TheraRadar
Data updated: May 26, 2026

ESMOLOL HYDROCHLORIDE

Cardiovascular Approved 2004-08-10

ESMOLOL HYDROCHLORIDE is indicated for the treatment of Supraventricular Tachycardia; Atrial Fibrillation; Atrial Flutter; Sinus Tachycardia; Tachycardia; Hypertension.

Source: FDA Label • EUGIA PHARMA

How ESMOLOL HYDROCHLORIDE Works

Esmolol hydrochloride is a cardioselective beta-1 adrenergic receptor antagonist characterized by a rapid onset and a very short duration of action (elimination half-life of approximately 9 minutes). At therapeutic doses, it lacks significant intrinsic sympathomimetic or membrane-stabilizing activity. While it preferentially inhibits beta-1 receptors located chiefly in cardiac muscle, this selectivity is dose-dependent; at higher doses, it also inhibits beta-2 receptors in the bronchial and vascular musculature.

Source: FDA Label
9
Indications
--
Phase 3 Trials
21
Years on Market

Details

Status
Prescription
First Approved
2004-08-10
Routes
INJECTION
Dosage Forms
INJECTABLE

ESMOLOL HYDROCHLORIDE Approval History

2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
37 FDA actions from 2004 to 2025
Oct 2025 SUPPL
Label · Labeling
Nov 2024 SUPPL
Label · Labeling
Oct 2024 SUPPL
Label · Labeling

What ESMOLOL HYDROCHLORIDE Treats

6 indications

ESMOLOL HYDROCHLORIDE is approved for 6 conditions since its original approval in 2004. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Supraventricular Tachycardia
  • Atrial Fibrillation
  • Atrial Flutter
  • Sinus Tachycardia
  • Tachycardia
  • Hypertension
Source: FDA Label

ESMOLOL HYDROCHLORIDE 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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Clinical Trial Registry

5 trials
Trial Sponsor ID Phase Status Title
NCT06291363 ESMONOL 2024-3612 Ph 4 recruiting Impact of Administration of Esmolol on Nociception Level-guided Control of Nociception.
NCT01113515 results posted Novalead-Galnobax-0210 Ph 1, Ph 2 completed Clinical Investigation of Galnobax® for the Treatment of Diabetic Foot Ulcers
NCT03998436 results posted NG-A16 Ph 3 completed Phase 3 Study to Evaluate the Safety and Efficacy of Galnobax® in Treating Diabetic Foot Ulcers
NCT02967029 IstanbulUn Ph 4 completed Effect of Controlled Hypotension on Cerebral Oxygen Saturation
NCT01652898 AOP LDLA202.101 Ph 1 completed A Pharmacokinetic, Pharmacodynamic, Safety Study With AOP LDLA202, ONO LDL50 and Esmolol in Healthy Volunteers
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Active Pipeline

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Ongoing clinical trials by development phase

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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.

ESMOLOL HYDROCHLORIDE FDA Label Details

Indications & Usage

ESMOLOL HYDROCHLORIDE is indicated for the treatment of Supraventricular Tachycardia; Atrial Fibrillation; Atrial Flutter; Sinus Tachycardia; Tachycardia; Hypertension.

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Data Sources

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