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Last Updated: April 14, 2025

CLINICAL TRIALS PROFILE FOR BENEMID


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All Clinical Trials for BENEMID

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT04939623 ↗ Novel Use of Probenecid to Alleviate Symptoms of Opioid Withdrawal Not yet recruiting University of Calgary Phase 2/Phase 3 2021-09-02 The proposed clinical trial will address the problem of opioid withdrawal. Opioids are essential for pain-relief in the short term, but their continued use is associated with a host of adverse effects. People living with chronic pain who were initiated on opioid therapy now find themselves with a major life-changing problem - dependence on opioid medications. Opioid withdrawal symptoms are a key barrier to decreasing or stopping their opioid medication. Currently, there are few medications that ameliorate the symptoms of opioid withdrawal. This problem is a major part of the opioid crisis in Canada, and impacts people across all demographics and socioeconomic status. A misconception is that only individuals with opioid use disorder are susceptible to opioid withdrawal; on the contrary, appropriate use of prescription opioids to manage pain can lead to significant symptoms of opioid withdrawal when it is reduced or stopped. Patients in Alberta who are at risk for opioid withdrawal, either from prescribed use or misuse will be primarily impacted by this trial. The investigators have recently explored the underlying causes of opioid withdrawal and identified an important target in the spinal cord that is responsible for producing withdrawal symptoms in rats and mice. The target, a protein called pannexin-1 (Panx1), is located throughout the body, specifically in the brain and spinal cord. Using sophisticated biochemical, genetic, and pharmacological techniques, the investigators demonstrated how Panx1 on immune cells is implicated in the production of opioid withdrawal symptoms after cessation of fentanyl and morphine in opioid dependent rodents. The investigators then attenuated these symptoms of withdrawal using probenecid, a drug which inherently blocks Panx1 activity. Because probenecid is a safe and clinically available drug, the findings could be immediately translated into clinical therapy to support people who are struggling with the symptoms of opioid withdrawal and provide clinicians with a safe and effective option for caring for this population.
NCT00334529 ↗ Alternative Oseltamivir Dosing Strategies Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 2 2006-06-05 This study will determine if oseltamivir (Tamiflu(Registered Trademark)) is safe and effective given less frequently than the currently prescribed dose of twice a day for 5 days to people who have the flu, and once a day for up to 6 weeks in people who have been exposed to someone else with flu and want to prevent getting it themselves. This study will see if the drug can be given once every other day instead of daily if given with another medication called probenecid (Benemid(Registered Trademark) or Probalan(Registered Trademark)). Healthy people 18 years of age and older may be eligible for this study. Candidates are screened with a medical history, physical examination, and blood and urine tests. Participants are randomly assigned to one of the following regimens for 2 weeks: 1) 75 milligrams (mg) of oseltamivir once a day; 2) 75 mg of oseltamivir once every other day plus 500 mg probenecid four times a day; or 3) 75 mg of oseltamivir once every other day plus 500 mg probenecid twice a day. All medications are taken by mouth. On study day 0, subjects have the following baseline procedures: measurement of vital signs, review of medical and medication history, physical examination, blood draw and urine test. They also receive the first dose of oseltamivir or oseltamivir and probenecid. In addition, they undergo the following procedures as follows: - Days 1 and 4: Vital signs; review of clinical symptoms, side effects and medications taken; urine testing and blood draw. - Day 8: Same as day 1 plus count of study medication. - Day 14: Same as day 8 plus pharmacokinetic study to measure the amount of oseltamivir and probenecid in the blood. For this test, a catheter is inserted into an arm vein and blood samples are collected through the catheter before taking the study medications, at the time the medications are taken, and again at 15 minutes, 30 minutes, 45 minutes and 1, 1.5, 2, 4, 8 and 12 hours after the medication is taken. The catheter is then removed. This is the last day to take the study medication. - Day 15: Blood draw for 24-hour (post medication) blood sample. - Day 16: Blood draw for 48-hour (post medication) blood sample. - Days 21 and 28: Same as day 1.
>Trial ID>Title>Status>Phase>Start Date>Summary
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Clinical Trial Conditions for BENEMID

Condition Name

11110-0.100.10.20.30.40.50.60.70.80.911.1Chronic PainDrug Dependence of Morphine TypeInfluenzaSymptom, Withdrawal[disabled in preview]
Condition Name for BENEMID
Intervention Trials
Chronic Pain 1
Drug Dependence of Morphine Type 1
Influenza 1
Symptom, Withdrawal 1
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Condition MeSH

11110-0.100.10.20.30.40.50.60.70.80.911.1Substance-Related DisordersSubstance Withdrawal SyndromeChronic PainInfluenza, Human[disabled in preview]
Condition MeSH for BENEMID
Intervention Trials
Substance-Related Disorders 1
Substance Withdrawal Syndrome 1
Chronic Pain 1
Influenza, Human 1
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Clinical Trial Locations for BENEMID

Trials by Country

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Trials by Country for BENEMID
Location Trials
United States 3
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Trials by US State

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Trials by US State for BENEMID
Location Trials
Texas 1
Maryland 1
California 1
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Clinical Trial Progress for BENEMID

Clinical Trial Phase

50.0%50.0%0-0.100.10.20.30.40.50.60.70.80.911.1Phase 2/Phase 3Phase 2[disabled in preview]
Clinical Trial Phase for BENEMID
Clinical Trial Phase Trials
Phase 2/Phase 3 1
Phase 2 1
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Clinical Trial Status

50.0%50.0%0-0.100.10.20.30.40.50.60.70.80.911.1CompletedNot yet recruiting[disabled in preview]
Clinical Trial Status for BENEMID
Clinical Trial Phase Trials
Completed 1
Not yet recruiting 1
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Clinical Trial Sponsors for BENEMID

Sponsor Name

trials000001111111National Institute of Allergy and Infectious Diseases (NIAID)University of Calgary[disabled in preview]
Sponsor Name for BENEMID
Sponsor Trials
National Institute of Allergy and Infectious Diseases (NIAID) 1
University of Calgary 1
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Sponsor Type

50.0%50.0%0-0.100.10.20.30.40.50.60.70.80.911.1NIHOther[disabled in preview]
Sponsor Type for BENEMID
Sponsor Trials
NIH 1
Other 1
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Clinical Trials, Market Analysis, and Projections for Benemid (Probenecid)

Introduction

Benemid, also known as probenecid, is a medication that has been in use since its introduction in 1949. It is primarily used to inhibit the renal tubular secretion of penicillin, thereby increasing its blood levels and prolonging its therapeutic effects. Here, we will provide an update on the clinical trials, market analysis, and projections for Benemid.

Clinical Trials and Usage

Historical Context

Probenecid was introduced into clinical medicine on July 22, 1949, and its use has steadily increased over the years. It has been extensively studied, with a significant body of research documenting its safety and efficacy. A notable study published in 1955 reported on the use of probenecid in 2,502 patients, highlighting its side effects and toxic manifestations[4].

Current Clinical Use

While Benemid is not currently involved in new, large-scale clinical trials, its long-standing use has established it as a safe and effective agent for its intended purposes. It is used to treat conditions such as gout and hyperuricemia by increasing the excretion of uric acid in the urine. Additionally, it is used in combination with antibiotics like penicillin to enhance their therapeutic effects.

Market Analysis

Market Size and Growth

The market for uric acid-lowering therapies, which includes probenecid, is not as dynamic as other pharmaceutical markets like oncology or immunotherapy. However, it remains a stable segment due to the ongoing need for gout and hyperuricemia management.

Competitive Landscape

The market for gout treatments is dominated by other uric acid-lowering therapies such as allopurinol and febuxostat. Probenecid, while effective, is often used in combination with these drugs or as an alternative for patients who cannot tolerate other treatments.

Regional Market

The demand for gout treatments varies by region, with higher incidence rates in Western countries and increasing prevalence in Asia-Pacific due to lifestyle changes and an aging population. However, the market growth for probenecid specifically is not expected to be significant compared to newer therapies.

Market Projections

Sales Forecast

Given the stable but not growing demand for probenecid, sales are expected to remain relatively constant over the next few years. There is no significant market growth projected for Benemid, as it is an established drug with a well-defined market share.

Challenges and Opportunities

One of the major challenges for Benemid is the availability of generic versions, which can reduce the market share of the branded product. Additionally, the development of new uric acid-lowering therapies could potentially erode its market share.

Unmet Needs and Future Directions

Unmet Needs in Gout Treatment

Despite the availability of several treatments for gout, there remains an unmet need for more effective and safer therapies, especially for patients with chronic gout or those who are refractory to current treatments. However, probenecid is not likely to address these unmet needs as it is an older drug with well-established efficacy and safety profiles.

Future Directions

The future of gout treatment lies in the development of new, more targeted therapies. For example, biologic agents and small molecule inhibitors are being explored to provide better outcomes for patients. Probenecid, while still useful, is not part of these innovative developments.

Key Takeaways

  • Established Use: Probenecid (Benemid) has a long history of safe and effective use, primarily in enhancing the effects of penicillin and managing gout.
  • Stable Market: The market for probenecid is stable but not growing, with sales expected to remain constant.
  • Generic Competition: The availability of generic versions of probenecid can reduce its market share.
  • Unmet Needs: The gout treatment market still has unmet needs, but probenecid is not likely to address these as it is an older drug.

FAQs

Q: What is the primary use of Benemid (probenecid)? A: Benemid is primarily used to inhibit the renal tubular secretion of penicillin, thereby increasing its blood levels and prolonging its therapeutic effects. It is also used to treat gout and hyperuricemia.

Q: Are there any ongoing clinical trials for Benemid? A: There are no significant ongoing clinical trials for Benemid as it is an established drug with well-documented safety and efficacy.

Q: How does the market for Benemid look in the future? A: The market for Benemid is expected to remain stable but not grow significantly, due to the availability of generic versions and the development of new uric acid-lowering therapies.

Q: What are the main challenges for Benemid in the market? A: The main challenges include competition from generic versions and the development of new, more targeted therapies for gout treatment.

Q: Is Benemid still a relevant treatment option? A: Yes, Benemid remains a relevant treatment option for certain patients, especially those who cannot tolerate other treatments for gout or hyperuricemia.

Sources

  1. BOGER WP, STRICKLAND SC. PROBENECID (BENEMID): Its Uses and Side-Effects in 2,502 Patients. AMA Arch Intern Med. 1955;95(1):83–92. doi:10.1001/archinte.1955.00250070099012[4].
  2. GlobalData. NSCLC MARKET - Global Drug Forecast & Market Analysis to 2025[2].
  3. Fortune Business Insights. Clinical Trials Market SIZE, SHARE | GROWTH REPORT [2032][3].

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