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Last Updated: March 23, 2025

CLINICAL TRIALS PROFILE FOR LIDOCAINE


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505(b)(2) Clinical Trials for LIDOCAINE

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial TypeTrial IDTitleStatusSponsorPhaseStart DateSummary
OTC NCT02749123 ↗ Comparison of Prescription Lidocaine Patch to Over the Counter Lidocaine Patch and Placebo for Back Pain and Arthritis Unknown status J.A.R. Laboratories N/A 2016-04-01 A comparison of transdermal patches for efficacy, side effects and quality of life for patients with back pain and arthritis. The three arms in the trial were; prescription strength lidocaine 5%, over the counter lidocaine 3.6%, menthol 1.25% and placebo.
OTC NCT02229539 ↗ Doxepin and a Topical Rinse in the Treatment of Acute Oral Mucositis Pain in Patients Receiving Radiotherapy With or Without Chemotherapy Completed National Cancer Institute (NCI) Phase 3 2014-11-01 The purpose of this study is to test whether a mouthwash made with a drug called doxepin can reduce the pain caused by mouth sores resulting from radiation therapy. A number of mouth rinse preparations exist for patients with treatment-related oral mucositis pain such as the DLA rinse, an over-the-counter medication. This study will evaluate the effects of doxepin compared to DLA (diphenhydramine, lidocaine and antacids) and placebo.Doxepin is approved by the Food and Drug Administration (FDA) for the treatment of depression, anxiety, long-term pain management, as well as management of rash.
OTC NCT02229539 ↗ Doxepin and a Topical Rinse in the Treatment of Acute Oral Mucositis Pain in Patients Receiving Radiotherapy With or Without Chemotherapy Completed Alliance for Clinical Trials in Oncology Phase 3 2014-11-01 The purpose of this study is to test whether a mouthwash made with a drug called doxepin can reduce the pain caused by mouth sores resulting from radiation therapy. A number of mouth rinse preparations exist for patients with treatment-related oral mucositis pain such as the DLA rinse, an over-the-counter medication. This study will evaluate the effects of doxepin compared to DLA (diphenhydramine, lidocaine and antacids) and placebo.Doxepin is approved by the Food and Drug Administration (FDA) for the treatment of depression, anxiety, long-term pain management, as well as management of rash.
New Formulation NCT01348243 ↗ Efficacy Of Clodronate 200 Mg/4 Ml I.M. Solution With 1% Lidocaine Every Other Week Vs Clodronate 100 Mg/3,3ml I.M. Solution With 1% Lidocaine Once-Week In A 1-Year Treatment Period Of Women With Postmenopausal Osteoporosis Completed Chiesi Farmaceutici S.p.A. Phase 3 2011-10-01 Clodronic acid 100 mg/3,3 ml is used to prevent and treat postmenopausal osteoporosis. The intramuscular formulation, which is given at a dose of 100 mg every 7 o 14 days, is at least as effective as daily oral therapy and appears more effective than intermittent intravenous treatment. Intramuscular clodronic acid in particular has also been associated with improvements in back pain. The drug is well tolerated, with no deleterious effects on bone mineralization, and use of parenteral therapy eliminates the risk of gastrointestinal adverse effects that may be seen in patients receiving oral bisphosphonates therapy. In order to simplify the therapeutic dosing regimen, reducing the number of administrations per month, and therefore increase adherence to bisphosphonates therapy of the patient, a new formulation of disodium clodronic acid containing 200 mg/4 mL for i.m. administration has been developed. Lidocaine in this new formulation, as local anaesthetic, is maintained at the same concentration as in the 100 mg clodronic acid formulation. The pharmacokinetics and tolerability of the intramuscular formulation of clodronic acid 200 mg in comparison to the marketed formulation clodronic acid 100 mg was evaluated in healthy post-menopausal volunteers. Two formulations were similar in terms of amount and rate of clodronic acid urinary excretion and in terms of safety profile.
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 4 of 4 entries

All Clinical Trials for LIDOCAINE

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00001784 ↗ Mexiletine for the Treatment of Focal Dystonia Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 2 1998-07-01 Dystonia refers to a condition characterized by involuntary muscle contractions that may cause pain, abnormal posture, or abnormal movements. The cause of dystonia is unknown, but some researchers believe it is a result of overactivity in the areas of the brain responsible for movement (basal ganglia). Lidocaine is a drug used for the treatment of irregular heartbeats. It is given by injection. Recent studies have shown that lidocaine is also effective for the treatment dystonia. Mexiletine is a drug similar to lidocaine used for irregular heartbeats that can be taken by mouth. Researchers would like to test the effectiveness of Mexiletine for the treatment of dystonia. Patients participating in the study will be divided into two groups; Group 1 will take Mexiletine for six weeks then stop. They will remain drug free for one week then begin taking a placebo "inactive sugar pill" for an additional six weeks. Group 2 will take a placebo "inactive sugar pill" for six weeks then stop. They will remain drug free for one week then begin taking a Mexiletine for an additional six weeks. Throughout the study researchers will test the effectiveness of the treatment by evaluating patients using clinical rating scales and neurophysiological studies. In addition, researchers will test patient's reflexes in an attempt to find out where mexiletine works in the nervous system.
NCT00001724 ↗ Local Flurbiprofen to Treat Pain Following Wisdom Tooth Extraction Completed National Institute of Dental and Craniofacial Research (NIDCR) Phase 2 1997-11-01 This study will evaluate the effectiveness of the non-steroidal anti-inflammatory drug flurbiprofen (Ansaid® (Registered Trademark)) in relieving pain following oral surgery. Flurbiprofen is approved by the Food and Drug Administration for treatment of arthritis pain. Patients 16 years of age and older requiring third molar (wisdom tooth) extraction may be eligible for this study. Patients will undergo oral surgery to remove two lower third molar teeth. Before surgery, they will be given a local anesthetic (lidocaine with epinephrine) injected in the mouth and a sedative (Versed) infused through a catheter (thin plastic tube) placed in an arm vein. At the time of surgery, patients will also be given flurbiprofen or a placebo formulation (look-alike substance with no active ingredient) directly into the extraction site and a capsule that also may contain flurbiprofen or placebo. One in seven patients will receive only placebo. All patients will fill out pain questionnaires and stay in the clinic for up to 6 hours for observation of bleeding and medication side effects. Patients who do not have satisfactory pain relief from the test medicine after surgery may request a standard pain reliever. A small blood sample will be collected during surgery and at 15 minutes, one-half hour and 1, 2, 3, 4, 5, 6, 24 and 48 hours after surgery to measure flurbiprofen blood levels. A total of 33 ml (about 2 tablespoons) of blood will be drawn for these tests. Samples collected on the day of surgery will be drawn from the catheter used to administer the sedative; the 24- and 48-hour samples will be taken by needle from an arm or hand vein. Urine samples will also be collected between 4 and 6 hours after surgery and again at 24 and 48 hours after surgery.
NCT00001524 ↗ Thalidomide to Treat Oral Lesions in HIV-Infected Patients Completed National Institute of Dental and Craniofacial Research (NIDCR) Phase 2 1996-06-01 This study will test the effectiveness of topical thalidomide in healing mouth sores in HIV infected patients. Oral (PO) thalidomide heals these sores at a dose of 200 mg per day. However, PO thalidomide can cause drowsiness, skin rashes, allergic reactions, increased viral load, and even nerve damage that may not be reversible. This study will evaluate the efficacy of a topical formulation of thalidomide (placed directly on the surface of the sore) for the healing of these sores. Persons with HIV infection of acquired immunodeficiency of at least 18 years of age with one or more chronic, painful intraoral lesions may be eligible for this study. Subjects must be referred by a primary care physician who is managing their care, and must have HIV/AIDS status confirmed. Patients' HIV treatment regimen will not be altered and those receiving highly active therapy will not be excluded. Patients will be excluded if they are concurrently being treated for mucosal lesions (including topical or systemic steroids, viscous lidocaine, topical or systemic anti-fungals, or mouthwashes), or concurrent thalidomide therapy; receving chemotherapy or radiation therapy for neoplasms; using concurrent acute therapy for opportunistic infections; concurrent use of sedatives (such as CNS depressants or alcohol use); history of allergy to thalidomide; pre-existing peripheral neuropathy of grade II or higher; pregnant or lactating females or those not practicing contraception according to FDA guidelines for thalidomide.
NCT00001303 ↗ Effects of Endotoxin in Normal Human Volunteers Completed National Institutes of Health Clinical Center (CC) Phase 1 1992-04-06 Bacterial infections can progress to a life-threatening illness called septic shock, characterized by low blood pressure and vital organ damage. The syndrome is thought to be caused by parts of the bacteria and by the body s own immune response to the infection. A major bacterial product that interacts with the immune defenses is called endotoxin. This study will examine the body s response to endotoxin in the lungs or bloodstream. When endotoxin is given in small amounts to humans, even though it is not an infection, it triggers a set of responses that are typical of what one would see with a true bacterial infection. This allows us to study the earliest changes in molecules and cells that are involved in some bacterial infections. This type of model is safe and has been used in humans for many years to understand the body s responses during infections. Normal volunteers 18 to 45 years of age may be eligible for this study. Candidates will have a history and physical examination, blood and urine tests, electrocardiogram (EKG) and chest X-ray. In addition, volunteers 40 to 45 years old will have an exercise stress test to screen for asymptomatic coronary artery disease. Participants will undergo one or more of the following procedures: Bronchoscopy, Bronchoalveolar Lavage, Bronchial Brushings, and Endobronchial Mucosal Biopsies: These techniques for examining lung function are used routinely in patient care and clinical research. The mouth and nasal and lung airways are numbed with an anesthetic. A bronchoscope (pencil-thin flexible tube) is then passed through the nose into the large airways of the lung. Cells and secretions from the airways are rinsed with salt water (bronchoalveolar lavage) and a flexible brush the size of a pencil tip is passed through the bronchoscope to scrape cells lining the airways. Lastly, pieces of tissue (the size of the ball of a ballpoint pen) lining the airways are removed for examination under the microscope. Intravenous Endotoxin: A small dose of endotoxin is injected into a vein. Blood samples are drawn at regular intervals for 8 hours after the injection and again after 1, 2, 3, 7 and 14 days to analyze the body s immune response to the bacteria in the blood. Instilled Endotoxin in the Lungs: A small amount (2 teaspoons) of salt water is squirted through a bronchoscope into a lobe of one lung, and then salt water containing a small dose of endotoxin is squirted into the other lung. Bronchial lavage, brushing, and biopsy (see above) are then done to study the response of the lung to the endotoxin. In addition, air is withdrawn through the bronchoscope to study air components from the lung that was instilled with salt water or endotoxin. Nitric Oxide Therapy: Endotoxin is instilled in a lung (see above) and then nitric oxide a colorless, odorless, tasteless gas mixed with room air in a concentration of 40 parts per million, is given through a cushioned mask placed over the mouth and nose. (Some participants will be given the nitric oxide mixture and others will breathe only room air through the mask to test the effects of the nitric oxide on the lung inflammation.) The mask will be worn continuously for 6 hours and removed before repeat bronchoscopy with lavage, brushing and biopsy. Some of the above procedures require placement of a catheter (thin plastic tube) in a wrist artery to monitor blood pressure from heartbeat to heartbeat and to collect blood samples. First, the skin is numbed with an anesthetic (lidocaine). A needle is then inserted into the artery, the catheter is slipped over the needle into the vessel, and the needle is removed.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 4 of 4 entries

Clinical Trial Conditions for LIDOCAINE

Condition Name

1917569620020406080100120140160180200PainPostoperative PainPain, PostoperativeAnesthesia[disabled in preview]
Condition Name for LIDOCAINE
Intervention Trials
Pain 191
Postoperative Pain 75
Pain, Postoperative 69
Anesthesia 62
[disabled in preview] 0
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Condition MeSH

1905637360020406080100120140160180200Pain, PostoperativeNeuralgiaAcute PainSyndrome[disabled in preview]
Condition MeSH for LIDOCAINE
Intervention Trials
Pain, Postoperative 190
Neuralgia 56
Acute Pain 37
Syndrome 36
[disabled in preview] 0
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Clinical Trial Locations for LIDOCAINE

Trials by Country

+
Trials by Country for LIDOCAINE
Location Trials
Egypt 170
Canada 111
China 70
France 56
Brazil 53
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Trials by US State

+
Trials by US State for LIDOCAINE
Location Trials
California 115
New York 66
Pennsylvania 62
Texas 59
North Carolina 55
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Clinical Trial Progress for LIDOCAINE

Clinical Trial Phase

54.9%20.6%5.6%18.9%050100150200250300350400450500550600Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for LIDOCAINE
Clinical Trial Phase Trials
Phase 4 571
Phase 3 214
Phase 2/Phase 3 58
[disabled in preview] 197
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Clinical Trial Status

58.4%17.5%13.0%11.0%02003004005006007008009001000CompletedRecruitingUnknown status[disabled in preview]
Clinical Trial Status for LIDOCAINE
Clinical Trial Phase Trials
Completed 936
Recruiting 281
Unknown status 208
[disabled in preview] 177
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Clinical Trial Sponsors for LIDOCAINE

Sponsor Name

trials051015202530354045Assiut UniversityCairo UniversityNorthwestern University[disabled in preview]
Sponsor Name for LIDOCAINE
Sponsor Trials
Assiut University 45
Cairo University 27
Northwestern University 22
[disabled in preview] 21
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Sponsor Type

87.1%9.2%002004006008001000120014001600180020002200OtherIndustryU.S. Fed[disabled in preview]
Sponsor Type for LIDOCAINE
Sponsor Trials
Other 2027
Industry 214
U.S. Fed 49
[disabled in preview] 37
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Lidocaine: Clinical Trials, Market Analysis, and Projections

Introduction to Lidocaine

Lidocaine, a local anesthetic and antiarrhythmic drug, has been a staple in medical practice for decades. Its versatility in managing pain, both acute and chronic, as well as its use in various medical procedures, makes it a significant player in the healthcare industry. Here, we delve into the latest clinical trials, market analysis, and projections for lidocaine.

Clinical Trials and Efficacy

Intravenous Lidocaine for Chronic Pain

Recent studies have highlighted the potential of intravenous lidocaine in managing chronic pain. A narrative review of 25 studies found that intravenous infusion of lidocaine is an emerging and promising option for alleviating pain in certain clinical populations. While the evidence is mixed for conditions like Complex Regional Pain Syndrome (CRPS) and cancer pain, there is strong support for its efficacy in chronic post-surgical pain[1].

Comparison with Thoracic Epidural Analgesia

A noninferiority clinical trial compared the analgesic efficacy of intravenous lidocaine with thoracic epidural bupivacaine with morphine in patients undergoing major abdominal surgery. The results showed that intravenous lidocaine is noninferior to thoracic epidural analgesia for acute postoperative pain control at 24 hours postoperatively, with no significant differences in adverse events or complications[4].

Mechanism of Action

Lidocaine works by blocking sodium channels, thereby preventing the initiation and transmission of nerve impulses. This mechanism provides anti-inflammatory and anti-nociceptive effects, particularly through its action on N-methyl-D-aspartate (NMDA) and voltage-gated calcium receptors[1].

Market Analysis

Market Size and Growth

The lidocaine market is experiencing significant growth driven by several factors. As of 2023, the global lidocaine market size was valued at USD 2.43 billion and is projected to reach USD 3.68 billion by 2031, growing at a Compound Annual Growth Rate (CAGR) of 5.30% during the forecast period[3].

Another report estimates the global lidocaine hydrochloride market size to be USD 0.773 billion in 2023, expected to reach USD 1.56 billion by 2034 with a CAGR of 6.57% during the forecast period 2024-2034[5].

Market Drivers

  • Increasing Prevalence of Chronic Pain: The rising prevalence of chronic pain conditions and the increasing number of surgical interventions are key drivers of the lidocaine market[3].
  • Technological Advancements: Innovations in drug delivery systems, such as liposomal formulations of lidocaine, are enhancing efficacy and patient compliance. These advanced formulations provide sustained release and prolonged pain relief, particularly in surgical and dental settings[3].
  • Growing Demand for Cosmetic Procedures: The increasing acceptance of lidocaine for cosmetic applications, such as in dermatology, is further bolstering the market landscape[3].

Distribution Channels

The lidocaine market is segmented by distribution channels into hospital pharmacies and retail pharmacies. Hospital pharmacies dominated the market in 2022 and are projected to be the faster-growing segment during the forecast period, driven by greater client accessibility and lower operating costs. Retail pharmacies are also growing rapidly, especially with the rise of online distribution channels[2].

Regional Insights

  • North America: The North American lidocaine market, valued at USD 0.3664 billion in 2022, is expected to grow significantly due to the rising incidence of pain-related illnesses and increasing demand for cosmetic procedures[2].
  • Asia-Pacific: This region is anticipated to experience the fastest CAGR growth, driven by an increase in dental and cosmetic surgeries, improvements in surgical techniques, and rising usage of lidocaine hydrochloride for postoperative pain treatment. China and India are key markets in this region[2].

Key Market Players and Competitive Insights

Major industry competitors are investing heavily in Research and Development (R&D) to expand their product portfolios. Strategic efforts such as new product releases, contractual agreements, mergers and acquisitions, and collaborations with other businesses are underway to enhance global presence. The competitive landscape requires market players to provide affordable options to remain viable[2].

Trends in the Lidocaine Market

Advanced Delivery Systems

The development of advanced delivery systems, such as liposomal lidocaine, is a significant trend. These formulations allow for sustained release of the drug, providing prolonged analgesia while minimizing systemic side effects. This trend is particularly relevant in surgical and dental settings where effective pain management is crucial[3].

Diversification of Applications

Lidocaine is increasingly being used beyond its traditional applications. In dermatology, it is used to treat conditions like eczema and psoriasis, providing relief from itching and discomfort. Its role in managing pain during procedures such as biopsies or laser treatments is also expanding[3].

Restraints and Challenges

Despite the growth potential, the lidocaine market faces challenges such as adverse reactions and side effects. Ensuring patient safety while maximizing efficacy remains a critical focus for manufacturers and healthcare providers[3].

Regulatory Framework

Regulatory approvals for new lidocaine formulations are facilitating market expansion. Companies are actively investing in R&D to enhance product offerings, which is supported by favorable regulatory environments[3].

Key Takeaways

  • Clinical Efficacy: Intravenous lidocaine shows promise in managing chronic and post-surgical pain, with noninferior efficacy compared to thoracic epidural analgesia.
  • Market Growth: The global lidocaine market is projected to grow significantly, driven by increasing prevalence of chronic pain, technological advancements, and growing demand for cosmetic procedures.
  • Distribution Channels: Hospital pharmacies and retail pharmacies are key distribution channels, with online channels gaining traction.
  • Regional Insights: North America and Asia-Pacific are significant regions, with China and India driving growth in the latter.
  • Competitive Landscape: Market players are focusing on R&D and strategic collaborations to maintain competitiveness.

FAQs

What is the current market size of the lidocaine market?

The global lidocaine market size was valued at USD 2.43 billion in 2023 and is projected to reach USD 3.68 billion by 2031[3].

What are the key drivers of the lidocaine market?

Key drivers include the increasing prevalence of chronic pain, technological advancements in drug delivery systems, and growing demand for cosmetic procedures[3].

How does intravenous lidocaine compare to thoracic epidural analgesia for postoperative pain?

Intravenous lidocaine is noninferior to thoracic epidural analgesia for acute postoperative pain control in major abdominal surgery at 24 hours postoperatively[4].

What are the emerging trends in the lidocaine market?

The development of advanced delivery systems, such as liposomal lidocaine, and the diversification of lidocaine applications beyond traditional uses are significant trends[3].

Which regions are expected to drive the growth of the lidocaine market?

North America and the Asia-Pacific region, particularly China and India, are expected to drive significant growth in the lidocaine market[2].

Sources

  1. Intravenous Lidocaine for the Management of Chronic Pain - PubMed
  2. Lidocaine Market Analysis - Market Research Future
  3. Lidocaine Market Size, Share, Trends, & Report Analysis By 2031 - Data Bridge Market Research
  4. Therapeutic efficacy of intravenous lidocaine infusion compared with thoracic epidural bupivacaine with morphine - PubMed
  5. Global Lidocaine Hydrochloride Market Report 2024 - GlobeNewswire

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