  
bradyphrenia

**Reports**  
7

**Reporting signal score**

21.233
- **Event**  
breast cancer

**Reports**  
12

**Reporting signal score**

25.0712
- **Event**  
carotid artery thrombosis

**Reports**  
4

**Reporting signal score**

18.5823
- **Event**  
cataract

**Reports**  
14

**Reporting signal score**

30.5501
- **Event**  
chest discomfort

**Reports**  
14

**Reporting signal score**

19.4528
- **Event**  
chills

**Reports**  
10

**Reporting signal score**

9.50661
- **Event**  
condition aggravated

**Reports**  
16

**Reporting signal score**

10.1667
- **Event**  
conjunctivitis

**Reports**  
5

**Reporting signal score**

9.53096
- **Event**  
coordination abnormal

**Reports**  
4

**Reporting signal score**

8.28595
- **Event**  
crepitations

**Reports**  
3

**Reporting signal score**

9.03421
- **Event**  
cushingoid

**Reports**  
3

**Reporting signal score**

8.3204
- **Event**  
dermatitis exfoliative generalised

**Reports**  
5

**Reporting signal score**

16.4185
- **Event**  
drug abuse

**Reports**  
16

**Reporting signal score**

29.0532
- **Event**  
drug intolerance

**Reports**  
15

**Reporting signal score**

19.1142
- **Event**  
eating disorder

**Reports**  
4

**Reporting signal score**

7.99494

And 47 more, listed on the interactive page.

### Trial references (2)

- NCT00857597  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00857597)
- NCT00998075  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT00998075)

## Dosing

**Dose**

20 mg or 40 mg

**Route**

Intravenous

**How often**

Once daily for up to 10 days

### Conditions of use

- Administer over at least 3 minutes

## Chemical properties

**Hydrogen bond acceptors**

5

**Hydrogen bond donors**

1

**Polar surface area**

83.09

**Calculated partition coefficient (ALogP)**

2.9

**Prodrug**

Yes

**Chirality**

Single enantiomer

**Inorganic**

No

**Rule-of-five violations**

0

**Rotatable bonds**

5

**Heavy atoms**

25

**Molecular formula**

C17H18N3NaO3S

**Monoisotopic mass**

367.09665690

**Natural product**

No

## National Drug Codes

- 55150-185
- 68083-451
- 68083-452
- 70436-190

## Evidence counts

**Recorded assays**

1

**Active assays**

0

## Pharmacologic actions

- Anti-Ulcer Agents  
Source: [id.nlm.nih.gov](https://id.nlm.nih.gov/mesh/D000897.html)
- Proton Pump Inhibitors  
Source: [id.nlm.nih.gov](https://id.nlm.nih.gov/mesh/D054328.html)

## Related records

### Trials (350)

- 10-day Versus 14-day Concomitant PAMC as First-line Treatment Strategy for the Eradication of H. Pylori Infection
- 13-C Urea Breath Test Using BreathID System and PPIs (Proton Pump Inhibitors)
- 15-day Sequential Therapy for Helicobacter Pylori Infection in Korea
- 5 Day Concomitant Versus 10 Day Sequential Therapy for Eradication of H. Pylori Infection
- A Comparative Efficacy and Safety Study of Nexium Delayed-Release Capsules (40mg qd and 20mg qd) Versus Ranitidine 150mg Bid for the Healing of NSAID-Associated Gastric Ulcers When Daily NSAID Use is Continued
- A Comparative Efficacy and Safety Study of Nexium Delayed-Release Capsules (40mg qd and 20mg qd) Versus Ranitidine 150mg Bid for the Healing of NSAID-Associated Gastric Ulcers When Daily NSAID Use is Continued in Subjects in the US Only
- A Comparison of Efficacy of Intravenous Esomeprazole and Ranitidine Treatment of Dyspeptic Pain
- A Comparison of Gastric pH Control With High Dose Intravenous or Oral Esomeprazole
- A Double Blind Study Comparing Two Doses of IV Esomeprazole After Successful Endoscopic Therapy
- A Healthy Female and Male Volunteers Aspirin Study
- A Multi-center, Double-blinding, Parallel and Positive-controlled Phase III Clinical Trial for Efficacy and Safety Evaluation of Ilaprazole Sodium for Injection on Prevention of Stress Ulcer Bleeding
- A Multicenter, Randomized, Double Blind, Double Dummy, Parallel-Group Efficacy Study Comparing 8 Weeks of Treatment With Esomeprazole Magnesium (40mg qd) to Lansoprazole (30mg qd) for the Healing of Erosive Esophagitis in Patients With Moderate or Severe Erosive Esophagitis
- A Multicenter, Randomized, Double-Blind Parallel-Group, Placebo-Controlled Efficacy Study Comparing 4 Weeks of Treatment With Esomeprazole 20 mg Once Daily to Placebo qd for the Resolution of Upper Abdominal Pain in Patients With Symptomatic Gastroesophageal Reflux Disease (sGERD)
- A Multicenter, Randomized, Double-Blind, Placebo-Controlled Efficacy Study Comparing 4 Weeks of Treatment With Esomeprazole 20 mg qd and 40 mg qd to Placebo qd in Patients With Heartburn and Sleep Disturbances Associated With Gastroesophageal Reflux Disease (GERD)
- A Multiple Dose Study of LY3502970 in Healthy Participants
- A Pharmacokinetic (PK) Study Evaluating Naproxen and Esomeprazole Plasma Levels
- A Phase 1 Study of Tegoprazan on Healthy Male Volunteers
- A Phase I Study of LX22001 for Injection in Healthy Subjects
- A Phase III, Randomized, Study of Aspirin and Esomeprazole Chemoprevention in Barrett's Metaplasia
- A Pilot Study of a 14-day Modified Sequential Therapy for Helicobacter Pylori Infection

### Approved for (2)

- Duodenal ulcer
- Gastroesophageal reflux disease

### In development for (1)

- Peptic ulcer disease Phase 1

### Targets (2)

- [ATP4A](https://trialight.com/data/target/atp4a-cb311620-cbd7-5592-86bf-6eff6bf5e70e.md) Potassium-transporting ATPase inhibitor
- [ATP4B](https://trialight.com/data/target/atp4b-dd74ece5-dac6-5730-bcb3-d26c200dd49f.md) Potassium-transporting ATPase inhibitor

---

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