Drugs / Milnacipran
last change Jan 2025 re-read 2 minutes ago

Milnacipran

Other / unclassified targets SLC6A2, SLC6A4 via inhibition

Developed for
fibromyalgia · depressive disorder · osteoarthritis · rheumatoid arthritis · autism spectrum disorder · chronic pain syndrome · cognitive disorder · lumbar disk disease
+11 more · migraine with aura · migraine without aura · osteoarthritis, knee · peripheral neuropathy · sleep disorder · systemic lupus erythematosus · vulvodynia · irritable bowel syndrome · major depressive disorder · migraine disorder · neuropathy, painful
Investigated by
Forest Laboratories · Cypress Bioscience, Inc. · Duke University · Pierre Fabre Laboratories · Brigham and Women's Hospital · Samsung Medical Center
+19 more · Analgesic Solutions · Banner Health · Best Practice · California Medical Clinic for Headache · Chang Gung Memorial Hospital · Columbia University · Dr. Norman Harden · Loma Linda University · Mansoor Ahmed M.D. · Montefiore Medical Center · National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) · Northwestern University · Shirley Ryan AbilityLab · US Department of Veterans Affairs · University of California, Los Angeles · University of California, San Diego · University of Michigan · University of Tennessee · Wyeth is now a wholly owned subsidiary of Pfizer

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Refused (EMA) EU (EMA) Milnacipran Pierre Fabre Medicament 2010-04-08 europa.eu
Approved US (FDA) SAVELLA 2009-01-14 fda.gov

Trials 34 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 24 trials
Phase 2 NCT01328002 Apr 2011 → Aug 2012 fibromyalgia Forest Laboratories Terminated No outcome recorded
Phase 2 NCT01331109 Apr 2011 → Aug 2012 fibromyalgia Forest Laboratories Terminated No outcome recorded
Phase 2 NCT01225068 Oct 2010 → Jan 2012 Northwestern University Completed No outcome recorded
Phase 2 NCT00757679 Sep 2006 → Sep 2009 fibromyalgia Pierre Fabre Laboratories Completed No outcome recorded
Phase 313 trials
Phase 3 NCT01829243 Jul 2011 → May 2013 cognitive disorder, fibromyalgia Duke University Completed No outcome recorded
Phase 3 NCT01288937 Apr 2011 → Oct 2014 peripheral neuropathy Columbia University Terminated No outcome recorded
Phase 3 NCT01418651 Mar → Aug 2011 fibromyalgia Banner Health Terminated No outcome recorded
Phase 3 NCT01304589 Oct 2010 → Sep 2012 vulvodynia University of Tennessee Completed No outcome recorded
Phase 3 NCT01221740 Aug 2010 → Aug 2011 Brigham and Women's Hospital Withdrawn No outcome recorded
Phase 3 NCT00793520 Nov 2008 → Apr 2009 fibromyalgia Forest Laboratories Terminated No outcome recorded
Phase 3 NCT00797797 Nov 2008 → Nov 2009 fibromyalgia Forest Laboratories Completed No outcome recorded
Phase 3 NCT00618956 Oct 2007 → Jul 2008 fibromyalgia Forest Laboratories Completed No outcome recorded
Phase 3 NCT00757731 Sep 2006 → Oct 2008 fibromyalgia Pierre Fabre Laboratories Completed No outcome recorded
Phase 3 NCT00314249 Apr 2006 → Jun 2008 fibromyalgia Forest Laboratories Completed No outcome recorded
Phase 414 trials
Phase 4 NCT01359826 Oct 2011 → Jun 2013 fibromyalgia, systemic lupus erythematosus Loma Linda University Withdrawn No outcome recorded
Phase 4 NCT01329406 Jul 2011 → Feb 2012 osteoarthritis Analgesic Solutions Unknown No outcome recorded
Phase 4 NCT01319825 Apr 2011 → May 2012 migraine with aura, migraine without aura California Medical Clinic for Headache Unknown No outcome recorded
Phase 4 NCT01288807 Feb 2011 → Jan 2015 fibromyalgia University of California, San Diego Completed No outcome recorded
Phase 4 NCT01337700 Feb 2011 → Jul 2014 autism spectrum disorder Montefiore Medical Center Completed No outcome recorded
Phase 4 NCT01207453 Jan 2011 → Nov 2013 rheumatoid arthritis Brigham and Women's Hospital Completed No outcome recorded
Phase 4 NCT01234675 Nov 2010 → Feb 2014 fibromyalgia, sleep disorder Mansoor Ahmed M.D. Completed No outcome recorded
Phase 4 NCT01225991 Nov 2010 → May 2013 rheumatoid arthritis University of California, Los Angeles Completed No outcome recorded
Phase 4 NCT01510457 Nov 2010 → Oct 2013 chronic pain syndrome, osteoarthritis, knee Dr. Norman Harden Completed No outcome recorded
Phase 4 NCT01780389 Oct 2010 → Jul 2011 osteoarthritis Duke University Completed No outcome recorded
Phase not applicable3 trials
NCT00606203 Sep 2007 → Sep 2010 depressive disorder, ischemic stroke Chang Gung Memorial Hospital Unknown No outcome recorded
NCT01352572 Jan 2002 → Dec 2018 depressive disorder Samsung Medical Center Unknown No outcome recorded
NCT01352559 Nov 2001 → Mar 2007 depressive disorder Samsung Medical Center Unknown No outcome recorded
Also used as a comparator or background therapy in 18 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT01294059 Comparator Nov 2009 → Apr 2014 fibromyalgia University of Florida Completed No outcome recorded
Phase 24 trials
Phase 2 NCT03321526 Background Dec 2017 → Jun 2019 major depressive disorder Janssen Research & Development, LLC Completed No outcome recorded
Phase 2 NCT01914042 Comparator Jul 2013 → Jul 2019 neuropathy, painful Rambam Health Care Campus Unknown No outcome recorded
Phase 2 NCT01747044 Comparator Apr 2013 → Nov 2014 fibromyalgia University Hospital, Clermont-Ferrand Unknown No outcome recorded
Phase 2 NCT01471379 Comparator Apr 2012 → Feb 2013 irritable bowel syndrome Spencer Dorn, MD, MPH Terminated No outcome recorded
Phase 2/32 trials
Phase 2/3 NCT02783430 Background Sep 2016 → Mar 2024 depressive disorder University Hospital, Lille Completed No outcome recorded
Phase 2/3 NCT01108731 Comparator Mar 2010 → Jan 2014 fibromyalgia Beth Israel Medical Center Completed No outcome recorded
Phase 43 trials
Phase 4 NCT01125423 Comparator May 2010 → Jan 2013 fibromyalgia Albany Medical College Completed No outcome recorded
Phase 4 NCT01038323 Comparator Dec 2009 → Sep 2012 fibromyalgia Indiana University Completed No outcome recorded
Phase 4 NCT01289236 Comparator Oct 2009 → Jun 2011 chronic pain syndrome Valera Bussell Completed No outcome recorded
Phase not applicable8 trials
NCT07533487 Background Sep 2022 → Jan 2025 fibromyalgia Cairo University Completed No outcome recorded
NCT05384210 Comparator Jun 2022 → Oct 2023 fibromyalgia Mansoura University Unknown No outcome recorded
NCT03905486 Comparator Apr → Nov 2019 fibromyalgia Yousra Hisham Abdel Fattah Completed No outcome recorded
NCT02687165 Comparator Jan 2016 → Jan 2017 chronic pain syndrome, post-treatment Lyme disease syndrome New York State Psychiatric Institute Terminated No outcome recorded
NCT01488266 Comparator Nov 2011 → Jan 2013 major depressive disorder Korea University Unknown No outcome recorded

Evidence & citations 19 cited values

Every value below carries the sentence it was read from. 54 sources stand behind the page.

FieldValueCited text
Known as milnacipran “Aim of the work: To compare the efficacy of pregabalin agent (averopreg) alone versus combined pregabalin and serotonin norepinephrine reuptake inhibitor (milnacipran) in the...” NCT03905486
48

“Participants will receive SNRI antidepressant (such as duloxetine, milnacipran, levomilnacipran, venlafaxine, desvenlafaxine) as a part of background therapy” NCT03321526

“non-SSRI treated group is depressive patients treated with milnacipran, venlafaxine, nortriptyline, or mirtazapine” NCT00817375

“pain relievers such as acetaminophen and antidepressants such as Duloxetine (Cymbalta) and milnacipranNCT07533487

milnacipranNCT01488266

milnacipranNCT01228357

milnacipranNCT01352559

milnacipranNCT01352572

NCT00098124

NCT01234675

NCT01393522

NCT00436033

NCT01288937

NCT01780389

NCT01328002

NCT02687165

NCT00225511

NCT01777581

NCT01304589

NCT00757679

NCT01108731

NCT01294059

NCT00618956

NCT01225991

NCT01319825

NCT01747044

NCT01207453

NCT01038323

NCT05384210

NCT01914042

NCT02783430

NCT00757731

NCT01077375

NCT01289236

NCT01337700

NCT01014585

NCT01331109

NCT01225068

NCT01829243

NCT01173055

NCT01471379

NCT00793520

NCT00797797

NCT01510457

NCT00606203

NCT00314249

NCT01125423

NCT01329406

NCT01359826

Known as Dalcipran ChEMBL registry synonym — accepted as the source's own label CHEMBL259209
Known as Impulsor ChEMBL registry synonym — accepted as the source's own label CHEMBL259209
Known as Ixel “Milnacipran (Ixel)- a serotonin-norepinephrine reuptake inhibitor (SNRI)” NCT01914042
Known as Ixel (outside of United States) Ixel (outside of United States)NCT00618956
Known as Milnacipram ClinicalTrials.gov intervention name — accepted as the source's own label NCT01288807
Known as Milnacipran hcl ChEMBL registry synonym — accepted as the source's own label CHEMBL259209
Known as Milnacipran hydrochloride “Drug: Milnacipran hydrochlorideNCT00618956
Known as Milnacipran pierre fabre medicament ChEMBL registry synonym — accepted as the source's own label CHEMBL259209
Known as MLN “Gabapentin and milnacipran (MLN) show strong evidence of reduced pain, increased sleep, and improvement in the quality of life in fibromyalgia (FM) patients.” NCT05384210
Known as NSC-759806 ChEMBL registry synonym — accepted as the source's own label CHEMBL259209
Known as Savella “This medicine is known as Milnacipran (the trade name is "Savella"); this medicine is not addictive and it has been shown to reduce chronic pain by its multiple actions on pain...” NCT02687165
4

Savella ®, (milnacipran) is an FDA approved drug for fibromyalgia.” NCT01038323

SavellaNCT01393522

NCT01418651

NCT01221740

Known as Savella (milnacipran HCL) Tablets Savella (milnacipran HCL) TabletsNCT01510457
Known as Toledomin ChEMBL registry synonym — accepted as the source's own label CHEMBL259209
Action Inhibit “milnacipran, a dual norepinephrine-serotonin reuptake inhibitor” PMID 19108787 Nov 2008
2

“Norepinephrine transporter inhibitor” CHEMBL259209

“Serotonin transporter inhibitor” CHEMBL259209

Modality Other / unclassified “serotonin-norepinephrine reuptake inhibitor (SNRI)” NCT01329406
Route Oral oral administration” NCT00618956
Target SLC6A2 “Norepinephrine transporter inhibitor” CHEMBL259209
Target SLC6A4 “Serotonin transporter inhibitor” CHEMBL259209