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Last Updated: March 14, 2025

CLINICAL TRIALS PROFILE FOR VALPROIC ACID


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All Clinical Trials for valproic acid

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00005658 ↗ Glycine to Treat Psychotic Disorders in Children Completed National Institute of Mental Health (NIMH) Phase 2 2000-05-01 This study will test the safety and effectiveness of the amino acid glycine in treating psychotic disorders in children. The drug will be given as an adjunct (in addition) to the patient's current antipsychotic medication. Children age nine to 18 with schizophrenia or schizoaffective disorder whose symptoms began before age 13 may be eligible for this 10-week study. Patients will be hospitalized during the course of the trial. Weekend visits home may be permitted. Children enrolled in the study will be evaluated during a two-week pre-treatment period with written tests for IQ and academic functioning and with a magnetic resonance imaging (MRI) scan of the brain. For the MRI, the child lies on a table that slides into a large donut-shaped machine with a strong magnetic field. This procedure produces images of the brain that may help identify brain abnormalities in schizophrenia that develop in childhood. During the eight-week treatment phase, patients will receive glycine powder dissolved in water once a day, in addition to their other antipsychotic medications. They will undergo the following additional procedures during the course of treatment: 1. Comprehensive psychiatric examination 2. Blood pressure and pulse monitoring once a week 3. Blood tests every other week - About one ounce of blood is drawn per week to measure glycine levels 4. Eye movement study at week eight - Using a technique called infrared oculography, special detectors measure infrared light reflected off the child's eyes while he or she watches a moving square on a video monitor. 5. Lumbar puncture (spinal tap) once during the study - About one-half ounce of cerebrospinal fluid (the fluid surrounding the brain and spinal cord) is withdrawn through a needle placed in the lower part of the spine for analysis of brain chemicals. Patients who respond well may continue to receive glycine treatment through their referring physician after the study is completed. NIMH will follow patients by phone every six months and with visits at two-year intervals.
NCT00004758 ↗ Phase II Randomized Study of Early Surgery Vs Multiple Sequential Antiepileptic Drug Therapy for Infantile Spasms Refractory to Standard Treatment Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 2 1993-11-01 OBJECTIVES: I. Evaluate the efficacy of surgical resection of an identifiable zone of cortical abnormality versus multiple drug therapy in children with infantile spasms refractory to standard therapy. II. Assess how infantile spasms interfere with development and whether this is partially reversible. III. Determine the predictors of good surgical outcome and whether surgery permanently controls seizures and improves development.
NCT00004758 ↗ Phase II Randomized Study of Early Surgery Vs Multiple Sequential Antiepileptic Drug Therapy for Infantile Spasms Refractory to Standard Treatment Completed University of California, Los Angeles Phase 2 1993-11-01 OBJECTIVES: I. Evaluate the efficacy of surgical resection of an identifiable zone of cortical abnormality versus multiple drug therapy in children with infantile spasms refractory to standard therapy. II. Assess how infantile spasms interfere with development and whether this is partially reversible. III. Determine the predictors of good surgical outcome and whether surgery permanently controls seizures and improves development.
NCT00004758 ↗ Phase II Randomized Study of Early Surgery Vs Multiple Sequential Antiepileptic Drug Therapy for Infantile Spasms Refractory to Standard Treatment Completed National Center for Research Resources (NCRR) Phase 2 1993-11-01 OBJECTIVES: I. Evaluate the efficacy of surgical resection of an identifiable zone of cortical abnormality versus multiple drug therapy in children with infantile spasms refractory to standard therapy. II. Assess how infantile spasms interfere with development and whether this is partially reversible. III. Determine the predictors of good surgical outcome and whether surgery permanently controls seizures and improves development.
NCT00000629 ↗ The Effects of Valproic Acid on Zidovudine Glucuronidation and Pharmacokinetics in HIV-Infected Patients. Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 1969-12-31 Primary objective: To study the pharmacokinetic interaction between zidovudine (AZT) and valproic acid in asymptomatic HIV-infected patients, characterizing AZT's oral bioavailability, plasma elimination half-time, plasma levels, and urinary excretion of AZT, 5'-O-glucuronide (GAZT), and 3'-amino-3'-deoxythymidine (AMT). Secondary objective: To establish the safety of short-term administration of AZT and valproic acid in combination with regard to hematologic parameters and liver function in asymptomatic HIV-infected patients. Preliminary studies using human liver tissue have shown that valproic acid inhibits the metabolic inactivation of zidovudine (AZT), which may prolong the plasma half-life of AZT and thus prolong the duration of the drug's effects in the body.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 5 of 5 entries

Clinical Trial Conditions for valproic acid

Condition Name

16107600246810121416EpilepsyBipolar DisorderSeizuresSchizophrenia[disabled in preview]
Condition Name for valproic acid
Intervention Trials
Epilepsy 16
Bipolar Disorder 10
Seizures 7
Schizophrenia 6
[disabled in preview] 0
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Condition MeSH

212014130-20246810121416182022LeukemiaEpilepsyLeukemia, MyeloidLeukemia, Myeloid, Acute[disabled in preview]
Condition MeSH for valproic acid
Intervention Trials
Leukemia 21
Epilepsy 20
Leukemia, Myeloid 14
Leukemia, Myeloid, Acute 13
[disabled in preview] 0
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Clinical Trial Locations for valproic acid

Trials by Country

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Trials by Country for valproic acid
Location Trials
United States 246
Germany 23
Italy 18
Canada 14
Brazil 8
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Trials by US State

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Trials by US State for valproic acid
Location Trials
Texas 25
Maryland 18
California 14
Ohio 13
New York 13
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Clinical Trial Progress for valproic acid

Clinical Trial Phase

25.6%11.3%6.0%57.1%01020304050607080Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for valproic acid
Clinical Trial Phase Trials
Phase 4 34
Phase 3 15
Phase 2/Phase 3 8
[disabled in preview] 76
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Clinical Trial Status

59.0%14.6%13.5%12.9%02030405060708090100110CompletedTerminatedUnknown status[disabled in preview]
Clinical Trial Status for valproic acid
Clinical Trial Phase Trials
Completed 105
Terminated 26
Unknown status 24
[disabled in preview] 23
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Clinical Trial Sponsors for valproic acid

Sponsor Name

trials02468101214161820National Cancer Institute (NCI)M.D. Anderson Cancer CenterAbbott[disabled in preview]
Sponsor Name for valproic acid
Sponsor Trials
National Cancer Institute (NCI) 19
M.D. Anderson Cancer Center 14
Abbott 12
[disabled in preview] 12
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Sponsor Type

68.5%20.3%9.1%0020406080100120140160180200220240OtherIndustryNIH[disabled in preview]
Sponsor Type for valproic acid
Sponsor Trials
Other 226
Industry 67
NIH 30
[disabled in preview] 7
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Valproic Acid: Clinical Trials, Market Analysis, and Projections

Introduction

Valproic acid, a widely used anticonvulsant, has been the subject of extensive clinical trials and market analyses. This article delves into the recent updates on clinical trials, market size, and future projections for this drug.

Clinical Trials Update

Valproic Acid in Retinitis Pigmentosa

A significant clinical trial sponsored by the Foundation Fighting Blindness Clinical Research Institute (FFB-CRI) investigated the efficacy of valproic acid in treating autosomal dominant retinitis pigmentosa (adRP). The trial, which began in 2010 and involved 90 participants, found that valproic acid did not sufficiently preserve vision in patients with adRP. Despite this outcome, the trial led to the development of a new outcome measure called EZ Area, which can quickly and accurately evaluate potential therapies for retinitis pigmentosa by measuring the number of viable photoreceptors in the retina[1].

Valproic Acid in Pulmonary Arterial Hypertension

A novel formulation of valproic acid, known as CS1, is being tested for the treatment of pulmonary arterial hypertension (PAH). A Phase 1 study in healthy volunteers showed favorable safety and tolerability, with no increased risk of bleeding. An ongoing Phase 2 clinical trial is evaluating the safety and efficacy of CS1, using multiple outcome measures including the CardioMEMS™ HF System and cardiac imaging techniques[3].

Market Analysis

Global Market Size

The global market for sodium valproate, the salt form of valproic acid, was valued at US$ 167 million in 2023. It is forecasted to grow to US$ 252.5 million by 2030, with a compound annual growth rate (CAGR) of 5.8% during the period from 2024 to 2030. Key players in this market include Sanofi, AbbVie, Athenex, and others[2].

Regional Market: South Korea

In South Korea, the valproic acid market is expected to experience significant growth driven by technological innovation, government support, and evolving consumer preferences. The market is projected to reach a valuation of USD xx.x Billion by 2031, with a CAGR of xx.x% from 2024 to 2031. South Korea's strong focus on research and development, particularly in biotech and other emerging sectors, contributes to its market expansion[5].

Market Projections

Global Projections

The global valproic acid market is anticipated to grow steadily, driven by increasing demand for anticonvulsant medications and the potential expansion into new therapeutic areas such as PAH. The forecasted growth rate of 5.8% from 2024 to 2030 indicates a robust market outlook[2].

Regional Projections: South Korea

South Korea's valproic acid market is poised for robust growth, driven by the country's advanced infrastructure, innovation ecosystem, and government incentives for innovation and sustainability. The market is expected to attract both domestic and international players, contributing to the overall development of the Asia-Pacific region[5].

Key Applications and Uses

Epilepsy and Seizure Disorders

Valproic acid is primarily used to treat certain types of seizures and epilepsy. It works as an anticonvulsant in the brain tissue to stop seizures. The drug is also used in the treatment of migraine headaches and bipolar disorder[4].

Emerging Therapeutic Areas

The potential use of valproic acid in treating PAH is a significant development. The multi-targeted mode of action of valproic acid, including pulmonary pressure reduction, reversal of vascular remodeling, and anti-inflammatory effects, makes it a promising candidate for disease modification in PAH patients[3].

Safety and Side Effects

Common Side Effects

Valproic acid can cause a range of side effects, including dizziness, lightheadedness, drowsiness, and changes in mental status. Serious side effects include liver problems, pancreatitis, and hyperammonemic encephalopathy. It is crucial for patients to monitor these symptoms and consult their doctors promptly if they occur[4].

Special Considerations

The use of valproic acid in children younger than 2 years requires extreme caution due to its toxicity. In elderly patients, the drug may cause unwanted effects such as tremors or unusual drowsiness, necessitating dose adjustments. Breastfeeding women should weigh the potential benefits against the risks, as there are no adequate studies on infant risk[4].

Conclusion

Valproic acid remains a significant drug in the pharmaceutical market, with ongoing clinical trials exploring its potential in new therapeutic areas. While it did not prove effective in treating adRP, the development of the EZ Area outcome measure is a valuable advancement. The market for valproic acid is projected to grow, driven by increasing demand and technological innovations.

Key Takeaways

  • Valproic acid did not show significant efficacy in treating adRP but led to the development of the EZ Area outcome measure.
  • A new formulation of valproic acid, CS1, is being tested for PAH with favorable initial results.
  • The global market for sodium valproate is forecasted to reach US$ 252.5 million by 2030.
  • South Korea's valproic acid market is expected to grow significantly due to technological innovation and government support.
  • Valproic acid is primarily used for epilepsy and seizure disorders but is being explored for other therapeutic uses.

FAQs

What was the outcome of the clinical trial using valproic acid for adRP?

The clinical trial found that valproic acid did not sufficiently preserve vision in patients with autosomal dominant retinitis pigmentosa (adRP), but it led to the development of the EZ Area outcome measure[1].

What is the potential new therapeutic use of valproic acid being explored?

Valproic acid is being explored for the treatment of pulmonary arterial hypertension (PAH) through a novel formulation known as CS1[3].

What is the forecasted global market size for sodium valproate by 2030?

The global market for sodium valproate is forecasted to reach US$ 252.5 million by 2030, with a CAGR of 5.8% from 2024 to 2030[2].

What are the key drivers of the valproic acid market in South Korea?

The key drivers include technological innovation, government support, and evolving consumer preferences, along with a strong focus on research and development[5].

What are some common side effects of valproic acid?

Common side effects include dizziness, lightheadedness, drowsiness, and changes in mental status. Serious side effects can include liver problems, pancreatitis, and hyperammonemic encephalopathy[4].

Sources

  1. Foundation Fighting Blindness. Valproic Acid's Effect Too Small in One-Year Clinical Trial. Retrieved from https://www.fightingblindness.org/news/valproic-acid-s-effect-too-small-in-one-year-clinical-trial-640
  2. Valuates Reports. Sodium Valproate - Market Size. Retrieved from https://reports.valuates.com/market-reports/QYRE-Auto-9F7142/global-sodium-valproate
  3. Wiley Online Library. CS1, a controlled‐release formulation of valproic acid, for the treatment of patients with pulmonary arterial hypertension: Rationale and design of a Phase 2 clinical trial. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1002/pul2.12323
  4. Mayo Clinic. Valproic acid (oral route) - Description. Retrieved from https://www.mayoclinic.org/drugs-supplements/valproic-acid-oral-route/description/drg-20072931
  5. Verified Market Reports. South Korea Valproic Acid Market Size, Trends, Analysis 2031. Retrieved from https://verified-market-research-48318861.hubspotpagebuilder.com/blog/south-korea-valproic-acid-market-size-trends-analysis-2031

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