TheraRadar
Data updated: May 26, 2026

ROCURONIUM BROMIDE

Other Approved 2008-11-26

Rocuronium bromide helps patients undergoing surgery or those requiring mechanical ventilation by providing necessary skeletal muscle relaxation. It is used for both inpatients and outpatients as an addition to general anesthesia. This medication also helps medical professionals perform both routine and rapid sequence tracheal intubation more effectively.

Source: FDA Label • Fresenius Kabi

How ROCURONIUM BROMIDE Works

This drug works by competing for cholinergic receptors at the motor end-plate, which prevents normal signaling and leads to muscle relaxation. Depending on the dose, it has a rapid to intermediate onset and lasts for an intermediate duration. Its actions can be reversed by using specific medications known as acetylcholinesterase inhibitors.

20
Indications
--
Phase 3 Trials
17
Years on Market

Details

Status
Prescription
First Approved
2008-11-26
Patent Cliff
2039

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Routes
INJECTION, INTRAVENOUS
Dosage Forms
INJECTABLE, SOLUTION

ROCURONIUM BROMIDE Approval History

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
133 FDA actions from 2008 to 2026
Mar 2026 ORIGINAL
Update
Jan 2026 ORIGINAL
Update
Oct 2025 ORIGINAL
Update

What ROCURONIUM BROMIDE Treats

4 indications

ROCURONIUM BROMIDE is approved for 4 conditions since its original approval in 2008. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Routine tracheal intubation
  • Rapid sequence tracheal intubation
  • Skeletal muscle relaxation during surgery
  • Skeletal muscle relaxation during mechanical ventilation
Source: FDA Label

ROCURONIUM BROMIDE 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 ROCURONIUM BROMIDE

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

CISATRACURIUM BESYLATE
CISATRACURIUM BESYLATE
1 shared
Pfizer
Shared indications:
Skeletal muscle relaxation during surgery
CISATRACURIUM BESYLATE PRESERVATIVE FREE
CISATRACURIUM BESYLATE
1 shared
EUGIA PHARMA
Shared indications:
Skeletal muscle relaxation during surgery
SUCCINYLCHOLINE CHLORIDE
SUCCINYLCHOLINE CHLORIDE
1 shared
BRECKENRIDGE
Shared indications:
Skeletal muscle relaxation during surgery
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Clinical Trial Registry

10 trials
Trial Sponsor ID Phase Status Title
NCT07044180 AITT 2025/1 DE RKEB/IKEB 7109-2025, NNGYK/ETGY/08360-4/2025 Ph 4 active not recruiting Reversal of Pipecuronium-induced Neuromuscular Blockade With Sugammadex During Propofol Anesthesia
NCT07044193 RPINMBWS AITT 2025/2 DE RKEB/IKEB 7108-2025, NNGYK/ETGY/08365-4/2025 Ph 4 not yet recruiting Reversal of Pipecuronium-induced Neuromuscular Blockade With Sugammadex During Sevoflurane Anesthesia
NCT05562999 HIPPO NL81931.091.22 Ph 4 completed Impact of Deep Neuromuscular Blockade During Total Hip Replacement Surgery on Postoperative Recovery and Immune Function
NCT05687253 BDX-22-006 Ph 2 completed Evaluation of Intubation Conditions Following BX1000 or Rocuronium in Subjects Undergoing Surgery
NCT03572413 RECOVER-PLUS NL65290.091.18 substudy Ph 4 completed The Effect of Low Pressure Pneumoperitoneum During Laparoscopic Colorectal Surgery on Innate Immune Homeostasis.
NCT03608436 RECOVER NL65290.091.18 Ph 4 completed The Effect of Low Pressure Pneumoperitoneum During Laparoscopic Colorectal Surgery on Early Quality of Recovery
NCT04105764 elite NMB Ph 4 completed Deep NMB in Ambulatory Gynecological Laparoscopy
NCT03881423 wbakhet Ph 4 completed Deep vs Moderate Neuromuscular Blockade in Day Case Laparoscopic Cholecystectomy.
NCT03669484 CN01082020 Ph 3 completed Comparative Clinical Study of Efficacy and Safety of Remimazolam and Propofol in Patients Undergoing Elective Surgery Under General Anaesthesia
NCT01142635 R08197M 2008-008129-31 Ph 4 completed Electromyographic (EMG) on the Anaesthesia Monitor
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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.

ROCURONIUM BROMIDE FDA Label Details

Indications & Usage

FDA Label (PDF)

ROCURONIUM BROMIDE is indicated for the treatment of Routine tracheal intubation; Rapid sequence tracheal intubation; Skeletal muscle relaxation during surgery; Skeletal muscle relaxation during mechanical ventilation.

View full patent landscape →
1 OB patents · 1 families · 34 international docs across 20 countries

ROCURONIUM BROMIDE Patents & Exclusivity

Latest Patent: Jul 2039

Patents (1 active)

US11998605 Expires Jul 22, 2039
Source: FDA Orange Book

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Revenue Insights

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Patent Timeline

  • Cliff: 2039
  • 1 active patents

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • 3 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.