TheraRadar
Data updated: May 26, 2026

ESOMEPRAZOLE MAGNESIUM

Gastrointestinal Approved 2015-01-26

Esomeprazole magnesium is a proton pump inhibitor indicated for the short-term healing of erosive esophagitis (EE) in adults and pediatric patients (ages 12–17) and the maintenance of healing of EE in adults. It is used for the short-term treatment of heartburn and other symptoms of gastrointestinal reflux disease (GERD) in both adults and adolescents. Additionally, it is indicated to reduce the risk of NSAID-associated gastric ulcers in patients aged 60 and older or those with a history of ulcers. For *Helicobacter pylori* eradication, it is used in combination with amoxicillin and clarithromycin to reduce the risk of duodenal ulcer recurrence. It is also indicated for the long-term treatment of pathological hypersecretory conditions, such as Zollinger-Ellison syndrome.

Source: FDA Label • Cipla

How ESOMEPRAZOLE MAGNESIUM Works

Esomeprazole is a substituted benzimidazole that suppresses gastric acid secretion by specific inhibition of the H+/K+ ATPase enzyme system (the proton pump) at the secretory surface of the gastric parietal cell. It is a weak base that is concentrated and converted to its active form, an achiral sulphenamide, within the acidic environment of the parietal cells. This active form binds to the enzyme system, blocking the final step of acid production. This effect inhibits both basal and stimulated gastric acid secretion, regardless of the stimulus.

46
Indications
--
Phase 3 Trials
11
Years on Market

Details

Status
Discontinued
First Approved
2015-01-26
Patent Cliff
2036

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Routes
ORAL
Dosage Forms
CAPSULE, DELAYED REL PELLETS, TABLET, DELAYED RELEASE, CAPSULE, DELAYED RELEASE, FOR SUSPENSION, DELAYED RELEASE, TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE

ESOMEPRAZOLE MAGNESIUM Approval History

2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
218 FDA actions from 2015 to 2026
Apr 2026 SUPPL
Mfg · Manufacturing (CMC)
Apr 2025 ORIGINAL
Update
Mar 2025 ORIGINAL
Update

What ESOMEPRAZOLE MAGNESIUM Treats

8 indications

ESOMEPRAZOLE MAGNESIUM is approved for 8 conditions since its original approval in 2015. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Erosive Esophagitis
  • Heartburn
  • Gastroesophageal Reflux Disease
  • Gastric Ulcer
  • Helicobacter Pylori Infection
  • Duodenal Ulcer
  • Zollinger-Ellison Syndrome
  • Pathological Hypersecretory Conditions
Source: FDA Label

ESOMEPRAZOLE MAGNESIUM 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.

Drugs Similar to ESOMEPRAZOLE MAGNESIUM

3 of 20

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

NEXIUM
ESOMEPRAZOLE MAGNESIUM
7 shared
AstraZeneca
Shared indications:
FAMOTIDINE PRESERVATIVE FREE
FAMOTIDINE
6 shared
Viatris
RANITIDINE HYDROCHLORIDE
RANITIDINE HYDROCHLORIDE
6 shared
PHARM ASSOC
Shared indications:
Duodenal UlcerPathological Hypersecretory ConditionsZollinger-Ellison Syndrome +3 more
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Clinical Trial Registry

1 trials
Trial Sponsor ID Phase Status Title
NCT01135472 08197 Ph 1 completed Plasm Gastrin Concentrations in Response to Nexium Administration in Healthy Volunteers
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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.

ESOMEPRAZOLE MAGNESIUM FDA Label Details

Indications & Usage

FDA Label (PDF)

ESOMEPRAZOLE MAGNESIUM is indicated for the treatment of Erosive Esophagitis; Heartburn; Gastroesophageal Reflux Disease; Gastric Ulcer; Helicobacter Pylori Infection; Duodenal Ulcer; Zollinger-Ellison Syndrome; Pathological Hypersecretory Conditions.

View full patent landscape →
2 OB patents · 1 families · 10 international docs across 4 countries

ESOMEPRAZOLE MAGNESIUM Patents & Exclusivity

Latest Patent: Dec 2036

Patents (2 active)

US10076494 Expires Dec 8, 2036
US10835488 Expires Dec 8, 2036
Source: FDA Orange Book

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Patent Timeline

  • Cliff: 2036
  • 2 active patents

Trial Analysis

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  • 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.