TheraRadar
Data updated: May 26, 2026

OPVEE (nalmefene hydrochloride)

CNS Approved 2023-05-22

OPVEE is an opioid antagonist indicated for the emergency treatment of known or suspected overdose induced by natural or synthetic opioids. It is approved for use in adults and pediatric patients aged 12 years and older who exhibit respiratory or central nervous system depression. The nasal spray is intended for immediate administration in settings where opioids may be present, though it is not a substitute for professional emergency medical care.

Source: FDA Label • INDIVIOR

How OPVEE Works

OPVEE functions as an antagonist at opioid receptors. By binding to these receptors, the drug works to reverse the effects of natural or synthetic opioids. This action addresses life-threatening symptoms such as respiratory and central nervous system depression during an overdose.

1
Indication
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Phase 3 Trials
1
Priority Reviews
3
Years on Market

Details

Status
Prescription
First Approved
2023-05-22
Patent Cliff
2042

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Routes
NASAL
Dosage Forms
SPRAY

Companies

Active Ingredient: NALMEFENE HYDROCHLORIDE

OPVEE Approval History

2024
2025
2026
Original
New Indication
New Form
Label Update
1 FDA actions from 2023 to 2023
May 2023 ORIGINAL Priority
New Form · Type 3 - New Dosage Form

What OPVEE Treats

3 indications

OPVEE is approved for 3 conditions since its original approval in 2023. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Opioid Overdose
  • Respiratory Depression
  • Central Nervous System Depression
Source: FDA Label

OPVEE 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 OPVEE

3 of 7

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

KLOXXADO
NALOXONE HYDROCHLORIDE
3 shared
Hikma
Shared indications:
Opioid OverdoseRespiratory DepressionCentral Nervous System Depression
NALOXONE HYDROCHLORIDE
NALOXONE HYDROCHLORIDE
3 shared
EUGIA PHARMA
Shared indications:
Opioid OverdoseRespiratory DepressionCentral Nervous System Depression
REXTOVY
NALOXONE HYDROCHLORIDE
3 shared
AMPHASTAR PHARMS INC
Shared indications:
Opioid OverdoseRespiratory DepressionCentral Nervous System Depression
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Clinical Trial Registry

5 trials
Trial Sponsor ID Phase Status Title
NCT04828005 results posted OPNT003-PD-001 Ph 1 completed Pharmacodynamic Evaluation of Intranasal Nalmefene
NCT04759768 results posted OPNT003-PK-001 Ph 1 completed Pharmacokinetic Evaluation of Intranasal Nalmefene
NCT05219669 results posted OPNT003-PK-002 Ph 1 completed Pharmacokinetic Evaluation of Intranasal Nalmefene Using Three Dosing Regimens
NCT02382276 results posted 339-14-002 JapicCTI-152806 Ph 3 completed A Long-term Extension Study for the Phase 3 Study of Nalmefene (339-14-001) in Patients With Alcohol Dependence
NCT02364947 results posted 339-14-001 JapicCTI-152804 Ph 3 completed A Multicenter, Randomized, Double-blind, Placebo-controlled, 3-parallel-group Comparison Trial to Investigate the Effect of Nalmefene on Alcohol Consumption Reduction in Patients With Alcohol Dependence (Phase 3 Trial)
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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.

OPVEE FDA Label Details

Indications & Usage

FDA Label (PDF)

OPVEE is indicated for the treatment of Opioid Overdose; Respiratory Depression; Central Nervous System Depression.

View full patent landscape →
2 OB patents · 2 families · 33 international docs across 10 countries

OPVEE Patents & Exclusivity

Latest Patent: Aug 2042
Exclusivity: May 2026

Patents (2 active)

US12290596 Expires Aug 4, 2042
US11458091 Expires Jul 10, 2038

Exclusivity

NP Until May 2026
Source: FDA Orange Book

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Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2042
  • 2 active patents

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • 7 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.