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Last Updated: April 3, 2025

CLINICAL TRIALS PROFILE FOR QUINIDINE SULFATE


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All Clinical Trials for QUINIDINE SULFATE

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT01873950 ↗ Study of the Electrocardiographic Effects of Ranolazine, Dofetilide, Verapamil, and Quinidine in Healthy Subjects Completed Spaulding Clinical Research LLC Phase 1 2013-05-01 This study seeks to compare 4 known QT prolonging drugs versus placebo to determine their effects on electrophysiological and other clinical parameters. The underlying purpose is to determine if depolarization and repolarization effects caused by drugs with differing ionic channel mechanisms can be distinguished from one another, and to gauge the sensitivity and specificity of novel signal analyses for detection of depolarization and repolarization changes. Secondarily, to evaluate the exposure response relationship and drug induced effects on the heart rate biomarker relationship.
NCT00573443 ↗ Safety and Efficacy of AVP-923 in PBA Patients With ALS or MS Completed INC Research Phase 3 2007-12-01 Objectives of the study are to evaluate the safety, tolerability, and efficacy of two different doses of AVP-923 (capsules containing either 30 mg of dextromethorphan hydrobromide and 10 mg of quinidine sulfate [AVP-923-30] or 20 mg of dextromethorphan hydrobromide and 10 mg of quinidine sulfate [AVP-923-20]) when compared to placebo, for the treatment of PBA in a population of patients with amyotrophic lateral sclerosis (ALS) or multiple sclerosis (MS) over a 12-week period. An additional objective is to determine the pharmacokinetic parameters of the two different doses of AVP-923 in a subset of the study population. Pseudobulbar Affect (PBA) is a condition characterized by involuntary, sudden and frequent episodes of laughing and/or crying out of proportion or incongruous to the underlying emotion of happiness or sadness Other terms used to describe this condition include emotional lability, emotionalism, emotional incontinence, emotional discontrol, excessive emotionalism, and pathological laughing and crying. The outbursts can occur spontaneously or in response to provocative stimuli such as questions or events. A body of evidence suggests that PBA can be modulated through pharmacologic intervention. Dextromethorphan (DM) is a low-affinity uncompetitive antagonist of the N-Methyl-D-aspartate (NMDA) receptor, reducing the level of excitatory activity. DM also acts at the phencyclidine-binding site, which is part of the NMDA receptor complex. DM is a sigma receptor agonist, suppressing the release of excitatory neurotransmitters. Quinidine (Q) is a known potent inhibitor of cytochrome P450 2D6 (CYP2D6), that decreases the metabolism of dextromethorphan and helps to achieve sustained and therapeutic levels of this drug.
NCT00573443 ↗ Safety and Efficacy of AVP-923 in PBA Patients With ALS or MS Completed Syneos Health Phase 3 2007-12-01 Objectives of the study are to evaluate the safety, tolerability, and efficacy of two different doses of AVP-923 (capsules containing either 30 mg of dextromethorphan hydrobromide and 10 mg of quinidine sulfate [AVP-923-30] or 20 mg of dextromethorphan hydrobromide and 10 mg of quinidine sulfate [AVP-923-20]) when compared to placebo, for the treatment of PBA in a population of patients with amyotrophic lateral sclerosis (ALS) or multiple sclerosis (MS) over a 12-week period. An additional objective is to determine the pharmacokinetic parameters of the two different doses of AVP-923 in a subset of the study population. Pseudobulbar Affect (PBA) is a condition characterized by involuntary, sudden and frequent episodes of laughing and/or crying out of proportion or incongruous to the underlying emotion of happiness or sadness Other terms used to describe this condition include emotional lability, emotionalism, emotional incontinence, emotional discontrol, excessive emotionalism, and pathological laughing and crying. The outbursts can occur spontaneously or in response to provocative stimuli such as questions or events. A body of evidence suggests that PBA can be modulated through pharmacologic intervention. Dextromethorphan (DM) is a low-affinity uncompetitive antagonist of the N-Methyl-D-aspartate (NMDA) receptor, reducing the level of excitatory activity. DM also acts at the phencyclidine-binding site, which is part of the NMDA receptor complex. DM is a sigma receptor agonist, suppressing the release of excitatory neurotransmitters. Quinidine (Q) is a known potent inhibitor of cytochrome P450 2D6 (CYP2D6), that decreases the metabolism of dextromethorphan and helps to achieve sustained and therapeutic levels of this drug.
NCT00573443 ↗ Safety and Efficacy of AVP-923 in PBA Patients With ALS or MS Completed Avanir Pharmaceuticals Phase 3 2007-12-01 Objectives of the study are to evaluate the safety, tolerability, and efficacy of two different doses of AVP-923 (capsules containing either 30 mg of dextromethorphan hydrobromide and 10 mg of quinidine sulfate [AVP-923-30] or 20 mg of dextromethorphan hydrobromide and 10 mg of quinidine sulfate [AVP-923-20]) when compared to placebo, for the treatment of PBA in a population of patients with amyotrophic lateral sclerosis (ALS) or multiple sclerosis (MS) over a 12-week period. An additional objective is to determine the pharmacokinetic parameters of the two different doses of AVP-923 in a subset of the study population. Pseudobulbar Affect (PBA) is a condition characterized by involuntary, sudden and frequent episodes of laughing and/or crying out of proportion or incongruous to the underlying emotion of happiness or sadness Other terms used to describe this condition include emotional lability, emotionalism, emotional incontinence, emotional discontrol, excessive emotionalism, and pathological laughing and crying. The outbursts can occur spontaneously or in response to provocative stimuli such as questions or events. A body of evidence suggests that PBA can be modulated through pharmacologic intervention. Dextromethorphan (DM) is a low-affinity uncompetitive antagonist of the N-Methyl-D-aspartate (NMDA) receptor, reducing the level of excitatory activity. DM also acts at the phencyclidine-binding site, which is part of the NMDA receptor complex. DM is a sigma receptor agonist, suppressing the release of excitatory neurotransmitters. Quinidine (Q) is a known potent inhibitor of cytochrome P450 2D6 (CYP2D6), that decreases the metabolism of dextromethorphan and helps to achieve sustained and therapeutic levels of this drug.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 4 of 4 entries

Clinical Trial Conditions for QUINIDINE SULFATE

Condition Name

632100123456Agitation in Patients With Dementia of the Alzheimer's TypeHealthySchizophreniaHealthy Adult Male and Female Volunteers[disabled in preview]
Condition Name for QUINIDINE SULFATE
Intervention Trials
Agitation in Patients With Dementia of the Alzheimer's Type 6
Healthy 3
Schizophrenia 2
Healthy Adult Male and Female Volunteers 1
[disabled in preview] 0
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Condition MeSH

7662001234567Psychomotor AgitationDementiaAlzheimer DiseaseSchizophrenia[disabled in preview]
Condition MeSH for QUINIDINE SULFATE
Intervention Trials
Psychomotor Agitation 7
Dementia 6
Alzheimer Disease 6
Schizophrenia 2
[disabled in preview] 0
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Clinical Trial Locations for QUINIDINE SULFATE

Trials by Country

+
Trials by Country for QUINIDINE SULFATE
Location Trials
United States 235
Brazil 6
Canada 6
Spain 4
Hungary 4
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Trials by US State

+
Trials by US State for QUINIDINE SULFATE
Location Trials
Florida 14
Ohio 11
New York 11
Georgia 11
California 11
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Clinical Trial Progress for QUINIDINE SULFATE

Clinical Trial Phase

7.7%53.8%7.7%30.8%01234567Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for QUINIDINE SULFATE
Clinical Trial Phase Trials
Phase 4 1
Phase 3 7
Phase 2/Phase 3 1
[disabled in preview] 4
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Clinical Trial Status

52.4%28.6%14.3%00123456789101112CompletedRecruitingTerminated[disabled in preview]
Clinical Trial Status for QUINIDINE SULFATE
Clinical Trial Phase Trials
Completed 11
Recruiting 6
Terminated 3
[disabled in preview] 1
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Clinical Trial Sponsors for QUINIDINE SULFATE

Sponsor Name

trials024681012141618Avanir PharmaceuticalsBoehringer IngelheimSpaulding Clinical Research LLC[disabled in preview]
Sponsor Name for QUINIDINE SULFATE
Sponsor Trials
Avanir Pharmaceuticals 17
Boehringer Ingelheim 2
Spaulding Clinical Research LLC 1
[disabled in preview] 1
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Sponsor Type

73.1%23.1%002468101214161820IndustryOtherU.S. Fed[disabled in preview]
Sponsor Type for QUINIDINE SULFATE
Sponsor Trials
Industry 19
Other 6
U.S. Fed 1
[disabled in preview] 0
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Quinidine Sulfate: Clinical Trials, Market Analysis, and Projections

Introduction to Quinidine Sulfate

Quinidine sulfate is a medication primarily used as an antiarrhythmic agent to treat certain types of irregular heartbeats, such as atrial or ventricular arrhythmias. It has a long history of use in cardiology and is also explored for other medical applications.

Clinical Trials and Efficacy

COVID-19 Trials

While quinidine sulfate is not typically associated with COVID-19 treatment, there are studies exploring the use of quinine sulfate, a related compound, in COVID-19 patients. However, these studies are more relevant to quinine than quinidine. For instance, a trial evaluating the effectiveness and safety of quinine sulfate as an add-on therapy for hospitalized adults with mild to moderate COVID-19 involves assessing clinical conditions, oxygenation, ventilation, and hospital stay duration[1].

Alzheimer's Disease-Related Agitation

A significant clinical trial involves the use of dextromethorphan-quinidine sulfate for treating agitation in patients with Alzheimer's disease. This phase 2 randomized, multicenter, double-blind, placebo-controlled trial demonstrated that the combination of dextromethorphan-quinidine significantly reduced agitation scores compared to placebo. The treatment was generally well-tolerated, although it did show some adverse events such as falls, diarrhea, and urinary tract infections[4].

Market Analysis

Current Market Size and Growth

The quinidine sulfate market is substantial and growing. As of 2023, the market was valued at USD 12.79 billion and is expected to reach USD 13.74 billion in 2024. It is projected to grow at a CAGR of 6.30% to reach USD 19.63 billion by 2030[5].

Market Segmentation

The market is segmented by route of administration (oral, intravenous, and others), application (arrhythmias, malaria, and others), end user (pediatrics and adults), and region (North America, Europe, Asia-Pacific, and LAMEA). North America is expected to account for a significant portion of the market growth, driven by increased funding for anti-malarial medicines and other healthcare advancements[3][5].

Key Market Players

Major players in the quinidine sulfate market include Sandoz, Buchler GmbH Company, Allure Remedies Pvt. Ltd., Merck & Co., Inc., Watson Laboratories Inc., IPCA Laboratories, Skymax Laboratories, Intas Pharmaceuticals, Cipla, and Lark Laboratories. These companies are investing in R&D to enhance the safety profile and explore novel applications of quinidine sulfate[2][5].

Market Projections and Trends

Growth Drivers

The growth of the quinidine sulfate market is driven by several factors:

  • Increasing Prevalence of Cardiovascular Diseases: The rising incidence of cardiovascular disorders necessitates effective arrhythmia management, boosting the demand for quinidine sulfate.
  • Advancements in Healthcare Infrastructure: Improvements in healthcare facilities and increased awareness about cardiac health contribute to market growth.
  • Technological Strides: Innovations in drug formulation and delivery methods, such as sustained-release formulations, enhance therapeutic efficacy and compliance[5].

Challenges

Despite the growth potential, the market faces several challenges:

  • Stringent Regulatory Frameworks: Rigorous clinical trial requirements and regulatory hurdles can extend the time-to-market for new developments.
  • Potential Side Effects: Adverse reactions and contraindications associated with quinidine sulfate may restrict its use and require continuous patient monitoring.
  • Availability of Newer Alternatives: The emergence of newer antiarrhythmic agents could potentially limit the adoption of quinidine sulfate[5].

Strategic Recommendations

To navigate these challenges and capitalize on growth opportunities, companies should:

  • Invest in Comprehensive Clinical Research: Enhance the safety profile and explore novel applications in broader therapeutic areas.
  • Leverage Biotechnology: Refine drug formulations or improve patient-specific treatment paradigms using precision medicine.
  • Form Strategic Alliances: Collaborate to penetrate untapped markets and strengthen global market presence[5].

Key Takeaways

  • Clinical Trials: Quinidine sulfate shows promise in treating Alzheimer's disease-related agitation, but its use in COVID-19 is not directly relevant.
  • Market Size and Growth: The market is valued at USD 12.79 billion in 2023 and is projected to grow to USD 19.63 billion by 2030.
  • Segmentation: The market is segmented by route of administration, application, end user, and region.
  • Growth Drivers: Increasing prevalence of cardiovascular diseases, advancements in healthcare infrastructure, and technological strides drive market growth.
  • Challenges: Stringent regulatory frameworks, potential side effects, and availability of newer alternatives pose challenges.

FAQs

What is the primary use of quinidine sulfate?

Quinidine sulfate is primarily used as an antiarrhythmic agent to treat certain types of irregular heartbeats, such as atrial or ventricular arrhythmias.

Which regions are expected to contribute significantly to the quinidine sulfate market growth?

North America is expected to account for a significant portion of the market growth, followed by other regions such as Europe, Asia-Pacific, and LAMEA.

What are the key challenges facing the quinidine sulfate market?

The market faces challenges such as stringent regulatory frameworks, potential side effects, and the availability of newer alternatives.

How is the quinidine sulfate market segmented?

The market is segmented by route of administration, application, end user, and region.

What is the projected CAGR for the quinidine sulfate market from 2023 to 2030?

The market is projected to grow at a CAGR of 6.30% from 2023 to 2030.

Sources

  1. Reagan-Udall Foundation: Effectiveness and Safety of Quinine Sulfate as add-on Therapy for COVID-19 Hospitalized Adults.
  2. Allied Market Research: Quinidine Sulfate Market.
  3. PR Newswire: Quinidine Sulfate Market Size to Grow by USD 427.29 mn, North America to be Largest Contributor to Market Growth.
  4. PubMed: Effect of Dextromethorphan-Quinidine on Agitation in Patients With Alzheimer Disease.
  5. 360iResearch: Quinidine Sulfate Market by Route of Administration, Application, and End User.

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