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Last Updated: March 16, 2025

CLINICAL TRIALS PROFILE FOR METHOTREXATE LPF


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505(b)(2) Clinical Trials for METHOTREXATE LPF

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial TypeTrial IDTitleStatusSponsorPhaseStart DateSummary
New Combination NCT05586100 ↗ Neoadjuvant and Adjuvant Toripalimab and Cetuximab in Patients With Recurrent, Resectable Squamous Cell Carcinoma of Head and Neck: a Prospective, Single-arm,Phase II Study Recruiting Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University Phase 2 2023-01-01 This study is the first clinical study of Neoadjuvant and Adjuvant treatment of head and neck squamous cell carcinoma with drugs targeting EGFR signaling pathway combined with PD-1 inhibitors, which explores the new combination therapies urgently needed in clinical practice and lays a foundation for subsequent studies, with important scientific research significance and clinical value.
New Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed National Cancer Institute (NCI) Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
New Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed Texas Children's Hospital Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
New Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed Baylor College of Medicine Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
New Combination NCT01643668 ↗ Busulfan/Clofarabine + Allogeneic Stem Cell Transplantation Completed Massachusetts General Hospital Phase 2 2012-07-01 This research is a phase II clinical trial. Phase II clinical trials test the effectiveness of an investigational intervention to learn whether it works in treating a specific cancer. "Investigational" means that the study intervention is still being studied and that research doctors are trying to find out more about it. It also means that the FDA has not yet approved this study intervention for your type of cancer. All participants on this study are treated in an identical manner. The investigators are doing this study because there continues to be a significant risk of relapse of disease after reduced intensity transplantation. In studies which have compared transplants using high-doses of chemotherapy and/or radiation versus reduced intensity transplants, patients undergoing reduced intensity transplants appear to have higher rates of relapse, but lower rates of toxicity and complication. This study attempts to utilize clofarabine, a newer chemotherapy agent shown to be quite active in AML, ALL, and MDS, to increase the anti-tumor effects of the conditioning regimen without accumulating unacceptable toxicity. The reduced intensity allogeneic stem cell transplantation procedure involves giving you chemotherapy in relatively less intense doses to suppress your immune system. This is followed by an infusion of healthy blood stem cells from a matched related donor or a matched unrelated volunteer donor. It is hoped that these donor cells can eventually then attack any cancer cells which remain. In this research study, the investigators are looking to see how well this new combination of busulfan and clofarabine works in reduced intensity allogeneic stem cell transplantation. By "works" the investigators mean to analyze safety, ability of donor cells to engraft (take hold), as well as measures of complications including toxicity, infections, graft-vs-host disease (GVHD), and relapse.
New Formulation NCT00488475 ↗ Observational Trial With Enbrel Completed Pfizer 2006-09-01 The diagnosis, evaluation and treatment of rheumatoid arthritis (RA) continue to undergo rapid change. Randomized controlled trials such as the TEMPO study have demonstrated the efficacy and safety of the combination of etanercept and methotrexate. Importantly, the TEMPO study showed that patients treated with etanercept and methotrexate could reach the newer therapeutic goals of low disease activity and remission, and that the physicians, patients, and payers are no longer prepared to accept the goal of "Reduction of symptoms". RCT are important and powerful tools in assessing efficacy and safety but have their limitations in terms of generalisability. In order to assess health economics, clinical effectiveness and safety of etanercept, they need to be measured by performing observational studies of unselected patients. This study aims to provide a holistic assessment of patients receiving etanercept in a real world setting. This will include centers that would not normally take part in RCT. The study will assess treatment with etanercept with descriptive statistics of the following parameters: Health economic, Safety, Effectiveness. In addition, there was a previous study of similar design, but of only 3 months duration (101354), which will allow comparison with historical data. Since previous study, there have been a number of significant changes: Introduction of a new formulation for etanercept (Enbrel® 50mg · once weekly), Definition of early RA has been modified to short disease duration (from 3 months to 1 year).
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 6 of 6 entries

All Clinical Trials for METHOTREXATE LPF

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00000361 ↗ Autoimmunity in Inner Ear Disease Terminated National Institute on Deafness and Other Communication Disorders (NIDCD) Phase 3 1998-03-01 The purpose of this study is to determine whether prednisone, methotrexate, and cyclophosphamide are effective in the treatment of rapidly progressive sensorineural hearing loss in both ears. This condition is called autoimmune inner ear disease (AIED), because it is thought that the hearing loss is triggered by an autoimmune process. Treatment attempts to suppress or control this process with powerful anti-inflammatory drugs. This is a Phase III, outpatient study. All study participants will be assigned to one of four different groups testing the experimental use of drugs. The study is scheduled to run for 18 months, with a minimum of 11 visits per participant.
NCT00000395 ↗ Antifolate Effectiveness in Arthritis Completed National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) Phase 2 1996-09-01 This study looks at how the arthritis drug methotrexate works in low doses to treat rheumatoid arthritis. (High doses of methotrexate are used to treat some types of cancer.) Methotrexate blocks the action of the B-vitamin known as folic acid. We are studying the biochemical reactions affected by this vitamin because we think that blocking many of these reactions may be necessary for methotrexate to work in treating rheumatoid arthritis. Through these studies, we hope to gain a better understanding of how this drug and related drugs work as treatments for arthritis.
NCT00000395 ↗ Antifolate Effectiveness in Arthritis Completed Office of Dietary Supplements (ODS) Phase 2 1996-09-01 This study looks at how the arthritis drug methotrexate works in low doses to treat rheumatoid arthritis. (High doses of methotrexate are used to treat some types of cancer.) Methotrexate blocks the action of the B-vitamin known as folic acid. We are studying the biochemical reactions affected by this vitamin because we think that blocking many of these reactions may be necessary for methotrexate to work in treating rheumatoid arthritis. Through these studies, we hope to gain a better understanding of how this drug and related drugs work as treatments for arthritis.
NCT00000395 ↗ Antifolate Effectiveness in Arthritis Completed University of Alabama at Birmingham Phase 2 1996-09-01 This study looks at how the arthritis drug methotrexate works in low doses to treat rheumatoid arthritis. (High doses of methotrexate are used to treat some types of cancer.) Methotrexate blocks the action of the B-vitamin known as folic acid. We are studying the biochemical reactions affected by this vitamin because we think that blocking many of these reactions may be necessary for methotrexate to work in treating rheumatoid arthritis. Through these studies, we hope to gain a better understanding of how this drug and related drugs work as treatments for arthritis.
NCT00000658 ↗ A Phase III Randomized Trial of Low-Dose Versus Standard-Dose mBACOD Chemotherapy With rGM-CSF for Treatment of AIDS-Associated Non-Hodgkin's Lymphoma Completed Schering-Plough Phase 3 1969-12-31 To determine the impact of dose intensity on tumor response and survival in patients with HIV-associated non-Hodgkin's lymphoma (NHL). HIV-infected patients are at increased risk for developing intermediate and high-grade NHL. While combination chemotherapy for aggressive B-cell NHL in the absence of immunodeficiency is highly effective, the outcome of therapy for patients with AIDS-associated NHL has been disappointing. Treatment is frequently complicated by the occurrence of multiple opportunistic infections, as well as the presence of poor bone marrow reserve, making the administration of standard doses of chemotherapy difficult. A recent study was completed using a low-dose modification of the standard mBACOD (cyclophosphamide, doxorubicin, vincristine, bleomycin, dexamethasone, methotrexate ) treatment. A 46 percent response rate was observed in patients treated with this combination of chemotherapeutic agents, with a number of durable remissions and reduced toxicity when compared to previous experience with more standard treatments. A subsequent study showed similar effectiveness using a lower dose of methotrexate administered on day 15. It is hoped that the use of sargramostim (granulocyte-macrophage colony-stimulating factor; GM-CSF) will improve bone marrow function and allow for administration of a higher dose of chemotherapy.
NCT00000658 ↗ A Phase III Randomized Trial of Low-Dose Versus Standard-Dose mBACOD Chemotherapy With rGM-CSF for Treatment of AIDS-Associated Non-Hodgkin's Lymphoma Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 3 1969-12-31 To determine the impact of dose intensity on tumor response and survival in patients with HIV-associated non-Hodgkin's lymphoma (NHL). HIV-infected patients are at increased risk for developing intermediate and high-grade NHL. While combination chemotherapy for aggressive B-cell NHL in the absence of immunodeficiency is highly effective, the outcome of therapy for patients with AIDS-associated NHL has been disappointing. Treatment is frequently complicated by the occurrence of multiple opportunistic infections, as well as the presence of poor bone marrow reserve, making the administration of standard doses of chemotherapy difficult. A recent study was completed using a low-dose modification of the standard mBACOD (cyclophosphamide, doxorubicin, vincristine, bleomycin, dexamethasone, methotrexate ) treatment. A 46 percent response rate was observed in patients treated with this combination of chemotherapeutic agents, with a number of durable remissions and reduced toxicity when compared to previous experience with more standard treatments. A subsequent study showed similar effectiveness using a lower dose of methotrexate administered on day 15. It is hoped that the use of sargramostim (granulocyte-macrophage colony-stimulating factor; GM-CSF) will improve bone marrow function and allow for administration of a higher dose of chemotherapy.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 6 of 6 entries

Clinical Trial Conditions for METHOTREXATE LPF

Condition Name

487200137920050100150200250300350400450500Rheumatoid ArthritisLeukemiaLymphomaAcute Lymphoblastic Leukemia[disabled in preview]
Condition Name for METHOTREXATE LPF
Intervention Trials
Rheumatoid Arthritis 487
Leukemia 200
Lymphoma 137
Acute Lymphoblastic Leukemia 92
[disabled in preview] 0
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Condition MeSH

65060143831900100200300400500600700ArthritisArthritis, RheumatoidLeukemiaLymphoma[disabled in preview]
Condition MeSH for METHOTREXATE LPF
Intervention Trials
Arthritis 650
Arthritis, Rheumatoid 601
Leukemia 438
Lymphoma 319
[disabled in preview] 0
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Clinical Trial Locations for METHOTREXATE LPF

Trials by Country

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Trials by Country for METHOTREXATE LPF
Location Trials
Canada 847
Ukraine 84
Romania 82
Switzerland 82
United States 8,477
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Trials by US State

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Trials by US State for METHOTREXATE LPF
Location Trials
Texas 444
California 408
Pennsylvania 342
Florida 332
New York 326
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Clinical Trial Progress for METHOTREXATE LPF

Clinical Trial Phase

12.8%26.9%57.0%0010020030040050060070080090010001100Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for METHOTREXATE LPF
Clinical Trial Phase Trials
Phase 4 245
Phase 3 513
Phase 2/Phase 3 62
[disabled in preview] 1087
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Clinical Trial Status

55.1%12.5%9.8%22.5%0200300400500600700800900100011001200CompletedRecruitingTerminated[disabled in preview]
Clinical Trial Status for METHOTREXATE LPF
Clinical Trial Phase Trials
Completed 1109
Recruiting 252
Terminated 198
[disabled in preview] 453
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Clinical Trial Sponsors for METHOTREXATE LPF

Sponsor Name

trials050100150200250300350National Cancer Institute (NCI)M.D. Anderson Cancer CenterHoffmann-La Roche[disabled in preview]
Sponsor Name for METHOTREXATE LPF
Sponsor Trials
National Cancer Institute (NCI) 335
M.D. Anderson Cancer Center 90
Hoffmann-La Roche 74
[disabled in preview] 165
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Sponsor Type

60.3%27.8%11.7%0-200020040060080010001200140016001800200022002400OtherIndustryNIH[disabled in preview]
Sponsor Type for METHOTREXATE LPF
Sponsor Trials
Other 2236
Industry 1033
NIH 436
[disabled in preview] 6
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Methotrexate LPF: Clinical Trials, Market Analysis, and Projections

Introduction to Methotrexate LPF

Methotrexate is a widely used medication that belongs to the class of drugs known as folate antagonists. It is employed in the treatment of various conditions, including certain types of cancer, rheumatoid arthritis, and psoriasis. Here, we will delve into the current state of clinical trials, market analysis, and future projections for methotrexate, particularly focusing on its liquid formulation (LPF).

Clinical Trials Update

Ongoing and Recent Trials

Clinical trials involving methotrexate continue to explore its efficacy and safety in different treatment regimens. For instance, a partially randomized phase III trial is studying the side effects and efficacy of different combinations of risk-adapted chemotherapy regimens, including methotrexate, in patients with acute lymphoblastic leukemia (ALL)[1].

  • Acute Lymphoblastic Leukemia (ALL): This trial compares different maintenance regimens, including varying doses of methotrexate, to determine the optimal treatment strategy for improving disease-free survival in patients with standard-risk B-precursor ALL.
  • Rheumatoid Arthritis: Long-term prospective trials have shown that methotrexate remains effective over extended periods, with acceptable toxicity levels. For example, a study involving 26 patients with severe rheumatoid arthritis demonstrated significant improvements in joint symptoms and other clinical parameters over 36 months of therapy[4].

Impact of COVID-19 on Clinical Trials

The COVID-19 pandemic has significantly impacted clinical trials worldwide. Many trials have been halted or delayed due to challenges such as remote visits, laboratory assessments, and participant enrollment. This has affected the timeline for new treatment approvals, including those involving methotrexate. Regulatory bodies like the U.S. FDA have issued guidelines to help sponsors navigate these challenges and continue trials where feasible[3].

Market Analysis

Current Market Size and Growth

The global methotrexate market, including both injection and oral formulations, was valued at approximately USD 590.2 million in 2022. It is projected to grow at a Compound Annual Growth Rate (CAGR) of 2.6% from 2022 to 2030, reaching a value of around USD 687.65 million by 2030[2][3].

Regional Market Dynamics

  • North America: This region dominates the global methotrexate market due to high healthcare expenditure and significant research and development activities.
  • Europe: Europe holds the second largest market share, driven by increased research and development and the presence of advanced medical facilities.
  • Asia-Pacific: This region is expected to show rapid growth due to technological advancements, increasing healthcare expenditure, and rising awareness programs[2][3].

Market Drivers

  • Increasing Prevalence of Target Diseases: The rise in global burden of diseases such as leukemia, rheumatoid arthritis, and psoriasis is driving the demand for methotrexate.
  • Product Commercialization and R&D: Increased investments in product development and commercialization, along with ongoing research, are expected to propel market growth[2][3].
  • Regulatory Approvals: Recent approvals by regulatory bodies, such as the U.S. FDA, for new methotrexate formulations and products are also driving market expansion[3].

Market Restraints

  • Side Effects: The side effects associated with methotrexate, such as nausea, alopecia, and liver toxicity, are expected to hinder market growth. However, long-term studies have shown that these side effects are generally manageable with temporary drug discontinuation[4].

Projections and Future Outlook

Market Growth Projections

The methotrexate drug market is expected to grow significantly over the next decade. Here are some key projections:

  • Global Market Value: The market is projected to increase from USD 621.3 million in 2024 to USD 1,058 million by 2034, with a CAGR of 5.5% during this period[5].
  • Regional Growth: The United States, United Kingdom, China, Japan, and South Korea are expected to show substantial growth, with China and Japan exhibiting higher CAGRs of 5.9% and 7.0%, respectively[5].

Emerging Trends and Opportunities

  • Integrative Medicine: The rising interest in integrative medicine, combining traditional Western medicine with complementary therapies, is expected to create lucrative opportunities in the methotrexate market, especially in the United States[5].
  • Value-Based Care: The shift towards value-based care is contributing to market expansion, as healthcare systems focus on delivering high-quality, cost-effective treatments[5].

Key Takeaways

  • Clinical Trials: Ongoing trials are optimizing methotrexate regimens for various conditions, including ALL and rheumatoid arthritis.
  • Market Growth: The global methotrexate market is expected to grow at a CAGR of 2.6% to 5.5% over the next decade, driven by increasing disease prevalence and product commercialization.
  • Regional Dynamics: North America and Europe currently dominate the market, but Asia-Pacific is expected to show rapid growth.
  • Market Drivers: Regulatory approvals, R&D investments, and increasing healthcare expenditure are key drivers.
  • Market Restraints: Side effects associated with methotrexate are a significant restraint, though manageable in most cases.

FAQs

What is the primary use of methotrexate in clinical settings?

Methotrexate is primarily used to treat conditions such as certain types of cancer (including leukemia), rheumatoid arthritis, and psoriasis.

How has the COVID-19 pandemic impacted methotrexate clinical trials?

The COVID-19 pandemic has significantly impacted clinical trials by halting or delaying enrollment and affecting the conduct of remote visits and laboratory assessments.

What is the projected growth rate of the global methotrexate market?

The global methotrexate market is projected to grow at a CAGR of 2.6% to 5.5% from 2022 to 2034, depending on the source and specific market segment.

Which regions are expected to show significant growth in the methotrexate market?

North America and Europe currently dominate the market, but the Asia-Pacific region is expected to show rapid and lucrative growth due to technological advancements and increasing healthcare expenditure.

What are the main side effects associated with methotrexate?

Common side effects include nausea, alopecia, headache, stomatitis, and liver toxicity, though these are generally manageable with temporary drug discontinuation.

Sources

  1. Vanderbilt Clinical Trials: "NCT01190930 - Risk-Adapted Chemotherapy in Treating Younger Patients with Newly Diagnosed Standard-Risk Acute Lymphoblastic Leukemia or Localized B-Lineage Lymphoblastic Lymphoma."
  2. Data Bridge Market Research: "Methotrexate Injection Market Size, Value & Opportunities By 2030."
  3. Coherent Market Insights: "Methotrexate Drugs Market Size, Trends and Forecast to 2030."
  4. PubMed: "Long-term prospective trial of low-dose methotrexate in rheumatoid arthritis."
  5. Future Market Insights: "Methotrexate Drug Market Size, Share, Trends & Forecast by 2034."

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