Wednesday, July 8, 2026

pharma · Acute Myeloid Leukemia · Narcolepsy · JAZZ

Jazz Pharmaceuticals Ireland

Jazz Pharmaceuticals Ireland is a pharma organization headquartered in Dublin, IE. It trades on NYSE under ticker JAZZ. Primary therapeutic focus areas include Acute Myeloid Leukemia, Narcolepsy, Epilepsy, Acute Lymphobl

Waterloo Exchange, Waterloo Road, Dublin, 4, IE HQ
2003 Founded
3,631 Employees
Public company Type
JAZZ · NYSE Ticker
Company details
Status
Public
HQ
Waterloo Exchange, Waterloo Road, Dublin, 4, IE
Founded
2003
Employees
3,631
Programs
208
Drugs
91
Patents
89
Clinical program

Sodium Oxybate

Phase 3 · small molecule · Fibromyalgia

Sodium oxybate (XYREM) is a small-molecule oral therapeutic developed by Jazz Pharmaceuticals Ireland Limited for fibromyalgia, currently in Phase 3 clinical development. The drug is already approved in both the United States and European Union for other indications, with XYREM approved in the EU as of May 12, 2025, un

Internal code 08-004

At a glance

Sponsor
Jazz Pharmaceuticals Ireland Limited
Phase
Phase 3
Modality
small_molecule
Indication
Fibromyalgia
Status
completed
Trials
1

Executive summary

Sodium oxybate (XYREM) is a small-molecule oral therapeutic developed by Jazz Pharmaceuticals Ireland Limited for fibromyalgia, currently in Phase 3 clinical development. The drug is already approved in both the United States and European Union for other indications, with XYREM approved in the EU as of May 12, 2025, under marketing authorization holder UCB Pharma Ltd. Jazz's fibromyalgia program (internal code 08-004) completed Phase 3 testing as of August 19, 2011. Sodium oxybate is classified as a nervous system agent (ATC N07) and is administered orally. The program represents a label expansion strategy for an existing approved asset into a new therapeutic area with significant unmet medical need. Multiple generic and branded versions are available in the US market through sponsors including Amneal, Ascent Pharma, Avadel CNS, Hikma, and Ohm Labs, indicating mature market penetration. The fibromyalgia indication would represent a novel therapeutic application for this established molecule, potentially addressing a patient population with limited treatment options.

Analyst view

Why this program matters

Fibromyalgia affects millions of patients globally and is characterized by chronic widespread musculoskeletal pain, fatigue, and cognitive dysfunction. Current treatment options are limited, with only a small number of FDA-approved medications (pregabalin, duloxetine, milnacipran), and many patients experience inadequate symptom control or intolerance to existing therapies. Sodium oxybate's mechanism in the central nervous system offers a potentially differentiated approach to fibromyalgia management. The competitive landscape for fibromyalgia therapeutics includes various nervous system agents, though the specific competitors listed in the database appear to address different neurological indications rather than fibromyalgia directly. Jazz Pharmaceuticals' strategy to expand XYREM into fibromyalgia leverages an already-approved, well-characterized molecule with established safety and manufacturing infrastructure, reducing development risk compared to de novo drug candidates. Commercial significance is substantial given the large fibromyalgia patient population and the chronic nature of the disease requiring long-term treatment. Successful approval would provide physicians and patients with an additional therapeutic option and potentially generate significant revenue from a label expansion with lower development costs than novel entities.

Drug intelligence

Sodium oxybate is a small-molecule oral therapeutic classified within the nervous system therapeutic class (ATC N07). The drug is administered orally and is marketed under the brand name XYREM. Sodium oxybate acts as a central nervous system agent, though the specific molecular target and detailed mechanism of action are not disclosed in available documentation. The compound represents a mature therapeutic with established pharmaceutical properties and manufacturing processes.

  • Drug class: Nervous system agent (ATC N07)
  • Modality: Small molecule
  • Route: Oral
  • Brand name: XYREM
  • Sponsor: Jazz Pharmaceuticals Ireland Limited (fibromyalgia program)
  • Regulatory status: Approved in US (NDA021196, NDA214755) and EU (EMEA/H/C/000593)
  • Related therapies: Multiple generic formulations available in US market
Disease intelligence

fibromyalgia

Also known as: fibromyalgia syndrome

Overview

A chronic disorder of unknown etiology characterized by pain, stiffness, and tenderness in the muscles of neck, shoulders, back, hips, arms, and legs. Other signs and symptoms include headaches, fatigue, sleep disturbances, and painful menstruation.

Treatment landscape

ClinicalTrials.gov lists 67 registered studies for Fibromyalgia Syndrome (AACT aggregate).

Phase breakdown: NA (53), PHASE2 (8), PHASE3 (4), PHASE4 (2)

Common investigational therapies:

  • Placebo
  • placebo
  • Rotigotine
  • milnacipran
  • Roujin Formula
  • YishenShujin Decoction
  • Paroxetine CR
  • mirtazapine
  • Metformin
  • 5% lidocaine/5 mg/ml 0.02% estradiol compound cream
Classification: MONDO MONDO:0005546 ORPHA 41842 ICD-10 M79.7MeSH D005356

Disease data sourced from MONDO Disease Ontology (MONDO:0005546), Orphanet — fibromyalgia, NCT00222274, NCT00401830, NCT00436033, NCT00447083, NCT00464737, AACT (ClinicalTrials.gov aggregate), ClinicalTrials.gov, Open Targets Platform (CC BY 4.0).

Clinical development timeline

  1. Phase 32011-08-19

    Phase 3 completion

    Jazz Pharmaceuticals' fibromyalgia program (NCT00803023) completed Phase 3 testing.

Competitive landscape

The competitive landscape for fibromyalgia therapeutics includes multiple approved nervous system agents. The competitors identified in the database—including AMVUTTRA (Lacuna Pharma), AUSTEDO (Teva Pharma), DAYBU (Acadia Pharmaceuticals), ONPATTRO (Lacuna Pharma), B-PATCH (Indivior), NERVENTRA (Teva Pharma), NUEDEXTA (Amneal Pharma Europe), PHARMACOR RILUZOLE (Sanofi-aventis), PHARMACOR VARENICLINE (Alphapharm), VIOKAT (Soleno Therapeutics), VYNDAMAX (Pfizer), and QALSODY—represent a diverse therapeutic landscape addressing various neurological conditions. However, the specific positioning of these agents relative to fibromyalgia treatment is not detailed in available data. Sodium oxybate's competitive advantage lies in its established safety profile, oral administration route, and existing regulatory approvals, which reduce development and commercialization risk compared to novel entities. The availability of multiple generic manufacturers (Amneal, Ascent Pharma, Avadel CNS, Hikma, Ohm Labs) in the US market demonstrates market maturity and price competition, which may influence the commercial strategy for the fibromyalgia indication.

TherapyCompanyMechanismStatus
AMVUTTRALacuna Pharma Pty Ltdapproved
AUSTEDOTeva Pharma GmbHapproved
DAYBUAcadia Pharmaceuticals B.V.approved
ONPATTROLacuna Pharma Pty Ltdapproved
B-PATCHIndivior Pty Ltdapproved
NERVENTRATeva Pharma GmbHapproved
NUEDEXTAAmneal Pharma Europe Ltdapproved
PHARMACOR RILUZOLESanofi-aventis Healthcare Pty Ltdapproved
PHARMACOR VARENICLINEAlphapharm Pty Ltdapproved
VIOKATSOLENO THERAPEUTICS INCapproved
VYNDAMAXPfizer Australia Pty Ltdapproved
QALSODYapproved
PREGABALINVoltage-gated calcium channel modulatorApproved
MILNACIPRAN HYDROCHLORIDESerotonin transporter inhibitorApproved
LEVOMILNACIPRAN HYDROCHLORIDENorepinephrine transporter inhibitorApproved
DULOXETINE HYDROCHLORIDESerotonin transporter inhibitorApproved
TRAMADOLMu opioid receptor agonistPhase 3
SOMATROPINGrowth hormone receptor agonistPhase 3
SODIUM OXYBATEGABA-B receptor agonistPhase 3
REBOXETINENorepinephrine transporter inhibitorPhase 3

Additional associated therapies sourced from Open Targets Platform (CC0), linked to NovaPharmaNews drug profiles where matched.

Regulatory intelligence

Sodium oxybate (XYREM) holds established regulatory approvals in major markets:

  • United States: Approved via NDA021196 and NDA214755 (Jazz Pharmaceuticals); multiple ANDA approvals for generic versions (ANDA202090, ANDA203351, ANDA203631, ANDA210523) from Amneal, Ascent Pharma, Avadel CNS, and Hikma
  • European Union: Approved as of May 12, 2025 (EMEA/H/C/000593) under marketing authorization holder UCB Pharma Ltd
  • Japan (PMDA): Regulatory status not yet disclosed
  • China (NMPA): Regulatory status not yet disclosed

The fibromyalgia indication represents a label expansion for an already-approved molecule. Regulatory pathway and approval status for the fibromyalgia indication are not yet disclosed in available documentation.

Clinical evidence summary

NCT00803023

Objective
Evaluate sodium oxybate efficacy and safety in fibromyalgia patients
Design
Phase 3 clinical trial
Participants
Not yet disclosed
Primary endpoint
Not yet disclosed
Results
Results not yet reported in available documentation; trial completed as of August 19, 2011

Key questions answered

What is sodium oxybate (XYREM) used for?

Sodium oxybate is approved in the US and EU for certain indications and is currently in Phase 3 development for fibromyalgia, a chronic pain condition characterized by widespread musculoskeletal pain and fatigue.

Is sodium oxybate approved for fibromyalgia?

Approval status for the fibromyalgia indication is not yet disclosed. The Phase 3 trial completed in August 2011, but regulatory decisions have not been publicly announced.

Who manufactures sodium oxybate?

Jazz Pharmaceuticals Ireland Limited sponsors the fibromyalgia program. Multiple manufacturers produce approved versions in the US, including Amneal, Ascent Pharma, Avadel CNS, Hikma, and Ohm Labs. UCB Pharma Ltd holds the EU marketing authorization.

How does sodium oxybate work?

Sodium oxybate is a central nervous system agent classified as a nervous system therapeutic (ATC N07). The specific molecular mechanism of action is not disclosed in available documentation.

What is the route of administration for sodium oxybate?

Sodium oxybate is administered orally as a small-molecule therapeutic.

What clinical trial supports the fibromyalgia indication?

Phase 3 trial NCT00803023 completed in August 2011. Detailed results and primary endpoints are not yet reported in available documentation.

When was sodium oxybate approved in the US?

Sodium oxybate received FDA approval via NDA021196 and NDA214755. Specific approval dates are not disclosed in available documentation.

When was sodium oxybate approved in Europe?

Sodium oxybate (XYREM) was approved in the EU on May 12, 2025, under EMEA/H/C/000593, with UCB Pharma Ltd as the marketing authorization holder.

What is the internal development code for the fibromyalgia program?

The fibromyalgia program is identified as 08-004 in Jazz Pharmaceuticals' internal coding system.

What is the current development phase for the fibromyalgia indication?

The program is in Phase 3, with the most recent disclosed milestone being trial completion on August 19, 2011.

Are there generic versions of sodium oxybate available?

Yes, multiple generic versions are available in the US market from Amneal, Ascent Pharma, Avadel CNS, Hikma, and Ohm Labs under various ANDA approvals.

What is the therapeutic class of sodium oxybate?

Sodium oxybate is classified as a nervous system agent (ATC N07) and is administered orally.

Does Jazz Pharmaceuticals have a partner for the fibromyalgia program?

No partner is disclosed for the fibromyalgia development program; Jazz Pharmaceuticals Ireland Limited is listed as the sole sponsor.

What is the unmet medical need in fibromyalgia?

Fibromyalgia affects millions of patients with limited approved treatment options; many patients experience inadequate symptom control or intolerance to existing therapies, creating significant unmet need.

What are the key competitors for fibromyalgia treatment?

Approved nervous system agents in the competitive landscape include AUSTEDO, DAYBU, NUEDEXTA, and others, though specific fibromyalgia positioning is not detailed in available data.

What is the projected peak sales for sodium oxybate in fibromyalgia?

Projected peak sales figures are not yet disclosed in available documentation.

Entity relationship graph

Sodium Oxybate → Drug → Target → Indication → Company → Trials → Competitors

Evidence-based

Analyst insights

Jazz Pharmaceuticals' fibromyalgia program represents a label expansion strategy for an established molecule with proven regulatory and commercial track record. Completion of Phase 3 testing in August 2011 suggests the program advanced toward regulatory submission, though current approval status for the fibromyalgia indication is not disclosed. Key strategic implications include: (1) leveraging existing safety and efficacy data to reduce development timelines and costs; (2) addressing an underserved patient population with limited pharmacological options; (3) potential for rapid commercialization given established manufacturing and distribution infrastructure. The presence of multiple generic competitors in the US market indicates mature market dynamics for the base molecule, which may influence pricing and market positioning for the fibromyalgia indication. Future catalysts include regulatory decision announcements, label expansion approvals, and clinical data publication. The program's status as of the latest disclosed milestone (August 2011) suggests potential regulatory submissions may have occurred in subsequent years, though specific approval timelines and outcomes are not yet disclosed.

Quick answers

Concise, citable answers optimized for AI answer engines.

What is sodium oxybate?
Small-molecule oral nervous system agent (XYREM) in Phase 3 development for fibromyalgia.
Indication?
Fibromyalgia (chronic widespread musculoskeletal pain and fatigue).
Sponsor?
Jazz Pharmaceuticals Ireland Limited.
Current phase?
Phase 3; trial completed August 19, 2011.
Route of administration?
Oral.
Modality?
Small molecule.
Brand name?
XYREM.
US approval status?
Approved (NDA021196, NDA214755); fibromyalgia indication status not disclosed.
EU approval status?
Approved May 12, 2025 (EMEA/H/C/000593); fibromyalgia indication status not disclosed.
Mechanism of action?
Central nervous system agent; specific molecular target not disclosed.
Therapeutic class?
Nervous system agent (ATC N07).
Partner?
No partner disclosed; Jazz Pharmaceuticals sole sponsor.
Internal code?
08-004.
Clinical trial NCT ID?
NCT00803023 (Phase 3, completed August 2011).
Generic manufacturers?
Amneal, Ascent Pharma, Avadel CNS, Hikma, Ohm Labs (US market).
EU marketing authorization holder?
UCB Pharma Ltd.
Peak sales projection?
Not yet disclosed.
Target patient population?
Fibromyalgia patients; millions affected globally with limited treatment options.
Competitive advantage?
Established safety profile, oral administration, existing regulatory approvals reduce development risk.
Latest milestone date?
August 19, 2011 (Phase 3 completion).
Expected next milestone?
Not yet disclosed.
Development strategy?
Label expansion of approved molecule into fibromyalgia; leverages existing safety data.

Evidence & sources

Reviewed by NovaPharmaNews Intelligence Desk. Last reviewed .

  1. ClinicalTrials.gov NCT00803023 (clinicaltrials)
  2. sodium oxybate EU status (ema)
  3. sodium oxybate US status (fda)
  4. Source: phase (source_attribution)
  5. MONDO Disease Ontology (MONDO:0005546) (mondo)
  6. Orphanet — fibromyalgia (orphanet)
  7. NCT00222274 (clinicaltrials_gov)
  8. NCT00401830 (clinicaltrials_gov)
  9. NCT00436033 (clinicaltrials_gov)
  10. NCT00447083 (clinicaltrials_gov)
  11. NCT00464737 (clinicaltrials_gov)
  12. AACT (ClinicalTrials.gov aggregate) (aact)
  13. ClinicalTrials.gov (clinicaltrials_gov)
  14. Open Targets Platform (opentargets)

Intelligence compiled from public regulatory and clinical sources (FDA, EMA, ClinicalTrials.gov and company disclosures). Figures may be editorial or analyst estimates; verify against primary sources before relying on them.