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IPX237 is an investigational sublingual formulation of esketamine, the S-enantiomer of ketamine, developed by Impax Pharmaceuticals (a division of Impax Laboratories, now part of Amneal Pharmaceuticals). It acts as a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist. The drug was primarily explored for the treatment of depression, specifically targeting treatment-resistant depression (TRD), by leveraging the rapid-acting antidepressant properties of esketamine. Clinical development included Phase 1 pharmacokinetic and safety studies in healthy volunteers to evaluate the sublingual delivery route, which aims to provide a more convenient administration method compared to intravenous or intranasal options.
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