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Last Updated: April 26, 2025

CLINICAL TRIALS PROFILE FOR LIDOCAINE HYDROCHLORIDE


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505(b)(2) Clinical Trials for lidocaine 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.
New Formulation NCT01348243 ↗ Efficacy Of Clodronate 200 Mg/4 Ml I.M. Solution With 1% Lidocaine Every Other Week Vs Clodronate 100 Mg/3,3ml I.M. Solution With 1% Lidocaine Once-Week In A 1-Year Treatment Period Of Women With Postmenopausal Osteoporosis Completed Chiesi Farmaceutici S.p.A. Phase 3 2011-10-01 Clodronic acid 100 mg/3,3 ml is used to prevent and treat postmenopausal osteoporosis. The intramuscular formulation, which is given at a dose of 100 mg every 7 o 14 days, is at least as effective as daily oral therapy and appears more effective than intermittent intravenous treatment. Intramuscular clodronic acid in particular has also been associated with improvements in back pain. The drug is well tolerated, with no deleterious effects on bone mineralization, and use of parenteral therapy eliminates the risk of gastrointestinal adverse effects that may be seen in patients receiving oral bisphosphonates therapy. In order to simplify the therapeutic dosing regimen, reducing the number of administrations per month, and therefore increase adherence to bisphosphonates therapy of the patient, a new formulation of disodium clodronic acid containing 200 mg/4 mL for i.m. administration has been developed. Lidocaine in this new formulation, as local anaesthetic, is maintained at the same concentration as in the 100 mg clodronic acid formulation. The pharmacokinetics and tolerability of the intramuscular formulation of clodronic acid 200 mg in comparison to the marketed formulation clodronic acid 100 mg was evaluated in healthy post-menopausal volunteers. Two formulations were similar in terms of amount and rate of clodronic acid urinary excretion and in terms of safety profile.
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 3 of 3 entries

All Clinical Trials for lidocaine hydrochloride

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00001724 ↗ Local Flurbiprofen to Treat Pain Following Wisdom Tooth Extraction Completed National Institute of Dental and Craniofacial Research (NIDCR) Phase 2 1997-11-01 This study will evaluate the effectiveness of the non-steroidal anti-inflammatory drug flurbiprofen (Ansaid® (Registered Trademark)) in relieving pain following oral surgery. Flurbiprofen is approved by the Food and Drug Administration for treatment of arthritis pain. Patients 16 years of age and older requiring third molar (wisdom tooth) extraction may be eligible for this study. Patients will undergo oral surgery to remove two lower third molar teeth. Before surgery, they will be given a local anesthetic (lidocaine with epinephrine) injected in the mouth and a sedative (Versed) infused through a catheter (thin plastic tube) placed in an arm vein. At the time of surgery, patients will also be given flurbiprofen or a placebo formulation (look-alike substance with no active ingredient) directly into the extraction site and a capsule that also may contain flurbiprofen or placebo. One in seven patients will receive only placebo. All patients will fill out pain questionnaires and stay in the clinic for up to 6 hours for observation of bleeding and medication side effects. Patients who do not have satisfactory pain relief from the test medicine after surgery may request a standard pain reliever. A small blood sample will be collected during surgery and at 15 minutes, one-half hour and 1, 2, 3, 4, 5, 6, 24 and 48 hours after surgery to measure flurbiprofen blood levels. A total of 33 ml (about 2 tablespoons) of blood will be drawn for these tests. Samples collected on the day of surgery will be drawn from the catheter used to administer the sedative; the 24- and 48-hour samples will be taken by needle from an arm or hand vein. Urine samples will also be collected between 4 and 6 hours after surgery and again at 24 and 48 hours after surgery.
NCT00001524 ↗ Thalidomide to Treat Oral Lesions in HIV-Infected Patients Completed National Institute of Dental and Craniofacial Research (NIDCR) Phase 2 1996-06-01 This study will test the effectiveness of topical thalidomide in healing mouth sores in HIV infected patients. Oral (PO) thalidomide heals these sores at a dose of 200 mg per day. However, PO thalidomide can cause drowsiness, skin rashes, allergic reactions, increased viral load, and even nerve damage that may not be reversible. This study will evaluate the efficacy of a topical formulation of thalidomide (placed directly on the surface of the sore) for the healing of these sores. Persons with HIV infection of acquired immunodeficiency of at least 18 years of age with one or more chronic, painful intraoral lesions may be eligible for this study. Subjects must be referred by a primary care physician who is managing their care, and must have HIV/AIDS status confirmed. Patients' HIV treatment regimen will not be altered and those receiving highly active therapy will not be excluded. Patients will be excluded if they are concurrently being treated for mucosal lesions (including topical or systemic steroids, viscous lidocaine, topical or systemic anti-fungals, or mouthwashes), or concurrent thalidomide therapy; receving chemotherapy or radiation therapy for neoplasms; using concurrent acute therapy for opportunistic infections; concurrent use of sedatives (such as CNS depressants or alcohol use); history of allergy to thalidomide; pre-existing peripheral neuropathy of grade II or higher; pregnant or lactating females or those not practicing contraception according to FDA guidelines for thalidomide.
NCT00001303 ↗ Effects of Endotoxin in Normal Human Volunteers Completed National Institutes of Health Clinical Center (CC) Phase 1 1992-04-06 Bacterial infections can progress to a life-threatening illness called septic shock, characterized by low blood pressure and vital organ damage. The syndrome is thought to be caused by parts of the bacteria and by the body s own immune response to the infection. A major bacterial product that interacts with the immune defenses is called endotoxin. This study will examine the body s response to endotoxin in the lungs or bloodstream. When endotoxin is given in small amounts to humans, even though it is not an infection, it triggers a set of responses that are typical of what one would see with a true bacterial infection. This allows us to study the earliest changes in molecules and cells that are involved in some bacterial infections. This type of model is safe and has been used in humans for many years to understand the body s responses during infections. Normal volunteers 18 to 45 years of age may be eligible for this study. Candidates will have a history and physical examination, blood and urine tests, electrocardiogram (EKG) and chest X-ray. In addition, volunteers 40 to 45 years old will have an exercise stress test to screen for asymptomatic coronary artery disease. Participants will undergo one or more of the following procedures: Bronchoscopy, Bronchoalveolar Lavage, Bronchial Brushings, and Endobronchial Mucosal Biopsies: These techniques for examining lung function are used routinely in patient care and clinical research. The mouth and nasal and lung airways are numbed with an anesthetic. A bronchoscope (pencil-thin flexible tube) is then passed through the nose into the large airways of the lung. Cells and secretions from the airways are rinsed with salt water (bronchoalveolar lavage) and a flexible brush the size of a pencil tip is passed through the bronchoscope to scrape cells lining the airways. Lastly, pieces of tissue (the size of the ball of a ballpoint pen) lining the airways are removed for examination under the microscope. Intravenous Endotoxin: A small dose of endotoxin is injected into a vein. Blood samples are drawn at regular intervals for 8 hours after the injection and again after 1, 2, 3, 7 and 14 days to analyze the body s immune response to the bacteria in the blood. Instilled Endotoxin in the Lungs: A small amount (2 teaspoons) of salt water is squirted through a bronchoscope into a lobe of one lung, and then salt water containing a small dose of endotoxin is squirted into the other lung. Bronchial lavage, brushing, and biopsy (see above) are then done to study the response of the lung to the endotoxin. In addition, air is withdrawn through the bronchoscope to study air components from the lung that was instilled with salt water or endotoxin. Nitric Oxide Therapy: Endotoxin is instilled in a lung (see above) and then nitric oxide a colorless, odorless, tasteless gas mixed with room air in a concentration of 40 parts per million, is given through a cushioned mask placed over the mouth and nose. (Some participants will be given the nitric oxide mixture and others will breathe only room air through the mask to test the effects of the nitric oxide on the lung inflammation.) The mask will be worn continuously for 6 hours and removed before repeat bronchoscopy with lavage, brushing and biopsy. Some of the above procedures require placement of a catheter (thin plastic tube) in a wrist artery to monitor blood pressure from heartbeat to heartbeat and to collect blood samples. First, the skin is numbed with an anesthetic (lidocaine). A needle is then inserted into the artery, the catheter is slipped over the needle into the vessel, and the needle is removed.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 3 of 3 entries

Clinical Trial Conditions for lidocaine hydrochloride

Condition Name

19175690020406080100120140160180200PainPostoperative PainPain, Postoperative[disabled in preview]
Condition Name for lidocaine hydrochloride
Intervention Trials
Pain 191
Postoperative Pain 75
Pain, Postoperative 69
[disabled in preview] 0
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Condition MeSH

19056370020406080100120140160180200Pain, PostoperativeNeuralgiaAcute Pain[disabled in preview]
Condition MeSH for lidocaine hydrochloride
Intervention Trials
Pain, Postoperative 190
Neuralgia 56
Acute Pain 37
[disabled in preview] 0
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Clinical Trial Locations for lidocaine hydrochloride

Trials by Country

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Trials by Country for lidocaine hydrochloride
Location Trials
Egypt 170
Canada 111
China 70
France 56
Brazil 53
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Trials by US State

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Trials by US State for lidocaine hydrochloride
Location Trials
California 115
New York 66
Pennsylvania 62
Texas 59
North Carolina 55
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Clinical Trial Progress for lidocaine hydrochloride

Clinical Trial Phase

67.7%25.4%6.9%00100200300400500600Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for lidocaine hydrochloride
Clinical Trial Phase Trials
Phase 4 571
Phase 3 214
Phase 2/Phase 3 58
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Clinical Trial Status

65.7%19.7%14.6%001002003004005006007008009001000CompletedRecruitingUnknown status[disabled in preview]
Clinical Trial Status for lidocaine hydrochloride
Clinical Trial Phase Trials
Completed 936
Recruiting 281
Unknown status 208
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Clinical Trial Sponsors for lidocaine hydrochloride

Sponsor Name

trials051015202530354045Assiut UniversityCairo UniversityNorthwestern University[disabled in preview]
Sponsor Name for lidocaine hydrochloride
Sponsor Trials
Assiut University 45
Cairo University 27
Northwestern University 22
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Sponsor Type

88.5%9.3%0-20002004006008001000120014001600180020002200OtherIndustryU.S. Fed[disabled in preview]
Sponsor Type for lidocaine hydrochloride
Sponsor Trials
Other 2027
Industry 214
U.S. Fed 49
[disabled in preview] 0
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Lidocaine Hydrochloride: Clinical Trials, Market Analysis, and Projections

Introduction to Lidocaine Hydrochloride

Lidocaine hydrochloride is a versatile local anesthetic and antiarrhythmic drug widely used in various medical applications, including pain management, surgical procedures, and dental practices. Here, we will delve into the current clinical trials, market analysis, and future projections for lidocaine hydrochloride.

Clinical Trials Update

Phase 2 Study for Acute Low Back Pain

Scilex Holding Company has announced the complete enrollment of a Phase 2 study to evaluate the safety and efficacy of SP-103, a 5.4% triple-strength formulation of lidocaine topical system, for the treatment of acute low back pain (LBP). This randomized, double-blind, placebo-controlled, parallel group, multicenter study aims to assess the therapeutic efficacy of a higher concentration of lidocaine compared to existing topical treatments. The study involves approximately 80 patients at 10 sites across the U.S. and is expected to yield top-line data in the third quarter of 2023, which will inform the planning of a subsequent Phase 3 trial[1].

Treatment of Chronic Headaches

Another clinical trial is underway to investigate the efficacy of localized injections of lidocaine and glucocorticoids for the treatment of chronic headaches, including migraines. This interventional study involves injecting lidocaine and steroids into specific blood vessels in the brain to assess its therapeutic benefits. The trial aims to enroll 230 participants and is designed to answer key questions about the safety and efficacy of this treatment approach[4].

Market Analysis

Market Size and Growth

The lidocaine hydrochloride market is anticipated to experience significant growth over the forecast period. As of 2023, the market size was valued at USD 512.70 million and is projected to grow to USD 838.60 million by 2032, exhibiting a Compound Annual Growth Rate (CAGR) of 5.7%[3].

Driving Factors

Several factors are driving the growth of the lidocaine hydrochloride market:

  • Increasing Demand for Minimally Invasive Procedures: The rising preference for minimally invasive surgical and cosmetic procedures has boosted the demand for lidocaine hydrochloride due to its anesthetic properties[3].
  • Growing Prevalence of Chronic Pain: The increasing prevalence of chronic pain conditions, particularly among the aging population, has heightened the need for effective pain management solutions, including lidocaine hydrochloride[3].
  • Advancements in Drug Delivery Technologies: Innovations in drug delivery systems, such as creams and injections, have enhanced the effectiveness and flexibility of lidocaine hydrochloride, making it a preferred choice for various medical applications[3].

Impact of COVID-19

The COVID-19 pandemic had a notable impact on the lidocaine hydrochloride market. The potential benefits of lidocaine in reducing cytokines and protecting patients' lungs when administered via inhalation as an adjunctive treatment for severe respiratory symptoms contributed to market growth. Additionally, the relaxation of strict regulations on surgical procedures in the post-pandemic period has further driven demand for lidocaine hydrochloride[2][5].

Market Projections

Future Growth

The lidocaine hydrochloride market is poised for steady growth, driven by its extensive applications in surgical procedures, dental practices, and pain management. The increasing number of surgical and cosmetic procedures globally, along with the use of lidocaine hydrochloride in treating pain-related disorders, is expected to support market expansion[5].

Challenges and Opportunities

Despite the positive outlook, the market faces several challenges:

  • Regulatory Scrutiny: Stringent regulatory requirements and the need for thorough approvals pose a significant challenge. The potential side effects associated with lidocaine hydrochloride also necessitate cautious adoption[3].
  • Competition from Alternative Solutions: Intense competition from other pain management solutions and the need for continuous research to address safety concerns add complexity to market dynamics[3].

However, these challenges also present opportunities for innovation and growth. The introduction of new products by key market players, demonstrating safety and efficacy, is expected to enhance market growth.

Regional and Segmental Analysis

The lidocaine hydrochloride market is segmented based on dosage, application, distribution channel, and region. The global demand is driven by various regions, with the aging population and increasing prevalence of chronic pain conditions being key factors in many countries[3].

Conclusion

Lidocaine hydrochloride remains a vital component in the medical landscape, particularly in pain management and surgical procedures. Ongoing clinical trials, such as the Phase 2 study for acute low back pain and the treatment of chronic headaches, are expected to further validate its therapeutic benefits. The market is projected to grow significantly, driven by increasing demand for minimally invasive procedures, advancements in drug delivery technologies, and the growing need for effective pain management solutions.

Key Takeaways

  • Clinical Trials: Ongoing trials, including the Phase 2 study for acute low back pain and the treatment of chronic headaches, are crucial for expanding the therapeutic applications of lidocaine hydrochloride.
  • Market Growth: The lidocaine hydrochloride market is expected to grow at a CAGR of 5.7% from 2023 to 2032, driven by increasing demand for pain management solutions and advancements in drug delivery technologies.
  • Driving Factors: The growing prevalence of chronic pain, advancements in drug delivery technologies, and the impact of COVID-19 on medical procedures are key drivers of market growth.
  • Challenges: Regulatory scrutiny, potential side effects, and competition from alternative pain management solutions are challenges that need to be addressed.

FAQs

What is the current status of the Phase 2 study for SP-103 (lidocaine topical system) for acute low back pain?

The Phase 2 study for SP-103 has completed enrollment and is expected to yield top-line data in the third quarter of 2023[1].

How did COVID-19 impact the lidocaine hydrochloride market?

COVID-19 had a positive impact on the market due to the potential benefits of lidocaine in treating severe respiratory symptoms and the subsequent relaxation of strict regulations on surgical procedures in the post-pandemic period[2][5].

What are the primary drivers of the lidocaine hydrochloride market growth?

The primary drivers include the increasing demand for minimally invasive procedures, advancements in drug delivery technologies, and the growing prevalence of chronic pain conditions[3].

What challenges does the lidocaine hydrochloride market face?

The market faces challenges such as regulatory scrutiny, potential side effects, and competition from alternative pain management solutions[3].

What is the projected market size of lidocaine hydrochloride by 2032?

The market is projected to grow to USD 838.60 million by 2032, exhibiting a CAGR of 5.7% from 2023 to 2032[3].

Sources

  1. Scilex Holding Company Announces Complete Enrollment of a Phase 2 Study to Evaluate the Safety and Efficacy of SP-103 (lidocaine topical system) 5.4% triple strength formulation for ZTlido®, in subjects with acute LBP. Biospace, May 4, 2023.
  2. Lidocaine Hydrochloride Market - Share, Trends & Size. Mordor Intelligence.
  3. Lidocaine Hydrochloride Market Size, Share, Global Analysis Report. Polaris Market Research.
  4. Localized Injection of Lidocaine and Glucocorticoid for Headache Treatment. ClinicalTrials.gov.
  5. Lidocaine Hydrochloride Market Size - Mordor Intelligence. Mordor Intelligence.

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