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Last Updated: April 25, 2025

CLINICAL TRIALS PROFILE FOR CHLORHEXIDINE GLUCONATE


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505(b)(2) Clinical Trials for CHLORHEXIDINE GLUCONATE

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial TypeTrial IDTitleStatusSponsorPhaseStart DateSummary
OTC NCT05059145 ↗ A Clinical Trial for Chlorhexidine as Treatment for Vulvovaginal Candidiasis Not yet recruiting Karolinska Institutet Phase 2 2021-10-01 The overall aim of this study is to investigate if vaginally applied 1% chlorhexidine gluconate (CHG) could be an alternative treatment to oral fluconazole (FLZ), both during an acute episode and as prophylaxis, against recurrent infections of vulvovaginal candidiasis (RVVC). RVVC is very common in fertile women. Up to six months of treatment with FLZ is recommended for RVVC. Over the last ten years, the use of FLZ has increased markedly in many countries. No major problems have been noted with resistance development, but there is concern that this will occur in the future and alternative treatments are requested. In recent years, it has emerged that flukonazol interacts with several different types of drugs that are common in the patient group; several antidepressants, pain relief at dysmenorrhea (NSAID) and oral contraceptives to name a few. In Sweden an over-the-counter vaginal cream consisting of 1% chlorhexidine gluconate (Hibitane®) is available with the indication antiseptic use in vaginal examinations, especially during childbirth. The product has been used for a long time in various gynecological and obstetric surgical procedures. Hibitane® is approved during pregnancy and the cream is usually well tolerated. Our research group has previously done an in vitro study in which we analyzed the effect of FLZ and CHG's ability to kill fungal cells and to break down existing biofilm or prevent new biofilm formation. The biofilm formation is an important stage for the fungal cells to attach to surfaces such as skin and mucosa and is considered a first step in the development of an infection. In the biofilm, the fungus can hide from the immune system and also to some extent for various treatments aimed against the fungus. The results of the study showed that CHG was better than FLZ both at killing the fungal cells and preventing new biofilm from forming and dissolving already established "old" biofilm. This effect is absolutely crucial for successful treatment with antimycotics. These encouraging results form the basis of the planned study. If CHG is at least as effective as FLZ with little impact on vaginal lactobacillus, with high tolerability and without cytotoxic effect on epithelial cells, the results of the study might lead to major benefits to the patients with reduced risk of systemic side effects such as drug interactions, development of drug resistance and reduced drug costs.
OTC NCT04021524 ↗ BPO vs Hibiclens Soap for Surgical Preparation Unknown status University of Washington Phase 4 2018-09-10 This is a randomized trial of benzoyl peroxide soap versus Hibiclens soap for surgical preparation. The objective is to determine whether benzoyl peroxide soap, commonly available in drug stores for over-the-counter acne treatment, is as or more effective than the standard surgical preoperative soap, Hibiclens soap (chlorhexidine gluconate), in reducing loads of Propionibacteria (Propi) on or under the skin of patients prior to shoulder arthroplasty (joint replacement).
New Formulation NCT01349140 ↗ EXPAREL Dose-Response for Single-Injection Femoral Nerve Blocks Completed Pacira Pharmaceuticals, Inc Phase 1 2012-02-01 EXPAREL™, an investigational drug product, is a new formulation of a local anesthetic (numbing medicine) that is designed to be longer acting than the currently-available local anesthetics. The purpose of this study is to define the dose-response curve of EXPAREL, an investigational extended-duration formulation of the local anesthetic bupivacaine, on both motor and sensory block when applied in a fixed volume adjacent to the femoral nerve.
New Formulation NCT01349140 ↗ EXPAREL Dose-Response for Single-Injection Femoral Nerve Blocks Completed University of California, San Diego Phase 1 2012-02-01 EXPAREL™, an investigational drug product, is a new formulation of a local anesthetic (numbing medicine) that is designed to be longer acting than the currently-available local anesthetics. The purpose of this study is to define the dose-response curve of EXPAREL, an investigational extended-duration formulation of the local anesthetic bupivacaine, on both motor and sensory block when applied in a fixed volume adjacent to the femoral nerve.
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 4 of 4 entries

All Clinical Trials for CHLORHEXIDINE GLUCONATE

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00066950 ↗ Prevention Management Model for Early Childhood Caries (MAYA Project) Completed San Diego State University Phase 3 2003-03-01 The purpose of this study is to determine whether dental disease patterns and transmissable bacteria that are known to cause a severe form of dental decay in young children can be reduced or eliminated by treating mothers and their young infants early on with Chlorhexidine and fluoride varnish applications, respectively as part of a comprehensive Prevention Management Model.
NCT00066950 ↗ Prevention Management Model for Early Childhood Caries (MAYA Project) Completed San Ysidro Health Center Phase 3 2003-03-01 The purpose of this study is to determine whether dental disease patterns and transmissable bacteria that are known to cause a severe form of dental decay in young children can be reduced or eliminated by treating mothers and their young infants early on with Chlorhexidine and fluoride varnish applications, respectively as part of a comprehensive Prevention Management Model.
NCT00066950 ↗ Prevention Management Model for Early Childhood Caries (MAYA Project) Completed University of California, San Diego Phase 3 2003-03-01 The purpose of this study is to determine whether dental disease patterns and transmissable bacteria that are known to cause a severe form of dental decay in young children can be reduced or eliminated by treating mothers and their young infants early on with Chlorhexidine and fluoride varnish applications, respectively as part of a comprehensive Prevention Management Model.
NCT00002431 ↗ The Safety and Effectiveness of Peridex in Preventing or Delaying Fungal Infections of the Mouth in HIV-Infected Patients Completed Procter and Gamble N/A 1969-12-31 To evaluate the safety and effectiveness of Peridex (an oral rinse containing chlorhexidine gluconate) for preventing the occurrence of clinically-evident microbiologically-documented oral candidiasis in HIV-positive patients, who are at risk of the disease based on previous history of candidiasis.
NCT00006075 ↗ A Study of Chlorhexidine in the Prevention of HIV-1 Transmission From Mothers to Their Babies Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 2 1969-12-31 The purpose of this study is to find the best strength of chlorhexidine (a solution that kills germs), for washing the mother's vagina during labor and the newborn baby, that may reduce the chance of HIV being passed from an HIV-positive mother to the baby. When used as a wash on the vagina during labor, and on a newborn shortly after birth, a higher dose of chlorhexidine is more likely to reduce the rate of HIV-1 transmission from mother to baby. Laboratory tests suggest that a higher dose of chlorhexidine will be more effective in killing HIV.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 5 of 5 entries

Clinical Trial Conditions for CHLORHEXIDINE GLUCONATE

Condition Name

126550024681012Surgical Site InfectionSurgeryGingivitisBacteremia[disabled in preview]
Condition Name for CHLORHEXIDINE GLUCONATE
Intervention Trials
Surgical Site Infection 12
Surgery 6
Gingivitis 5
Bacteremia 5
[disabled in preview] 0
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Condition MeSH

2725231600510152025InfectionsInfectionCommunicable DiseasesSurgical Wound Infection[disabled in preview]
Condition MeSH for CHLORHEXIDINE GLUCONATE
Intervention Trials
Infections 27
Infection 25
Communicable Diseases 23
Surgical Wound Infection 16
[disabled in preview] 0
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Clinical Trial Locations for CHLORHEXIDINE GLUCONATE

Trials by Country

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Trials by Country for CHLORHEXIDINE GLUCONATE
Location Trials
United States 118
Canada 11
India 6
Turkey 4
Israel 4
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Trials by US State

+
Trials by US State for CHLORHEXIDINE GLUCONATE
Location Trials
California 14
New York 8
Texas 8
Michigan 8
Montana 8
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Clinical Trial Progress for CHLORHEXIDINE GLUCONATE

Clinical Trial Phase

50.9%22.6%22.6%00510152025303540455055Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for CHLORHEXIDINE GLUCONATE
Clinical Trial Phase Trials
Phase 4 54
Phase 3 24
Phase 2/Phase 3 4
[disabled in preview] 24
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Clinical Trial Status

66.7%12.0%10.7%10.7%0102030405060708090100CompletedUnknown statusRecruiting[disabled in preview]
Clinical Trial Status for CHLORHEXIDINE GLUCONATE
Clinical Trial Phase Trials
Completed 100
Unknown status 18
Recruiting 16
[disabled in preview] 16
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Clinical Trial Sponsors for CHLORHEXIDINE GLUCONATE

Sponsor Name

trials01234567891011University of California, San DiegoMedline Industries3M[disabled in preview]
Sponsor Name for CHLORHEXIDINE GLUCONATE
Sponsor Trials
University of California, San Diego 10
Medline Industries 9
3M 5
[disabled in preview] 7
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Sponsor Type

73.0%20.6%0020406080100120140160180OtherIndustryU.S. Fed[disabled in preview]
Sponsor Type for CHLORHEXIDINE GLUCONATE
Sponsor Trials
Other 170
Industry 48
U.S. Fed 9
[disabled in preview] 6
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Chlorhexidine Gluconate: Clinical Trials, Market Analysis, and Projections

Introduction to Chlorhexidine Gluconate

Chlorhexidine gluconate (CHG) is a widely used antiseptic agent known for its broad-spectrum antibacterial activity. It is employed in various medical applications, including preoperative skin preparation, wound care, hand hygiene, and oral hygiene. Here, we will delve into recent clinical trials, market analysis, and future projections for CHG.

Clinical Trials Update

Preoperative Skin Preparation

A recent pilot randomized clinical trial compared the use of 2% chlorhexidine gluconate-impregnated cloth with 2% liquid chlorhexidine gluconate for preoperative skin preparation in patients undergoing clean-contaminated elective surgeries. The study found no statistically significant difference in the incidence of surgical site infections between the two groups, although there were no cases of superficial incisional surgical site infections in the group using the CHG-impregnated cloth[1].

Bladder Instillations

An ongoing clinical trial is evaluating the feasibility and tolerability of 0.05% chlorhexidine gluconate bladder instillations in patients with chronic suprapubic catheters and a history of recurrent urinary tract infections (UTIs). The trial aims to determine if this treatment reduces unplanned healthcare visits and improves patient quality of life. The study involves instilling 150 mL of CHG for a five-minute duration during routine suprapubic catheter exchanges[4].

Market Analysis

Market Size and Growth

The global chlorhexidine gluconate solution market is expected to grow significantly over the next few years. By 2026, the market size is forecasted to reach $196.1 million, growing at a CAGR of 3.2% from 2021 to 2026. The market was valued at $181.3 million in 2022 and is projected to reach $219.63 million by 2032, with a CAGR of 1.90% during the forecast period[2][3].

Market Segmentation

The CHG solution market is segmented by application, with hand rubs holding the largest share. The use of CHG in hand rubs has seen a significant increase, especially during the COVID-19 pandemic, due to the rising demand for disinfectants and hand sanitizers. Other key applications include preoperative skin preparation, wound care, oral hygiene, and general disinfectant use[2].

Geographic Distribution

North America currently dominates the CHG solution market, accounting for 39% of the market share in 2020. However, the Asia-Pacific region is expected to register the fastest revenue growth rate due to an increasing geriatric population and a growing focus on healthcare systems. Countries like China, India, and Japan are driving this growth[2][3].

Market Drivers

Rising Demand for Disinfectants

The increasing incidence of bacterial and viral infections has led to a higher demand for disinfectants and hand sanitizers, driving the growth of the CHG solution market. The COVID-19 pandemic has further accelerated this trend, making hand hygiene a daily necessity[2].

Growing Healthcare Industry

The expansion of the healthcare industry, particularly in regions like Asia-Pacific, is a significant driver. Initiatives by governments to improve healthcare systems and the rising number of surgical procedures are contributing to the increased use of CHG solutions[3].

Market Challenges

Fluctuation in Raw Material Prices

The market faces challenges due to fluctuations in raw material prices, which can lead to the emergence of substitutes and affect market growth. Additionally, stringent government regulations regarding the use of chemicals can act as barriers to market expansion[2].

Chlorhexidine Gluconate Dressing Market

Market Size and Projections

The chlorhexidine gluconate dressing market is also experiencing significant growth. In 2023, the market size was projected to be worth $952.1 million and is expected to surpass $1.5 billion by 2033, growing at a CAGR of 4.4% during the forecast period. These dressings are widely used in surgical settings for preoperative skin preparation and postoperative wound care, as well as for treating persistent wounds like pressure ulcers and diabetic foot ulcers[5].

Applications and Benefits

CHG dressings act as a barrier against germs and help create an ideal environment for wound healing. They are particularly favored for preventing surgical site infections and other forms of wound infections. The rising emphasis on infection prevention in healthcare settings is a key driver for this market[5].

Key Takeaways

  • Clinical Trials: Recent trials have focused on the efficacy of CHG in preoperative skin preparation and its potential in reducing urinary tract infections in patients with chronic suprapubic catheters.
  • Market Growth: The global CHG solution market is expected to grow at a CAGR of 3.2% from 2021 to 2026, driven by increasing demand for disinfectants and hand sanitizers.
  • Geographic Distribution: North America currently leads the market, but the Asia-Pacific region is expected to show the fastest growth due to an aging population and expanding healthcare systems.
  • Market Drivers: The rising demand for disinfectants and the growth of the healthcare industry are key drivers.
  • Market Challenges: Fluctuations in raw material prices and stringent government regulations are significant challenges.
  • CHG Dressing Market: This market is projected to grow at a CAGR of 4.4% from 2023 to 2033, driven by the need for infection prevention in healthcare settings.

FAQs

What is the primary use of chlorhexidine gluconate in medical settings?

Chlorhexidine gluconate is primarily used as an antiseptic agent for skin disinfection, hand hygiene, wound care, and oral hygiene.

How does chlorhexidine gluconate work?

CHG works by damaging the membranes of bacteria, providing a longer-lasting antibacterial effect compared to other disinfectants.

What are the key applications of chlorhexidine gluconate solutions?

Key applications include preoperative skin preparation, hand rubs, wound care, oral hygiene, and general disinfectant use.

Which region is expected to drive the growth of the chlorhexidine gluconate solution market?

The Asia-Pacific region is expected to register the fastest revenue growth rate due to an increasing geriatric population and a growing focus on healthcare systems.

What are the challenges facing the chlorhexidine gluconate solution market?

The market faces challenges due to fluctuations in raw material prices and stringent government regulations regarding the use of chemicals.

How is the chlorhexidine gluconate dressing market expected to grow?

The CHG dressing market is projected to grow at a CAGR of 4.4% from 2023 to 2033, driven by the need for infection prevention in healthcare settings.

Sources

  1. Acta Paul Enferm: "Chlorhexidine gluconate-impregnated cloth in prevention surgical site infection: pilot randomized clinical trial"[1].
  2. IndustryARC: "Chlorhexidine Gluconate Solution Market Overview"[2].
  3. Emergen Research: "Chlorhexidine Gluconate Solution Market Size"[3].
  4. CenterWatch: "Effect of Chlorhexidine Gluconate Bladder Instillations in Patients with Chronic Suprapubic Catheters"[4].
  5. Future Market Insights: "Chlorhexidine Gluconate Dressing Market Forecast 2033"[5].

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