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Last Updated: January 8, 2025

CLINICAL TRIALS PROFILE FOR POTASSIUM CHLORIDE; SODIUM CHLORIDE; TROMETHAMINE


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505(b)(2) Clinical Trials for potassium chloride; sodium chloride; tromethamine

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Dosage NCT00266786 ↗ Safety and Efficacy of Multiple Doses of Intranasal Ketorolac in Postoperative Pain Following Major Abdominal Surgery Completed Egalet Ltd Phase 3 2005-12-01 Ketorolac has been marketed for several years in other forms (tablet and injectable) for the short-term relief of pain. This study will test whether a new dosage form (nasal spray) containing ketorolac is effective at relieving the pain of major abdominal surgery, and will also assess product safety. Previous studies with the nasal spray have suggested that it is similar to the previously approved injectable form in effectiveness for pain relief and in its safety profile. Patients will be randomized in a 2:1 ratio to receive intranasal ketorolac or placebo when the pain reaches a moderate level (40 on a scale of 100) following surgery. After the first dose, subjects will receive study drug every 6 hours for 48 hours, and then as needed (up to 4 times a day) for a total of 5 days. If pain is not adequately relieved by the study drug, subjects will be given morphine sulfate or other standard analgesics. Follow-up safety evaluations will occur about 1 and 2 weeks after the start of dosing. Subjects will be asked to answer questions about their pain relief and any possible side effects of the drug during the study, and will be given physical examinations, including nasal evaluations, before and during the clinical trial. A small amount of blood will be drawn for routine clinical laboratory testing.
New Dosage NCT00266786 ↗ Safety and Efficacy of Multiple Doses of Intranasal Ketorolac in Postoperative Pain Following Major Abdominal Surgery Completed Luitpold Pharmaceuticals Phase 3 2005-12-01 Ketorolac has been marketed for several years in other forms (tablet and injectable) for the short-term relief of pain. This study will test whether a new dosage form (nasal spray) containing ketorolac is effective at relieving the pain of major abdominal surgery, and will also assess product safety. Previous studies with the nasal spray have suggested that it is similar to the previously approved injectable form in effectiveness for pain relief and in its safety profile. Patients will be randomized in a 2:1 ratio to receive intranasal ketorolac or placebo when the pain reaches a moderate level (40 on a scale of 100) following surgery. After the first dose, subjects will receive study drug every 6 hours for 48 hours, and then as needed (up to 4 times a day) for a total of 5 days. If pain is not adequately relieved by the study drug, subjects will be given morphine sulfate or other standard analgesics. Follow-up safety evaluations will occur about 1 and 2 weeks after the start of dosing. Subjects will be asked to answer questions about their pain relief and any possible side effects of the drug during the study, and will be given physical examinations, including nasal evaluations, before and during the clinical trial. A small amount of blood will be drawn for routine clinical laboratory testing.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for potassium chloride; sodium chloride; tromethamine

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00001698 ↗ Randomized, Double Blind, Placebo-Controlled, Phase IIB Trial of Ketorolac Mouth Rinse Evaluating the Effect of Cyclooxygenase Inhibition on Oropharyngeal Leukoplakia: Collaborative Study of the NCI, NIDCD and the NIDCR Completed National Cancer Institute (NCI) Phase 2 1998-06-01 In Phase II trials, treatment with ketorolac tromethamine oral rinse has been shown to block periodontal disease progression even in the absence of standard clinical intervention such as scaling and root planing which is routinely done to reduce the periodontal pathogen load that is driving the local destructive host inflammatory response. Resolution of periodontal disease has a favorable effect on normalizing the cellular and biochemical indices of inflammation as reflected by histological changes as well as the levels of prostaglandin E2 (PGE2) and interleukin I beta (IL-1beta). In this trial, we will prospectively evaluate if eliminating the inflammatory process (via inhibition of PGE2 biosynthesis) in the oral cavity has a favorable impact on reversing oropharyngeal leukoplakia. To test this hypothesis, up to 57 prospectively identified individuals with objective findings of oropharyngeal leukoplakia will be randomized to receive either a mouth rinse containing ketorolac or placebo. Ketorolac is a 7-fold selective inhibitor of cyclooxygenase-2 (Cox-2), which has been designed for local delivery to maximize the drug exposure to critical oral target tissues while minimizing gastric and systemic exposure to the drug. All responses will be determined at the three month completion of trial using the response criteria developed at MD Anderson Cancer Center. The drug will be given for three months and then all the patients will be followed for one additional month off all oral treatment to observe for late side effects. Based on the analysis of oral exam and photographically documented change in the pretreatment area of leukoplakia, the response of all patients will be determined. The evaluation of the outcome will include a measurable secondary endpoint consisting of an assessment of histological change as determined by serial punch biopsies of the oral cavity. In addition, a panel of carcinogenesis and inflammatory markers will be serially measured at baseline, at one month follow up or at study conclusion. In the residual tissue, other bioassays will be evaluated to determine their suitability as intermediate endpoint markers. The purpose of this study is a preliminary evaluation of the effectiveness of ketorolac as a potential chemoprevention agent for oropharyngeal cancer. If ketorolac administration in this preliminary Phase IIB trial is associated with reversal of leukoplakia, then a definitive Phase III chemoprevention trial with a cancer reduction endpoint (most likely in a cooperative group-type setting) may be the next validation step.
NCT00111956 ↗ Effects of Tumor Necrosis Factor (TNF)-Alpha Antagonism in Patients With Metabolic Syndrome Completed Massachusetts General Hospital Phase 2/Phase 3 2004-04-01 Metabolic syndrome is associated with increased inflammatory cytokines and reduced adiponectin, that may be mediated in part by TNF production from abdominal fat. We reasoned that an anti-TNF agent would reduce C-reactive protein (CRP) and increase adiponectin, improving the inflammatory milieu associated with metabolic syndrome.
NCT00111956 ↗ Effects of Tumor Necrosis Factor (TNF)-Alpha Antagonism in Patients With Metabolic Syndrome Completed National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Phase 2/Phase 3 2004-04-01 Metabolic syndrome is associated with increased inflammatory cytokines and reduced adiponectin, that may be mediated in part by TNF production from abdominal fat. We reasoned that an anti-TNF agent would reduce C-reactive protein (CRP) and increase adiponectin, improving the inflammatory milieu associated with metabolic syndrome.
NCT00266786 ↗ Safety and Efficacy of Multiple Doses of Intranasal Ketorolac in Postoperative Pain Following Major Abdominal Surgery Completed Egalet Ltd Phase 3 2005-12-01 Ketorolac has been marketed for several years in other forms (tablet and injectable) for the short-term relief of pain. This study will test whether a new dosage form (nasal spray) containing ketorolac is effective at relieving the pain of major abdominal surgery, and will also assess product safety. Previous studies with the nasal spray have suggested that it is similar to the previously approved injectable form in effectiveness for pain relief and in its safety profile. Patients will be randomized in a 2:1 ratio to receive intranasal ketorolac or placebo when the pain reaches a moderate level (40 on a scale of 100) following surgery. After the first dose, subjects will receive study drug every 6 hours for 48 hours, and then as needed (up to 4 times a day) for a total of 5 days. If pain is not adequately relieved by the study drug, subjects will be given morphine sulfate or other standard analgesics. Follow-up safety evaluations will occur about 1 and 2 weeks after the start of dosing. Subjects will be asked to answer questions about their pain relief and any possible side effects of the drug during the study, and will be given physical examinations, including nasal evaluations, before and during the clinical trial. A small amount of blood will be drawn for routine clinical laboratory testing.
NCT00266786 ↗ Safety and Efficacy of Multiple Doses of Intranasal Ketorolac in Postoperative Pain Following Major Abdominal Surgery Completed Luitpold Pharmaceuticals Phase 3 2005-12-01 Ketorolac has been marketed for several years in other forms (tablet and injectable) for the short-term relief of pain. This study will test whether a new dosage form (nasal spray) containing ketorolac is effective at relieving the pain of major abdominal surgery, and will also assess product safety. Previous studies with the nasal spray have suggested that it is similar to the previously approved injectable form in effectiveness for pain relief and in its safety profile. Patients will be randomized in a 2:1 ratio to receive intranasal ketorolac or placebo when the pain reaches a moderate level (40 on a scale of 100) following surgery. After the first dose, subjects will receive study drug every 6 hours for 48 hours, and then as needed (up to 4 times a day) for a total of 5 days. If pain is not adequately relieved by the study drug, subjects will be given morphine sulfate or other standard analgesics. Follow-up safety evaluations will occur about 1 and 2 weeks after the start of dosing. Subjects will be asked to answer questions about their pain relief and any possible side effects of the drug during the study, and will be given physical examinations, including nasal evaluations, before and during the clinical trial. A small amount of blood will be drawn for routine clinical laboratory testing.
NCT00335439 ↗ Effect of Prophylactic Ketorolac on CME After Cataract Surgery Completed Queen's University N/A 2006-06-01 The study will evaluate the efficacy of prophylactic administration of the topical nonsteroidal anti-inflammatory drug (NSAID) ketorolac tromethamine 0.5% (AcularĀ®) on cystoid macular edema (CME) in patients having undergone cataract surgery. CME is the most frequent cause of decreased vision after uncomplicated cataract surgery and can result in irreversible sight reduction. The investigation will involve a comparison arm and a treatment arm with both sets of patient populations being evaluated for CME with ophthalmologic examinations and optical coherence tomography (OCT) measurements. The objective is to elucidate the role of NSAID drops in preventing CME after cataract surgery.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for potassium chloride; sodium chloride; tromethamine

Condition Name

Condition Name for potassium chloride; sodium chloride; tromethamine
Intervention Trials
Postoperative Pain 7
Pain 6
Healthy Volunteers 4
Cataract 4
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Condition MeSH

Condition MeSH for potassium chloride; sodium chloride; tromethamine
Intervention Trials
Pain, Postoperative 16
Cataract 9
Macular Edema 6
Back Pain 4
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Clinical Trial Locations for potassium chloride; sodium chloride; tromethamine

Trials by Country

Trials by Country for potassium chloride; sodium chloride; tromethamine
Location Trials
United States 80
China 14
Brazil 7
United Kingdom 5
Iran, Islamic Republic of 4
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Trials by US State

Trials by US State for potassium chloride; sodium chloride; tromethamine
Location Trials
California 9
Pennsylvania 7
New York 5
North Carolina 5
Florida 5
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Clinical Trial Progress for potassium chloride; sodium chloride; tromethamine

Clinical Trial Phase

Clinical Trial Phase for potassium chloride; sodium chloride; tromethamine
Clinical Trial Phase Trials
Phase 4 20
Phase 3 14
Phase 2/Phase 3 6
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Clinical Trial Status

Clinical Trial Status for potassium chloride; sodium chloride; tromethamine
Clinical Trial Phase Trials
Completed 63
Unknown status 7
Not yet recruiting 5
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Clinical Trial Sponsors for potassium chloride; sodium chloride; tromethamine

Sponsor Name

Sponsor Name for potassium chloride; sodium chloride; tromethamine
Sponsor Trials
Egalet Ltd 11
Luitpold Pharmaceuticals 9
Mateon Therapeutics 4
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Sponsor Type

Sponsor Type for potassium chloride; sodium chloride; tromethamine
Sponsor Trials
Other 57
Industry 42
NIH 5
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Potassium chloride; sodium chloride; tromethamine Market Analysis and Financial Projection

Potassium Chloride, Sodium Chloride, and Tromethamine: Clinical Trials, Market Analysis, and Projections

Introduction

Potassium chloride, sodium chloride, and tromethamine are essential compounds with diverse applications in medicine, agriculture, and various industries. This article will delve into the clinical trials related to potassium chloride, provide a comprehensive market analysis, and offer projections for these compounds.

Clinical Trials: Potassium Chloride

The Renal-K Switch Mechanism

A recent clinical trial focused on the effect of oral potassium chloride supplementation on the thiazide-sensitive sodium chloride cotransporter (NCC) in healthy adults. This study explored the "renal-K switch" mechanism, which links dietary potassium intake with sodium retention. Participants on a high sodium and low potassium diet were given either potassium chloride supplements or a placebo. The results showed that potassium chloride supplementation led to lower levels of NCC and phosphorylated NCC in urinary extracellular vesicles, supporting the hypothesis of a functional "renal-K switch" in humans[1].

Implications for Blood Pressure and Biochemistries

The trial also found that potassium chloride supplementation increased plasma potassium levels and 24-hour urine excretion of potassium, chloride, and aldosterone. These findings suggest potential benefits for blood pressure management and electrolyte balance, although further studies are needed to fully understand the clinical implications[1].

Market Analysis: Potassium Chloride

Global Market Size and Growth

The global potassium chloride market is projected to grow significantly over the next decade. In 2023, the market was valued at approximately $13,084 million and is expected to reach $18,102.7 million by 2033, growing at a CAGR of 3.3%[2].

Key End-Use Industries

Potassium chloride is predominantly used in agriculture as a fertilizer (potash), which accounts for about 92% of the market share. It is also used in the food processing industry as a salt substitute and in water treatment to remove impurities[2][5].

Regional Production and Consumption

Canada, particularly the Saskatchewan province, and China are major producers of potassium chloride. The United States is also a significant producer and consumer, with the market driven by agricultural, pharmaceutical, and food processing industries[2].

Market Analysis: Sodium Chloride

Industrial and Medical Uses

Sodium chloride, commonly known as table salt, has widespread applications in food preservation, pharmaceuticals, and medical treatments. However, unlike potassium chloride, its market is not as heavily influenced by agricultural demand.

Market Trends

The demand for sodium chloride is relatively stable, with fluctuations mainly due to changes in food processing and pharmaceutical needs. However, it is worth noting that some medical applications, such as in IV solutions, are critical but do not drive the market size to the same extent as agricultural uses do for potassium chloride.

Market Analysis: Tromethamine

Medical Applications

Tromethamine, also known as tris(hydroxymethyl)aminomethane, is used in medical settings primarily as a buffer in intravenous solutions and as an ingredient in some pharmaceutical formulations. Its market is niche compared to potassium and sodium chlorides.

Market Size and Growth

The market for tromethamine is smaller and more specialized. It is often included in broader reports on pharmaceutical ingredients rather than being analyzed separately. However, its demand is steady due to its critical role in maintaining pH balance in medical solutions.

Projections for the Future

Potassium Chloride

Given the increasing global demand for food and the expanding agricultural sector, the demand for potassium chloride as a fertilizer is expected to rise. Technological advancements and the availability of low-cost natural resources will further facilitate market growth. By 2030, the global market size of potassium chloride is projected to reach approximately 90.7 million tonnes, growing at a CAGR of 4.13%[5].

Sodium Chloride

The market for sodium chloride is expected to remain stable, driven by consistent demand from the food and pharmaceutical industries. However, it may see slight increases due to population growth and expanding industrial uses.

Tromethamine

The demand for tromethamine will likely remain steady, driven by its essential role in medical formulations. As the pharmaceutical industry continues to grow, so will the demand for tromethamine, although at a slower pace compared to potassium chloride.

Key Takeaways

  • Potassium Chloride: The global market is expected to grow significantly, driven by agricultural demand. Clinical trials support its role in managing electrolyte balance and blood pressure.
  • Sodium Chloride: The market is stable, with demand driven by food and pharmaceutical industries.
  • Tromethamine: The market is niche but steady, driven by its critical role in medical solutions.

FAQs

Q: What is the primary use of potassium chloride?

A: The primary use of potassium chloride is as a fertilizer (potash) in agriculture, accounting for about 92% of its market share[5].

Q: How does potassium chloride supplementation affect blood pressure?

A: Potassium chloride supplementation can lead to lower levels of NCC and phosphorylated NCC, which may help in managing blood pressure by reducing sodium retention[1].

Q: Which regions are major producers of potassium chloride?

A: Canada, particularly Saskatchewan, and China are major producers of potassium chloride. The United States is also a significant producer and consumer[2].

Q: What is the role of tromethamine in medical settings?

A: Tromethamine is used as a buffer in intravenous solutions and in some pharmaceutical formulations to maintain pH balance.

Q: What is the projected market size of potassium chloride by 2030?

A: The global market size of potassium chloride is expected to reach approximately 90.7 million tonnes by 2030, growing at a CAGR of 4.13%[5].

Sources

  1. Randomized Trial on the Effect of Oral Potassium Chloride Supplementation on the Thiazide-Sensitive Sodium Chloride Cotransporter in Healthy Adults. PubMed.
  2. Potassium Chloride Market Size, Growth, Trend & Share | 2033. Future Market Insights.
  3. Clinical Insights: January 26, 2022. RxStrategies.
  4. Pfizer-BioNTech Comirnaty COVID-19 vaccine. Canada.ca.
  5. Potassium Chloride Market Size, Share, Growth & Forecast. ChemAnalyst.

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