Drugs / cyclobenzaprine
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cyclobenzaprine

Small molecule targets HTR2A, HTR2C via inhibition

Developed for
fibromyalgia · post-traumatic stress disorder · myofascial pain syndrome · acute stress disorder · anismus · cognitive disorder · long COVID-19 · major depressive disorder
+5 more · sleep disorder, initiating and maintaining sleep · cirrhosis of liver · migraine disorder · musculoskeletal system disorder · temporomandibular joint disorder
Investigated by
Tonix Pharmaceuticals, Inc. · Premier Research · Altasciences Company Inc. · Cephalon · Christiana Care Health Services · Cognitive Research Corporation
+19 more · Cooper University Health Care · Damon Runyon Cancer Research Foundation · Endeavor Health · Eurofarma Laboratorios S.A. · Farmoquimica S.A. · Federal University of São Paulo · Lynn Henry · McNeil Consumer & Specialty Pharmaceuticals, a Division of McNeil-PPC, Inc. · Mclean Hospital · Neurana Pharmaceuticals, Inc. · Pharmagenix Projetos em Medicina Farmacêutica Ltda. · Sandoz · State University of New York - Upstate Medical University · Syneos Health · Takeda · The American Association of Obstetricians and Gynecologists Foundation · United States Department of Defense · University of Michigan · University of North Carolina, Chapel Hill

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) FLEXERIL 2003-02-03 fda.gov
Approved US (FDA) FLEXERIL 1977-08-26 fda.gov

Trials 36 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 19 trials
Phase 1 NCT07413367 Dec 2025 → Feb 2026 overdue Tonix Pharmaceuticals, Inc. Active not recruiting No outcome recorded
Phase 1 NCT07464535 Mar → Apr 2022 Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT04164719 Oct → Dec 2019 Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT03443960 Jan → Apr 2018 Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT03353922 Jul → Dec 2017 Neurana Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT01689259 Sep 2012 → Dec 2013 Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT01634412 Jun 2012 → Sep 2013 Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT01490788 Nov → Dec 2011 Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT00913419 Nov → Dec 1988 depressive disorder Sandoz Completed No outcome recorded
Phase 26 trials
Phase 2 NCT07621237 Jun 2026 → Feb 2028 expected major depressive disorder Tonix Pharmaceuticals, Inc. Recruiting No outcome recorded
Phase 2 NCT06636786 Mar 2025 → Sep 2026 expected acute stress disorder, cognitive disorder, post-traumatic stress disorder University of North Carolina, Chapel Hill Recruiting No outcome recorded
Phase 2 NCT05372887 Oct → Nov 2022 post-traumatic stress disorder Tonix Pharmaceuticals, Inc. Withdrawn No outcome recorded
Phase 2 NCT05472090 Aug 2022 → Jul 2023 COVID-19, long COVID-19 Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 2 NCT02421679 Apr 2015 → May 2016 post-traumatic stress disorder Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 2 NCT01921296 Aug 2013 → May 2014 sleep disorder, initiating and maintaining sleep Lynn Henry Terminated No outcome recorded
Phase 2/32 trials
Phase 2/3 NCT07404397 Feb → Dec 2026 expected anismus University of Michigan Recruiting No outcome recorded
Phase 2/3 NCT01903265 Sep 2013 → Jul 2014 fibromyalgia Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 314 trials
Phase 3 NCT05683574 May 2026 → Oct 2027 Eurofarma Laboratorios S.A. Withdrawn No outcome recorded
Phase 3 NCT05273749 Apr 2022 → Nov 2023 fibromyalgia Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT04508621 Jul 2020 → Nov 2021 fibromyalgia Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT04172831 Dec 2019 → Oct 2020 fibromyalgia Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT03841773 Mar 2019 → Apr 2020 post-traumatic stress disorder Tonix Pharmaceuticals, Inc. Terminated No outcome recorded
Phase 3 NCT03508700 Apr 2018 → Sep 2019 post-traumatic stress disorder Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT03110575 Jun 2017 → Jul 2018 post-traumatic stress disorder Tonix Pharmaceuticals, Inc. Terminated No outcome recorded
Phase 3 NCT03062540 Mar 2017 → Jul 2018 post-traumatic stress disorder Tonix Pharmaceuticals, Inc. Terminated No outcome recorded
Phase 3 NCT02814565 Oct 2016 → Feb 2017 Takeda Completed No outcome recorded
Phase 3 NCT02829814 Jul → Sep 2016 fibromyalgia, myofascial pain syndrome, neuromuscular disease, rheumatic disorder Tonix Pharmaceuticals, Inc. Terminated No outcome recorded
Phase 43 trials
Phase 4 NCT07664956 Jul → Sep 2026 expected adenomyosis, chronic pain syndrome, endometriosis, endometritis +2 Christiana Care Health Services Not yet recruiting No outcome recorded
Phase 4 NCT01041495 Jun 2009 → Mar 2013 fibromyalgia State University of New York - Upstate Medical University Terminated No outcome recorded
Phase 4 NCT00246389 ? → Jul 2004 McNeil Consumer & Specialty Pharmaceuticals, a Division of McNeil-PPC, Inc. Completed No outcome recorded
Phase not applicable2 trials
NCT01081990 Apr 2010 → Jul 2014 Endeavor Health Completed No outcome recorded
NCT00635037 Jun 2004 → Feb 2005 myofascial pain syndrome Federal University of São Paulo Completed No outcome recorded
Also used as a comparator or background therapy in 17 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 12 trials
Phase 1 NCT04407377 Comparator Jun → Oct 2020 Neurana Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT01889173 Comparator Jun → Dec 2013 Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 22 trials
Phase 2 NCT02277704 Comparator Oct 2014 → May 2016 post-traumatic stress disorder Tonix Pharmaceuticals, Inc. Completed No outcome recorded
Phase 2 NCT00790270 Comparator Jan 2003 → Jan 2004 Stony Brook University Completed No outcome recorded
Phase 36 trials
Phase 3 NCT03127592 Comparator Oct 2020 → Jul 2022 Apsen Farmaceutica S.A. Terminated No outcome recorded
Phase 3 NCT02642861 Comparator Oct 2018 → Dec 2019 cirrhosis of liver Tanta University Unknown No outcome recorded
Phase 3 NCT03025113 Comparator Mar 2018 → Nov 2019 musculoskeletal system disorder EMS Completed No outcome recorded
Phase 3 NCT02862977 Comparator Nov 2017 → Jun 2019 musculoskeletal system disorder EMS Completed No outcome recorded
Phase 3 NCT01587508 Comparator May 2013 Eurofarma Laboratorios S.A. Withdrawn No outcome recorded
Phase 44 trials
Phase 4 NCT04990804 Background Aug 2021 → Feb 2022 spinal cord disorder, substance-related disorder Vanderbilt University Medical Center Terminated No outcome recorded
Phase 4 NCT04240626 Background Jan 2021 → Jun 2026 overdue morbid obesity University of California, Davis Active not recruiting No outcome recorded
Phase 4 NCT04704297 Comparator Dec 2020 → Jul 2022 overdue myofascial pain syndrome Madigan Army Medical Center Recruiting No outcome recorded
Phase 4 NCT01587274 Comparator Apr 2012 → Oct 2014 Montefiore Medical Center Completed No outcome recorded
Phase not applicable3 trials
NCT03119324 Comparator Sep 2015 → Jun 2016 temporomandibular joint disorder University of Roma La Sapienza Completed No outcome recorded
NCT02974166 Background Mar 2012 → Nov 2015 temporomandibular joint disorder Instituto Brasileiro de Osteopatia Completed No outcome recorded
NCT01028014 Comparator Apr 2010 → Apr 2011 urethral disorder University of Alabama at Birmingham Completed No outcome recorded

Evidence & citations 21 cited values

Every value below carries the sentence it was read from. 55 sources stand behind the page.

FieldValueCited text
Known as cyclobenzaprine “The use of low-dose sublingual formulation of cyclobenzaprine (TNX-102 SL) dosed nightly for fibromyalgia is supported by the results of TNX-CY-F202 Phase 2b study -- the...” NCT02829814
38

“TNX-102 SL is a bedtime sublingual formulation of cyclobenzaprine with potent binding and antagonist activity at 5-HT2A, α1-adrenergic, H1 histaminergic, and M1 muscarinic...” PMID 38350291 Feb 2024

“This 12-week randomized multicenter trial evaluated efficacy and safety of TNX-102 SL, a bedtime sublingual formulation of cyclobenzaprine, in patients with military-related...” PMID 33979763 Apr 2021

“This is a 12-week, multicenter, randomized, double-blind, placebo-controlled, fixed-dose study that will investigate the efficacy and safety of 5.6 mg TNX-102 SL (2 x 2.8 mg...” NCT05372887

“OBJECTIVE: To evaluate the efficacy and safety of TNX-102 SL, a once-nightly sublingual formulation of cyclobenzaprine, in reducing pain in patients with fibromyalgia (FM).” PMID 37165930 Jul 2023

“sublingual TNX-102 2.4 mg (a new formulation of cyclobenzaprine designed to result in increased dosage precision and decreased potential for morning grogginess)” NCT01634412

“TNX-102 2.4 mg SL Tablets (a new formulation of cyclobenzaprine designed to result in increased dosage precision and decreased potential for morning grogginess)” NCT01689259

“We evaluated efficacy and safety of bedtime TNX-102 SL (sublingual cyclobenzaprine) 5.6 mg for treatment of fibromyalgia.” PMID 40627411 Jan 2026

“Dolamin Flex (lysine clonixinate and cyclobenzaprine). Tablets, administered 3 times a day, for 7 consecutive days.” NCT01421433

Cyclobenzaprine HCl sublingual tablets. The tablets are yellow, round, and biconvex with a "T" debossed on one face” NCT07464535

“2 x TNX-102 SL (cyclobenzaprine HCl sublingual tablets) 2.8 mg once daily for 20 consecutive days” NCT03443960

“a study drug called TNX-102 SL [cyclobenzaprine hydrochloride (HCl) sublingual (SL) tablets]” NCT07413367

“TNX-102 SL 5.6 mg (2 x 2.8 mg tablets) - a sublingual formulation of cyclobenzaprineNCT03841773

“one 5 days cycle of cyclobenzaprine hydrochloride (10 mg a day)” NCT03119324

Cyclobenzaprine 5 mg, 1 tablet once under fasting conditions” NCT01490788

“10 mg/day cyclobenzaprine and 500 mg dipyrone every 8 h” NCT00635037

“Methocarbamol 750mg BID or Cyclobenzaprine 5-10 mg TID” NCT04990804

“Low dose cyclobenzaprine sublingual tablets” NCT02436096

“10 mg of cyclobenzaprine nightly by mouth” NCT04704297

cyclobenzaprine HCl sublingual tablets” NCT03508700

NCT01587274

NCT00913419

NCT00790270

NCT01151787

NCT02862977

NCT01041495

NCT01028014

NCT01587508

NCT02642861

NCT07664956

NCT03025113

NCT03127592

NCT07404397

NCT05683574

NCT03353922

NCT04407377

NCT01921296

NCT01889173

NCT01081990

Known as AMRIX AMRIX® (cyclobenzaprine HCl ER Capsules) 30 mg” NCT03443960
Known as Ciclobenzaprina ChEMBL registry synonym — accepted as the source's own label CHEMBL669
Known as cyclobenzaprine HCl Cyclobenzaprine HCl sublingual tablets. The tablets are yellow, round, and biconvex with a "T" debossed on one face” NCT07464535
4

Cyclobenzaprine HCl Tablets 10 mg, Cord Laboratories” NCT00913419

cyclobenzaprine HCl sublingual tablets” NCT03508700

NCT06636786

NCT02814565

Known as Cyclobenzaprine Hydrochloride “a study drug called TNX-102 SL [cyclobenzaprine hydrochloride (HCl) sublingual (SL) tablets]” NCT07413367
5

“one 5 days cycle of cyclobenzaprine hydrochloride (10 mg a day)” NCT03119324

cyclobenzaprine hydrochloride 15 mg capsule (XL - Mitrul®)” NCT05683574

“Drug: Cyclobenzaprine Hydrochloride 10 MG” NCT04407377

NCT00246389

NCT02974166

Known as cyclobenzaprine hydrochloride is Amrix 15mg/daily cyclobenzaprine hydrochloride is Amrix 15mg/dailyNCT01151787
Known as Flexeril “Cyclobenzaprine, aka Flexeril®, is NOT an experimental drug and is already approved by the Food and Drug Administration (FDA) for acute, painful muscle spasms.” NCT07664956
2

“Cyclobenzaprine (Flexeril®) in conjunction with NSAIDs has long been the basis for management of acute musculoskeletal injuries” NCT01081990

NCT04240626

Known as Miosan “cyclobenzaprine - Miosan®” NCT01587508
Known as MK-130 (AS THE BASE) ChEMBL registry synonym — accepted as the source's own label CHEMBL669
Known as MK-130 HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL669
Known as NSC-169900 ChEMBL registry synonym — accepted as the source's own label CHEMBL669
Known as NSC-173379 ChEMBL registry synonym — accepted as the source's own label CHEMBL669
Known as NSC-78206 ChEMBL registry synonym — accepted as the source's own label CHEMBL669
Known as TNX-102 TNX-102 2.4 mg SL Tablets (a new formulation of cyclobenzaprine designed to result in increased dosage precision and decreased potential for morning grogginess)” NCT01689259
2

TNX-102 2.4 mg - 1 gelcap once under fasting conditions.” NCT01490788

NCT01889173

Known as TNX-102 SL “The use of low-dose sublingual formulation of cyclobenzaprine (TNX-102 SL) dosed nightly for fibromyalgia is supported by the results of TNX-CY-F202 Phase 2b study -- the...” NCT02829814
17

TNX-102 SL is a bedtime sublingual formulation of cyclobenzaprine with potent binding and antagonist activity at 5-HT2A, α1-adrenergic, H1 histaminergic, and M1 muscarinic...” PMID 38350291 Feb 2024

“This 12-week randomized multicenter trial evaluated efficacy and safety of TNX-102 SL, a bedtime sublingual formulation of cyclobenzaprine, in patients with military-related...” PMID 33979763 Apr 2021

“This is a 12-week, multicenter, randomized, double-blind, placebo-controlled, fixed-dose study that will investigate the efficacy and safety of 5.6 mg TNX-102 SL (2 x 2.8 mg...” NCT05372887

“OBJECTIVE: To evaluate the efficacy and safety of TNX-102 SL, a once-nightly sublingual formulation of cyclobenzaprine, in reducing pain in patients with fibromyalgia (FM).” PMID 37165930 Jul 2023

TNX-102 SL (cyclobenzaprine HCl sublingual tablets) taken sublingually (under the tongue) in the ED and each day at bedtime for a total of 2 weeks.” NCT06636786

“2 x TNX-102 SL (cyclobenzaprine HCl sublingual tablets) 2.8 mg once daily for 20 consecutive days” NCT03443960

TNX-102 SL 5.6 mg (2 x 2.8 mg tablets) - a sublingual formulation of cyclobenzaprine” NCT03841773

NCT01903265

NCT07621237

NCT03110575

NCT05273749

NCT04508621

NCT02015234

NCT04164719

NCT02589275

NCT05472090

NCT02421679

Known as XL - Mitrul “cyclobenzaprine hydrochloride 15 mg capsule (XL - Mitrul®)” NCT05683574
Action Inhibit “potent binding and antagonist activity at 5-HT2A, α1-adrenergic, H1 histaminergic, and M1 muscarinic receptors” PMID 38350291 Feb 2024
2

“Serotonin 2c (5-HT2c) receptor antagonist” CHEMBL669

“Serotonin 2a (5-HT2a) receptor antagonist” CHEMBL669

Modality Small molecule CHEMBL669
Route Oral “Patients receive cyclobenzaprine HCl 5 mg administered orally three times a day for one week” NCT00246389
Target HTR2A “Serotonin 2a (5-HT2a) receptor antagonist” CHEMBL669
Target HTR2C “Serotonin 2c (5-HT2c) receptor antagonist” CHEMBL669