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Data updated: May 26, 2026

TRILEPTAL (oxcarbazepine)

CNS Approved 2000-01-14

TRILEPTAL is indicated for the treatment of Partial-Onset Seizures.

Source: FDA Label • Novartis • Anti-epileptic Agent

How TRILEPTAL Works

The pharmacological activity of Trileptal is primarily exerted through its 10-monohydroxy metabolite (MHD), which blocks voltage-sensitive sodium channels. This action stabilizes hyperexcited neural membranes and inhibits repetitive neuronal firing, thereby reducing the propagation of synaptic impulses and preventing the spread of seizures. The drug may also contribute to anticonvulsant effects by increasing potassium conductance and modulating high-voltage activated calcium channels.

4
Indications
--
Phase 3 Trials
1
Priority Reviews
26
Years on Market

Details

Status
Prescription
First Approved
2000-01-14
Routes
ORAL
Dosage Forms
TABLET, SUSPENSION

Companies

Active Ingredient: OXCARBAZEPINE

TRILEPTAL Approval History

2001
2002
2003
2004
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
132 FDA actions from 2000 to 2025 · 2 indication expansions
Sep 2025 SUPPL
Label · Labeling
Sep 2024 SUPPL
Label · Labeling
Jan 2019 SUPPL
Label · Labeling

What TRILEPTAL Treats

1 indications

TRILEPTAL is approved for 1 conditions since its original approval in 2000. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Partial-Onset Seizures
Source: FDA Label

TRILEPTAL 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 TRILEPTAL

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AFINITOR DISPERZ
EVEROLIMUS
1 shared
Novartis
Shared indications:
APTIOM
ESLICARBAZEPINE ACETATE
1 shared
SUMITOMO PHARMA AM
Shared indications:
BRIVARACETAM
BRIVARACETAM
1 shared
HAINAN POLY
Shared indications:
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Clinical Trial Registry

15 trials
Trial Sponsor ID Phase Status Title
NCT02219373 P00008001 Ph 3 not yet recruiting Gabapentin and Oxcarbazepine for Chronic Neuropathic Pain in Children and Adolescents: A Clinical Effectiveness Study
NCT06849219 NO.F.2-81/2024-GENL/77/JPMC Ph 4 active not recruiting Comparison of Oxcarbazepine Versus Carbamazepine in the Management of Trigeminal Neuralgia
NCT03695094 results posted UP0070 2018-001941-16 Ph 1 completed A Study in Participants With Epilepsy, to Evaluate the Pharmacokinetics, Safety and Tolerability of Oxcarbazepine on Padsevonil
NCT01051193 CTRI476B1301E1 Ph 2, Ph 3 completed Long-term Safety and Tolerability of TRI476 (Oxcarbazepine) in Children With Inadequately Controlled Partial Onset Seizures
NCT02456896 results posted T/IM-NF/Pharm/14/19 Ph 4 completed Effect of Oxcarbazepine on Serum Brain Derived Neurotrophic Factor (BDNF) in Bipolar Disorder
NCT02104661 PROXIMUS 8722 2013-002419-87, 14-LO-0185 Ph 2 completed Protective Role of Oxcarbazepine in Multiple Sclerosis
NCT02374567 GAP GAP-2014 Ph 3 terminated Pharmacovigilance in Gerontopsychiatric Patients
NCT01702623 OXCA-S600-PVFS-2 Ph 1 completed Crossover Bioequivalence Study of Oxcarbazepine 600 mg Suspension Under Fasted Conditions
NCT01703468 OXCA-S600-PVFD-2 Ph 1 completed Crossover Bioequivalence Study of Oxcarbazepine 600 mg Suspension Under Fed Conditions
NCT01891890 COPE results posted IRB00066541 PCORI 527 Ph 3 terminated Cognitive AED Outcomes in Pediatric Localization Related Epilepsy (COPE)
NCT02705768 T/IM -NF/Pharm/15/30 Ph 4 completed Effect of Carbamazepine and Oxcarbazepine on Serum Neuron-specific Enolase and S100B in Focal Seizures
NCT02078089 IUCRO-0453 Ph 1 terminated Oxcarbazepine Plus Morphine in Patients With Refractory Cancer Pain
NCT01498822 OPTIMAL results posted N01367 2014-002713-32 Ph 4 completed Levetiracetam Versus Oxcarbazepine as Monotherapy to Evaluate Efficacy and Safety in Subjects With Newly or Recently Diagnosed Partial Epilepsy
NCT00900237 results posted BIA-2093-127 Ph 1 completed Study to Evaluate Pharmacokinetics and Tolerability of Multiple Doses of Eslicarbazepine Acetate and Oxcarbazepine
NCT01302275 IMIOXC IMIOXC Ph 4 completed Oxcarbazepine for the Treatment of Chronic Peripheral Neuropathic Pain
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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.

TRILEPTAL FDA Label Details

Indications & Usage

FDA Label (PDF)

TRILEPTAL is indicated for the treatment of Partial-Onset Seizures.

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Data Sources

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