Drugs / Sodium Oxybate
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Sodium Oxybate

also known as Xyrem · SXB · SMO · Brand name: Xyrem · FT218 · LUMRYZ · ON-SXB
Developed for
fibromyalgia · narcolepsy · narcolepsy-cataplexy syndrome · spasmodic dystonia · alcohol dependence · hypersomnia · myalgic encephalomeyelitis/chronic fatigue syndrome · alcohol withdrawal
+16 more · alternating hemiplegia of childhood · Alzheimer disease · binge eating disorder · cluster headache syndrome · essential tremor · idiopathic hypersomnia · insomnia · narcolepsy 1 · obstructive sleep apnea syndrome · Parkinson disease · post-traumatic stress disorder · 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) · UCB Pharma
+29 more · 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 · Jingsheng Lou · Laboratorio Farmaceutico Ct S.r.l. · Lindner Center of HOPE · 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 · Stanford University · 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 · 12 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed fibromyalgia 3 milestones
Rejected (CRL) US (FDA) — fibromyalgia 2010-10-11

“complete response letter (CRL) regarding the company's New Drug Application (NDA) for JZP-6 (sodium oxybate) for the treatment of fibromyalgia.” jazzpharma.com ↗

Filed EU (EMA) Xyrem fibromyalgia 2010-08-10

“UCB announced that it has filed an application for approval of Xyrem (sodium oxybate) for the treatment of fibromyalgia with the European Medicines Agency (EMA).” jazzpharma.com ↗

Filed US (FDA) — fibromyalgia 2010-02-18

“the U.S. Food and Drug Administration (FDA) has accepted for filing the New Drug Application (NDA) for JZP-6 (sodium oxybate) for the treatment of fibromyalgia.” jazzpharma.com ↗

“In February 2010, the FDA accepted for filing and review the New Drug Application (NDA) of JZP-6 (sodium oxybate) for the treatment of fibromyalgia.” jazzpharma.com ↗

Filed idiopathic hypersomnia 1 milestone
Filed US (FDA) Xywav idiopathic hypersomnia 2021-08-03

“FDA has granted Priority Review Designation and accepted the supplemental New Drug Application (sNDA) for Xywav in adult patients with idiopathic hypersomnia (IH).” jazzpharma.com ↗

Filed narcolepsy 1 milestone
Filed US (FDA) Xyrem narcolepsy 2018-04-27

“In April 2018 , the company submitted a supplemental NDA to the FDA seeking marketing approval for Xyrem in the treatment of pediatric narcolepsy patients.” jazzpharma.com ↗

Approved Indication not stated 4 milestones
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 36

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT03626727 Sep 2020 hypersomnia, narcolepsy, traumatic brain injury Brigham and Women's Hospital Withdrawn No outcome recorded Stop: Enrollment
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 28 trials · 2 met primary
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 Met primary
Phase 2 NCT00330291 Aug 2005 → Aug 2006 post-traumatic stress disorder State University of New York - Upstate Medical University Withdrawn No outcome recorded Stop: Enrollment
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 Met primary
Phase 2/33 trials · 1 met primary
Phase 2/3 NCT03597555 Oct 2018 → Apr 2023 idiopathic hypersomnia University Hospital, Montpellier Completed Met primary
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 310 trials · 5 met primary
Phase 3 NCT02720744 Nov 2016 → Mar 2020 hypersomnia, narcolepsy-cataplexy syndrome Avadel Completed Met primary
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 Met primary
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 Met primary
Phase 3 NCT00371137 Aug 2006 → Sep 2008 fibromyalgia Jazz Pharmaceuticals Completed Met primary
Phase 3 NCT00132873 Oct 2004 → Sep 2007 narcolepsy Jazz Pharmaceuticals Completed No outcome recorded
Phase 3 NCT00066170 Apr 2003 → Jul 2004 narcolepsy Jazz Pharmaceuticals Completed Met primary
Phase 3 NCT00049803 Dec 2000 → Apr 2004 narcolepsy Orphan Medical Completed No outcome recorded
Phase 49 trials · 3 met primary
Phase 4 NCT05085873 Oct 2021 → Oct 2023 — Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer Completed Met primary
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 4 NCT00086281 Nov 2003 → Jun 2005 obstructive sleep apnea syndrome Jazz Pharmaceuticals Completed Met primary
Phase 4 NCT02090504 Feb 2002 → Apr 2009 alcohol dependence, alcohol withdrawal Catholic University of the Sacred Heart Completed No outcome recorded
Phase 4 NCT04648423 Jul 2001 → Mar 2011 alcohol dependence Laboratorio Farmaceutico Ct S.r.l. Completed Met primary
Phase 4 NCT00706186 — Alzheimer disease Clayton Sleep Insititute Terminated No outcome recorded
Phase not applicable2 trials · 1 missed
— NCT07794982 Aug 2026 → Dec 2027 expected — Jingsheng Lou Not yet recruiting No outcome recorded
— NCT02063217 Dec 2013 → Jul 2016 — Washington University School of Medicine Completed Missed primary
Comparator or background therapy5 trials
Phase 1 NCT02215499 Comparator Jul → Nov 2014 narcolepsy Concert Pharmaceuticals Completed No outcome recorded
Phase 2 NCT00744393 Comparator Oct 2008 → Dec 2009 — Tufts Medical Center Withdrawn No outcome recorded Stop: Business
Phase 2 NCT00383643 Comparator May 2006 → Dec 2009 sleep disorder, initiating and maintaining sleep Stanford University Completed No outcome recorded
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

News releases announcing trial results or a regulatory action · 21

DateIssuerRelease
2026-05-12 Alkermes, Inc. Results Alkermes Announces Positive Topline Results From REVITALYZ℠ Phase 3 Study Evaluating LUMRYZ® (sodium oxybate) Extended-Release in Adults With Idiopathic Hypersomnia alkermes.com ↗
LUMRYZ met the study’s primary endpoint, demonstrating statistically significant improvements in excessive daytime sleepiness compared to placebo as measured by the change in Epworth Sleepiness Scale (ESS)1 score (p<0.0001).
2025-09-11 Impax Laboratories, LLC Regulatory Amneal Receives U.S. FDA Approval of Sodium Oxybate Oral Solution amneal.com ↗
Amneal Pharmaceuticals, Inc. (“Amneal” or the “Company”) today announced the U.S. Food and Drug Administration (FDA) approval of Amneal’s sodium oxybate oral solution 500 mg/mL Abbreviated New Drug Application (ANDA) which references Jazz Pharmaceuticals’ Xyrem ® .
2024-04-10 Jazz Pharmaceuticals Results Jazz Pharmaceuticals to Showcase Expansive Neuroscience Portfolio at American Academy of Neurology Annual Meeting jazzpharma.com ↗
One poster reporting the final results from the SEGUE study of adults with narcolepsy transitioning from Xyrem ® (sodium oxybate) oral solution, a high-sodium oxybate, to Xywav , showing that participants switched from high-sodium to low-sodium oxybate with minimal adjustments to their dosing.
2023-10-18 Jazz Pharmaceuticals Results Jazz Pharmaceuticals to Present Latest Advancements in Sleep Medicine at World Sleep 2023 jazzpharma.com ↗
The oral presentations include findings from the real-world TENOR study, which demonstrated individualized dosing strategies for twice-nightly oxybate treatment in narcolepsy.
2023-09-11 Jazz Pharmaceuticals Results Jazz Pharmaceuticals Showcases Impact of Sleep Medicine Portfolio at Psych Congress 2023 jazzpharma.com ↗
The review found that oxybate improved measures of sleep architecture and disrupted nighttime sleep in narcolepsy patients, independent of dosing regimen or prior oxybate experience.
2023-05-31 Jazz Pharmaceuticals Results Jazz Pharmaceuticals Demonstrates Continued Leadership in Sleep Medicine with New Data Presentations at SLEEP 2023 jazzpharma.com ↗
2022-01-05 Jazz Pharmaceuticals Results Lancet Neurology Publishes Positive, Pivotal Phase 3 Data of Xywav® (calcium, magnesium, potassium, and sodium oxybates) Oral Solution for Idiopathic Hypersomnia jazzpharma.com ↗
2020-10-08 Jazz Pharmaceuticals Results Jazz Pharmaceuticals Announces Positive Top-line Results from Phase 3 Study of Xywav™ (calcium, magnesium, potassium, and sodium oxybates) Oral Solution in Adult Patients with Idiopathic Hypersomnia jazzpharma.com ↗
Jazz Pharmaceuticals plc (Nasdaq: JAZZ) today announced positive top-line results from the Phase 3 double-blind, multicenter, placebo-controlled, randomized withdrawal study evaluating the efficacy and safety of an investigational use of Xywav™ (calcium, magnesium, potassium, and sodium oxybates) oral solution in adult patients with idiopathic hypersomnia.
2018-10-29 Jazz Pharmaceuticals Regulatory Jazz Pharmaceuticals Announces FDA Approval of Xyrem® (sodium oxybate) for the Treatment of Cataplexy or Excessive Daytime Sleepiness in Pediatric Narcolepsy Patients jazzpharma.com ↗
This approval of Xyrem in pediatric patients is a significant step forward for the narcolepsy community as we work to elevate awareness of the condition in children and ensure patients, both pediatric and adult, have meaningful treatment options available.
2018-06-27 Jazz Pharmaceuticals Regulatory Jazz Pharmaceuticals Announces FDA Acceptance of Supplemental New Drug Application for Xyrem® (sodium oxybate) to Treat Cataplexy and Excessive Daytime Sleepiness in Pediatric Narcolepsy Patients jazzpharma.com ↗
the U.S. Food and Drug Administration ( FDA ) accepted for priority review its supplemental new drug application (sNDA)
2018-06-03 Jazz Pharmaceuticals Results Jazz Pharmaceuticals Presents Long-Term Safety and Efficacy Data for Xyrem® (sodium oxybate) in Pediatric Patients with Narcolepsy with Cataplexy jazzpharma.com ↗
The results were presented in a poster today at the 32nd Annual Meeting of the Associated Professional Sleep Societies and will be featured in an oral presentation on June 5 at 2:45 p.m. ET .
2018-05-01 Jazz Pharmaceuticals Regulatory Jazz Pharmaceuticals Submits Supplemental New Drug Application for Xyrem® (sodium oxybate) to Treat Cataplexy and Excessive Daytime Sleepiness in Pediatric Narcolepsy Patients jazzpharma.com ↗
Jazz Pharmaceuticals plc (Nasdaq: JAZZ) today announced that it has filed a supplemental new drug application (sNDA) with the U.S. Food and Drug Administration ( FDA ) on April 27, 2018 seeking revised labeling for Xyrem® (sodium oxybate) oral solution, CIII, to include an indication to treat cataplexy and EDS in pediatric narcolepsy patients.

All press releases naming this drug 37 releases

DateIssuerRelease

Evidence & citations 10 cited values

Every value below carries the sentence it was read from. 47 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
37

“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 ↗

NCT02215499 ↗

NCT00506974 ↗

NCT00514995 ↗

NCT03597555 ↗

Show 27 more sources

Known as Brand name: Xyrem “Brand name: Xyrem” NCT02111122 ↗
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 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 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 ↗

“Sodium Oxybate Oral Solution [Xyrem]” NCT03626727 ↗

“Xyrem (sodium oxybate) oral solution” NCT00087555 ↗

“sodium oxybate (Xyrem®)” NCT03292458 ↗

NCT02221869 ↗

NCT00066170 ↗

NCT00423813 ↗

Show 4 more sources

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 ↗