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Diamorphine hydrochloride

University of British Columbia · Phase 3 active Small molecule Under review

Diamorphine hydrochloride is a Opioid agonist Small molecule drug developed by University of British Columbia. It is currently in Phase 3 development for Severe pain management, Opioid substitution therapy / opioid use disorder.

Diamorphine hydrochloride is an opioid agonist that binds to mu, delta, and kappa opioid receptors in the central and peripheral nervous system to produce analgesia and euphoria.

Diamorphine hydrochloride, also known as heroin, is used in clinical trials to study conditions such as substance-related disorders, HIV risk behavior, and terminal cancer. It is often compared to other interventions like methadone and buprenorphine in these trials.

Likelihood of approval
58.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameDiamorphine hydrochloride
SponsorUniversity of British Columbia
Drug classOpioid agonist
TargetMu opioid receptor (primary), delta opioid receptor, kappa opioid receptor
ModalitySmall molecule
Therapeutic areaPain Management, Addiction Medicine
PhasePhase 3

Mechanism of action

Diamorphine (heroin) is a semi-synthetic opioid derived from morphine that crosses the blood-brain barrier more readily than morphine due to its lipophilicity. Once in the brain, it is rapidly deacetylated to morphine and 6-monoacetylmorphine, which activate opioid receptors to modulate pain perception, emotional response, and reward pathways. It is used clinically for severe pain management and opioid substitution therapy.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about Diamorphine hydrochloride

What is Diamorphine hydrochloride?

Diamorphine hydrochloride is a Opioid agonist drug developed by University of British Columbia, indicated for Severe pain management, Opioid substitution therapy / opioid use disorder.

How does Diamorphine hydrochloride work?

Diamorphine hydrochloride is an opioid agonist that binds to mu, delta, and kappa opioid receptors in the central and peripheral nervous system to produce analgesia and euphoria.

What is Diamorphine hydrochloride used for?

Diamorphine hydrochloride is indicated for Severe pain management, Opioid substitution therapy / opioid use disorder.

Who makes Diamorphine hydrochloride?

Diamorphine hydrochloride is developed by University of British Columbia (see full University of British Columbia pipeline at /company/university-of-british-columbia).

What drug class is Diamorphine hydrochloride in?

Diamorphine hydrochloride belongs to the Opioid agonist class. See all Opioid agonist drugs at /class/opioid-agonist.

What development phase is Diamorphine hydrochloride in?

Diamorphine hydrochloride is in Phase 3.

What are the side effects of Diamorphine hydrochloride?

Common side effects of Diamorphine hydrochloride include Respiratory depression, Constipation, Nausea and vomiting, Sedation, Dependence and withdrawal, Overdose risk.

What does Diamorphine hydrochloride target?

Diamorphine hydrochloride targets Mu opioid receptor (primary), delta opioid receptor, kappa opioid receptor and is a Opioid agonist.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing