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Last Updated: March 14, 2025

CLINICAL TRIALS PROFILE FOR EPIRUBICIN HYDROCHLORIDE


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All Clinical Trials for epirubicin hydrochloride

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00002615 ↗ Surgery With or Without Combination Chemotherapy in Treating Patients With Stomach Cancer Completed Medical Research Council Phase 3 1994-06-01 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not known whether receiving chemotherapy before surgery may be more effective than surgery alone in treating patients with stomach cancer. PURPOSE: Randomized phase III trial to compare the effectiveness of surgery plus combination chemotherapy with surgery alone in treating patients with stomach cancer.
NCT00002542 ↗ Tamoxifen in Treating Women With High-Risk Breast Cancer Completed NCIC Clinical Trials Group Phase 3 1993-07-20 RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Hormone therapy using tamoxifen may fight breast cancer by blocking the uptake of estrogen. Chemotherapy uses different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase III trial to study the effectiveness of tamoxifen following surgery and chemotherapy in treating women who have stage I breast cancer at high risk of recurrence or stage II or stage III breast cancer.
NCT00002529 ↗ Hormone Therapy and Chemotherapy in Treating Perimenopausal or Postmenopausal Women With Node-Positive Breast Cancer Completed International Breast Cancer Study Group Phase 3 1993-05-01 RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Hormone therapy may fight breast cancer by blocking the uptake of estrogen. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining chemotherapy with hormone therapy may kill more tumor cells. It is not yet known which treatment regimen is more effective for breast cancer. PURPOSE: Randomized phase III trial to compare the effectiveness of hormone therapy during or after combination chemotherapy or hormone therapy alone in treating perimenopausal or postmenopausal women who have stage II or stage IIIA breast cancer.
NCT00002544 ↗ Mitoxantrone With or Without Docetaxel in Treating Women With Metastatic Breast Cancer Completed Arbeitsgemeinschaft fur Internistische Onkologie Phase 3 1993-05-01 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known if mitoxantrone is more effective with or without docetaxel. PURPOSE: Randomized phase III trial to compare the effectiveness of mitoxantrone with or without docetaxel in treating women who have metastatic breast cancer with a poor prognosis.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 4 of 4 entries

Clinical Trial Conditions for epirubicin hydrochloride

Condition Name

1873521160020406080100120140160180200Breast CancerGastric CancerBreast NeoplasmsTriple Negative Breast Cancer[disabled in preview]
Condition Name for epirubicin hydrochloride
Intervention Trials
Breast Cancer 187
Gastric Cancer 35
Breast Neoplasms 21
Triple Negative Breast Cancer 16
[disabled in preview] 0
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Condition MeSH

2895044310050100150200250300Breast NeoplasmsStomach NeoplasmsTriple Negative Breast NeoplasmsEsophageal Neoplasms[disabled in preview]
Condition MeSH for epirubicin hydrochloride
Intervention Trials
Breast Neoplasms 289
Stomach Neoplasms 50
Triple Negative Breast Neoplasms 44
Esophageal Neoplasms 31
[disabled in preview] 0
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Clinical Trial Locations for epirubicin hydrochloride

Trials by Country

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Trials by Country for epirubicin hydrochloride
Location Trials
United States 636
China 177
Italy 162
Spain 129
Germany 102
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Trials by US State

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Trials by US State for epirubicin hydrochloride
Location Trials
Texas 30
New York 26
California 25
Florida 24
Pennsylvania 22
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Clinical Trial Progress for epirubicin hydrochloride

Clinical Trial Phase

37.9%5.3%51.9%020406080100120140160180200220Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for epirubicin hydrochloride
Clinical Trial Phase Trials
Phase 4 19
Phase 3 149
Phase 2/Phase 3 21
[disabled in preview] 204
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Clinical Trial Status

53.4%19.7%16.5%10.5%0406080100120140160180200220CompletedUnknown statusRecruiting[disabled in preview]
Clinical Trial Status for epirubicin hydrochloride
Clinical Trial Phase Trials
Completed 214
Unknown status 79
Recruiting 66
[disabled in preview] 42
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Clinical Trial Sponsors for epirubicin hydrochloride

Sponsor Name

trials02468101214161820222426National Cancer Institute (NCI)Fudan UniversityGerman Breast Group[disabled in preview]
Sponsor Name for epirubicin hydrochloride
Sponsor Trials
National Cancer Institute (NCI) 25
Fudan University 23
German Breast Group 16
[disabled in preview] 16
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Sponsor Type

76.1%21.2%00100200300400500600700800OtherIndustryNIH[disabled in preview]
Sponsor Type for epirubicin hydrochloride
Sponsor Trials
Other 747
Industry 208
NIH 26
[disabled in preview] 1
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Epirubicin Hydrochloride: Clinical Trials, Market Analysis, and Projections

Introduction to Epirubicin Hydrochloride

Epirubicin hydrochloride, a member of the anthracycline class of drugs, is widely used in the treatment of various cancers, particularly breast cancer. It is known for its efficacy and relatively lower side effect profile compared to other anthracyclines like doxorubicin.

Clinical Trials Overview

Ongoing and Recent Trials

Several clinical trials are currently underway or have recently been completed to evaluate the efficacy and safety of epirubicin hydrochloride in different clinical settings.

  • Phase I Trials: A clinical trial registered in the EU Clinical Trials Register (EudraCT Number: 2016-004269-14) is ongoing, focusing on human pharmacology (Phase I) and the first administration of epirubicin to humans. This trial aims to assess the efficacy and safety of epirubicin in its initial stages of human testing[1].

  • Physiologically Based Pharmacokinetic (PBPK) Models: A study published in MDPI describes the development and evaluation of a full-body PBPK model to predict systemic and individual organ exposure to epirubicin. This model helps in understanding the pharmacokinetics of epirubicin, which is crucial for optimizing dosing regimens[3].

Specific Trials in Breast Cancer

  • CompassHER2 Trials: While not exclusively focused on epirubicin, the CompassHER2 trials provide insight into the treatment landscape of HER2-positive breast cancer, a context in which epirubicin might be used. These trials compare the efficacy of trastuzumab emtansine (T-DM1) with and without tucatinib in preventing relapses in high-risk patients. Although epirubicin is not the primary drug under investigation, the trial's design and outcomes can inform strategies for adjuvant therapies in breast cancer[4].

Market Analysis

Current Market Size and Growth

The global epirubicin hydrochloride market has experienced significant growth in recent years and is projected to continue this trend.

  • Market Size: As of 2021, the global epirubicin market was valued at $191.66 million. It is expected to reach $243.99 million by 2028, growing at a Compound Annual Growth Rate (CAGR) of 3.60% from 2022 to 2028[5].

  • Segmentation: The market is segmented based on type (10mg/5ml, 50mg/25ml, and others) and application (primarily cancer treatment). Geographical regions such as North America, Europe, Asia-Pacific, South America, and the Middle-East and Africa are also key segments[2].

Drivers and Restraints

  • Drivers: The increasing incidence of breast cancer and other cancers, combined with the preference for epirubicin over other anthracyclines due to its lower side effect profile, are driving the market growth. Advances in clinical trials and the development of more precise pharmacokinetic models also contribute to the market's expansion[3][5].

  • Restraints: Despite its advantages, the market faces restraints such as the availability of alternative treatments and the potential for adverse effects, although these are generally milder compared to other anthracyclines.

Market Projections

Forecast Period

  • 2023-2031: The epirubicin hydrochloride market is expected to see robust growth over the forecast period. Projections indicate a consistent upward trend in market dynamics, reflecting strong growth rates. The market is anticipated to undergo significant development, driven by increasing demand and advancements in treatment protocols[2].

Key Factors Influencing Growth

  • Product Penetration: The extent of product penetration at both national and regional levels is a critical factor. The report highlights that market dynamics are influenced by product pricing, consumer behavior, and the economic, political, and social landscapes of countries[2].

  • Competitive Landscape: The competitive surroundings, including key players and their strategies, play a significant role in shaping the market. The thorough segmentation of the market ensures a comprehensive analysis from various angles, aiding in optimizing ongoing marketing strategies[2].

Epirubicin Hydrochloride in Clinical Practice

FDA Approval and Use

Epirubicin hydrochloride was FDA-approved in 1999 under the trade name Ellence for adjuvant therapy in treating axillary node-positive breast cancers following resection. It is preferred over doxorubicin due to its lower cardiotoxicity and other side effects[5].

Mechanism of Action

Epirubicin hydrochloride exerts its antineoplastic effects by targeting the replication of DNA. It is an antibiotic isolated from the gram-positive bacteria Streptomyces and is commonly used as a chemotherapy agent[5].

Conclusion

Epirubicin hydrochloride remains a vital component in the treatment of breast cancer and other malignancies. The ongoing clinical trials and advancements in pharmacokinetic modeling are expected to further optimize its use. The market for epirubicin hydrochloride is poised for significant growth, driven by increasing demand and favorable market dynamics.

Key Takeaways

  • Clinical Trials: Ongoing trials are focusing on the pharmacology and safety of epirubicin hydrochloride.
  • Market Growth: The global market is expected to grow at a CAGR of 3.60% from 2022 to 2028.
  • Segmentation: The market is segmented by type, application, and geographical region.
  • Drivers and Restraints: Increasing cancer incidence and preference over other anthracyclines drive the market, while alternative treatments and potential side effects act as restraints.
  • Clinical Use: Epirubicin hydrochloride is FDA-approved for adjuvant therapy in breast cancer and is preferred due to its lower side effect profile.

FAQs

What is the current market size of the epirubicin hydrochloride market?

The global epirubicin hydrochloride market was valued at $191.66 million in 2021 and is projected to reach $243.99 million by 2028[5].

What are the primary applications of epirubicin hydrochloride?

Epirubicin hydrochloride is primarily used in the treatment of breast cancers, particularly after surgical resection[5].

Why is epirubicin hydrochloride preferred over other anthracyclines?

Epirubicin hydrochloride is preferred due to its lower side effect profile, especially lower cardiotoxicity compared to doxorubicin[5].

What is the expected growth rate of the epirubicin hydrochloride market?

The market is expected to grow at a CAGR of 3.60% from 2022 to 2028[5].

Are there any ongoing clinical trials for epirubicin hydrochloride?

Yes, there are ongoing clinical trials, including Phase I trials and studies focusing on pharmacokinetic modeling[1][3].

Sources

  1. EU Clinical Trials Register: "EudraCT Number: 2016-004269-14"
  2. Market Research Intellect: "Global Epirubicin Hydrochloride Market Size, Trends and Projections"
  3. MDPI: "A Physiologically Based Pharmacokinetic Model to Predict Systemic and Individual Organ Exposure to Epirubicin"
  4. Yale Medicine: "The CompassHER2 Trials (Comprehensive Use of Pathologic Response Assessment to Optimize Therapy in HER2-Positive Breast Cancer)"
  5. Research and Markets: "Epirubicin Market Forecast to 2028 - COVID-19 Impact and Global Analysis"

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