Drugs / Meloxicam
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Meloxicam

also known as N1539 · Mobic · Movatec · Acticam · ANJESO · Anticox · Contacera · Coxicam · +30 more

Small molecule targets PTGS2 via inhibition

Developed for
osteoarthritis · osteoarthritis, knee · neuropathy, painful · migraine disorder · juvenile idiopathic arthritis · non-Hodgkin lymphoma · pharyngitis · plasma cell myeloma
+14 more · primary dysmenorrhea · rheumatoid arthritis · temporomandibular joint disorder · ankylosing spondylitis · arthropathy · biliary atresia · prostate neoplasm · spondyloarthropathy · tuberculosis · dental pulp disorder · frozen shoulder · puerperal disorder · pulpitis · sciatica
Investigated by
Boehringer Ingelheim · Baudax Bio · Heron Therapeutics · Alkermes, Inc. · Axsome Therapeutics, Inc. · Iroko Pharmaceuticals, LLC
+48 more · Rothman Institute Orthopaedics · Instituto Chileno de Medicina Reproductiva · Laboratorios Andromaco S.A. · Mylan Pharmaceuticals Inc · Teva Pharmaceuticals USA · University of Miami · Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute) · Baptist Health South Florida · Beijing Tide Pharmaceutical Co., Ltd · Beijing Tongren Hospital · Beni-Suef University · CONRAD · CSPC ZhongQi Pharmaceutical Technology Co., Ltd. · Daewoong Pharmaceutical Co. LTD. · Dr. Yannis Raftopoulos · Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · Eurofarma Laboratorios S.A. · InnovaGyn, Inc. · Janssen Korea, Ltd., Korea · Joint Stock Company "Farmak" · Massachusetts General Hospital · Merck Sharp & Dohme LLC · Montefiore Medical Center · National Cancer Institute (NCI) · National Center for Advancing Translational Sciences (NCATS) · National Heart, Lung, and Blood Institute (NHLBI) · Onconic Therapeutics Inc. · OrthoCarolina Research Institute, Inc. · Pfizer · Princess Margaret Hospital, Canada · Rizzoli Orthopaedic Institute · Rush University Medical Center · Sherif S. Farag · Stanford University · Suez Canal University · Texas Tech University Health Sciences Center · The Leukemia and Lymphoma Society · The Third Xiangya Hospital of Central South University · The University of Texas Health Science Center, Houston · TriHealth Inc. · University Health Network, Toronto · University of Oklahoma · University of Pittsburgh · University of Stellenbosch · VA Office of Research and Development · Vanderbilt University · Yangtze River Pharmaceutical Group Co., Ltd. · Yonsei University

Regulatory milestones approvals, filings & regulatory actions · 10 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed US (FDA) — moderate-to-severe acute pain 2026-05-18

“FDA has accepted for review the New Drug Application (NDA) for MR-107A-02 (fast-acting meloxicam), a non-opioid, for the treatment of moderate-to-severe acute pain” viatris.com ↗

Withdrawn EU (EMA) Zynrelef — 2023-10-05 europa.eu ↗
Filed US (FDA) ZYNRELEF postsurgical analgesia 2022-12-29

“today announced the submission of a supplemental New Drug Application (sNDA) for ZYNRELEF (bupivacaine and meloxicam) extended-release solution” herontx.com ↗

Filed US (FDA) ZYNRELEF — 2021-10-04

“today announced submission of a supplemental New Drug Application (NDA) for ZYNRELEF (bupivacaine and meloxicam) extended-release solution for an expanded indication.” herontx.com ↗

Approved EU (EMA) Zynrelef — 2020-09-24 europa.eu ↗
Rejected (CRL) US (FDA) — — 2019-04-25

“second complete response letter from the United States (U.S.) Food and Drug Administration (FDA) regarding the New Drug Application (NDA) for IV Meloxicam.” alkermes.com ↗

Rejected (CRL) US (FDA) — — 2018-07-26

“receipt of a complete response letter from the United States (U.S.) Food and Drug Administration (FDA) regarding the New Drug Application (NDA) for IV Meloxicam.” alkermes.com ↗

Label expansions (2) US (FDA) MOBIC — 2004-07-16 – 2005-08-11 fda.gov ↗
Approved US (FDA) MOBIC — 2000-04-13 fda.gov ↗

Trials 87 · started per year

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EU approved 2020
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT06349772 Nov 2024 → Nov 2027 expected — Texas Tech University Health Sciences Center Recruiting No outcome recorded
Phase 119 trials · 1 met primary
Phase 1 NCT05181124 Mar 2021 active peptic ulcer disease Onconic Therapeutics Inc. Completed No outcome recorded
Phase 1 NCT04490434 Jun → Aug 2020 — Daewoong Pharmaceutical Co. LTD. Unknown No outcome recorded
Phase 1 NCT04322175 Dec 2019 → Jun 2020 — Beijing Tongren Hospital Unknown No outcome recorded
Phase 1 NCT03684265 Oct 2018 — Boehringer Ingelheim Completed Mixed
Phase 1 NCT03354117 Mar 2018 → May 2019 — Stanford University Completed No outcome recorded
Phase 1 NCT05125588 Jan → Feb 2014 — Joint Stock Company "Farmak" Completed No outcome recorded
Phase 1 NCT01839643 Jan → May 2013 — Laboratorios Andromaco S.A. Completed No outcome recorded
Phase 1 NCT00731302 Apr 2005 → Apr 2017 systemic lupus erythematosus Vanderbilt University Completed No outcome recorded
Phase 1 NCT00649675 Aug → Sep 2004 — Mylan Pharmaceuticals Inc Completed No outcome recorded
Phase 1 NCT00649077 Aug → Sep 2004 — Mylan Pharmaceuticals Inc Completed No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT06403046 Jun 2024 → May 2025 temporomandibular joint disorder Beni-Suef University Completed No outcome recorded
Phase 1/2 NCT04398329 May 2020 → Jul 2021 — Heron Therapeutics Completed No outcome recorded
Phase 216 trials · 2 met primary · 1 missed
Phase 2 NCT05950152 Jul → Dec 2023 neuropathy, painful Beijing Tide Pharmaceutical Co., Ltd Unknown No outcome recorded
Phase 2 NCT05695352 Jun 2022 → Nov 2024 — InnovaGyn, Inc. Completed No outcome recorded
Phase 2 NCT04911062 Apr → Jul 2022 — Heron Therapeutics Completed No outcome recorded
Phase 2 NCT04115098 Jun 2020 → Aug 2023 spondyloarthropathy The University of Texas Health Science Center, Houston Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT03695367 Oct → Nov 2018 — Heron Therapeutics Completed No outcome recorded
Phase 2 NCT02540265 Aug → Nov 2015 — Baudax Bio Completed No outcome recorded
Phase 2 NCT02405793 May → Jul 2015 osteoarthritis Iroko Pharmaceuticals, LLC Withdrawn No outcome recorded Stop: Business
Phase 2 NCT02078102 Mar 2014 → Nov 2018 non-Hodgkin lymphoma, plasma cell myeloma Sherif S. Farag Completed No outcome recorded
Phase 2 NCT02003625 Oct 2013 → Feb 2019 Hodgkins lymphoma, non-Hodgkin lymphoma, plasma cell myeloma Massachusetts General Hospital Completed No outcome recorded
Phase 2 NCT01799213 Sep 2013 → Oct 2018 osteoarthritis, knee VA Office of Research and Development Completed Missed primary
Phase 2/31 trial
Phase 2/3 NCT02255045 Jun 2014 → Feb 2016 primary dysmenorrhea Laboratorios Andromaco S.A. Completed No outcome recorded
Phase 332 trials · 7 met primary · 1 missed
Phase 3 NCT06904248 Jan → Nov 2024 — Yangtze River Pharmaceutical Group Co., Ltd. Completed No outcome recorded
Phase 3 NCT07463404 Dec 2023 → Jun 2025 temporomandibular joint disorder Suez Canal University Completed No outcome recorded
Phase 3 NCT06379165 May → Jul 2023 — CSPC ZhongQi Pharmaceutical Technology Co., Ltd. Completed No outcome recorded
Phase 3 NCT05751421 Feb 2023 → Feb 2024 neuropathy, painful Rothman Institute Orthopaedics Unknown No outcome recorded
Phase 3 NCT05702827 Jan 2023 → Mar 2024 female stress incontinence, vulvar disease TriHealth Inc. Completed No outcome recorded
Phase 3 NCT05550207 Aug 2022 → Nov 2024 migraine disorder Axsome Therapeutics, Inc. Completed Met primary
Phase 3 NCT05291598 May 2022 → May 2023 — University of Miami Completed No outcome recorded
Phase 3 NCT04725357 Jan 2021 → Jan 2022 arthropathy Rothman Institute Orthopaedics Unknown No outcome recorded
Phase 3 NCT04163185 Oct 2019 → Mar 2020 migraine disorder Axsome Therapeutics, Inc. Completed Met primary
Phase 3 NCT04068051 Jul 2019 → Sep 2020 migraine disorder Axsome Therapeutics, Inc. Completed No outcome recorded
Phase 413 trials
Phase 4 NCT07216586 Jan 2027 → Jan 2028 expected osteoarthritis, knee University of Miami Not yet recruiting No outcome recorded
Phase 4 NCT07430085 Jul 2026 → Jan 2028 expected osteoarthritis, knee Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute) Not yet recruiting No outcome recorded
Phase 4 NCT07200544 Oct 2025 → Jun 2026 overdue skin cancer University of Oklahoma Recruiting No outcome recorded
Phase 4 NCT07076069 Jul 2025 → Jun 2028 expected rotator cuff syndrome Montefiore Medical Center Recruiting No outcome recorded
Phase 4 NCT05863221 May 2023 → Oct 2024 — Dr. Yannis Raftopoulos Unknown No outcome recorded
Phase 4 NCT05644496 Mar 2023 → Dec 2025 osteoarthritis, knee Baptist Health South Florida Terminated No outcome recorded Stop: Enrollment
Phase 4 NCT05315479 Feb → Jul 2022 — Baudax Bio Terminated No outcome recorded
Phase 4 NCT02298218 Sep 2009 → Jun 2011 biliary atresia Yonsei University Completed No outcome recorded
Phase 4 NCT00635349 May 2007 → Apr 2009 osteoarthritis Janssen Korea, Ltd., Korea Completed No outcome recorded
Phase 4 NCT02229747 Aug 2001 → Feb 2002 pharyngitis Boehringer Ingelheim Completed No outcome recorded
Phase not applicable3 trials · 1 met primary · 1 missed
— NCT04176783 Mar 2018 → Jul 2021 — OrthoCarolina Research Institute, Inc. Completed No outcome recorded
— NCT04003350 Dec 2017 → Nov 2018 osteoarthritis, knee Rothman Institute Orthopaedics Completed Missed primary
— NCT01430559 Oct 2011 → Mar 2013 osteoarthritis, knee Pfizer Completed Met primary
Comparator or background therapy26 trials
Phase 1 NCT06902090 Comparator Jul 2023 — Yangtze River Pharmaceutical Group Co., Ltd. Completed No outcome recorded
Phase 1 NCT02183090 Comparator Nov → Dec 1998 — Boehringer Ingelheim Completed No outcome recorded
Phase 2 NCT06306131 Comparator Dec 2023 → Nov 2025 — InnovaGyn, Inc. Completed No outcome recorded
Phase 2 NCT02456363 Background Nov 2009 → Oct 2019 ankylosing spondylitis Chung Shan Medical University Unknown No outcome recorded
Phase 2/3 NCT04480359 Comparator Oct 2017 → Aug 2020 ankylosing spondylitis Shanghai University of Traditional Chinese Medicine Unknown No outcome recorded

News releases announcing trial results or a regulatory action · 17

DateIssuerRelease
2026-05-18 Pfizer's Upjohn has merged with Mylan to form Viatris Inc. Regulatory U.S. FDA Accepts Viatris New Drug Application for Fast-Acting Meloxicam for the Treatment of Moderate-to-Severe Acute Pain viatris.com ↗
Viatris Inc. (Nasdaq: VTRS), a global healthcare company, today announced that the U.S. Food and Drug Administration (FDA) has accepted for review the New Drug Application (NDA) for MR-107A-02 (fast-acting meloxicam), a non-opioid, for the treatment of moderate-to-severe acute pain.
2025-06-23 CSPC ZhongQi Pharmaceutical Technology Co., Ltd. Regulatory VOLUNTARY ANNOUNCEMENT - MELOXICAM INJECTION (III) OBTAINS DRUG REGISTRATION APPROVAL irasia.com ↗
MELOXICAM INJECTION ( Ⅲ) OBTAINS DRUG REGISTRATION APPROVAL
2025-05-08 Pfizer's Upjohn has merged with Mylan to form Viatris Inc. Results Viatris Announces Positive Top-Line Results from Two Pivotal Phase 3 Studies of Novel Fast-Acting Meloxicam (MR-107A-02) for the Treatment of Moderate-to-Severe Acute Pain viatris.com ↗
Viatris Inc. (Nasdaq: VTRS), a global healthcare company, today announced positive results from its Phase 3 program of the novel fast-acting formulation of meloxicam (MR-107A-02) for the treatment of moderate-to-severe acute pain.
2025-02-24 Axsome Therapeutics, Inc. Results Axsome Therapeutics Announces SYMBRAVO® (meloxicam and rizatriptan) Achieves Primary Endpoint in the EMERGE Phase 3 Trial in Migraine Patients Experiencing Inadequate Response to Oral CGRP Inhibitors gcs-web.com ↗
SYMBRAVO demonstrated statistically significantly greater migraine treatment response compared to prior treatment with an oral CGRP inhibitor (p<0.001, mTOQ-4 total score, primary endpoint)
2025-01-30 Axsome Therapeutics, Inc. Regulatory Axsome Therapeutics Announces FDA Approval of SYMBRAVO® (meloxicam and rizatriptan) for the Acute Treatment of Migraine with or without Aura in Adults gcs-web.com ↗
2024-09-25 Heron Therapeutics Regulatory Heron Therapeutics Announces FDA Approval of the Prior Approval Supplement Application for ZYNRELEF® Vial Access Needle ("VAN") herontx.com ↗
Heron Therapeutics, Inc. (Nasdaq: HRTX) ("Heron" or the "Company"), a commercial-stage biotechnology company, today announced that the U.S. Food and Drug Administration (the "FDA") has approved the Company's Prior Approval Supplement Application for ZYNRELEF® (bupivacaine and meloxicam) extended-release solution VAN.
2023-01-05 CSPC ZhongQi Pharmaceutical Technology Co., Ltd. Regulatory VOLUNTARY ANNOUNCEMENT - MELOXICAM NANOCRYSTAL INJECTION OBTAINS CLINICAL TRIAL APPROVAL irasia.com ↗
has obtained approval granted by the National Medical Products Administration of the People’s Republic of China to conduct clinical trials in China.
2022-12-29 Heron Therapeutics Regulatory Heron Therapeutics Announces Filing of an Efficacy Supplement for ZYNRELEF® and Provision in Newly Passed Congressional Bill Anticipated to Provide Separate Reimbursement Outside of the Packaged Surgical Payment for ZYNRELEF herontx.com ↗
Supplemental New Drug Application Submitted Requesting Expansion of Indication to Broadly Cover Soft Tissue and Orthopedic Surgical Procedures
2022-06-14 Heron Therapeutics Results Heron Therapeutics Announces Publication Showing ZYNRELEF® as the Foundation of a Perioperative Non-Opioid Multimodal Analgesic Regimen Reduced Severe Pain and Opioid Use in Patients Undergoing Total Knee Arthroplasty herontx.com ↗
The study showed that more than 80% of patients did not experience severe pain at any individual time point through 72 hours after TKA surgery.
2021-12-09 Heron Therapeutics Regulatory Heron Therapeutics Announces FDA Approval of a Significant Indication Expansion for ZYNRELEF® herontx.com ↗
Heron Therapeutics, Inc. (Nasdaq: HRTX), a commercial-stage biotechnology company focused on improving the lives of patients by developing best-in-class treatments to address some of the most important unmet patient needs, today announced that the U.S. Food and Drug Administration (FDA) has approved its supplemental New Drug Application (sNDA) for ZYNRELEF (bupivacaine and meloxicam) extended-release solution to significantly expand the indication.
2021-10-04 Heron Therapeutics Regulatory Heron Therapeutics Announces Filing of a Supplemental New Drug Application for Significant Expansion of ZYNRELEF® Indication Statement Based on Successful Outcome of FDA Type C Meeting herontx.com ↗
today announced submission of a supplemental New Drug Application (NDA) for ZYNRELEF (bupivacaine and meloxicam) extended-release solution for an expanded indication.
2021-07-28 Heron Therapeutics Results Heron Therapeutics Announces Publication of Results from HOPE (Helping Opioid Prescription Elimination), Showing ZYNRELEF™ Minimizes the Need for Opioids in a Real-World Setting, With 95% of Patients Experiencing an Opioid-free Recovery herontx.com ↗
The findings from this study demonstrate the ability of ZYNRELEF to serve as the foundation of non-opioid multimodal analgesia.

All press releases naming this drug 21 releases

DateIssuerRelease

Evidence & citations 43 cited values

Every value below carries the sentence it was read from. 116 sources stand behind the page.

FieldValueCited text
Known as meloxicam “Specific Aim 3: Estimate the incremental cost effectiveness of each adjunctive analgesic therapy relative to standard of care analgesic therapy in the treatment of severe limb...” NCT01789216 ↗
101

“The aim of the study was to compare the bioavailability of two formulations of meloxicam given to healthy volunteers and to demonstrate bioequivalence. The test product,...” NCT05125588 ↗

“The study aims to design a randomized controlled trial that compares the effect of intra-articular injection of the non-selective (NSAID) Tenoxicam versus the selective COX-2...” NCT06403046 ↗

“The purpose of this study is to evaluate the use of an injectable combination of bupivacaine and meloxicam (Zynrelef) vs injectable liposomal bupivacaine (Exparel), two...” NCT06349772 ↗

“ZYNRELEF® is an extended-release, fixed-ratio combination product that contains bupivacaine (a local anesthetic as the free base) and low-dose meloxicam (an NSAID) incorporated...” NCT05863221 ↗

“Acetaminophen 975mg every 4 hours, Meloxicam 7.5mg once per day, Pregabalin 50mg twice per day, Magnesium 400mg once per day, along with rescue Oxycodone 5mg every 4 hours, as needed” NCT07076069 ↗

“Relative Bioavailability of Meloxicam 2 x 7.5 mg Tablets Compared to 15 mg Tablet and Dose Proportionality Over a Dose Range of 7.5 mg and 15 mg in Healthy Volunteers” NCT02276352 ↗

“Each study participant will receive one dose of the study medication (ulipristal acetate 30mg plus meloxicam 15mg) at peak fertility in the treatment cycle.” NCT03354117 ↗

“A single 14 mL dose of HTX-011 containing 400 mg bupivacaine and 12 mg meloxicam will be applied intraoperatively to the surgical site.” NCT07216586 ↗

“Patients randomized into this group (n=40) will, again by simple randomization, be given oral tablets of meloxicam or lornoxicam” NCT07493226 ↗

“Inject Combination of Platelet-Rich Plasma and Cyclooxygenase Enzyme-2 Inhibitor meloxicam (Mobitil 15mg) after arthrocentesis” NCT07463404 ↗

Show 91 more sources

Known as Acticam ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as ANJESO “Meloxicam Nanocrystal Injection (ANJESO®)” NCT06902090 ↗
Known as Anticox “meloxicam 15mg (Anticox 2 ampoule 15mg/3ml, ADWIA Pharmaceuticals)” NCT04538391 ↗
Known as Contacera ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Coxicam ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Drug: Mobic “Drug: Mobic” NCT02456363 ↗
Known as Emdocam ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Flexicam ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Inflacam ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Loxicom ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Loxitab ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Melfax ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Melosus ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Melovem ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Meloxicam component of zeleris ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Meloxicam component of zynrelef ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as MELOXICAM SODIUM ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Meloxicam/Mobic (NDC 68382-000-01; manufacturer: Zydus; encapsulated in size AA “Meloxicam/Mobic (NDC 68382-000-01; manufacturer: Zydus; encapsulated in size AA” NCT01789216 ↗
Known as Meloxidolor ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Meloxidyl ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Meloxivet ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Meloxoral ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Metacam ChEMBL registry synonym — accepted as the source's own label CHEMBL599 ↗
Known as Mobic “The objective of this study was to investigate the bioequivalence of Mylan's meloxicam 15 mg tablets and Boehringer Ingelheim's Mobic® 15 mg tablets following a single, oral 15...” NCT00649077 ↗
3

“Mylan's meloxicam 15 mg tablets and Boehringer Ingelheim's Mobic® 15 mg tablets” NCT00649675 ↗

“Drug: Mobic” NCT02456363 ↗

NCT02183142 ↗