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Last Updated: April 28, 2025

CLINICAL TRIALS PROFILE FOR KENALOG


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505(b)(2) Clinical Trials for KENALOG

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 NCT00071227 ↗ Eye Injections of Triamcinolone Acetonide for Retinal Blood Vessel Disorders Completed National Eye Institute (NEI) Phase 1 2003-10-15 This study will evaluate the safety and effectiveness of a new formulation of triamcinolone acetonide for the treatment of retinal blood vessel disorders. Triamcinolone is a steroid drug that decreases inflammation and scarring and is routinely used to treat eye inflammation or swelling. The commercially available form of this drug is associated with potentially harmful side effects thought to be due to preservatives in the preparation. This study will use a formulation that does not contain these potentially harmful preservatives. Preliminary findings from other studies suggest that injection of steroids in the eye can reduce retinal thickening and improve vision. However, they may also cause mild discomfort and lead to vision-threatening conditions. The effects of the drug on the conditions under study in this protocol are not known. Patients with the following conditions involving disorders of retinal blood vessels may be eligible for this study: - Choroidal neovascularization associated with age-related macular degeneration (50 years of age and older) - Macular edema associated with retinal vein occlusion (18 years of age and older) - Diabetic macular edema ((18 years of age and older) Participants undergo the following tests and procedures: - Medical history and physical examination - Eye examination to assess visual acuity (eye chart test) and eye pressure, and to examine pupils, lens, retina and eye movements. The pupils will be dilated with drops for this examination. - Fluorescein angiography to evaluate the eye's blood vessels. A yellow dye is injected into an arm vein and travels to the blood vessels in the eyes. Pictures of the retina are taken using a camera that flashes a blue light into the eye. The pictures show if any dye has leaked from the vessels into the retina, indicating possible blood vessel abnormality. - Indocyanine green angiography to identify feeder vessels that may be supplying abnormal blood vessels. This procedure is similar to fluorescein angiography, but uses a green dye and flashes an invisible light. - Optical coherence tomography to measure retinal thickness. This test shines a light into the eye and produces cross-sectional pictures of the retina. These measurements are repeated during the study to determine if retinal thickening is getting better or worse, or staying the same. - Stereoscopic color fundus photography to examine the back of the eye. The pupils are dilated with eye drops to allow examination and photography of the back of the eye. - Triamcinolone acetonide injection to treat the eye. A numbing eye drop, an antibiotic eye drop, and an injected antibiotic are put in the eye before triamcinolone acetonide is injected into the eye's vitreous (jelly-like substance inside the eye). After the injection, the patient lies on his or her back for 30 minutes. An antibiotic eye ointment is used for 2 days following treatment. - Blood tests to measure liver and kidney function. Patients return to the clinic for follow-up visits 1, 4, and 7 days, and 1 month after the first treatment. Patients whose condition does not improve after 3 months do not receive any more injections, but return for eye examinations at least once a year for 3 years. Patients whose condition improves with treatment return for follow-up visits 6 and 9 months after the first injection and then every 6 months for 2 more years. At each visit, a determination is made whether another injection is needed. After each repeat injection, patients return for follow-up visits at 1, 4, and 7 days after the injection.
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 1 of 1 entries

All Clinical Trials for KENALOG

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00101764 ↗ Intravitreal v. Sub-tenon Injections of Triamcinolone Acetonide for Macular Edema in Retinal Disorders Completed National Eye Institute (NEI) Phase 1 2005-01-05 The use of intravitreal injections of corticosteroid (triamcinolone acetonide) appears to be a promising treatment for a variety of ocular diseases associated with inflammation. To date, the only drug available, "Kenalog-40 Injection" produced by Bristol Myers Squibb, has not been formulated for intraocular use. The purpose of this study is to evaluate the long-term safety and potential efficacy of novel intravitreal injections of a preservative-free formulation of triamcinolone acetonide (TAC-PF) at two dosage levels (4 mg and 8 mg) compared to anterior sub-tenon injections of TAC-PF at 20 mg. The study will be a masked, randomized Phase I study that will enroll 120 participants with one of the following diseases: age-related macular degeneration (AMD), diabetic macular edema (DME), central retinal vein occlusion (CRVO), branch retinal vein occlusion (BRVO), or any other retinal disease with associated macular edema. At least 21 participants will be enrolled in the four designated disease strata: AMD, DME, CRVO, and BRVO. The remaining 36 participants may have one of these diseases or may be enrolled with another retinal disease. Within each disease strata, at least seven participants will be randomized to each dosing group. The participants will be randomly assigned to one of the three treatment groups. The primary outcome will be an assessment of post-injection intraocular toxicity-related events during the 3-year follow-up, including cataract formation, development of glaucoma, and any adverse event preventing retreatment. The secondary outcomes will be an improvement in best-corrected visual acuity (BCVA, EVA) and decreases in retinal thickening and area of leakage, from baseline to year 1.
NCT00105027 ↗ The Standard Care vs. COrticosteroid for REtinal Vein Occlusion (SCORE) Study Completed Allergan Phase 3 2004-10-01 The SCORE Study will compare the effectiveness and safety of standard care to intravitreal injection(s) of triamcinolone for treating macular edema (swelling of the central part of the retina) associated with central retinal vein occlusion (CRVO) and branch retinal vein occlusion (BRVO).
NCT00071227 ↗ Eye Injections of Triamcinolone Acetonide for Retinal Blood Vessel Disorders Completed National Eye Institute (NEI) Phase 1 2003-10-15 This study will evaluate the safety and effectiveness of a new formulation of triamcinolone acetonide for the treatment of retinal blood vessel disorders. Triamcinolone is a steroid drug that decreases inflammation and scarring and is routinely used to treat eye inflammation or swelling. The commercially available form of this drug is associated with potentially harmful side effects thought to be due to preservatives in the preparation. This study will use a formulation that does not contain these potentially harmful preservatives. Preliminary findings from other studies suggest that injection of steroids in the eye can reduce retinal thickening and improve vision. However, they may also cause mild discomfort and lead to vision-threatening conditions. The effects of the drug on the conditions under study in this protocol are not known. Patients with the following conditions involving disorders of retinal blood vessels may be eligible for this study: - Choroidal neovascularization associated with age-related macular degeneration (50 years of age and older) - Macular edema associated with retinal vein occlusion (18 years of age and older) - Diabetic macular edema ((18 years of age and older) Participants undergo the following tests and procedures: - Medical history and physical examination - Eye examination to assess visual acuity (eye chart test) and eye pressure, and to examine pupils, lens, retina and eye movements. The pupils will be dilated with drops for this examination. - Fluorescein angiography to evaluate the eye's blood vessels. A yellow dye is injected into an arm vein and travels to the blood vessels in the eyes. Pictures of the retina are taken using a camera that flashes a blue light into the eye. The pictures show if any dye has leaked from the vessels into the retina, indicating possible blood vessel abnormality. - Indocyanine green angiography to identify feeder vessels that may be supplying abnormal blood vessels. This procedure is similar to fluorescein angiography, but uses a green dye and flashes an invisible light. - Optical coherence tomography to measure retinal thickness. This test shines a light into the eye and produces cross-sectional pictures of the retina. These measurements are repeated during the study to determine if retinal thickening is getting better or worse, or staying the same. - Stereoscopic color fundus photography to examine the back of the eye. The pupils are dilated with eye drops to allow examination and photography of the back of the eye. - Triamcinolone acetonide injection to treat the eye. A numbing eye drop, an antibiotic eye drop, and an injected antibiotic are put in the eye before triamcinolone acetonide is injected into the eye's vitreous (jelly-like substance inside the eye). After the injection, the patient lies on his or her back for 30 minutes. An antibiotic eye ointment is used for 2 days following treatment. - Blood tests to measure liver and kidney function. Patients return to the clinic for follow-up visits 1, 4, and 7 days, and 1 month after the first treatment. Patients whose condition does not improve after 3 months do not receive any more injections, but return for eye examinations at least once a year for 3 years. Patients whose condition improves with treatment return for follow-up visits 6 and 9 months after the first injection and then every 6 months for 2 more years. At each visit, a determination is made whether another injection is needed. After each repeat injection, patients return for follow-up visits at 1, 4, and 7 days after the injection.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 3 of 3 entries

Clinical Trial Conditions for KENALOG

Condition Name

444000.511.522.533.54Shoulder PainRetinal Vein OcclusionDIABETIC MACULAR EDEMA[disabled in preview]
Condition Name for KENALOG
Intervention Trials
Shoulder Pain 4
Retinal Vein Occlusion 4
DIABETIC MACULAR EDEMA 4
[disabled in preview] 0
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Condition MeSH

101080-101234567891011OsteoarthritisMacular EdemaOsteoarthritis, Knee[disabled in preview]
Condition MeSH for KENALOG
Intervention Trials
Osteoarthritis 10
Macular Edema 10
Osteoarthritis, Knee 8
[disabled in preview] 0
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Clinical Trial Locations for KENALOG

Trials by Country

+
Trials by Country for KENALOG
Location Trials
United States 128
Canada 9
United Kingdom 2
Mexico 2
China 2
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Trials by US State

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Trials by US State for KENALOG
Location Trials
California 11
Pennsylvania 9
Florida 7
Texas 7
Utah 6
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Clinical Trial Progress for KENALOG

Clinical Trial Phase

56.4%28.2%15.4%0-2024681012141618202224Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for KENALOG
Clinical Trial Phase Trials
Phase 4 22
Phase 3 11
Phase 2/Phase 3 6
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Clinical Trial Status

63.5%19.2%17.3%005101520253035CompletedRecruitingTerminated[disabled in preview]
Clinical Trial Status for KENALOG
Clinical Trial Phase Trials
Completed 33
Recruiting 10
Terminated 9
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Clinical Trial Sponsors for KENALOG

Sponsor Name

trials01122334455667National Eye Institute (NEI)Flexion Therapeutics, Inc.Milton S. Hershey Medical Center[disabled in preview]
Sponsor Name for KENALOG
Sponsor Trials
National Eye Institute (NEI) 6
Flexion Therapeutics, Inc. 3
Milton S. Hershey Medical Center 3
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Sponsor Type

77.9%15.0%7.1%00102030405060708090OtherIndustryNIH[disabled in preview]
Sponsor Type for KENALOG
Sponsor Trials
Other 88
Industry 17
NIH 8
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Kenalog: Clinical Trials, Market Analysis, and Projections

Introduction

Kenalog, a brand name for the steroid triamcinolone acetonide, is widely used in various medical applications, including the treatment of inflammatory conditions, skin diseases, and ophthalmic disorders. This article will delve into the current clinical trials, market analysis, and future projections for Kenalog.

Clinical Trials Update

ACL Injury and Osteoarthritis

A significant clinical trial has been conducted to evaluate the effectiveness of Kenalog in patients with acute ACL tears. This study, part of a randomized clinical trial, aimed to assess whether early administration of Kenalog could prevent or delay the onset of osteoarthritis (OA) in these patients. Preliminary data showed that patients who received Kenalog injections had a reversal in the biomarker levels indicative of OA, suggesting potential benefits in joint health[1].

  • Biomarker Analysis: The trial found significant differences in synovial biomarker levels between patients who received Kenalog and those who underwent arthrocentesis only. Biomarkers such as CTX-II, TSG-6, and COMP showed patterns similar to those in early OA models, which were reversed in patients treated with Kenalog.
  • MRI Analysis: The study also included MRI analysis using T2-mapping to evaluate joint health two years after the ACL injury. This follow-up examination is crucial in determining the long-term structural changes and patient-reported outcomes (PROs) associated with Kenalog treatment.

Cancer Treatment

Another area of research involves modifying Kenalog with ionizing radiation to enhance its anticancer properties. This study found that irradiated Kenalog (Kenalog-IR) exhibited more effective anticancer activity against melanoma cells compared to the unmodified drug. The mechanism involves the induction of intrinsic apoptosis and the production of reactive oxygen species (ROS)[4].

Market Analysis

Current Market Landscape

Kenalog is a well-established drug with a significant market presence, particularly in the treatment of inflammatory conditions and ophthalmic diseases.

  • DME Market: In the diabetic macular edema (DME) market, Kenalog is used off-label due to its cost-effectiveness compared to anti-VEGF agents. Despite the dominance of anti-VEGF drugs like Eylea, Kenalog remains a viable option due to its lower cost and availability[5].
  • Sales and Revenue: The annual U.S. sales of Kenalog-40 injection were reported to be $146 million as of October 2017, indicating a substantial market share[2].

Market Projections

The market for Kenalog and similar steroids is expected to evolve in several ways:

  • Growth in DME Market: The DME drug market in the U.S. is projected to grow from $2 billion in 2020 to $3.3 billion by 2025, with a compound annual growth rate (CAGR) of 10%. Although anti-VEGF agents lead the market, steroids like Kenalog will continue to play a role due to their cost-effectiveness and off-label use[5].
  • Non-Invasive Treatments: The future of DME treatment is likely to shift towards non-invasive options, including oral and topical treatments, and potentially gene therapy. However, injectable steroids like Kenalog will remain relevant until these new treatments become widely available and proven.

Competitive Landscape

Anti-VEGF Agents

The current DME market is dominated by anti-VEGF agents such as Eylea, which has a significant market share due to its superior efficacy. However, the high cost of these agents and the need for frequent injections drive the off-label use of steroids like Kenalog[5].

Biosimilars

The entry of biosimilars in the DME market is expected to impact the sales of branded anti-VEGF agents but may not significantly affect the use of steroids like Kenalog, which are already used off-label and at a lower cost.

Future Directions

Improved Formulations

The development of improved formulations and delivery methods for Kenalog could enhance its efficacy and patient compliance. For instance, the use of ionizing radiation to modify Kenalog has shown promising results in cancer treatment, indicating potential for other therapeutic applications[4].

Expanding Indications

Clinical trials and research are continually exploring new indications for Kenalog. The potential benefits in preventing or delaying OA in patients with ACL injuries highlight the drug's versatility and the need for further research in various therapeutic areas[1].

Key Takeaways

  • Clinical Trials: Kenalog has shown promising results in clinical trials for ACL injury and osteoarthritis prevention, as well as in modified forms for cancer treatment.
  • Market Analysis: The drug maintains a significant market presence, particularly in the DME market, due to its cost-effectiveness and off-label use.
  • Market Projections: The DME market is expected to grow, with steroids like Kenalog continuing to play a role until non-invasive treatments become more prevalent.
  • Competitive Landscape: Anti-VEGF agents dominate the DME market, but the use of steroids like Kenalog persists due to cost and availability factors.

FAQs

What is Kenalog used for?

Kenalog, or triamcinolone acetonide, is used to treat various inflammatory conditions, skin diseases, and ophthalmic disorders, including diabetic macular edema (DME).

What are the recent clinical trial findings for Kenalog in ACL injuries?

Recent clinical trials have shown that early administration of Kenalog in patients with acute ACL tears can reverse biomarker levels indicative of osteoarthritis and potentially improve joint health.

How does Kenalog compare to anti-VEGF agents in the DME market?

Kenalog is used off-label in the DME market due to its lower cost compared to anti-VEGF agents like Eylea, which dominate the market due to their superior efficacy.

What are the potential future directions for Kenalog?

Future directions include the development of improved formulations, expanded indications, and the use of modified forms of Kenalog for cancer treatment.

What is the projected growth of the DME market, and how will it affect Kenalog?

The DME market is projected to grow to $3.3 billion by 2025, with steroids like Kenalog expected to continue playing a role due to their cost-effectiveness until non-invasive treatments become more prevalent.

Sources

  1. Triamcinolone Treatment In Patients with Acute ACL Tear and Pain - Scholars UK.
  2. Kenalog-40 Injection approved and available through Amneal Biosciences - Biospectrum Asia.
  3. Marinus Pharmaceuticals Provides Update on the Phase 3 RAISE Trial - Business Wire.
  4. Kenalog modified by ionizing radiation induces intrinsic apoptosis - Spandidos Publications.
  5. Outlook of Diabetic Macular Edema (DME) 2020-2025 - Business Wire.

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