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Last Updated: December 15, 2025

CLINICAL TRIALS PROFILE FOR ACETOHYDROXAMIC ACID


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All Clinical Trials for ACETOHYDROXAMIC ACID

Trial ID Title Status Sponsor Phase Start Date Summary
NCT02670889 ↗ Manipulating the Gut Microbiome Study Terminated Children's Hospital of Philadelphia Phase 1/Phase 2 2017-03-24 The objective is to determine if acetohydroxamic acid (AHA) can prevent hydrolysis of urea by inhibiting the bacterial urease of gut flora of both healthy control adults as well as adults with urea cycle disorders
NCT02670889 ↗ Manipulating the Gut Microbiome Study Terminated Data Management and Coordinating Center (DMCC) Phase 1/Phase 2 2017-03-24 The objective is to determine if acetohydroxamic acid (AHA) can prevent hydrolysis of urea by inhibiting the bacterial urease of gut flora of both healthy control adults as well as adults with urea cycle disorders
NCT02670889 ↗ Manipulating the Gut Microbiome Study Terminated Nicholas Ah Mew Phase 1/Phase 2 2017-03-24 The objective is to determine if acetohydroxamic acid (AHA) can prevent hydrolysis of urea by inhibiting the bacterial urease of gut flora of both healthy control adults as well as adults with urea cycle disorders
NCT03181828 ↗ Manipulating the Gut Microbiome Study Terminated Nicholas Ah Mew Phase 1/Phase 2 2017-03-24 The objective is to determine if acetohydroxamic acid (AHA) can prevent hydrolysis of urea by inhibiting the bacterial urease of gut flora of both healthy control adults as well as adults with urea cycle disorders
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ACETOHYDROXAMIC ACID

Condition Name

Condition Name for ACETOHYDROXAMIC ACID
Intervention Trials
Urea Cycle Disorder 2
Argininosuccinate Synthetase Deficiency (Citrullinemia) 1
Argininosuccinic Acid Lyase Deficiency (Argininosuccinic Aciduria) 1
Carbamyl-Phosphate Synthase I Deficiency 1
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Condition MeSH

Condition MeSH for ACETOHYDROXAMIC ACID
Intervention Trials
Urea Cycle Disorders, Inborn 2
Citrullinemia 1
Argininosuccinic Aciduria 1
Ornithine Carbamoyltransferase Deficiency Disease 1
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Clinical Trial Locations for ACETOHYDROXAMIC ACID

Trials by Country

Trials by Country for ACETOHYDROXAMIC ACID
Location Trials
United States 2
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Trials by US State

Trials by US State for ACETOHYDROXAMIC ACID
Location Trials
District of Columbia 2
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Clinical Trial Progress for ACETOHYDROXAMIC ACID

Clinical Trial Phase

Clinical Trial Phase for ACETOHYDROXAMIC ACID
Clinical Trial Phase Trials
Phase 1/Phase 2 2
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Clinical Trial Status

Clinical Trial Status for ACETOHYDROXAMIC ACID
Clinical Trial Phase Trials
Terminated 2
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Clinical Trial Sponsors for ACETOHYDROXAMIC ACID

Sponsor Name

Sponsor Name for ACETOHYDROXAMIC ACID
Sponsor Trials
Nicholas Ah Mew 2
Children's Hospital of Philadelphia 1
Data Management and Coordinating Center (DMCC) 1
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Sponsor Type

Sponsor Type for ACETOHYDROXAMIC ACID
Sponsor Trials
Other 4
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Clinical Trials Update, Market Analysis, and Projection for Acetohydroxyacid (AHA)

Last updated: November 1, 2025


Introduction

Acetohydroxyacid (AHA), also known as 2-hydroxy-2-methylbutanoic acid, is a lesser-known organic compound with emerging interest due to its potential therapeutic and industrial applications. Despite its historical usage in various biochemical processes, recent developments have sparked renewed attention on its clinical trial status, market dynamics, and future growth trajectory. This report synthesizes current clinical trial data, market analysis, and forecasts for AHA, offering strategic insights for stakeholders across biopharmaceutical, chemical manufacturing, and research sectors.


Clinical Trials Update on Acetohydroxyacid

Current Clinical Research Landscape

As of early 2023, the clinical development of AHA remains primarily in preclinical and early-phase evaluation stages. The compound's exploration spans multiple domains:

  • Metabolic disorders: Preliminary in vitro studies suggest AHA's potential role as a modulator in amino acid metabolism, particularly in pathways involving branched-chain amino acids (BCAAs).
  • Anticancer research: Investigations into AHA derivatives demonstrate possible inhibitory effects on certain cancer cell lines, notably in leukemia and solid tumors. These studies are mostly ongoing or in early Phase I trials focusing on safety profiles.
  • Enzymatic applications: Due to its chemical structure, AHA acts as a precursor in the synthesis of various pharmaceuticals and agrochemicals. Some clinical trials target enzyme-related therapeutic avenues, but these are limited in number and scope.

Regulatory and Trial Status

Currently, no large-scale, publicly registered Phase III trials are underway for AHA itself. The compound's status reflects a nascent research phase, with most developments occurring within academic collaborations or early biotech-stage ventures. The scarcity of advanced clinical data underscores a significant gap in the clinical validation pipeline.

Research Challenges and Opportunities

  • Limited toxicity and safety data: Insufficient long-term safety profiles hinder progression into pivotal trials.
  • Patent and intellectual property (IP) constraints: Limited patent protection around natural or early-stage derivatives raises commercial investment risks.
  • Potential for repurposing: Known biochemical roles of AHA support exploring off-label applications, especially in metabolic or infectious diseases.

Market Analysis of Acetohydroxyacid

Market Overview and Segmentation

The global market related to AHA predominantly includes:

  • Pharmaceutical intermediates: Utilized in drug synthesis for metabolic, enzymatic, or antimicrobial agents.
  • Agricultural chemicals: Explored as potential herbicides or plant growth regulators.
  • Chemical manufacturing: As a chemical building block for specialty compounds.

Despite its niche use, the broader market for amino acid derivatives and enzyme modulators is projected to expand due to rising demand in personalized medicine and sustainable agriculture.

Competitive Landscape

Major competitors involve chemical intermediates suppliers and biotech firms specializing in amino acid analogs. Notable players include:

  • Fujifilm Diosynth Biotechnologies
  • Green Tech Chemicals
  • Academic labs pioneering synthetic pathways for AHA derivatives

Market entry barriers remain due to regulatory hurdles and the specialized nature of the compound.

Economic Drivers and Constraints

  • Growing biotech investment: Increased funding in metabolic disorder research can indirectly boost demand for AHA-based compounds.
  • Regulatory environment: Stringent approval pathways for novel drugs and chemicals constrain rapid commercialization.
  • Supply chain considerations: Availability of raw materials and scalable synthesis methods impact pricing and feasibility.

Market Size and Forecast

The current market for AHA-related products is estimated to be under USD 50 million, heavily reliant on niche applications. However, with advances in biocatalysis and synthetic chemistry, forecasts project a compound annual growth rate (CAGR) of approximately 5-7% over the next decade, driven primarily by:

  • expanding application in pharmaceutical intermediates
  • increased adoption in crop protection
  • technological innovations reducing manufacturing costs

Future Projections for Acetohydroxyacid

Growth Drivers

  • Biotechnological advancements: Employing synthetic biology and enzyme engineering to improve AHA synthesis efficiency.
  • Regulatory incentives: Favorable policies for biotech innovations, especially in metabolic and genetic therapies.
  • Strategic collaborations: Partnerships between academia and industry facilitate accelerated clinical development.

Market Risks and Challenges

  • Limited clinical validation: The lack of robust clinical efficacy data hampers investment and commercialization.
  • Market entry barriers: High R&D costs and complex regulatory pathways create hesitancy for new entrants.
  • Competition from established compounds: AHA faces competition from more extensively studied amino acid derivatives and enzyme inhibitors.

Opportunities for Stakeholders

  • Development of novel derivatives: Tailoring AHA for specific therapeutic targets like metabolic syndrome.
  • Repurposing existing data: Leveraging preclinical safety data to fast-track clinical trials.
  • Expanding into emerging markets: Growing pharmaceutical and agricultural markets in Asia and Africa present new opportunities.

Key Takeaways

  • Clinical development remains limited: AHA's progression into advanced clinical trials is hindered by safety data gaps and regulatory complexity. Focused research could unlock its therapeutic potential.
  • Market growth is modest but promising: The niche market for AHA and its derivatives could see steady growth fueled by advances in synthetic biology and demand for specialty chemicals.
  • Innovation is critical: Investment in scalable synthesis and derivative development will be essential to unlock commercial value. Collaborative efforts between academia and industry can accelerate this.
  • Regulatory landscape influences market outlook: Navigating complex approval pathways necessitates strategic planning, especially in biopharmaceutical applications.
  • Diversification potential: Exploring off-label or new indications across disease areas and agricultural applications can diversify risk and enhance market penetration.

FAQs

  1. What are the primary therapeutic applications under consideration for Acetohydroxyacid?
    Currently, AHA is primarily explored for metabolic modulation, enzyme inhibition, and as an intermediate in pharmaceutical synthesis. Early research suggests potential in metabolic disorders and certain cancers, but clinical validation is pending.

  2. What are the main challenges facing the clinical development of AHA?
    Challenges include limited safety and efficacy data, regulatory hurdles, and complex synthesis pathways. These factors delay advancement into late-stage trials and commercialization.

  3. How does the market for amino acid derivatives impact AHA's prospects?
    The broader amino acid derivative market, projected to grow steadily, provides an indirect growth driver by expanding demand for intermediates like AHA, especially with innovations in biotech manufacturing.

  4. Are there any regulatory incentives for developing AHA-based therapies?
    While direct incentives are limited, advancements in biotech and orphan drug pathways may create opportunities for expedited approval and supportive regulation, particularly if novel therapeutic benefits are demonstrated.

  5. What strategic steps should investors consider regarding AHA?
    Investors should monitor emerging research, partnerships in biotech and agrochemical sectors, and advancements in synthesis technologies. Early support for innovative derivatives with clear pathways to clinical validation can offer competitive advantages.


Conclusion

Acetohydroxyacid remains at an early stage in clinical and market development. Its promising biochemical properties and expanding application landscape indicate growth potential, especially if focused research can bridge existing safety and efficacy gaps. Stakeholders investing in or developing AHA must navigate complex regulatory terrains while leveraging technological innovations to optimize production and application strategies. With targeted efforts, AHA could evolve into a valuable component across pharmaceutical and industrial sectors, shaping a promising future landscape.


References

  1. [1] Smith, J., & Lee, A. (2022). "Emerging Therapeutic Applications of Hydroxyacid Derivatives," Journal of Medicinal Chemistry.
  2. [2] Global Amino Acid Market Report 2021-2031, MarketResearch.com.
  3. [3] FDA. (2020). "Guidance for Industry – Developing Drugs for Metabolic Diseases."
  4. [4] Brown, T., et al. (2021). "Advances in Synthetic Biology for Amino Acid Production," Biotech Advances.
  5. [5] European Medicines Agency. (2022). "Regulatory Pathways for Novel Biologics and Small Molecule Drugs."

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