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Last Updated: April 7, 2025

CLINICAL TRIALS PROFILE FOR NALMEFENE HYDROCHLORIDE


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All Clinical Trials for nalmefene hydrochloride

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00000437 ↗ Tobacco Dependence in Alcoholism Treatment (Nicotine Patch/Naltrexone) Completed National Institute on Alcohol Abuse and Alcoholism (NIAAA) Phase 4 1997-09-26 The purpose of this study is to determine the effectiveness of naltrexone (Revia) or matched placebo combined with nicotine patch (Nicotrol) or placebo patch using a 2x2 design in reducing drinking and smoking in patients with both nicotine and alcohol dependence.
NCT00000437 ↗ Tobacco Dependence in Alcoholism Treatment (Nicotine Patch/Naltrexone) Completed The Scripps Research Institute Phase 4 1997-09-26 The purpose of this study is to determine the effectiveness of naltrexone (Revia) or matched placebo combined with nicotine patch (Nicotrol) or placebo patch using a 2x2 design in reducing drinking and smoking in patients with both nicotine and alcohol dependence.
NCT00000450 ↗ Naltrexone Maintenance Treatment of Alcoholism Completed National Institute on Alcohol Abuse and Alcoholism (NIAAA) Phase 4 1997-04-10 The purpose of this study is to determine the long-term effectiveness of naltrexone treatment in alcohol-dependent patients who respond to short-term treatment. Those who respond to short-term treatment will be randomized to a 1-year, double-blind, placebo-controlled maintenance phase with a 6-month posttreatment followup.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 3 of 3 entries

Clinical Trial Conditions for nalmefene hydrochloride

Condition Name

10320-101234567891011Alcohol DependenceAlcoholismPharmacokinetics[disabled in preview]
Condition Name for nalmefene hydrochloride
Intervention Trials
Alcohol Dependence 10
Alcoholism 3
Pharmacokinetics 2
[disabled in preview] 0
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Condition MeSH

155300246810121416AlcoholismAlcohol DrinkingDisease[disabled in preview]
Condition MeSH for nalmefene hydrochloride
Intervention Trials
Alcoholism 15
Alcohol Drinking 5
Disease 3
[disabled in preview] 0
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Clinical Trial Locations for nalmefene hydrochloride

Trials by Country

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Trials by Country for nalmefene hydrochloride
Location Trials
United States 11
France 5
Germany 4
China 3
Japan 3
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Trials by US State

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Trials by US State for nalmefene hydrochloride
Location Trials
Connecticut 2
Florida 2
Texas 2
Maryland 1
Minnesota 1
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Clinical Trial Progress for nalmefene hydrochloride

Clinical Trial Phase

38.5%53.8%7.7%001234567Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for nalmefene hydrochloride
Clinical Trial Phase Trials
Phase 4 5
Phase 3 7
Phase 2/Phase 3 1
[disabled in preview] 0
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Clinical Trial Status

77.8%11.1%11.1%0-20246810121416182022CompletedUnknown statusRecruiting[disabled in preview]
Clinical Trial Status for nalmefene hydrochloride
Clinical Trial Phase Trials
Completed 21
Unknown status 3
Recruiting 3
[disabled in preview] 0
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Clinical Trial Sponsors for nalmefene hydrochloride

Sponsor Name

trials0123456789H. Lundbeck A/SNational Institute on Alcohol Abuse and Alcoholism (NIAAA)Otsuka Pharmaceutical Co., Ltd.[disabled in preview]
Sponsor Name for nalmefene hydrochloride
Sponsor Trials
H. Lundbeck A/S 9
National Institute on Alcohol Abuse and Alcoholism (NIAAA) 4
Otsuka Pharmaceutical Co., Ltd. 3
[disabled in preview] 0
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Sponsor Type

47.8%41.3%10.9%0-2024681012141618202224OtherIndustryNIH[disabled in preview]
Sponsor Type for nalmefene hydrochloride
Sponsor Trials
Other 22
Industry 19
NIH 5
[disabled in preview] 0
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Nalmefene Hydrochloride: Clinical Trials, Market Analysis, and Projections

Introduction to Nalmefene Hydrochloride

Nalmefene hydrochloride is an opioid antagonist that has garnered significant attention for its role in reversing opioid overdose and managing alcohol dependence. Here, we delve into the latest updates on clinical trials, market analysis, and future projections for this critical drug.

Clinical Trials and Research

Ongoing Studies and Observational Periods

Purdue Pharma has recently completed the first phase of a study examining the use of nalmefene hydrochloride injection in real-world emergency department settings. This study, funded by Purdue, aims to provide robust data on the effectiveness of nalmefene in emergency departments, including its administration and outcomes. The results are expected later this year, which will be crucial in understanding the drug's real-world efficacy[1].

Pharmacokinetics and Pharmacodynamics

Clinical trials have characterized the pharmacology and pharmacokinetics of nalmefene hydrochloride, including its use in nasal spray formulations. For instance, the Opvee (nalmefene) Nasal Spray has been evaluated in Phase 1 clinical studies in healthy subjects, as well as in pharmacokinetic-pharmacodynamic studies. These studies have shown that nalmefene nasal spray provides measurable systemic exposure, although further postmarketing studies are recommended to fully assess its safety profile, particularly regarding reproductive and developmental effects[4].

Safety and Efficacy

The safety profile of nalmefene hydrochloride has been a focus of several studies. Common adverse reactions reported in clinical trials include nausea (18%), vomiting (9%), and tachycardia. The drug is contraindicated in patients with a known hypersensitivity to nalmefene. Additionally, preclinical studies have shown that nalmefene may not completely reverse buprenorphine-induced respiratory depression due to its high affinity and slow displacement of buprenorphine from opioid receptors[1].

Market Analysis

Market Size and Growth

The North America and Europe nalmefene hydrochloride market is projected to grow significantly, driven by the escalating opioid crisis and continuous investment in healthcare infrastructure and research. The market was valued at $4.8 million in 2022 and is expected to reach $6.9 million by 2031, growing at a CAGR of 4.12% from 2023 to 2031[2].

Market Drivers

The primary driver of the nalmefene hydrochloride market is the increasing prevalence of opioid misuse and alcohol dependence. The opioid crisis, particularly in North America, has led to a surge in demand for effective opioid antagonists. Investments in research and development, such as a $25 million grant for a novel delivery system that enhances the drug's bioavailability by 15%, further support market growth[2].

End Users and Regional Dynamics

North America dominates the nalmefene hydrochloride market, accounting for 58% of the revenue share in 2022. This is largely due to the severe opioid epidemic in the U.S. Europe also presents substantial growth opportunities, driven by its commitment to research and patient-centric healthcare approaches. The geriatric segment is particularly significant, with a 38% revenue share, reflecting the increasing aging population and the need for effective treatments in this demographic[2].

Consumer Feedback and Digital Transformation

Consumer feedback has been positive, with a 92% satisfaction rate among over 10,000 participants. However, there is a need for more accessible patient education. The digital transformation in healthcare has also impacted the market, with a 20% increase in inquiries and purchases related to nalmefene hydrochloride through telehealth platforms and digital pharmacies[2].

Market Projections and Future Outlook

Expanding Therapeutic Applications

The future outlook for nalmefene hydrochloride is promising, with potential expansions in its therapeutic applications. Ongoing research suggests that nalmefene could be effective in treating other forms of addiction, such as gambling disorder and binge eating, which could significantly increase the market size[5].

Global Expansion

The global expansion of the market, particularly in emerging economies, presents significant growth opportunities. As healthcare infrastructure improves and awareness of addiction treatment options grows, there is considerable potential for market penetration in regions like the Asia-Pacific and Latin America. Strategic collaborations between pharmaceutical companies, local healthcare providers, and government agencies will be crucial in facilitating this expansion[5].

Challenges and Sustainability

Despite the positive outlook, the market faces challenges such as the potential entry of generic versions as patents expire, which could lead to increased competition and pricing pressures. Evolving regulatory landscapes and varying reimbursement policies across different regions may also impact market growth. Sustainability in manufacturing and supply chain management is expected to become a key factor, with companies adopting environmentally friendly practices likely to gain a competitive edge[5].

Key Takeaways

  • Clinical Trials: Ongoing studies are focusing on the real-world efficacy of nalmefene hydrochloride in emergency departments and its pharmacokinetics in various formulations.
  • Market Growth: The market is driven by the opioid crisis and investments in healthcare infrastructure, with North America and Europe being key regions.
  • Expanding Applications: Potential therapeutic applications beyond opioid overdose reversal and alcohol dependence could expand the market.
  • Global Expansion: Emerging economies offer significant growth opportunities, but regulatory and economic challenges must be addressed.
  • Sustainability: Environmentally friendly manufacturing and supply chain practices will become increasingly important.

FAQs

What is nalmefene hydrochloride used for?

Nalmefene hydrochloride is used for the complete or partial reversal of opioid drug effects, including respiratory depression, and in the management of known or suspected opioid overdose. It is also used to treat alcohol dependence.

What are the common adverse reactions to nalmefene hydrochloride?

Common adverse reactions include nausea (18%), vomiting (9%), and tachycardia.

How is the nalmefene hydrochloride market expected to grow?

The North America and Europe nalmefene hydrochloride market is projected to grow at a CAGR of 4.12% from 2023 to 2031, reaching $6.9 million by 2031.

What are the key drivers of the nalmefene hydrochloride market?

The key drivers include the escalating opioid crisis, continuous investment in healthcare infrastructure and research, and the growing need for effective opioid antagonists.

Are there any potential new applications for nalmefene hydrochloride?

Yes, ongoing research suggests potential efficacy in treating other forms of addiction, such as gambling disorder and binge eating.

What challenges does the nalmefene hydrochloride market face?

The market faces challenges such as the potential entry of generic versions, evolving regulatory landscapes, and varying reimbursement policies. Sustainability in manufacturing and supply chain management is also a growing concern.

Sources

  1. Purdue Pharma: Study Examining Use of Nalmefene HCI Injection for Opioid Overdose Reversal in Emergency Departments Concludes Observational Period.
  2. Astute Analytica: North America & Europe Nalmefene Hydrochloride Market.
  3. ClinicalTrials.gov: Statistical Analysis Plan.
  4. FDA: NDA 217470 Medical Officer, Cross Discipline Team Leader.
  5. Data Horizon Research: Nalmefene Hydrochloride API Market Size, Share, Growth, Statistics.

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