TheraRadar
Data updated: May 26, 2026

AZSTARYS (dexmethylphenidate hydrochloride)

CNS Approved 2021-03-02

AZSTARYS is indicated for the treatment of Attention Deficit Hyperactivity Disorder.

Source: FDA Label • COMMAVE THERAP

How AZSTARYS Works

Azstarys is composed of serdexmethylphenidate and dexmethylphenidate. Serdexmethylphenidate is a prodrug converted in the body to dexmethylphenidate, a CNS stimulant. While the exact therapeutic mechanism of action in ADHD is not fully established, dexmethylphenidate is known to stimulate the central nervous system to help manage ADHD symptoms.

1
Indication
--
Phase 3 Trials
5
Years on Market

Details

Status
Prescription
First Approved
2021-03-02
Patent Cliff
2037

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Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
CAPSULE

AZSTARYS Approval History

2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
12 FDA actions from 2021 to 2025
Sep 2025 SUPPL
Label · Labeling
Oct 2023 SUPPL
Label · Labeling
Mar 2021 ORIGINAL
Update · Type 1 - New Molecular Entity and Type 4 - New Combination

What AZSTARYS Treats

1 indications

AZSTARYS is approved for 1 conditions since its original approval in 2021. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Attention Deficit Hyperactivity Disorder
Source: FDA Label

AZSTARYS Boxed Warning

ABUSE, MISUSE, AND ADDICTION AZSTARYS has a high potential for abuse and misuse, which can lead to the development of a substance use disorder, including addiction. Misuse and abuse of CNS stimulants, including AZSTARYS, can result in overdose and death [see Overdosage ( 10 )], and this risk is increased with higher doses or unapproved methods of administration, such as snorting or injection. Before prescribing AZSTARYS, assess each patient’s risk for abuse, misuse, and addiction. Educate patien...

AZSTARYS Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Active Pipeline

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

AZSTARYS FDA Label Details

Indications & Usage

FDA Label (PDF)

AZSTARYS is indicated for the treatment of Attention Deficit Hyperactivity Disorder.

⚠️ BOXED WARNING

WARNING: ABUSE, MISUSE, AND ADDICTION AZSTARYS has a high potential for abuse and misuse, which can lead to the development of a substance use disorder, including addiction. Misuse and abuse of CNS stimulants, including AZSTARYS, can result in overdose and death [see Overdosage ( 10 )], and this ris...

View full patent landscape →
6 OB patents · 2 families · 135 international docs across 32 countries

AZSTARYS Patents & Exclusivity

Latest Patent: Dec 2037
Exclusivity: May 2026

Patents (6 active)

US10858341 Expires Dec 9, 2037
US10954213 Expires Dec 9, 2037
US10584112 Expires Dec 9, 2037
US10584113 Expires Dec 9, 2037
US10759778 Expires Dec 9, 2037
US9079928 Expires Jul 27, 2032

Exclusivity

NCE Until May 2026
NCE Until May 2026
NCE Until May 2026
NCE Until May 2026
NCE Until May 2026
NCE Until May 2026
NCE Until May 2026
NCE Until May 2026
NCE Until May 2026
Source: FDA Orange Book

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Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2037
  • 54 active patents

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • 20 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.