Drugs / Sodium Oxybate
last change Jun 2026 re-read 2 minutes ago

Sodium Oxybate

also known as Xyrem · JZP-258 · SXB · low-sodium oxybate · XYWAV · LXB · SMO · Brand name: Xyrem · +4 more
Developed for
narcolepsy · fibromyalgia · idiopathic hypersomnia · narcolepsy-cataplexy syndrome · spasmodic dystonia · alcohol dependence · cluster headache syndrome · hypersomnia
+17 more · myalgic encephalomeyelitis/chronic fatigue syndrome · alcohol withdrawal · alternating hemiplegia of childhood · Alzheimer disease · binge eating disorder · essential tremor · insomnia · narcolepsy 1 · obstructive sleep apnea syndrome · Parkinson disease · post-traumatic stress disorder · postural orthostatic tachycardia syndrome · schizophrenia · sleep-wake disorder · traumatic brain injury · REM sleep behavior disorder · sleep disorder, initiating and maintaining sleep
Investigated by
Jazz Pharmaceuticals · Kristina Simonyan · Avadel · National Institute on Deafness and Other Communication Disorders (NIDCD) · National Institutes of Health (NIH) · Stanford University
+30 more · UCB Pharma · Alternating Hemiplegia of Childhood Foundation · Baylor College of Medicine · Brigham and Women's Hospital · CT Pharmaceutical Industries, Sanremo - Italy · Catholic University of the Sacred Heart · Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer · Centre for Addiction and Mental Health · Christian Baumann · Clayton Sleep Insititute · Imperial College London · Laboratorio Farmaceutico Ct S.r.l. · Leiden University Medical Center · Lindner Center of HOPE · Mayo Clinic · Medical Research Council · Medical University of Vienna · Nathan Kline Institute for Psychiatric Research · National Institute on Aging (NIA) · Orphan Medical · Ramin Khatami · St. Louis University · St. Luke's Hospital, Chesterfield, Missouri · State University of New York - Upstate Medical University · University Hospital, Ghent · University Hospital, Montpellier · University of Bologna · University of Cincinnati · University of Utah · Washington University School of Medicine

Regulatory milestones approvals, filings & regulatory actions · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) LUMRYZ 2024-10-16 fda.gov
Label expansions (4) US (FDA) XYREM 2005-11-18 – 2020-09-25 fda.gov
Approved EU (EMA) Xyrem 2005-10-13 europa.eu
Approved US (FDA) XYREM 2002-07-17 fda.gov

Trials 43 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT03626727 Sep 2020 hypersomnia, narcolepsy, traumatic brain injury Brigham and Women's Hospital Withdrawn No outcome recorded
Phase 12 trials
Phase 1 NCT07041203 Oct 2026 → Sep 2027 expected spasmodic dystonia Kristina Simonyan Not yet recruiting No outcome recorded
Phase 1 NCT00345800 Apr 2006 → Jan 2008 narcolepsy-cataplexy syndrome UCB Pharma Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT00931164 Aug 2009 → Jan 2011 alternating hemiplegia of childhood University of Utah Completed No outcome recorded
Phase 29 trials
Phase 2 NCT06950281 Jan 2026 → Dec 2027 expected cluster headache syndrome Leiden University Medical Center Not yet recruiting No outcome recorded
Phase 2 NCT06809803 Oct 2025 → Jun 2027 expected narcolepsy 1 Stanford University Recruiting No outcome recorded
Phase 2 NCT02111122 Apr 2014 → Apr 2016 sleep-wake disorder Christian Baumann Completed No outcome recorded
Phase 2 NCT01961297 Jul 2012 → Jun 2017 spasmodic dystonia Kristina Simonyan Completed No outcome recorded
Phase 2 NCT00594256 May 2008 → Apr 2009 insomnia, schizophrenia Nathan Kline Institute for Psychiatric Research Completed No outcome recorded
Phase 2 NCT00598078 Dec 2007 → Aug 2008 essential tremor Jazz Pharmaceuticals Completed No outcome recorded
Phase 2 NCT00330291 Aug 2005 → Aug 2006 post-traumatic stress disorder State University of New York - Upstate Medical University Withdrawn No outcome recorded
Phase 2 NCT00641186 Sep 2004 → Jul 2008 Parkinson disease Baylor College of Medicine Completed No outcome recorded
Phase 2 NCT00087555 Jul 2004 → Apr 2005 fibromyalgia Jazz Pharmaceuticals Completed No outcome recorded
Phase 2/33 trials
Phase 2/3 NCT03597555 Oct 2018 → Apr 2023 idiopathic hypersomnia University Hospital, Montpellier Completed No outcome recorded
Phase 2/3 NCT03292458 Jan 2018 → Dec 2021 spasmodic dystonia Kristina Simonyan Completed No outcome recorded
Phase 2/3 NCT00514995 Aug 2007 → Apr 2011 binge eating disorder Lindner Center of HOPE Completed No outcome recorded
Phase 312 trials
Phase 3 NCT03533114 Nov 2018 → Jun 2020 idiopathic hypersomnia Jazz Pharmaceuticals Completed No outcome recorded
Phase 3 NCT03030599 Mar 2017 → Jan 2019 narcolepsy-cataplexy syndrome Jazz Pharmaceuticals Completed No outcome recorded
Phase 3 NCT02720744 Nov 2016 → Mar 2020 hypersomnia, narcolepsy-cataplexy syndrome Avadel Completed No outcome recorded
Phase 3 NCT02637648 Dec 2015 → Sep 2016 cluster headache syndrome Ramin Khatami Unknown No outcome recorded
Phase 3 NCT02221869 Oct 2014 → Feb 2017 narcolepsy-cataplexy syndrome Jazz Pharmaceuticals Completed No outcome recorded
Phase 3 NCT00803023 Mar → Jul 2010 fibromyalgia Jazz Pharmaceuticals Completed No outcome recorded
Phase 3 NCT00423605 Dec 2006 → Jan 2010 fibromyalgia Jazz Pharmaceuticals Completed No outcome recorded
Phase 3 NCT00423813 Dec 2006 → Apr 2009 fibromyalgia Jazz Pharmaceuticals Completed No outcome recorded
Phase 3 NCT00371137 Aug 2006 → Sep 2008 fibromyalgia Jazz Pharmaceuticals Completed No outcome recorded
Phase 3 NCT00132873 Oct 2004 → Sep 2007 narcolepsy Jazz Pharmaceuticals Completed No outcome recorded
Phase 414 trials
Phase 4 NCT07077278 Oct 2025 → Sep 2027 expected idiopathic hypersomnia, postural orthostatic tachycardia syndrome Stanford University Not yet recruiting No outcome recorded
Phase 4 NCT05837091 Feb 2024 → Jan 2027 expected idiopathic hypersomnia Mayo Clinic Recruiting No outcome recorded
Phase 4 NCT05875974 Jul 2023 → Mar 2025 idiopathic hypersomnia, narcolepsy Jazz Pharmaceuticals Completed No outcome recorded
Phase 4 NCT05869773 Jun 2023 → Feb 2025 narcolepsy Jazz Pharmaceuticals Completed No outcome recorded
Phase 4 NCT05085873 Oct 2021 → Oct 2023 Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer Completed No outcome recorded
Phase 4 NCT04794491 Mar 2021 → Nov 2022 narcolepsy Jazz Pharmaceuticals Completed No outcome recorded
Phase 4 NCT02637076 Jan 2016 → Jan 2020 narcolepsy-cataplexy syndrome Centre for Addiction and Mental Health Completed No outcome recorded
Phase 4 NCT02055898 Apr 2014 → Aug 2015 myalgic encephalomeyelitis/chronic fatigue syndrome Imperial College London Completed No outcome recorded
Phase 4 NCT01584934 Jun 2013 → Jun 2015 myalgic encephalomeyelitis/chronic fatigue syndrome University Hospital, Ghent Withdrawn No outcome recorded
Phase 4 NCT00506974 May 2007 → Jun 2008 St. Luke's Hospital, Chesterfield, Missouri Completed No outcome recorded
Phase not applicable1 trial
NCT02063217 Dec 2013 → Jul 2016 Washington University School of Medicine Completed No outcome recorded
Also used as a comparator or background therapy in 6 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT02215499 Comparator Jul → Nov 2014 narcolepsy Concert Pharmaceuticals Completed No outcome recorded
Phase 22 trials
Phase 2 NCT00744393 Comparator Oct 2008 → Dec 2009 Tufts Medical Center Withdrawn No outcome recorded
Phase 2 NCT00383643 Comparator May 2006 → Dec 2009 sleep disorder, initiating and maintaining sleep Stanford University Completed No outcome recorded
Phase 31 trial
Phase 3 NCT07625280 Comparator Jun 2026 → Dec 2027 expected idiopathic hypersomnia, narcolepsy Jazz Pharmaceuticals Not yet recruiting No outcome recorded
Phase 42 trials
Phase 4 NCT04006925 Comparator Sep 2019 → Feb 2022 Parkinson disease, REM sleep behavior disorder Stanford University Completed No outcome recorded
Phase 4 NCT00498485 Comparator May 2007 → Dec 2008 myalgic encephalomeyelitis/chronic fatigue syndrome University of Medicine and Dentistry of New Jersey Terminated No outcome recorded

Evidence & citations 15 cited values

Every value below carries the sentence it was read from. 57 sources stand behind the page.

FieldValueCited text
Known as sodium oxybate “Once-nightly sodium oxybate (ON-SXB; LUMRYZ™; FT218) treatment significantly improved the coprimary endpoints of mean sleep latency on the Maintenance of Wakefulness Test...” PMID 40111739 Mar 2025
36

“This 14-week, phase 3, double-blind, randomized, controlled trial evaluated sodium oxybate (SXB) 4.5 and 6g per night versus placebo in patients with fibromyalgia (FM).” PMID 21397402 Mar 2011

“Xyrem (sodium oxybate) is an agent with the propensity to improve slow wave sleep and sleep efficiency.” NCT00330291

“Safety and Efficacy Study of Xyrem® (Sodium Oxybate) in Subjects With Fibromyalgia.” NCT00423605

“Xyrem (sodium oxybate) oral solution” NCT00132873

“Xyrem (Sodium Oxybate) Oral Solution” NCT00086281

“Xyrem® (Sodium Oxybate)” NCT00423813

NCT02063217

NCT00594256

NCT00506974

NCT00706186

NCT02215499

NCT00087555

NCT00514995

NCT00803023

NCT00598078

NCT00049803

NCT03292458

NCT00744393

NCT00498485

NCT00931164

NCT03597555

NCT04006925

NCT04648423

NCT01584934

NCT07041203

NCT00345800

NCT00641186

NCT02090504

NCT02111122

NCT05085873

NCT02637648

NCT00383643

NCT03626727

NCT02055898

NCT06809803

NCT01961297

Known as Brand name: Xyrem Brand name: XyremNCT02111122
Known as FT218 “Once-nightly sodium oxybate (ON-SXB; LUMRYZ™; FT218) treatment significantly improved the coprimary endpoints of mean sleep latency on the Maintenance of Wakefulness Test...” PMID 40111739 Mar 2025
Known as JZP-258 ClinicalTrials.gov intervention name — accepted as the source's own label NCT03533114
4

NCT04794491

NCT05875974

NCT03030599

NCT05869773

Known as low-sodium oxybate “Using data from a phase 3 trial of low-sodium oxybate in adults with idiopathic hypersomnia (NCT03533114), IHSS scores were psychometrically evaluated at Baseline, Weeks 1 and...” PMID 42382222 Jun 2026
3

NCT05837091

NCT07077278

NCT06950281

Known as lower-sodium oxybate “Safety and efficacy of lower-sodium oxybate in adults with idiopathic hypersomnia: a phase 3, placebo-controlled, double-blind, randomised withdrawal study.” PMID 34942138 Jan 2022
Known as LUMRYZ “Once-nightly sodium oxybate (ON-SXB; LUMRYZ™; FT218) treatment significantly improved the coprimary endpoints of mean sleep latency on the Maintenance of Wakefulness Test...” PMID 40111739 Mar 2025
Known as LXB “Low sodium oxybate (LXB) will be administered as a twice nightly regimen.” NCT06950281
1

“Low sodium oxybate (LXB)” NCT07077278

Known as ON-SXB “Once-nightly sodium oxybate (ON-SXB; LUMRYZ™; FT218) treatment significantly improved the coprimary endpoints of mean sleep latency on the Maintenance of Wakefulness Test...” PMID 40111739 Mar 2025
Known as SMO “Sodium oxybate (SMO) has been tested as a treatment for AWS with encouraging results.” NCT02090504
1

“Sodium oxybate (SMO) has been shown to be effective in the maintenance of abstinence” PMID 35796481 Jul 2022

Known as SXB “The long-term safety and therapeutic response of sodium oxybate (SXB) in fibromyalgia syndrome (FM) patients were assessed for a combined period of up to 1 year in a...” PMID 24286114 Nov 2013
4

“STUDY OBJECTIVES: To determine the time course and duration of common, early-onset treatment-emergent adverse events (TEAEs) associated with sodium oxybate (SXB) use in adults...” PMID 32356515 Sep 2020

“This 14-week, phase 3, double-blind, randomized, controlled trial evaluated sodium oxybate (SXB) 4.5 and 6g per night versus placebo in patients with fibromyalgia (FM).” PMID 21397402 Mar 2011

“we aimed to evaluate efficacy and safety of sodium oxybate (SXB) in IH.” PMID 40359459 May 2025

“Sodium oxybate (SXB), a gamma-aminobutyric acid (GABA)-B agonist” PMID 37052688 Aug 2023

Known as Xyrem “Participants will take Non-Extended-release Oxybates (Xyrem oral solution or Xywav oral solution) 4.5-9 g orally per night (divided into two doses, once before bedtime and...” NCT06809803
14

“We conducted an open-label study in 23 SD and 22 SD/VT patients to examine the effects of sodium oxybate (Xyrem), an oral agent with therapeutic effects similar to those of...” PMID 27808415 Nov 2016

“Safety and Efficacy of Xyrem Oral Solution (Sodium Oxybate) Compared With Placebo in Narcoleptic Patients” NCT00049803

“Safety and Efficacy Study of Xyrem® (Sodium Oxybate) in Subjects With Fibromyalgia.” NCT00423605

Xyrem (Sodium Oxybate), oral solution 500mg/mL” NCT03597555

Xyrem (sodium oxybate) oral solution” NCT00087555

“Sodium Oxybate Oral Solution [Xyrem]” NCT03626727

“sodium oxybate (Xyrem®)” NCT03292458

NCT00132873

NCT02637076

NCT00086281

NCT00066170

NCT00423813

NCT00330291

NCT02221869

Known as XYWAV “Participants will take Non-Extended-release Oxybates (Xyrem oral solution or Xywav oral solution) 4.5-9 g orally per night (divided into two doses, once before bedtime and...” NCT06809803
2

“Participants will self-administer an oral dose of JZP258 (XYWAV) as per label and titrate to an optimal dosage for each participant.” NCT05875974

NCT07625280

Action Activate “a gamma-aminobutyric acid type b (GABAB) and a g-hydroxybutyric acid (GHB) receptor agonist” NCT00594256
Route Oral Orally Administered Xyrem (Sodium Oxybate)” NCT00049803