TheraRadar
Data updated: May 26, 2026

BARHEMSYS (amisulpride)

Dopamine D2 Antagonists Trial Activity: Mature
Gastrointestinal Approved 2020-02-26

Barhemsys helps adult patients manage nausea and vomiting that occurs after surgical procedures. It is used both to prevent these symptoms from starting and to treat them if they occur, even in patients who have already received other types of preventive medications. This medication can be used on its own or alongside different classes of anti-nausea drugs to improve patient comfort during recovery.

Source: FDA Label • ACACIA • Dopamine-2 Receptor Antagonist

How BARHEMSYS Works

This drug works by blocking specific dopamine-2 and dopamine-3 receptors in the brain's chemoreceptor trigger zone and area postrema. By binding to these receptors, it prevents dopamine from triggering the signals that lead to the vomiting reflex. This action helps suppress the physical urge to vomit and the sensation of nausea.

Development Insights

Mclean Hospital conducting 2 trials (18%)
12 indications explored (Broad Platform)
schizophrenia (8 trials)
major depressive disorder (mdd) (2 trials)
history of childhood sexual abuse (csa) (1 trials)
1
Indication
--
Phase 3 Trials
6
Years on Market

Details

Status
Prescription
First Approved
2020-02-26
Patent Cliff
2038

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Routes
INTRAVENOUS
Dosage Forms
SOLUTION

Companies

Active Ingredient: AMISULPRIDE

BARHEMSYS Approval History

2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
10 FDA actions from 2020 to 2022
Sep 2022 SUPPL
Label · Labeling
Jan 2022 SUPPL
Label · Labeling
May 2021 SUPPL
Label · Labeling

What BARHEMSYS Treats

1 indications

BARHEMSYS is approved for 1 conditions since its original approval in 2020. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Postoperative Nausea and Vomiting
Source: FDA Label

Drugs Similar to BARHEMSYS

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

ONDANSETRON HYDROCHLORIDE
ONDANSETRON HYDROCHLORIDE
1 shared
Pfizer
Shared indications:
Postoperative nausea and vomiting
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Clinical Trial Registry

11 trials
Trial Sponsor ID Phase Status Title
NCT01701258 results posted 2012P002593 5R01MH095809 Ph 1 completed An Investigation of Early Life Stress and Depression
NCT04876521 PSD-AOFC results posted AIIMS BBSR/PGThesis/2019-21 Ph 4 completed Low Dose Amisulpride Vs Olanzapine-Fluoxetine Combination in Post-Schizophrenic Depression
NCT01972711 SEP361-104 Ph 1 completed Study Assessing SEP-363856 in Male and Female Volunteers With High or Low Schizotype Characteristics
NCT01446328 BP2 2010/3387 11/01070, 2010-022307-22 Ph 4 completed Bergen Psychosis Project 2 - The Best Intro Study
NCT01609153 COMBINE COMBINE Ph 4 completed Comparison of Antipsychotic Combination Treatment of Olanzapine and Amisulpride to Monotherapy
NCT02307396 1723/1-1 2013-000338-37, DO 1723/1-1 Ph 4 completed Evaluation of the Necessity of Long-term Pharmacological Treatment With Antipsychotics in Schizophrenic Patients
NCT01253421 results posted 2010-P001568 R01MH068376 Ph 1 completed The Effects of Dopamine on Reward Processing
NCT02051387 CBD-IS CBD-IS 2008-008245-38 Ph 1 completed Cannabidiol as a Different Type of an Antipsychotic: Drug Delivery and Interaction Study
NCT02374567 GAP GAP-2014 Ph 3 terminated Pharmacovigilance in Gerontopsychiatric Patients
NCT01246232 AMICUS CRO1498 HTA 08/116/12, 2010-018963-40 Ph 4 completed Amisulpride Augmentation in Clozapine-unresponsive Schizophrenia
NCT01795183 ESCAPE AMISUL06155 U1111-1131-0692 Ph 4 completed Effectiveness and Safety of Amisulpride in Chinese Patients With Schizophrenia
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Active Pipeline

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Key Completed Trials

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Completed studies with published results, ranked by significance

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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.

BARHEMSYS FDA Label Details

Indications & Usage

FDA Label (PDF)

BARHEMSYS is indicated for the treatment of Postoperative Nausea and Vomiting.

View full patent landscape →
8 OB patents · 2 families · 116 international docs across 28 countries

BARHEMSYS Patents & Exclusivity

Latest Patent: Feb 2038

Patents (8 active)

US12005042 Expires Feb 9, 2038
US11357753 Expires Feb 9, 2038
US12329740 Expires Feb 9, 2038
US9084765 Expires Feb 26, 2034
US9545426 Expires Mar 10, 2031
US9889118 Expires Mar 10, 2031
US12194022 Expires Mar 10, 2031
US10525033 Expires Mar 10, 2031
Source: FDA Orange Book

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Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2038
  • 64 active patents

Trial Analysis

  • 11 total trials
  • Stage: Mature

Competitive Landscape

  • 1 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.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment