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Last Updated: April 3, 2025

CLINICAL TRIALS PROFILE FOR FLAGYL I.V.


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505(b)(2) Clinical Trials for FLAGYL I.V.

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial TypeTrial IDTitleStatusSponsorPhaseStart DateSummary
New Formulation NCT01559545 ↗ A Safety, Tolerability and Pharmacokinetic Study of Two Formulations of Metronidazole Versus Immediate Release Metronidazole in Patient With C. Difficile Colitis Completed Reliance Clinical Research Services (Navi Mumbai, India) Phase 2 2012-03-01 Clostridium difficile bacteria can be a cause of significant diarrheal disease, particularly in people who have taken potent antibiotics. When C. difficile multiplies within the colon, it produces two toxins that cause inflammation and resultant abdominal pain, fever and diarrhea. Current treatment of mild to moderate disease is with immediate release metronidazole, an antibiotic that kills C. difficile. Dr. Reddy's Laboratories has developed a delayed release form of metronidazole to release just before the colon to increase the concentration of antibiotic in the colon to improve the effectiveness of metronidazole treatment and potentially to allow less whole body exposure to the antibiotic. This study will measure the amount of metronidazole in the blood and stool of patients with C. difficile associated diarrhea (CDAD) to confirm that the new formulations are releasing the antibiotic as designed, immediately before the colon.
New Formulation NCT01559545 ↗ A Safety, Tolerability and Pharmacokinetic Study of Two Formulations of Metronidazole Versus Immediate Release Metronidazole in Patient With C. Difficile Colitis Completed Dr. Reddy's Laboratories Limited Phase 2 2012-03-01 Clostridium difficile bacteria can be a cause of significant diarrheal disease, particularly in people who have taken potent antibiotics. When C. difficile multiplies within the colon, it produces two toxins that cause inflammation and resultant abdominal pain, fever and diarrhea. Current treatment of mild to moderate disease is with immediate release metronidazole, an antibiotic that kills C. difficile. Dr. Reddy's Laboratories has developed a delayed release form of metronidazole to release just before the colon to increase the concentration of antibiotic in the colon to improve the effectiveness of metronidazole treatment and potentially to allow less whole body exposure to the antibiotic. This study will measure the amount of metronidazole in the blood and stool of patients with C. difficile associated diarrhea (CDAD) to confirm that the new formulations are releasing the antibiotic as designed, immediately before the colon.
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 2 of 2 entries

All Clinical Trials for FLAGYL I.V.

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00257699 ↗ Study of Antibiotics in the Treatment of Colonic Crohn's Disease Terminated Crohn's and Colitis Foundation Phase 2 2006-05-01 Crohn's disease (CD) is a form of inflammatory bowel disease that can affect any part of the digestive system. Symptoms of this chronic illness include abdominal pain, bloating, nausea, vomiting, and diarrhea. CD also causes bowel wall ulcers, strictures (narrowings of a hollow structure due to scar tissue and swelling), and fistulae (abnormal passages from the intestines to another organ or to the skin). CD is thought to arise from a combination of inherited (genetic) factors and some undefined environmental factor(s). One environmental factor that has been shown to be intimately involved with the development of CD is the presence of bacteria that normally inhabit the intestines. As a result, some physicians have tried to alter the normal bacterial population as a means of controlling the inflammation (swelling) in the intestines of individuals with CD. Among such strategies is the use of a combination of metronidazole and ciprofloxacin. These broad-spectrum antibiotics control CD symptoms by acting on the intestinal bacteria that can contribute to chronic inflammation. More investigation is needed to firmly establish the usefulness of this therapy because previous clinical trials have given mixed results, although they have suggested that antibiotics can be particularly useful in cases of Crohn's colitis (CD that primarily affects the large intestine). Because these earlier studies have lacked a large enough patient population with colonic involvement, a trial focusing on this CD subgroup with a sufficient number of subjects will help to clarify the value of combining metronidazole and ciprofloxacin. The proposed study will test the hypothesis that combination antibiotic therapy is effective in the treatment of CD involving the colon. The study will compare the use of combination therapy consisting of metronidazole and ciprofloxacin with placebo (dummy tablets) and will examine the results of treatment at the end of 8 weeks of treatment.
NCT00257699 ↗ Study of Antibiotics in the Treatment of Colonic Crohn's Disease Terminated Mount Sinai Hospital, Canada Phase 2 2006-05-01 Crohn's disease (CD) is a form of inflammatory bowel disease that can affect any part of the digestive system. Symptoms of this chronic illness include abdominal pain, bloating, nausea, vomiting, and diarrhea. CD also causes bowel wall ulcers, strictures (narrowings of a hollow structure due to scar tissue and swelling), and fistulae (abnormal passages from the intestines to another organ or to the skin). CD is thought to arise from a combination of inherited (genetic) factors and some undefined environmental factor(s). One environmental factor that has been shown to be intimately involved with the development of CD is the presence of bacteria that normally inhabit the intestines. As a result, some physicians have tried to alter the normal bacterial population as a means of controlling the inflammation (swelling) in the intestines of individuals with CD. Among such strategies is the use of a combination of metronidazole and ciprofloxacin. These broad-spectrum antibiotics control CD symptoms by acting on the intestinal bacteria that can contribute to chronic inflammation. More investigation is needed to firmly establish the usefulness of this therapy because previous clinical trials have given mixed results, although they have suggested that antibiotics can be particularly useful in cases of Crohn's colitis (CD that primarily affects the large intestine). Because these earlier studies have lacked a large enough patient population with colonic involvement, a trial focusing on this CD subgroup with a sufficient number of subjects will help to clarify the value of combining metronidazole and ciprofloxacin. The proposed study will test the hypothesis that combination antibiotic therapy is effective in the treatment of CD involving the colon. The study will compare the use of combination therapy consisting of metronidazole and ciprofloxacin with placebo (dummy tablets) and will examine the results of treatment at the end of 8 weeks of treatment.
NCT00353743 ↗ The Use of Antibiotics After Hospital Discharge in Septic Abortion Terminated Hospital de Clinicas de Porto Alegre N/A 2006-05-01 The use of antibiotics in post-partum infection has been abbreviated. After 48 hours of clinical improvement, the patient is discharged from the hospital without antibiotics. No trials has been found in cases of septic abortion. The purpose of the present study is to verify the need of antibiotics after clinical improvement in cases of septic abortion.
NCT00195923 ↗ Prospective Randomized Evaluation of Antibiotic Regimen Following Appendectomy for Perforated Appendicitis Completed Children's Mercy Hospital Kansas City 2005-04-01 The purpose of this study is to compare traditional triple antibiotic therapy against dual single day dosing antibiotic therapy in the management of perforated appendicitis in children.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 4 of 4 entries

Clinical Trial Conditions for FLAGYL I.V.

Condition Name

116320-10123456789101112Helicobacter Pylori InfectionBacterial VaginosisCrohn's DiseaseCrohn Disease[disabled in preview]
Condition Name for FLAGYL I.V.
Intervention Trials
Helicobacter Pylori Infection 11
Bacterial Vaginosis 6
Crohn's Disease 3
Crohn Disease 2
[disabled in preview] 0
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Condition MeSH

1010880-101234567891011InfectionsInfectionVaginosis, BacterialCommunicable Diseases[disabled in preview]
Condition MeSH for FLAGYL I.V.
Intervention Trials
Infections 10
Infection 10
Vaginosis, Bacterial 8
Communicable Diseases 8
[disabled in preview] 0
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Clinical Trial Locations for FLAGYL I.V.

Trials by Country

+
Trials by Country for FLAGYL I.V.
Location Trials
United States 38
Taiwan 10
India 7
Brazil 6
Canada 6
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Trials by US State

+
Trials by US State for FLAGYL I.V.
Location Trials
Pennsylvania 4
North Carolina 3
California 3
Texas 3
New York 3
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Clinical Trial Progress for FLAGYL I.V.

Clinical Trial Phase

55.3%21.3%6.4%17.0%0246810121416182022242628Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for FLAGYL I.V.
Clinical Trial Phase Trials
Phase 4 26
Phase 3 10
Phase 2/Phase 3 3
[disabled in preview] 8
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Clinical Trial Status

55.4%23.1%15.4%6.2%05101520253035CompletedUnknown statusRecruiting[disabled in preview]
Clinical Trial Status for FLAGYL I.V.
Clinical Trial Phase Trials
Completed 36
Unknown status 15
Recruiting 10
[disabled in preview] 4
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Clinical Trial Sponsors for FLAGYL I.V.

Sponsor Name

trials011223344National Taiwan University HospitalChang Gung Memorial HospitalNational Institute of Allergy and Infectious Diseases (NIAID)[disabled in preview]
Sponsor Name for FLAGYL I.V.
Sponsor Trials
National Taiwan University Hospital 4
Chang Gung Memorial Hospital 4
National Institute of Allergy and Infectious Diseases (NIAID) 3
[disabled in preview] 2
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Sponsor Type

79.2%15.2%00102030405060708090100OtherIndustryNIH[disabled in preview]
Sponsor Type for FLAGYL I.V.
Sponsor Trials
Other 99
Industry 19
NIH 5
[disabled in preview] 2
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FLAGYL I.V. (Metronidazole): Clinical Trials, Market Analysis, and Projections

Introduction to FLAGYL I.V.

FLAGYL I.V., or metronidazole hydrochloride, is a synthetic nitroimidazole antibacterial agent used in the treatment of serious infections caused by susceptible anaerobic bacteria. It is administered intravenously and is crucial in managing various clinical infections.

Clinical Trials Update

Recent Clinical Trial on Dequalinium Chloride vs Metronidazole

A recent phase 4, multicenter, triple-blind, double-dummy, parallel, noninferiority randomized clinical trial compared the efficacy of dequalinium chloride with metronidazole in treating bacterial vaginosis (BV). Although this trial did not specifically focus on FLAGYL I.V., it provides insights into the efficacy of metronidazole, which is the active ingredient in FLAGYL I.V.

  • The trial involved premenopausal women with BV and compared dequalinium chloride vaginal tablets with oral metronidazole. The results showed that dequalinium chloride was not inferior to metronidazole in treating BV, indicating metronidazole's established efficacy in similar contexts[1].

General Clinical Use of Metronidazole

Metronidazole, the active ingredient in FLAGYL I.V., has been extensively studied and used in various clinical settings. It is indicated for the treatment of serious infections caused by susceptible anaerobic bacteria, including those in mixed aerobic and anaerobic infections. The drug is also used prophylactically in surgical procedures to reduce the incidence of postoperative infections[4].

Market Analysis

Market Size and Forecast

The metronidazole market, which includes FLAGYL I.V., has been growing steadily. Here are some key market insights:

  • Market Size: As of 2023, the metronidazole market was valued at USD 101 million and is projected to reach USD 139.97 million by 2031, growing at a Compound Annual Growth Rate (CAGR) of 5.1% from 2024 to 2031[2].
  • Segments Covered: The market analysis includes segments by formulation type, application, distribution channel, and geography. The metronidazole tablets segment is expected to expand significantly during the forecast period[5].

Key Companies and Market Dynamics

Several pharmaceutical companies are key players in the metronidazole market:

  • Companies: Major companies include Pfizer Inc., Teva Pharmaceutical Industries Ltd., Mylan N.V., Baxter International Inc., AstraZeneca PLC, and others. These companies are focusing on expanding their product portfolios and market presence[2][5].
  • Market Trends: The market is driven by increasing healthcare spending, extensive research in treating infections like clostridium difficile, and the development of novel therapeutic approaches. Emerging therapies for clostridium difficile infection are expected to impact the market significantly[3].

Projections and Future Outlook

Growth Drivers

Several factors are driving the growth of the metronidazole market:

  • Increasing Healthcare Spending: Incremental healthcare spending across the world is expected to expand the market size for metronidazole, enabling drug manufacturers to penetrate deeper into the market[3].
  • Research and Development: Ongoing research and development activities, particularly in treating clostridium difficile infection, are expected to influence the market positively. New therapies and novel approaches are being developed, which will impact the market dynamics[3].

Challenges and Opportunities

  • Competition from Emerging Therapies: The launch of late-stage emerging therapies for clostridium difficile infection will provide significant competition to metronidazole. However, this also presents opportunities for metronidazole to adapt and remain a viable treatment option[3].
  • Regulatory Milestones: The report highlights regulatory milestones and developmental activities, which are crucial for the continued approval and use of metronidazole. These milestones ensure the drug remains effective and safe for clinical use[3].

Safety and Usage Considerations

Precautions and Contraindications

Metronidazole, as with any medication, comes with certain precautions and contraindications:

  • Drug-Resistant Bacteria: Metronidazole should be used only to treat or prevent infections proven or strongly suspected to be caused by susceptible bacteria to avoid the development of drug-resistant bacteria[4].
  • Interaction with Alcohol: Patients should discontinue consumption of alcoholic beverages or products containing propylene glycol while taking metronidazole and for at least three days afterward to avoid adverse reactions[4].

Monitoring and Side Effects

  • Leukopenia: Monitoring for leukopenia is recommended before and after prolonged or repeated courses of metronidazole therapy. Mild leukopenia has been observed, but no persistent hematologic abnormalities have been reported in clinical studies[4].

Key Takeaways

  • Efficacy: Metronidazole has been shown to be effective in treating various anaerobic bacterial infections and is not inferior to other treatments in certain contexts.
  • Market Growth: The metronidazole market is projected to grow at a CAGR of 5.1% from 2024 to 2031.
  • Key Players: Major pharmaceutical companies are involved in the market, focusing on expanding their product portfolios.
  • Challenges and Opportunities: Emerging therapies will provide competition but also present opportunities for metronidazole to remain a viable treatment option.

FAQs

What is the primary use of FLAGYL I.V.?

FLAGYL I.V. is primarily used in the treatment of serious infections caused by susceptible anaerobic bacteria and as prophylaxis in surgical procedures to reduce postoperative infections.

What is the projected market size of metronidazole by 2031?

The metronidazole market is projected to reach USD 139.97 million by 2031, growing at a CAGR of 5.1% from 2024 to 2031[2].

Which companies are key players in the metronidazole market?

Key companies include Pfizer Inc., Teva Pharmaceutical Industries Ltd., Mylan N.V., Baxter International Inc., and AstraZeneca PLC, among others[2][5].

What are the precautions when using metronidazole?

Patients should avoid consuming alcoholic beverages or products containing propylene glycol while taking metronidazole and for at least three days afterward. Additionally, metronidazole should be used only to treat or prevent infections proven or strongly suspected to be caused by susceptible bacteria[4].

What are the potential side effects of metronidazole?

Metronidazole can cause mild leukopenia, and monitoring for this is recommended. It can also interact with alcohol and disulfiram, leading to adverse reactions such as abdominal cramps, nausea, vomiting, headaches, and flushing[4].

Sources

  1. JAMA Network Open: "Efficacy of Dequalinium Chloride vs Metronidazole for the Treatment of Bacterial Vaginosis: A Randomized Clinical Trial."
  2. Verified Market Research: "Metronidazole Market Size, Share, Scope, Trends & Forecast."
  3. Research and Markets: "Metronidazole Drug Insight and Market Forecast - 2032."
  4. FDA: "FLAGYL (metronidazole hydrochloride) 500 mg FOR INJECTION, STERILE For Intravenous Infusion."
  5. Cognitive Market Research: "Metronidazole Market Report 2025 (Global Edition)."

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