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Last Updated: January 6, 2025

CLINICAL TRIALS PROFILE FOR URSODIOL


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505(b)(2) Clinical Trials for ursodiol

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
OTC NCT00125281 ↗ SAMe to Treat Biliary Cirrhosis Symptoms Terminated National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Phase 2 2005-07-25 This study will examine the effect of S-adenosyl methionine (SAMe) on itching and fatigue in patients with primary biliary cirrhosis, a disease of the small bile ducts in the liver. Ursodiol, the only currently available treatment for biliary cirrhosis, does not cure the disease, and many people continue to have symptoms or liver test abnormalities despite treatment. SAMe is a naturally occurring substance found in most cells of the body. The highest levels of the substance are produced by the liver, where it helps to rid the body of toxins and breakdown products of metabolism. Studies in Europe suggest that SAMe may help to: 1) decrease the fatigue and itching that are common in persons with liver problems, and 2) decrease levels of liver enzymes in the blood, suggesting that it may decrease the amount of liver injury. Patients 21 years of age or older with primary biliary cirrhosis who are taking ursodiol and have symptoms of itching or fatigue may be eligible for this study. Candidates are screened with a medical history, physical examination, review of medical records, routine blood tests, and a symptoms rating scale. Participants stop all medications for itching 4 weeks before starting the study, but continue to take ursodiol during the 42-week trial. On entering the study, patients are assigned to take either SAMe or placebo tablets twice a day for 12 weeks. While taking the medications, they are followed in the clinic every 2 weeks for the first month and then every 4 weeks to fill out symptoms questionnaires and have a short medical evaluation and blood tests. At the end of 12 weeks, treatment is interrupted for a 2-week "wash-out" period, after which patients begin a 12-week crossover treatment; that is, patients who were taking SAMe are switched to placebo, and those who were taking placebo are switched to SAMe. After completing the second 12-week treatment course, patients come to the clinic at 4, 8, and 12 weeks to fill out symptoms questionnaires and have a medical evaluation and blood tests. At the last visit, patients are told which type of tablet they received during the two courses of treatment. SAMe is available without prescription in many forms as an over-the-counter medication.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for ursodiol

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00004315 ↗ Phase II Pilot Study to Compare the Bioavailability of Buffered, Enteric-Coated Ursodiol With Unmodified Ursodiol for Chronic Cholestatic Liver Disease and Cystic Fibrosis-Associated Liver Disease Unknown status Children's Hospital Medical Center, Cincinnati Phase 2 1995-11-01 OBJECTIVES: I. Compare the bioavailability of polymer-coated and buffered ursodiol (ursodeoxycholic acid) to unmodified ursodiol in patients with cystic fibrosis-associated liver disease or chronic cholestatic liver disease. II. Compare the differences in pruritus, weight gain, and liver function for both treatments.
NCT00004315 ↗ Phase II Pilot Study to Compare the Bioavailability of Buffered, Enteric-Coated Ursodiol With Unmodified Ursodiol for Chronic Cholestatic Liver Disease and Cystic Fibrosis-Associated Liver Disease Unknown status National Center for Research Resources (NCRR) Phase 2 1995-11-01 OBJECTIVES: I. Compare the bioavailability of polymer-coated and buffered ursodiol (ursodeoxycholic acid) to unmodified ursodiol in patients with cystic fibrosis-associated liver disease or chronic cholestatic liver disease. II. Compare the differences in pruritus, weight gain, and liver function for both treatments.
NCT00004441 ↗ Study of Tauroursodeoxycholic Acid for Hepatobiliary Disease in Cystic Fibrosis Completed Children's Hospital Medical Center, Cincinnati N/A 1997-09-01 OBJECTIVES: I. Determine the optimum dose of tauroursodeoxycholic acid (TUDCA) required to achieve maximal bioavailability for patients with cystic fibrosis-associated liver disease. II. Compare optimized doses of TUDCA with ursodiol (ursodeoxycholic acid; UDCA) for effects on biliary bile acid composition and metabolism, serum biochemistries, fat absorption, and fat-soluble vitamin status in these patients.
NCT00004442 ↗ Study of Bile Acids in Patients With Peroxisomal Disorders Terminated Children's Hospital Medical Center, Cincinnati N/A 1969-12-31 OBJECTIVES: I. Determine the effectiveness of oral bile acid therapy with cholic acid, chenodeoxycholic acid, and ursodeoxycholic acid in patients with peroxisomal disorders involving impaired primary bile acid synthesis. II. Determine whether suppression of synthesis of atypical bile acids and enrichment of bile acid pool with this regimen is effective in treating this patient population and improving quality of life.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ursodiol

Condition Name

Condition Name for ursodiol
Intervention Trials
Healthy 5
Liver Cirrhosis, Biliary 4
Cholestasis 2
Primary Biliary Cirrhosis 2
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Condition MeSH

Condition MeSH for ursodiol
Intervention Trials
Fibrosis 8
Liver Cirrhosis, Biliary 6
Liver Cirrhosis 6
Liver Diseases 2
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Clinical Trial Locations for ursodiol

Trials by Country

Trials by Country for ursodiol
Location Trials
United States 51
Canada 6
Italy 2
Israel 1
Egypt 1
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Trials by US State

Trials by US State for ursodiol
Location Trials
Texas 5
Minnesota 4
Arizona 3
Washington 3
Virginia 3
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Clinical Trial Progress for ursodiol

Clinical Trial Phase

Clinical Trial Phase for ursodiol
Clinical Trial Phase Trials
Phase 4 4
Phase 3 6
Phase 2/Phase 3 2
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Clinical Trial Status

Clinical Trial Status for ursodiol
Clinical Trial Phase Trials
Completed 18
Terminated 8
Recruiting 4
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Clinical Trial Sponsors for ursodiol

Sponsor Name

Sponsor Name for ursodiol
Sponsor Trials
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) 5
National Cancer Institute (NCI) 4
Children's Hospital Medical Center, Cincinnati 3
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Sponsor Type

Sponsor Type for ursodiol
Sponsor Trials
Other 49
NIH 13
Industry 9
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Ursodiol Market Analysis and Financial Projection

Ursodiol: Clinical Trials, Market Analysis, and Projections

Introduction to Ursodiol

Ursodiol, also known as ursodeoxycholic acid (UDCA), is a bile acid naturally produced by the body and widely used in the pharmaceutical industry for its therapeutic benefits. It is primarily used in the treatment of various liver and gallbladder diseases.

Clinical Trials Update

Intrahepatic Cholestasis of Pregnancy

A significant clinical trial involving ursodeoxycholic acid was conducted to evaluate its effectiveness in reducing adverse perinatal outcomes in women with intrahepatic cholestasis of pregnancy. This double-blind, multicentre, randomised placebo-controlled trial, involving 605 women, found that ursodeoxycholic acid did not reduce the incidence of stillbirth or spontaneous preterm birth before 37 weeks' gestation. However, it might reduce total preterm birth. The trial also noted that ursodeoxycholic acid was effective in reducing pruritus and improving liver test results in these patients[1].

Barrett Esophagus and Low-Grade Dysplasia

A pilot phase II trial sponsored by the National Cancer Institute (NCI) investigated the use of ursodiol in treating patients with Barrett esophagus or low-grade dysplasia. This study aimed to assess whether ursodiol could prevent cancer formation in these patients through chemoprevention. Although the trial is completed, specific outcomes and conclusions are not detailed in the available information[4].

Market Analysis

Market Size and Growth

The global ursodeoxycholic acid market is projected to experience significant growth over the coming years. By 2033, the market is expected to reach around USD 1,133.8 million, growing at a compound annual growth rate (CAGR) of 11.3% from 2024 to 2033[2].

In another projection, the market is estimated to be valued at USD 590.1 million in 2024 and is expected to reach USD 1,165.2 million by 2031, with a CAGR of 10.2% from 2024 to 2031[5].

Dominant Indications and Market Share

The primary indication for ursodeoxycholic acid is the treatment of primary biliary cholangitis (PBC), which accounts for over 80% of its global prescriptions. PBC represents a significant target demographic, with a global prevalence rate of 60-100 cases per million[2].

Tablets are the dominant form of ursodeoxycholic acid, holding more than 52% of the market share due to their ease of administration, cost-effectiveness, and precise dosage accuracy[2].

Regional Market Dynamics

North America currently dominates the ursodeoxycholic acid market due to its well-established healthcare infrastructure and higher spending on health-related issues. However, the Asia Pacific region is emerging as the fastest-growing market, driven by a rising geriatric population, increasing healthcare expenditure, and growing awareness of liver disorders in countries like China, India, Japan, and South Korea[5].

Market Drivers and Restraints

Key drivers of the ursodeoxycholic acid market include the increasing prevalence of liver diseases such as PBC and non-alcoholic fatty liver disease (NAFLD), which affects 80-100 million Americans. The rising prevalence of gallstones, particularly among adults aged 40 and above, also contributes to market growth[2][5].

However, the market faces restraints such as adverse effects and limited efficacy in late-stage liver diseases. The growing adoption of generic versions of ursodeoxycholic acid, which can reduce prices by up to 85%, is both an opportunity and a challenge for branded products[2].

Projections and Future Outlook

Market Growth Projections

The global ursodiol market is projected to grow significantly, with one forecast indicating it will reach USD 933.9 million by 2029 from USD 457.9 million in 2022, at a CAGR of 10.7%[3].

Research and Development

The intensification of research and development activities is expected to unlock new therapeutic applications for ursodeoxycholic acid. Innovations in drug delivery systems and combination therapies incorporating ursodeoxycholic acid are anticipated to expand its use beyond traditional indications[2].

Generic Market Expansion

The launch of generic versions of ursodiol, such as the one by Sunshine Biopharma, is expected to increase market accessibility and drive growth. These generic versions are likely to capture a significant market share due to their cost-effectiveness and similar therapeutic efficacy to branded products[3].

Key Takeaways

  • Clinical Trials: Ursodeoxycholic acid has shown efficacy in reducing pruritus and improving liver test results in women with intrahepatic cholestasis of pregnancy, but its impact on other outcomes is mixed.
  • Market Size: The global ursodeoxycholic acid market is projected to reach USD 1,133.8 million by 2033, growing at a CAGR of 11.3%.
  • Dominant Indications: Primary biliary cholangitis (PBC) is the main indication, accounting for over 80% of global prescriptions.
  • Regional Dynamics: North America dominates the market, but the Asia Pacific region is emerging as the fastest-growing market.
  • Market Drivers: Increasing prevalence of liver diseases and gallstones, along with growing awareness and healthcare expenditure.
  • Future Outlook: Continued research and development, along with the expansion of generic versions, are expected to drive market growth.

FAQs

What is the primary use of ursodeoxycholic acid (UDCA)?

Ursodeoxycholic acid is primarily used in the treatment of primary biliary cholangitis (PBC), a chronic liver disease, and for the dissolution of cholesterol gallstones.

How is the global ursodeoxycholic acid market expected to grow?

The global ursodeoxycholic acid market is expected to reach around USD 1,133.8 million by 2033, growing at a CAGR of 11.3% from 2024 to 2033.

What are the dominant forms of ursodeoxycholic acid?

Tablets hold more than 52% of the market share due to their ease of administration, cost-effectiveness, and precise dosage accuracy.

Which region is expected to be the fastest-growing market for ursodeoxycholic acid?

The Asia Pacific region is expected to be the fastest-growing market, driven by a rising geriatric population, increasing healthcare expenditure, and growing awareness of liver disorders.

What are the key drivers of the ursodeoxycholic acid market?

Key drivers include the increasing prevalence of liver diseases such as PBC and NAFLD, and the rising prevalence of gallstones.

How does the launch of generic versions impact the market?

The launch of generic versions of ursodeoxycholic acid is expected to increase market accessibility and drive growth due to their cost-effectiveness and similar therapeutic efficacy to branded products.

Sources

  1. The Lancet: Ursodeoxycholic acid versus placebo in women with intrahepatic cholestasis of pregnancy[1].
  2. Market.us: Ursodeoxycholic Acid Drug Product Market Size | CAGR Of 11.3%[2].
  3. Stocktitan.net: Sunshine Biopharma Launches a New Generic Prescription Drug[3].
  4. Prevention.cancer.gov: Ursodiol in Treating Patients With Barrett Esophagus and Low-Grade Dysplasia[4].
  5. Coherent Market Insights: Ursodeoxycholic Acid Market Size, Trends And Forecast To 2031[5].

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