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Last Updated: April 26, 2025

CLINICAL TRIALS PROFILE FOR RANITIDINE HYDROCHLORIDE


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505(b)(2) Clinical Trials for ranitidine 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 NCT03145012 ↗ Histamine Receptor 2 Antagonists as Enhancers of Anti-Tumour Immunity Unknown status Dalhousie University Phase 4 2018-05-01 The immune response against tumors can be highly effective in preventing tumor development, growth and metastasis under certain circumstances. However, tumor associated immune suppression can profoundly limit the impact of natural tumor immunity and also reduce the effectiveness of tumor immunotherapy strategies. A major component of tumor associated immune suppression is mediated by myeloid cells, especially the monocytic subset of myeloid derived suppressor cells (MDSC). In recent studies that were conducted through a CCSRI Innovation grant, the investigators discovered that oral treatment of mice with the commonly used histamine receptor 2 (H2) antagonists ranitidine or famotidine inhibits both primary breast tumor development and metastasis, in three distinct mouse tumor models and reduces the numbers of monocytic MDSC. These findings have enormous potential to aid in effective cancer immunotherapy and may have immediate implications for cancer patients. The objective of this investigation is to determine whether treatment with the H2 receptor antagonist ranitidine alters immune suppression, through modulation of immune cell populations. The investigators will examine peripheral blood monocyte, neutrophil and NK cell numbers, subsets and activation status from healthy volunteers treated for 6 weeks with daily oral ranitidine. Ranitidine is widely available and used over the counter in Canada. These drugs are widely recognized as safe, well tolerated and have very few side effects. It has been suggested that among the general population, over 10% of those over the age of 65 take such medications on a regular basis for relief against gastrointestinal discomfort. The outcome of pre-clinical studies in mice warrant further investigation into transferability to humans. If the outcome of the current proposal proves to be viable, then these drugs could provide a safe method to reduce tumor associated immunosuppression with broad implications, both for current cancer patients and for those at high risk of developing cancer. Further to this, the outcome of our proposal may provide a new strategy for improving the effectiveness of T-cell mediated immunotherapy.
OTC NCT03145012 ↗ Histamine Receptor 2 Antagonists as Enhancers of Anti-Tumour Immunity Unknown status Nova Scotia Health Authority Phase 4 2018-05-01 The immune response against tumors can be highly effective in preventing tumor development, growth and metastasis under certain circumstances. However, tumor associated immune suppression can profoundly limit the impact of natural tumor immunity and also reduce the effectiveness of tumor immunotherapy strategies. A major component of tumor associated immune suppression is mediated by myeloid cells, especially the monocytic subset of myeloid derived suppressor cells (MDSC). In recent studies that were conducted through a CCSRI Innovation grant, the investigators discovered that oral treatment of mice with the commonly used histamine receptor 2 (H2) antagonists ranitidine or famotidine inhibits both primary breast tumor development and metastasis, in three distinct mouse tumor models and reduces the numbers of monocytic MDSC. These findings have enormous potential to aid in effective cancer immunotherapy and may have immediate implications for cancer patients. The objective of this investigation is to determine whether treatment with the H2 receptor antagonist ranitidine alters immune suppression, through modulation of immune cell populations. The investigators will examine peripheral blood monocyte, neutrophil and NK cell numbers, subsets and activation status from healthy volunteers treated for 6 weeks with daily oral ranitidine. Ranitidine is widely available and used over the counter in Canada. These drugs are widely recognized as safe, well tolerated and have very few side effects. It has been suggested that among the general population, over 10% of those over the age of 65 take such medications on a regular basis for relief against gastrointestinal discomfort. The outcome of pre-clinical studies in mice warrant further investigation into transferability to humans. If the outcome of the current proposal proves to be viable, then these drugs could provide a safe method to reduce tumor associated immunosuppression with broad implications, both for current cancer patients and for those at high risk of developing cancer. Further to this, the outcome of our proposal may provide a new strategy for improving the effectiveness of T-cell mediated immunotherapy.
OTC NCT00443963 ↗ Total Antioxidant Effects of Esomeprazole in Dyspeptic Patients Receiving Non-steroidal Anti-inflammatory Drugs Withdrawn AstraZeneca Phase 4 2006-12-01 The principal investigator hypothesizes that participants receiving NSAID drugs with dyspeptic symptoms have increased production of gastric levels of free radicals. The primary objective of the study is to determine if Esomeprazole Magnesium increases gastric total antioxidant capacity and decreases gastric free radical production in humans. Participants (age 18 years and older) with no history of upper GI bleeding who are receiving non-steroidal anti-inflammatory drugs and then develop dyspepsia will be recruited from our primary care clinic in Washington, DC. All eligible participants will undergo biopsies of antrum and corpus. The participants will be randomized to receive either Zantac OTC or Nexium for 15 days. On day 15, all participants will undergo repeat upper endoscopy to obtain biopsies of antrum and corpus. Tissue samples will then be extracted to determine total antioxidant capacity and lipid peroxide levels (as an indirect marker of free radical production).
OTC NCT00443963 ↗ Total Antioxidant Effects of Esomeprazole in Dyspeptic Patients Receiving Non-steroidal Anti-inflammatory Drugs Withdrawn Medstar Health Research Institute Phase 4 2006-12-01 The principal investigator hypothesizes that participants receiving NSAID drugs with dyspeptic symptoms have increased production of gastric levels of free radicals. The primary objective of the study is to determine if Esomeprazole Magnesium increases gastric total antioxidant capacity and decreases gastric free radical production in humans. Participants (age 18 years and older) with no history of upper GI bleeding who are receiving non-steroidal anti-inflammatory drugs and then develop dyspepsia will be recruited from our primary care clinic in Washington, DC. All eligible participants will undergo biopsies of antrum and corpus. The participants will be randomized to receive either Zantac OTC or Nexium for 15 days. On day 15, all participants will undergo repeat upper endoscopy to obtain biopsies of antrum and corpus. Tissue samples will then be extracted to determine total antioxidant capacity and lipid peroxide levels (as an indirect marker of free radical production).
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 4 of 4 entries

All Clinical Trials for ranitidine hydrochloride

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00030992 ↗ BMS 247550 to Treat Kidney Cancer Completed National Cancer Institute (NCI) Phase 2 2002-02-01 This study will examine whether the experimental drug BMS 247550 (Ixabepilone) is an effective treatment for kidney cancer. BMS 247550 belongs to a class of drugs called epothilones that interfere with the ability of cancer cells to divide. In the way they kill cells, they are very similar to a class of compounds known as the taxanes, which include the drug Taxol. Other characteristics of the epothilones, however, enable them to work in cells that are resistant to Taxol. Patients 18 years of age or older with kidney cancer that has not spread to the central nervous system (unless the brain tumor has remained stable for at least six months after surgical or radiation treatment) may be eligible for this study. Pregnant or nursing women may not participate. Candidates are screened with various tests that may include blood and urine tests, electrocardiogram (EKG), and chest x-ray. Computerized tomography (CT) scans or X-rays, and possibly nuclear medicine studies may be done to determine the extent of disease. Participants receive BMS 247550 by a 1-hour infusion into a vein for 5 consecutive days (days 1, 2, 3, 4 and 5) of each 21-day treatment cycle. Patients must stay in the National Institutes of Health (NIH) area near Bethesda, Maryland, for 7 to 8 days during the first treatment cycle and for the 5 days of treatment in subsequent cycles. The total number of cycles will vary among patients, depending on their individual clinical situation. The drug dose may be increased gradually in subsequent cycles in patients who can tolerate such increases. In addition, participants undergo the following tests and procedures: - Periodic physical examinations and frequent blood tests - X-ray and other imaging studies to determine if the tumor is responding to the treatment. - Tumor biopsies to confirm the diagnosis or spread of tumor and to examine the reaction of certain proteins in cancer cells to BMS 247550. Two biopsies will be done. For this procedure, a small piece of tumor tissue is withdrawn through a needle under local anesthetic. Treatment will be stopped in patients whose tumor grows while receiving BMS 247550. Patients whose tumor disappears completely will be followed at NIH periodically for examinations and tests. Patients whose disease does not completely resolve or whose disease recurs may be advised of other appropriate research protocols at NIH or, if none are available, will be returned to the care of their local doctor.
NCT00037570 ↗ Study Evaluating Pantoprazole in Peptic Ulcer Hemorrhage Completed Wyeth is now a wholly owned subsidiary of Pfizer Phase 2 2000-11-01 This is a multicenter, randomized, double-blind, parallel-group, dose-ranging, comparator-controlled study of the effect of pantoprazole on intragastric pH after successful endoscopic hemostasis in hospitalized patients. Patients will receive either intravenous pantoprazole (one of two regimens) or ranitidine (the comparator) within 2 hours of successful hemostasis and administration will continue for 72 hours after hemostasis.
NCT00000964 ↗ The Effect of Stomach Acid on Foscarnet Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 1969-12-31 To see if ranitidine, by reducing stomach acidity, can enhance the effectiveness of foscarnet, by making foscarnet more available to the body. Foscarnet is an antiviral compound. Laboratory studies have shown it to be active against HIV. However, only 12 - 22 percent of an oral foscarnet dose is absorbed by the body. Ranitidine suppresses gastric acid output, increasing gastric pH. Thus by increasing gastric pH (decreasing stomach acidity), less foscarnet is expected to be decomposed or broken down in the stomach. Thus, more foscarnet should be absorbed into the body.
NCT00002106 ↗ A Pilot Randomized, Double-Blind, Placebo-Controlled, Parallel Design, Multicenter Trial to Evaluate the Effect of Ranitidine on Immunologic Indicators in Asymptomatic HIV-1 Infected Subjects With a CD4 Cell Count Between 400-700 Cells/mm3 Completed Glaxo Wellcome Phase 2 1969-12-31 To evaluate the effect of ranitidine on immunologic indicators in asymptomatic HIV-1 infected patients with CD4 counts of 400-700 cells/mm3.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 4 of 4 entries

Clinical Trial Conditions for ranitidine hydrochloride

Condition Name

7643001234567HealthyPostoperative PainDyspepsiaGastroesophageal Reflux Disease (GERD)[disabled in preview]
Condition Name for ranitidine hydrochloride
Intervention Trials
Healthy 7
Postoperative Pain 6
Dyspepsia 4
Gastroesophageal Reflux Disease (GERD) 3
[disabled in preview] 0
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Condition MeSH

88870012345678UlcerHypotensionPain, PostoperativeGastroesophageal Reflux[disabled in preview]
Condition MeSH for ranitidine hydrochloride
Intervention Trials
Ulcer 8
Hypotension 8
Pain, Postoperative 8
Gastroesophageal Reflux 7
[disabled in preview] 0
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Clinical Trial Locations for ranitidine hydrochloride

Trials by Country

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Trials by Country for ranitidine hydrochloride
Location Trials
United States 87
Egypt 23
China 19
Korea, Republic of 12
Italy 8
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Trials by US State

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Trials by US State for ranitidine hydrochloride
Location Trials
California 13
Texas 10
Florida 6
Illinois 4
Pennsylvania 4
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Clinical Trial Progress for ranitidine hydrochloride

Clinical Trial Phase

44.3%21.6%31.8%00510152025303540Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for ranitidine hydrochloride
Clinical Trial Phase Trials
Phase 4 39
Phase 3 19
Phase 2/Phase 3 2
[disabled in preview] 28
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Clinical Trial Status

70.4%14.4%8.0%7.2%0102030405060708090CompletedUnknown statusTerminated[disabled in preview]
Clinical Trial Status for ranitidine hydrochloride
Clinical Trial Phase Trials
Completed 88
Unknown status 18
Terminated 10
[disabled in preview] 9
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Clinical Trial Sponsors for ranitidine hydrochloride

Sponsor Name

trials01122334455667AstraZenecaKasr El Aini HospitalMansoura University[disabled in preview]
Sponsor Name for ranitidine hydrochloride
Sponsor Trials
AstraZeneca 6
Kasr El Aini Hospital 5
Mansoura University 5
[disabled in preview] 4
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Sponsor Type

70.9%25.3%0020406080100120140OtherIndustryNIH[disabled in preview]
Sponsor Type for ranitidine hydrochloride
Sponsor Trials
Other 129
Industry 46
NIH 6
[disabled in preview] 1
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Ranitidine Hydrochloride: Clinical Trials, Market Analysis, and Projections

Introduction to Ranitidine Hydrochloride

Ranitidine hydrochloride, commonly known by the brand name Zantac, is a medication that belongs to the class of H2 (histamine-2) receptor antagonists. It is primarily used to reduce the production of stomach acid and is commonly prescribed for treating conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers.

Clinical Trials and Efficacy

Recent Clinical Studies

A recent open-label, prospective, multicenter Post Marketing Surveillance (PMS) clinical study conducted in India evaluated the efficacy and safety of Ranitidine HCl in patients with GERD. The study involved 2446 patients who were assigned to three different treatment groups: Ranitidine HCl 150 mg twice a day (BID), Ranitidine HCl 300 mg once daily (OD) or BID, and Ranitidine HCl 300 mg OD[1].

  • The study showed a significant reduction in Gastroesophageal Reflux Disease Symptom Assessment Scale (GSAS) scores across all treatment groups, indicating effective symptom relief.
  • For example, in the group receiving Ranitidine HCl 150 mg BID, GSAS scores reduced from 2.02 to 0.23, and 72.82% of patients had 24 hours of heartburn-free days[1].

Safety Profile

The safety profile of Ranitidine HCl has been extensively evaluated in numerous clinical trials. A comprehensive review of data from 189 controlled clinical trials involving over 26,000 patients showed that adverse events were reported by 20% of those receiving Ranitidine, compared to 27% receiving a placebo. This indicates that Ranitidine has a favorable safety profile with no evidence of dose-related toxicity[4].

Market Analysis

Global Market Size and Growth

The global Ranitidine Hydrochloride market is valued at approximately $420 million in 2023 and is expected to grow at a compound annual growth rate (CAGR) of over 2% from 2023 to 2030. This growth is driven by the increasing prevalence of acid-related gastrointestinal disorders such as GERD and peptic ulcers[2].

Market Segmentation

The market is segmented by type, application, and region. Key regions include North America, Europe, Asia Pacific, Latin America, and the Middle East & Africa. The market analysis also highlights the segments that are expected to be most lucrative in the near future, providing insights into regional and country-level trends[3][5].

Market Drivers and Trends

The demand for Ranitidine Hydrochloride is driven by the rising incidence of GERD and other acid-related gastrointestinal disorders. The market is also influenced by factors such as increasing healthcare expenditure, growing awareness about gastrointestinal health, and the availability of various formulations of Ranitidine, including tablets and injections[2][3].

Market Projections

Forecast Period

The global Ranitidine Hydrochloride market is projected to grow significantly from 2023 to 2031. According to market reports, the market size is expected to increase from its current value to a projected value by 2031, driven by a steady CAGR. This growth is anticipated across various regions, with Asia Pacific and Latin America expected to show notable increases due to expanding healthcare infrastructure and increasing patient populations[3][5].

Regional Insights

  • Asia Pacific: This region is expected to be a key driver of growth due to its large population and increasing healthcare spending.
  • North America and Europe: These regions will continue to contribute significantly to the market due to established healthcare systems and high awareness of gastrointestinal health.
  • Latin America and Middle East & Africa: These regions are expected to show rapid growth due to improving healthcare infrastructure and increasing demand for effective treatments for acid-related disorders[3][5].

Regulatory Environment

FDA Actions

In 2020, the US FDA requested the removal of Zantac (Ranitidine) products from the market due to concerns over the presence of a potential carcinogen, N-nitrosodimethylamine (NDMA). However, this has not significantly impacted the global market as other formulations and brands continue to be available and widely used[2].

Key Takeaways

  • Efficacy: Ranitidine HCl has been shown to be highly effective in reducing symptoms of GERD and other acid-related disorders.
  • Safety: The drug has a well-established safety profile with minimal adverse events reported in clinical trials.
  • Market Growth: The global Ranitidine Hydrochloride market is expected to grow at a CAGR of over 2% from 2023 to 2030.
  • Regional Insights: Asia Pacific, Latin America, and the Middle East & Africa are expected to drive significant growth in the market.
  • Regulatory Environment: Despite FDA actions in the US, the global market remains robust due to the availability of various formulations and brands.

FAQs

What is Ranitidine Hydrochloride used for?

Ranitidine Hydrochloride is used to treat conditions related to excessive stomach acid secretion, such as gastroesophageal reflux disease (GERD) and peptic ulcers.

What are the common dosages of Ranitidine HCl?

Common dosages include 150 mg twice a day (BID) and 300 mg once daily (OD) or BID.

Is Ranitidine HCl safe?

Yes, Ranitidine HCl has a well-established safety profile with minimal adverse events reported in clinical trials.

What is the current market size of Ranitidine Hydrochloride?

The global Ranitidine Hydrochloride market is valued at approximately $420 million in 2023.

What is the projected growth rate of the Ranitidine Hydrochloride market?

The market is expected to grow at a CAGR of over 2% from 2023 to 2030.

Sources

  1. SCIRP: "A Prospective, Multicentric, Post Marketing Surveillance to Evaluate the Efficacy and Safety of Ranitidine HCl in Different Doses in Patients with GERD."
  2. GlobeNewswire: "FDA Removal of Zantac (Ranitidine) Products - Ranitidine Market Report - Market Analysis, Trends, Growth Opportunities, Forecast 2023-2030."
  3. Cognitive Market Research: "Global Ranitidine Hydrochloride for Injection Market Report 2024."
  4. PubMed: "The safety of ranitidine in over a decade of use."
  5. Global Market Vision: "Global Ranitidine Hydrochloride Market Recent Trends, In-depth Analysis, and Forecast 2024-2031."

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