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Last Updated: April 3, 2025

CLINICAL TRIALS PROFILE FOR REGITINE


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All Clinical Trials for REGITINE

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT03079921 ↗ Adrenergic System in Islet Transplantation Active, not recruiting National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Early Phase 1 2017-01-20 To determine the effect of sympathetic neural and hormonal (epinephrine) input on islet cell hormonal responses to insulin-induced hypoglycemia in type 1 diabetic recipients of intrahepatic islet transplantation. We hypothesize that α-adrenergic (neural) blockage will abolish insulin-mediated suppression of C-peptide, attenuating α-cell glucagon secretion during hypoglycemia, and that β-adrenergic (hormonal) blockage will have no effect. Glucose counterregulatory responses will be measured during hyperinsulinemic euglycemic-hypoglycemic clamps on three occasions with randomized, double-blind administration of the α-adrenergic blocker phentolamine, the β-adrenergic blocker propranolol, or placebo. The demonstration of neural rather than hormonal regulation of the transplanted islet cell response to hypoglycemia is critical for understanding the mechanism for protection from hypoglycemia afforded by intrahepatically transplanted.
NCT03079921 ↗ Adrenergic System in Islet Transplantation Active, not recruiting National Institutes of Health (NIH) Early Phase 1 2017-01-20 To determine the effect of sympathetic neural and hormonal (epinephrine) input on islet cell hormonal responses to insulin-induced hypoglycemia in type 1 diabetic recipients of intrahepatic islet transplantation. We hypothesize that α-adrenergic (neural) blockage will abolish insulin-mediated suppression of C-peptide, attenuating α-cell glucagon secretion during hypoglycemia, and that β-adrenergic (hormonal) blockage will have no effect. Glucose counterregulatory responses will be measured during hyperinsulinemic euglycemic-hypoglycemic clamps on three occasions with randomized, double-blind administration of the α-adrenergic blocker phentolamine, the β-adrenergic blocker propranolol, or placebo. The demonstration of neural rather than hormonal regulation of the transplanted islet cell response to hypoglycemia is critical for understanding the mechanism for protection from hypoglycemia afforded by intrahepatically transplanted.
NCT03079921 ↗ Adrenergic System in Islet Transplantation Active, not recruiting University of Pennsylvania Early Phase 1 2017-01-20 To determine the effect of sympathetic neural and hormonal (epinephrine) input on islet cell hormonal responses to insulin-induced hypoglycemia in type 1 diabetic recipients of intrahepatic islet transplantation. We hypothesize that α-adrenergic (neural) blockage will abolish insulin-mediated suppression of C-peptide, attenuating α-cell glucagon secretion during hypoglycemia, and that β-adrenergic (hormonal) blockage will have no effect. Glucose counterregulatory responses will be measured during hyperinsulinemic euglycemic-hypoglycemic clamps on three occasions with randomized, double-blind administration of the α-adrenergic blocker phentolamine, the β-adrenergic blocker propranolol, or placebo. The demonstration of neural rather than hormonal regulation of the transplanted islet cell response to hypoglycemia is critical for understanding the mechanism for protection from hypoglycemia afforded by intrahepatically transplanted.
NCT02966665 ↗ : Vascular Function in Health and Disease Recruiting Russell Richardson Phase 1 2008-09-01 Many control mechanisms exist which successfully match the supply of blood with the metabolic demand of various tissues under wide-ranging conditions. One primary regulator of vasomotion and thus perfusion to the muscle tissue is the host of chemical factors originating from the vascular endothelium and the muscle tissue, which collectively sets the level of vascular tone. With advancing age and in many disease states, deleterious adaptations in the production and sensitivity of these vasodilator and vasoconstrictor substances may be observed, leading to a reduction in skeletal muscle blood flow and compromised perfusion to the muscle tissue. Adequate perfusion is particularly important during exercise to meet the increased metabolic demand of the exercising tissue, and thus any condition that reduces tissue perfusion may limit the capacity for physical activity. As it is now well established that regular physical activity is a key component in maintaining cardiovascular health with advancing age, there is a clear need for further studies in populations where vascular dysfunction is compromised, with the goal of identifying the mechanisms responsible for the dysfunction and exploring whether these maladaptations may be remediable. Thus, to better understand the etiology of these vascular adaptations in health and disease, the current proposal is designed to study changes in vascular function with advancing age, and also examine peripheral vascular changes in patients suffering from chronic obstructive pulmonary disease (COPD), Sepsis, Pulmonary Hypertension, and cardiovascular disease. While there are clearly a host of vasoactive substances which collectively act to govern vasoconstriction both at rest and during exercise, four specific pathways that may be implicated have been identified in these populations: Angiotensin-II (ANG-II), Endothelin-1 (ET-1), Nitric Oxide (NO), and oxidative stress.
>Trial ID>Title>Status>Phase>Start Date>Summary
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Clinical Trial Conditions for REGITINE

Condition Name

11110-0.100.10.20.30.40.50.60.70.80.911.1Islet Cell TransplantationPulmonary Artery HypertensionType1diabetesChronic Obstructive Pulmonary Disease[disabled in preview]
Condition Name for REGITINE
Intervention Trials
Islet Cell Transplantation 1
Pulmonary Artery Hypertension 1
Type1diabetes 1
Chronic Obstructive Pulmonary Disease 1
[disabled in preview] 0
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Condition MeSH

11110-0.100.10.20.30.40.50.60.70.80.911.1Pulmonary Disease, Chronic ObstructivePulmonary Arterial HypertensionLung Diseases, ObstructiveHypertension[disabled in preview]
Condition MeSH for REGITINE
Intervention Trials
Pulmonary Disease, Chronic Obstructive 1
Pulmonary Arterial Hypertension 1
Lung Diseases, Obstructive 1
Hypertension 1
[disabled in preview] 0
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Clinical Trial Locations for REGITINE

Trials by Country

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Trials by Country for REGITINE
Location Trials
United States 2
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Trials by US State

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Trials by US State for REGITINE
Location Trials
Pennsylvania 1
Utah 1
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Clinical Trial Progress for REGITINE

Clinical Trial Phase

50.0%50.0%0-0.100.10.20.30.40.50.60.70.80.911.1Phase 1Early Phase 1[disabled in preview]
Clinical Trial Phase for REGITINE
Clinical Trial Phase Trials
Phase 1 1
Early Phase 1 1
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Clinical Trial Status

50.0%50.0%0-0.100.10.20.30.40.50.60.70.80.911.1Active, not recruitingRecruiting[disabled in preview]
Clinical Trial Status for REGITINE
Clinical Trial Phase Trials
Active, not recruiting 1
Recruiting 1
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Clinical Trial Sponsors for REGITINE

Sponsor Name

trials000001111111Russell RichardsonNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)National Institutes of Health (NIH)[disabled in preview]
Sponsor Name for REGITINE
Sponsor Trials
Russell Richardson 1
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) 1
National Institutes of Health (NIH) 1
[disabled in preview] 1
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Sponsor Type

50.0%50.0%0-0.200.20.40.60.811.21.41.61.822.2OtherNIH[disabled in preview]
Sponsor Type for REGITINE
Sponsor Trials
Other 2
NIH 2
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Clinical Trials, Market Analysis, and Projections: A Comprehensive Overview

Introduction to Clinical Trials

Clinical trials are pivotal in the development and approval of new drugs, ensuring their safety, efficacy, and effectiveness before they are made available to the public. These trials are structured into four phases, each serving a distinct purpose: Phase I for safety and dosage, Phase II for expanded safety and efficacy, Phase III for large-scale confirmation, and Phase IV for post-approval monitoring[2].

The Importance of Clinical Trials in Drug Development

Clinical trials are essential for advancing medical knowledge and improving patient care. They provide evidence-based data on new therapeutic approaches, which is crucial for regulatory approvals and clinical practice guidelines. The increasing prevalence of chronic diseases such as cancer, diabetes, and cardiovascular disorders has driven the demand for innovative treatments, thereby fueling the growth of the clinical trials market[2][3].

Market Analysis of Clinical Trials

Global Market Size and Growth

The global clinical trials market was valued at USD 84.61 billion in 2024 and is projected to reach USD 146.60 billion by 2033, growing at a CAGR of 6.07% during the forecast period (2025-2033)[2].

Drivers of Growth

The market growth is driven by several factors, including the rising number of chronic diseases, government initiatives, and funding that support clinical trials. The interventional segment is expected to dominate the market share due to the significant number of interventional studies, particularly in autoimmune and inflammatory diseases[2][3].

Regional Trends

North America is currently the largest market, while the Asia Pacific region is expected to be the fastest-growing market. The cost-effectiveness and ease of conducting trials outside the U.S. and European Union have also contributed to the global expansion of clinical trials[2].

Specific Focus on REGITINE (Phentolamine)

While the provided sources do not specifically mention REGITINE (Phentolamine), we can analyze the broader context of clinical trials and market projections to infer potential trends and challenges for drugs like REGITINE.

Current Use and Indications

REGITINE, or phentolamine, is a non-selective alpha-adrenergic receptor antagonist used primarily for the treatment of hypertension and as an antidote for alpha-adrenergic agonist overdose. It is also used in certain diagnostic procedures.

Clinical Trials for Similar Drugs

To understand the potential trajectory of REGITINE or similar drugs, we can look at clinical trials for other cardiovascular and hypertensive treatments. For instance, clinical trials for new hypertension treatments often focus on efficacy, safety, and long-term outcomes. These trials typically involve multiple phases, starting with small groups of patients and expanding to larger populations to confirm safety and efficacy[2].

Market Projections for Cardiovascular Drugs

Market Size and Growth

The cardiovascular drug market, which includes hypertension treatments, is expected to grow significantly due to the increasing prevalence of cardiovascular diseases. While specific projections for REGITINE are not available, the overall cardiovascular drug market is driven by the need for effective and safe treatments.

Key Drivers and Barriers

The growth in this market is driven by the rising incidence of cardiovascular diseases and the aging population. However, patent expirations of blockbuster drugs and the emergence of generics can pose significant barriers to growth. For example, the patent expiration of drugs like Tarceva and Alimta in the NSCLC market has led to a decline in sales, highlighting the importance of innovative pipeline drugs[5].

Case Study: Zatolmilast Clinical Program

To illustrate the complexities and opportunities in clinical trials, let's consider the zatolmilast clinical program for Fragile X syndrome (FXS).

Study Design and Outcomes

Zatolmilast (BPN14770) is being investigated in multiple studies, including Study 204 for adolescent males and Study 301 for adult males. These studies have shown clinically meaningful improvements in daily functioning with minimal adverse events. The open-label extension study, Study 302, allows participants to continue treatment for up to two years, providing long-term safety and efficacy data[1].

Lessons for REGITINE

The zatolmilast program highlights the importance of well-designed clinical trials that address specific patient populations and ensure long-term safety and efficacy. For drugs like REGITINE, similar approaches could be beneficial, especially in expanding the drug's indications or improving its safety profile.

Key Takeaways

  • Clinical Trials are Crucial: They ensure the safety, efficacy, and effectiveness of new drugs before they are approved.
  • Market Growth: The global clinical trials market is expected to grow significantly, driven by chronic diseases and government initiatives.
  • Regional Trends: North America is the largest market, while the Asia Pacific region is the fastest-growing.
  • Drug-Specific Projections: While specific data for REGITINE is not available, the broader cardiovascular drug market is expected to grow due to increasing disease prevalence.
  • Challenges and Opportunities: Patent expirations and the emergence of generics can impact market growth, but innovative pipeline drugs can mitigate these effects.

FAQs

Q: What are the main phases of clinical trials? A: Clinical trials progress through four phases: Phase I for safety and dosage, Phase II for expanded safety and efficacy, Phase III for large-scale confirmation, and Phase IV for post-approval monitoring[2].

Q: What drives the growth of the clinical trials market? A: The growth is driven by the rising number of chronic diseases, government initiatives, and funding that support clinical trials[2][3].

Q: How does the global clinical trials market size project to grow? A: The market is projected to grow from USD 84.61 billion in 2024 to USD 146.60 billion by 2033, at a CAGR of 6.07%[2].

Q: What are some challenges faced by the cardiovascular drug market? A: Patent expirations of blockbuster drugs and the emergence of generics can pose significant barriers to growth[5].

Q: How can clinical trials improve the safety and efficacy of drugs like REGITINE? A: Well-designed clinical trials can provide long-term safety and efficacy data, expand the drug's indications, and improve its safety profile, as seen in the zatolmilast clinical program[1].

Sources

  1. Shionogi Provides Updates on Zatolmilast, an Investigational Drug for Fragile X syndrome - Shionogi.
  2. Global Clinical Trials Market Size, Top Share, Trends, Forecast by 2033 - Straits Research.
  3. Clinical Trials Market Size, Share, Industry Trends, Growth, 2032 - Fortune Business Insights.
  4. COVID-19 Therapeutics Prioritized for Testing in Clinical Trials - NIH.
  5. NSCLC MARKET - Global Drug Forecast & Market Analysis to 2025 - GlobalData.

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