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Last Updated: April 2, 2025

CLINICAL TRIALS PROFILE FOR DOXEPIN HYDROCHLORIDE


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505(b)(2) Clinical Trials for doxepin hydrochloride

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial TypeTrial IDTitleStatusSponsorPhaseStart DateSummary
OTC NCT02229539 ↗ Doxepin and a Topical Rinse in the Treatment of Acute Oral Mucositis Pain in Patients Receiving Radiotherapy With or Without Chemotherapy Completed National Cancer Institute (NCI) Phase 3 2014-11-01 The purpose of this study is to test whether a mouthwash made with a drug called doxepin can reduce the pain caused by mouth sores resulting from radiation therapy. A number of mouth rinse preparations exist for patients with treatment-related oral mucositis pain such as the DLA rinse, an over-the-counter medication. This study will evaluate the effects of doxepin compared to DLA (diphenhydramine, lidocaine and antacids) and placebo.Doxepin is approved by the Food and Drug Administration (FDA) for the treatment of depression, anxiety, long-term pain management, as well as management of rash.
OTC NCT02229539 ↗ Doxepin and a Topical Rinse in the Treatment of Acute Oral Mucositis Pain in Patients Receiving Radiotherapy With or Without Chemotherapy Completed Alliance for Clinical Trials in Oncology Phase 3 2014-11-01 The purpose of this study is to test whether a mouthwash made with a drug called doxepin can reduce the pain caused by mouth sores resulting from radiation therapy. A number of mouth rinse preparations exist for patients with treatment-related oral mucositis pain such as the DLA rinse, an over-the-counter medication. This study will evaluate the effects of doxepin compared to DLA (diphenhydramine, lidocaine and antacids) and placebo.Doxepin is approved by the Food and Drug Administration (FDA) for the treatment of depression, anxiety, long-term pain management, as well as management of rash.
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 2 of 2 entries

All Clinical Trials for doxepin hydrochloride

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00465972 ↗ The Treatment of Insomnia in Patients With HIV Disease Completed Duke University Phase 4 2007-03-01 This study is designed to evaluate the efficacy of two commonly prescribed sleep aids for use in patients who are HIV positive and suffer from insomnia.
NCT00755495 ↗ Safety and Efficacy of Ramelteon and Doxepin in Subjects With Chronic Insomnia Completed Takeda Phase 2 2006-07-01 The purpose of this study is to determine the efficacy of ramelteon, once daily (QD), combined with doxepin in treating subjects with insomnia.
NCT00280839 ↗ Safety and Efficacy Study of Topiramate to Aid in Smoking Cessation Completed Ortho-McNeil Neurologics, Inc. Phase 3 1969-12-31 The purpose of this research study is to determine if topiramate is safe and effective in the treatment of smoking cessation
NCT00280839 ↗ Safety and Efficacy Study of Topiramate to Aid in Smoking Cessation Completed University of Cincinnati Phase 3 1969-12-31 The purpose of this research study is to determine if topiramate is safe and effective in the treatment of smoking cessation
NCT00280839 ↗ Safety and Efficacy Study of Topiramate to Aid in Smoking Cessation Completed Lindner Center of HOPE Phase 3 1969-12-31 The purpose of this research study is to determine if topiramate is safe and effective in the treatment of smoking cessation
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 5 of 5 entries

Clinical Trial Conditions for doxepin hydrochloride

Condition Name

22210-0.200.20.40.60.811.21.41.61.822.2InsomniaMucositisItchMalignant Pleural Effusion[disabled in preview]
Condition Name for doxepin hydrochloride
Intervention Trials
Insomnia 2
Mucositis 2
Itch 2
Malignant Pleural Effusion 1
[disabled in preview] 0
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Condition MeSH

4332000.511.522.533.54MucositisStomatitisSleep Initiation and Maintenance DisordersCarcinoma[disabled in preview]
Condition MeSH for doxepin hydrochloride
Intervention Trials
Mucositis 4
Stomatitis 3
Sleep Initiation and Maintenance Disorders 3
Carcinoma 2
[disabled in preview] 0
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Clinical Trial Locations for doxepin hydrochloride

Trials by Country

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Trials by Country for doxepin hydrochloride
Location Trials
United States 53
Iran, Islamic Republic of 2
China 2
Denmark 2
Brazil 1
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Trials by US State

+
Trials by US State for doxepin hydrochloride
Location Trials
Minnesota 3
Michigan 3
Wisconsin 3
Nebraska 2
Iowa 2
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Clinical Trial Progress for doxepin hydrochloride

Clinical Trial Phase

23.5%29.4%5.9%41.2%01234567Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for doxepin hydrochloride
Clinical Trial Phase Trials
Phase 4 4
Phase 3 5
Phase 2/Phase 3 1
[disabled in preview] 7
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Clinical Trial Status

66.7%9.5%9.5%14.3%02468101214CompletedUnknown statusRecruiting[disabled in preview]
Clinical Trial Status for doxepin hydrochloride
Clinical Trial Phase Trials
Completed 14
Unknown status 2
Recruiting 2
[disabled in preview] 3
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Clinical Trial Sponsors for doxepin hydrochloride

Sponsor Name

trials0112233National Cancer Institute (NCI)Aalborg UniversityAlliance for Clinical Trials in Oncology[disabled in preview]
Sponsor Name for doxepin hydrochloride
Sponsor Trials
National Cancer Institute (NCI) 3
Aalborg University 2
Alliance for Clinical Trials in Oncology 2
[disabled in preview] 2
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Sponsor Type

78.3%15.2%6.5%005101520253035OtherIndustryNIH[disabled in preview]
Sponsor Type for doxepin hydrochloride
Sponsor Trials
Other 36
Industry 7
NIH 3
[disabled in preview] 0
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Doxepin Hydrochloride: Clinical Trials, Market Analysis, and Projections

Introduction to Doxepin Hydrochloride

Doxepin hydrochloride is a tricyclic antidepressant with a wide range of therapeutic applications, including the treatment of major depressive disorder, anxiety disorders, chronic hives, and trouble sleeping. Here, we will delve into the clinical trials, market analysis, and future projections for this versatile drug.

Mechanism of Action and Clinical Pharmacology

Doxepin hydrochloride's mechanism of action is not fully understood, but it is believed to influence adrenergic activity at synapses, preventing the reuptake of norepinephrine into nerve terminals. It also exhibits anticholinergic, antiserotonin, and antihistamine effects, particularly on H1 and H2 receptors, which is significant for its use in treating conditions like chronic urticaria and pruritus[1][4].

Clinical Trials and Applications

Psychoneurologic Applications

Doxepin hydrochloride is primarily used as an antidepressant and anxiolytic. Clinical trials have shown its efficacy in treating major depressive disorder and anxiety disorders. However, its use in pediatric populations is not established due to the risk of clinical worsening and suicide[1].

Dermatologic Applications

In dermatology, doxepin hydrochloride has been incorporated into creams for the treatment of chronic urticarias, atopic dermatitis, prurigos, and neurodermatitis. A study using "Doxederm," a 5% doxepin hydrochloride cream, showed significant reductions in papule sizes and pruritus intensity when applied 72 hours before allergen tests, highlighting its strong antihistaminic action[4].

Other Applications

Doxepin hydrochloride is also used for treating insomnia and other sleep disorders due to its sedative properties. Its antihistamine effects make it useful in managing symptoms of allergic reactions.

Market Analysis

Current Market Size and Growth

The global market for doxepin hydrochloride has experienced rapid growth. As of 2023, the market was valued at approximately $982 million and is projected to reach $1425.7 million by 2030, with a compound annual growth rate (CAGR) of 5.5% during the forecast period of 2024-2030[5].

Market Segmentation

The market is segmented based on type (10mg, 25mg, 50mg), application (major depressive disorder, anxiety disorders, chronic hives, trouble sleeping), and geographical regions (North America, Europe, Asia-Pacific, South America, and Middle-East and Africa). This segmentation helps in understanding the diverse demand and supply dynamics across different regions and therapeutic areas[2][5].

Key Players

The market is dominated by several key players, including Ajanta Pharma, Amneal Pharmaceuticals, Aurobindo Pharma, Mylan Pharmaceuticals, Par Pharmaceutical, Boehringer Ingelheim, Elorac, Winston Pharmaceuticals, and others. These companies play a crucial role in the production, distribution, and innovation within the doxepin hydrochloride market[3][5].

Market Projections and Trends

Forecasted Growth

The optimistic outlook for the doxepin hydrochloride market is driven by increasing demand for effective treatments for mental health disorders and skin conditions. The market is expected to expand significantly from 2023 to 2031, with robust growth rates anticipated in the foreseeable future[2][5].

Drivers and Restraints

Key drivers include the rising prevalence of mental health disorders, growing awareness and acceptance of psychiatric treatments, and the expanding use of doxepin hydrochloride in dermatologic conditions. However, restraints such as side effects, regulatory challenges, and competition from newer antidepressants and antihistamines may impact market growth[2].

Opportunities and Challenges

Opportunities lie in the development of new formulations, such as topical creams and oral solutions, which can enhance patient compliance and efficacy. Challenges include the need for further clinical trials to establish safety and efficacy in pediatric populations and the potential for generic competition as patents expire[1][4].

Regional Market Dynamics

North America and Europe

These regions are expected to remain significant markets due to high healthcare spending and a well-established pharmaceutical infrastructure. The presence of major pharmaceutical companies and a strong regulatory framework support the growth of the doxepin hydrochloride market in these regions[2][5].

Asia-Pacific

The Asia-Pacific region is anticipated to show rapid growth due to increasing healthcare expenditure, a large patient population, and the emergence of local pharmaceutical companies. Countries like China and India are expected to drive this growth with their expanding healthcare sectors[2][5].

Consumer Behavior and Economic Impact

Consumer behavior is shifting towards more personalized and effective treatments, driving the demand for drugs like doxepin hydrochloride. Economically, the growth of the doxepin hydrochloride market contributes to the overall pharmaceutical industry, creating jobs and stimulating economic activity in regions where it is manufactured and distributed[2][5].

Conclusion

Doxepin hydrochloride is a versatile drug with a broad range of therapeutic applications. Its market is poised for significant growth driven by increasing demand for mental health and dermatologic treatments. As the market continues to expand, it is crucial for pharmaceutical companies to innovate and address the challenges associated with this drug.

Key Takeaways

  • Mechanism of Action: Doxepin hydrochloride influences adrenergic activity and has anticholinergic, antiserotonin, and antihistamine effects.
  • Clinical Applications: Used for major depressive disorder, anxiety disorders, chronic hives, trouble sleeping, and dermatologic conditions.
  • Market Size and Growth: Valued at $982 million in 2023, projected to reach $1425.7 million by 2030 with a CAGR of 5.5%.
  • Market Segmentation: Segmented by type, application, and geographical regions.
  • Key Players: Includes Ajanta Pharma, Amneal Pharmaceuticals, Aurobindo Pharma, and others.
  • Regional Dynamics: North America, Europe, and Asia-Pacific are key regions driving market growth.

FAQs

What is the primary mechanism of action of doxepin hydrochloride?

Doxepin hydrochloride's primary mechanism involves influencing adrenergic activity at synapses and preventing the reuptake of norepinephrine into nerve terminals. It also has significant antihistaminic and anticholinergic effects[1].

What are the main applications of doxepin hydrochloride?

Doxepin hydrochloride is used to treat major depressive disorder, anxiety disorders, chronic hives, trouble sleeping, and various dermatologic conditions such as chronic urticarias and atopic dermatitis[1][4].

What is the current market size and projected growth of the doxepin hydrochloride market?

As of 2023, the market was valued at $982 million and is projected to reach $1425.7 million by 2030, with a CAGR of 5.5% during the forecast period[5].

Who are the key players in the doxepin hydrochloride market?

Key players include Ajanta Pharma, Amneal Pharmaceuticals, Aurobindo Pharma, Mylan Pharmaceuticals, Par Pharmaceutical, Boehringer Ingelheim, and others[3][5].

What are the main drivers and restraints of the doxepin hydrochloride market?

Drivers include the rising prevalence of mental health disorders and growing awareness of psychiatric treatments. Restraints include side effects, regulatory challenges, and competition from newer drugs[2].

How does doxepin hydrochloride compare to other antihistamines in dermatologic applications?

Doxepin hydrochloride has a significantly higher affinity for histaminic receptors compared to other antihistamines like diphenhydramine and hydroxyzine, making it more effective in treating chronic urticarias and pruritus[4].

Sources

  1. Doxepin: Package Insert / Prescribing Information - Drugs.com
  2. Doxepin Hydrochloride Market Size, Scope And Forecast Report - Market Research Intellect
  3. Doxepin Hydrochloride for Injection Market - Valuates Reports
  4. Doxepin incorporated into a dermatologic cream - Elsevier
  5. Doxepin Hydrochloride - Market Size - Valuates Reports

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