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Last Updated: April 2, 2025

CLINICAL TRIALS PROFILE FOR SODIUM PHENYLBUTYRATE


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All Clinical Trials for SODIUM PHENYLBUTYRATE

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00004871 ↗ Azacitidine Plus Phenylbutyrate in Treating Patients With Acute Myeloid Leukemia or Myelodysplastic Syndrome Completed National Cancer Institute (NCI) Phase 1 2000-05-01 RATIONALE: Azacitidine plus phenylbutyrate may help leukemia cells develop into normal white blood cells. PURPOSE: Phase I trial to study the effectiveness of combining azacitidine and phenylbutyrate in treating patients who have acute myeloid leukemia or myelodysplastic syndrome.
NCT00002796 ↗ Phase I-II Study of Fluorouracil in Combination With Phenylbutyrate in Advanced Colorectal Cancer Terminated National Cancer Institute (NCI) Phase 1/Phase 2 1997-05-01 Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Interferon-gamma may interfere with the growth of tumor cells and slow the growth of the tumor. Combining more than one drug with interferon-gamma may kill more tumor cells. This phase I/II trial is studying the side effects and best dose of giving fluorouracil together with phenylbutyrate, indomethacin, and interferon-gamma and to see how well it works in treating patients with stage IV colorectal cancer
NCT00004767 ↗ Phase II Study of Sodium Phenylbutyrate, Sodium Benzoate, Sodium Phenylacetate, and Dietary Intervention for Urea Cycle Disorders Completed Johns Hopkins University Phase 2 1985-01-01 OBJECTIVES: I. Assess the safety and efficacy of sodium phenylbutyrate, sodium benzoate, sodium phenylacetate, and dietary intervention in patients with urea cycle disorders.
NCT00004767 ↗ Phase II Study of Sodium Phenylbutyrate, Sodium Benzoate, Sodium Phenylacetate, and Dietary Intervention for Urea Cycle Disorders Completed National Center for Research Resources (NCRR) Phase 2 1985-01-01 OBJECTIVES: I. Assess the safety and efficacy of sodium phenylbutyrate, sodium benzoate, sodium phenylacetate, and dietary intervention in patients with urea cycle disorders.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 4 of 4 entries

Clinical Trial Conditions for SODIUM PHENYLBUTYRATE

Condition Name

633200123456Urea Cycle DisordersMyelodysplastic SyndromesLeukemiaInsulin Resistance[disabled in preview]
Condition Name for SODIUM PHENYLBUTYRATE
Intervention Trials
Urea Cycle Disorders 6
Myelodysplastic Syndromes 3
Leukemia 3
Insulin Resistance 2
[disabled in preview] 0
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Condition MeSH

975500123456789Urea Cycle Disorders, InbornDiseaseMyelodysplastic SyndromesLeukemia, Myeloid, Acute[disabled in preview]
Condition MeSH for SODIUM PHENYLBUTYRATE
Intervention Trials
Urea Cycle Disorders, Inborn 9
Disease 7
Myelodysplastic Syndromes 5
Leukemia, Myeloid, Acute 5
[disabled in preview] 0
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Clinical Trial Locations for SODIUM PHENYLBUTYRATE

Trials by Country

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Trials by Country for SODIUM PHENYLBUTYRATE
Location Trials
United States 107
Canada 4
Spain 3
Italy 3
France 2
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Trials by US State

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Trials by US State for SODIUM PHENYLBUTYRATE
Location Trials
New York 13
Texas 12
Pennsylvania 9
Maryland 9
California 8
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Clinical Trial Progress for SODIUM PHENYLBUTYRATE

Clinical Trial Phase

12.5%16.7%12.5%58.3%023456789101112131415Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for SODIUM PHENYLBUTYRATE
Clinical Trial Phase Trials
Phase 4 3
Phase 3 4
Phase 2/Phase 3 3
[disabled in preview] 14
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Clinical Trial Status

73.0%13.5%8.1%5.4%00510152025CompletedRecruitingTerminated[disabled in preview]
Clinical Trial Status for SODIUM PHENYLBUTYRATE
Clinical Trial Phase Trials
Completed 27
Recruiting 5
Terminated 3
[disabled in preview] 2
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Clinical Trial Sponsors for SODIUM PHENYLBUTYRATE

Sponsor Name

trials01122334455667Horizon Pharma Ireland, Ltd., Dublin IrelandNational Cancer Institute (NCI)Sidney Kimmel Comprehensive Cancer Center[disabled in preview]
Sponsor Name for SODIUM PHENYLBUTYRATE
Sponsor Trials
Horizon Pharma Ireland, Ltd., Dublin Ireland 6
National Cancer Institute (NCI) 5
Sidney Kimmel Comprehensive Cancer Center 3
[disabled in preview] 3
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Sponsor Type

65.3%17.3%14.7%005101520253035404550OtherNIHIndustry[disabled in preview]
Sponsor Type for SODIUM PHENYLBUTYRATE
Sponsor Trials
Other 49
NIH 13
Industry 11
[disabled in preview] 2
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Sodium Phenylbutyrate: Clinical Trials, Market Analysis, and Projections

Introduction

Sodium phenylbutyrate is a versatile drug with applications in treating various medical conditions, including urea cycle disorders, maple syrup urine disease, and certain types of cancer. This article provides an update on the clinical trials, market analysis, and projections for sodium phenylbutyrate.

Clinical Trials Update

Current Status and Findings

Sodium phenylbutyrate has been extensively studied in various clinical trials, particularly for its use in treating urea cycle disorders and other rare genetic diseases.

  • Urea Cycle Disorders and Maple Syrup Urine Disease: Sodium phenylbutyrate is FDA-approved for treating urea cycle disorders (UCDs) and maple syrup urine disease (MSUD). It works by binding to ammonia, facilitating its excretion from the body, which is crucial for patients with these conditions[3][5].

  • Cancer Treatment: While sodium phenylbutyrate has shown promise in preclinical studies for cancer treatment, the clinical evidence is limited. A phase I clinical trial combining sodium phenylbutyrate with 5-azacytidine (5-AC) in patients with refractory solid tumors showed that the combination was well-tolerated but lacked significant clinical benefit. The trial highlighted the need for prospective phase III clinical outcome studies to determine its effectiveness in cancer treatment[1].

  • ALS and Other Neurological Conditions: Amylyx Pharmaceuticals is conducting several clinical trials using a combination of sodium phenylbutyrate and taurursodiol (AMX0035) for the treatment of Amyotrophic Lateral Sclerosis (ALS) and other neurological conditions. The PHOENIX trial, a global phase 3 study, is evaluating the safety and efficacy of AMX0035 in ALS patients. Preliminary data from other studies, such as the HELIOS trial for Wolfram syndrome, have shown evidence of clinical activity, but more comprehensive results are anticipated in the coming years[4].

Future Directions

Given the mixed results from current trials, future clinical trials will be crucial in determining the full potential of sodium phenylbutyrate.

  • Phase III Clinical Trials: There is a significant need for phase III clinical trials to establish the efficacy of sodium phenylbutyrate in cancer treatment and other indications where it has shown promise in preclinical studies[1].
  • Combination Therapies: The ongoing trials by Amylyx Pharmaceuticals and other research initiatives focusing on combination therapies (e.g., AMX0035) may uncover new avenues for the use of sodium phenylbutyrate in neurological and other diseases[4].

Market Analysis

Market Size and Growth

The global sodium phenylbutyrate market is projected to experience steady growth over the next few years.

  • Market Size: The market is expected to reach approximately $3.02 billion by 2030, growing from $1.92 billion in 2023 at a Compound Annual Growth Rate (CAGR) of 6.7%[2][3][5].
  • Drivers: The growth is driven by the increasing prevalence of urea cycle disorders, rising awareness and diagnosis of rare diseases, advancements in pharmaceutical research and development, and the expansion of orphan drug development[2][3][5].

Market Segmentation

The market can be segmented based on application, distribution channel, and end-use.

  • Application: The pharmaceutical segment dominates the market due to the drug's primary use in treating urea cycle disorders and other genetic diseases. However, there are also applications in the food and beverage, and cosmetic sectors[5].
  • Distribution Channel: Direct sales, distributor sales, and online retail are the key distribution channels. The direct sales segment is expected to be significant due to the involvement of major pharmaceutical companies[5].
  • End Use: Hospitals and clinics are the primary end-users, followed by research institutes and other healthcare facilities[5].

Regional Insights

The market is geographically diverse, with different regions contributing to its growth.

  • North America: This region is expected to dominate the market due to the presence of major pharmaceutical companies and advanced healthcare facilities[3].
  • Europe: Europe is anticipated to be the second-largest market, driven by rising healthcare expenditure and a high prevalence of genetic disorders[3].
  • Asia Pacific: The Asia Pacific region is expected to grow at a high rate due to improving healthcare infrastructure, rising medical tourism, and increasing healthcare spending[3].

Market Projections

Growth Opportunities

Several factors are expected to drive the growth of the sodium phenylbutyrate market:

  • Increasing Prevalence of Genetic Disorders: The rising incidence of urea cycle disorders and other genetic conditions will drive the demand for sodium phenylbutyrate[3][5].
  • Advancements in Research and Development: Continued research and development in pharmaceuticals, particularly in the area of rare diseases, will expand the indications for sodium phenylbutyrate[2][3][5].
  • Expansion into Emerging Markets: The growing healthcare needs in emerging markets, especially in the Asia Pacific region, will provide new opportunities for market growth[3].

Challenges

Despite the growth potential, there are several challenges that the market may face:

  • Stringent Regulatory Requirements: The high costs and stringent regulatory approvals associated with drug development can hamper market growth[2][3][5].
  • High Treatment Costs: The cost of treatment with sodium phenylbutyrate can be prohibitive for some patients, especially in regions with limited healthcare resources[2][3].
  • Side Effects and Safety Concerns: While generally well-tolerated, sodium phenylbutyrate can have side effects such as bone marrow suppression-related neutropenia and anemia, which need to be carefully managed[1].

Key Takeaways

  • Clinical Trials: Ongoing and future clinical trials are crucial for establishing the efficacy of sodium phenylbutyrate in various indications.
  • Market Growth: The global sodium phenylbutyrate market is projected to grow significantly, driven by increasing prevalence of genetic disorders and advancements in pharmaceutical research.
  • Regional Insights: North America and Europe are expected to be major markets, with the Asia Pacific region showing high growth potential.
  • Challenges: Stringent regulatory requirements, high treatment costs, and side effects are key challenges that need to be addressed.

FAQs

Q1: What is the current FDA approval status of sodium phenylbutyrate?

Sodium phenylbutyrate is FDA-approved for treating urea cycle disorders and has received an orphan drug designation for acute promyelocytic leukemia and malignant glioma[1].

Q2: What are the primary applications of sodium phenylbutyrate?

The primary applications are in the treatment of urea cycle disorders, maple syrup urine disease, and as an adjunct to surgery, radiation therapy, and chemotherapy for certain cancers[1][3].

Q3: What is the projected market size of sodium phenylbutyrate by 2030?

The global sodium phenylbutyrate market is expected to reach approximately $3.02 billion by 2030[2][3][5].

Q4: Which region is expected to dominate the sodium phenylbutyrate market?

North America is expected to dominate the market due to the presence of major pharmaceutical companies and advanced healthcare facilities[3].

Q5: What are the key drivers of the sodium phenylbutyrate market growth?

The key drivers include the increasing prevalence of urea cycle disorders, advancements in pharmaceutical research and development, and the expansion of orphan drug development[2][3][5].

Sources

  1. Antineoplaston Therapy and Sodium Phenylbutyrate - Medical Policy.
  2. Sodium Phenylbutyrate Market, By Application, By Distribution ... - Coherent Market Insights.
  3. Sodium Phenylbutyrate Market Size, Trends and Forecast to 2030 - Coherent Market Insights.
  4. Amylyx Pharmaceuticals Announces Topline Results From Global ... - Amylyx Pharmaceuticals.
  5. Sodium Phenylbutyrate Market Report: Trends, Forecast and ... - Research and Markets.

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