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Last Updated: January 5, 2025

CLINICAL TRIALS PROFILE FOR BENZTROPINE MESYLATE


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All Clinical Trials for benztropine mesylate

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000793 ↗ A Phase II/III Double-Blind Study of Amitriptyline and Mexiletine for Painful Neuropathy in HIV Infection Completed Boehringer Ingelheim Phase 2 1969-12-31 To assess the efficacy, safety, and tolerability of amitriptyline hydrochloride versus mexiletine hydrochloride in reducing pain intensity in patients with HIV-related painful peripheral neuropathy. No large-scale controlled clinical trials of symptomatic therapy for painful HIV-related neuropathy have been attempted. Both amitriptyline and mexiletine have been useful in the management of painful neuropathies; however, both are associated with certain toxicities. In this comparative study of amitriptyline and mexiletine, benztropine mesylate also will be included as an active placebo to mimic the side effects of the study drugs.
NCT00000793 ↗ A Phase II/III Double-Blind Study of Amitriptyline and Mexiletine for Painful Neuropathy in HIV Infection Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 2 1969-12-31 To assess the efficacy, safety, and tolerability of amitriptyline hydrochloride versus mexiletine hydrochloride in reducing pain intensity in patients with HIV-related painful peripheral neuropathy. No large-scale controlled clinical trials of symptomatic therapy for painful HIV-related neuropathy have been attempted. Both amitriptyline and mexiletine have been useful in the management of painful neuropathies; however, both are associated with certain toxicities. In this comparative study of amitriptyline and mexiletine, benztropine mesylate also will be included as an active placebo to mimic the side effects of the study drugs.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for benztropine mesylate

Condition Name

Condition Name for benztropine mesylate
Intervention Trials
HIV Infections 1
Peripheral Nervous System Disease 1
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Condition MeSH

Condition MeSH for benztropine mesylate
Intervention Trials
Infections 1
Infection 1
HIV Infections 1
Communicable Diseases 1
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Clinical Trial Locations for benztropine mesylate

Trials by Country

Trials by Country for benztropine mesylate
Location Trials
United States 21
Tanzania 1
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Trials by US State

Trials by US State for benztropine mesylate
Location Trials
Washington 1
Pennsylvania 1
Ohio 1
North Carolina 1
New York 1
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Clinical Trial Progress for benztropine mesylate

Clinical Trial Phase

Clinical Trial Phase for benztropine mesylate
Clinical Trial Phase Trials
Phase 2 1
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Clinical Trial Status

Clinical Trial Status for benztropine mesylate
Clinical Trial Phase Trials
Completed 1
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Clinical Trial Sponsors for benztropine mesylate

Sponsor Name

Sponsor Name for benztropine mesylate
Sponsor Trials
Boehringer Ingelheim 1
National Institute of Allergy and Infectious Diseases (NIAID) 1
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Sponsor Type

Sponsor Type for benztropine mesylate
Sponsor Trials
Industry 1
NIH 1
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Benztropine mesylate Market Analysis and Financial Projection

Benztropine Mesylate: Clinical Trials, Market Analysis, and Projections

Introduction

Benztropine mesylate is a medication widely used to manage symptoms of Parkinson's disease and extrapyramidal disorders caused by antipsychotic drugs. Here, we will delve into the clinical trials, market analysis, and future projections for this drug.

Clinical Trials and Efficacy

Historical Clinical Trials

Benztropine mesylate was originally approved before the modern FDA standards for drug approval were implemented in the 1960s. However, a significant clinical trial conducted in 1980 in Texas provided evidence of its efficacy. This trial involved 29 patients with mild to moderate Parkinson’s disease who were already taking Sinemet (carbidopa and levodopa). The participants were given either benztropine mesylate or a placebo for 10 weeks, followed by a five-week washout period, and then the treatments were reversed for another 10 weeks.

The results showed that 10 patients reported greater improvements with benztropine mesylate compared to the placebo, while three reported better outcomes with the placebo. The rest had similar responses to both treatments. Clinician-rated measures indicated small but statistically significant improvements in rigidity, finger tapping speed, and activities of daily living for patients given benztropine mesylate[1].

Dosage and Administration

Benztropine mesylate is typically started at a low dose of 0.5 to 1 mg per day, given at bedtime, and gradually increased every five or six days in increments of 0.5 mg. The final dose usually ranges from 1 to 2 mg per day, although doses can vary from 0.5 to 6 mg per day. It is crucial to avoid sudden cessation of other antiparkinsonian medications when starting benztropine mesylate, and any reductions or discontinuations should be done gradually[1][4].

Market Analysis

Current Market Size

The global benztropine mesylate market was valued at approximately USD 212.6 million in 2023. This market is segmented based on the route of administration (oral and injection) and application (parkinsonism and extrapyramidal symptoms)[2][5].

Market Growth Projections

The market is expected to grow at a Compound Annual Growth Rate (CAGR) of 6.8% from 2024 to 2031, reaching an estimated value of USD 352.4 million by 2031. This growth is driven by several factors, including the increasing incidence of neurological disorders such as Parkinson’s disease, advancements in neurological research, and the aging global population which is more prone to neurological illnesses[2][5].

Regional Market Overview

The market is analyzed across various regions including North America, Europe, Asia-Pacific (APAC), Middle East and Africa (MEA), and South & Central America. Each region is further sub-segmented by country, providing a detailed overview of the market dynamics and trends. The report also includes a PEST analysis for each region, evaluating political, economic, social, and technological factors affecting the market[5].

Market Drivers and Trends

Increasing Incidence of Neurological Disorders

The rising incidence of Parkinson’s disease and other neurological disorders is a significant driver of the benztropine mesylate market. As the global population ages, the demand for effective treatments for these conditions is expected to increase[2][5].

Advancements in Neurological Research

Improvements in neurological research and the development of better formulations of benztropine mesylate are enhancing its therapeutic effectiveness. This continuous innovation is contributing to the market's growth[2].

Expanding Healthcare Infrastructure

The development of healthcare infrastructure and increased accessibility to medical care are also supporting the market's expansion. This includes the availability of generic formulations and injectable versions of the drug, which broaden the treatment options for patients[2][5].

Competitive Landscape

Key Players

The benztropine mesylate market includes several key players, with Hikma Pharmaceuticals being a notable one. Hikma launched Benztropine Mesylate Injection, USP, which has contributed to the market's growth by providing more treatment options for hospitals and patients[4].

Market Segmentation

The market is segmented by route of administration (oral and injection) and application (parkinsonism and extrapyramidal symptoms). This segmentation helps in understanding the specific needs and trends within each segment[5].

Side Effects and Precautions

Common Side Effects

Benztropine mesylate can cause several side effects, including impairment of physical or mental abilities, mental confusion, visual hallucinations, and excitement, especially in large doses or in susceptible patients. It is important to monitor patients closely, particularly those with mental disorders[1][4].

Special Populations

The drug should be used with caution in pediatric patients over three years of age due to atropine-like side effects. For geriatric patients, the dose selection should start at the low end of the dosing range and be increased only as needed, with monitoring for adverse events[4].

Key Takeaways

  • Clinical Efficacy: Benztropine mesylate has shown efficacy in managing Parkinson’s disease symptoms and extrapyramidal disorders in clinical trials.
  • Market Growth: The global benztropine mesylate market is expected to grow at a CAGR of 6.8% from 2024 to 2031, driven by increasing neurological disorders and advancements in research.
  • Market Segmentation: The market is segmented by route of administration and application, with key players like Hikma Pharmaceuticals contributing to its growth.
  • Side Effects: The drug can cause significant side effects, necessitating careful monitoring, especially in susceptible patients.

FAQs

Q: What is benztropine mesylate used for?

A: Benztropine mesylate is used as an adjunct therapy to manage symptoms of Parkinson’s disease and extrapyramidal disorders caused by antipsychotic medications.

Q: What are the common side effects of benztropine mesylate?

A: Common side effects include impairment of physical or mental abilities, mental confusion, visual hallucinations, and excitement, especially in large doses or in susceptible patients.

Q: How is benztropine mesylate administered?

A: It can be administered orally or via injection, typically starting at a low dose of 0.5 to 1 mg per day and gradually increased as needed.

Q: What is the projected market size of benztropine mesylate by 2031?

A: The global benztropine mesylate market is expected to reach USD 352.4 million by 2031, growing at a CAGR of 6.8% from 2024 to 2031.

Q: Who are the key players in the benztropine mesylate market?

A: Key players include Hikma Pharmaceuticals, which has launched Benztropine Mesylate Injection, USP, contributing to the market's growth.

Sources

  1. Parkinsons News Today: "Benztropine Mesylate for Parkinson’s Disease" by Marisa Wexler, MS.
  2. Market Research Intellect: "Benztropine Mesylate Market Size, Share | Growth Report, 2031".
  3. Dataintelo: "Benztropine Mesylate API Market Research Report 2032".
  4. Hikma Pharmaceuticals: "Hikma launches Benztropine Mesylate Injection, USP".
  5. The Insight Partners: "Benztropine Mesylate Market SWOT Analysis by 2031".

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