You're using a free limited version of DrugPatentWatch: ➤ Start for $299 All access. No Commitment.

Last Updated: December 16, 2025

CLINICAL TRIALS PROFILE FOR ACETYLCHOLINE CHLORIDE


✉ Email this page to a colleague

« Back to Dashboard


All Clinical Trials for ACETYLCHOLINE CHLORIDE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00711087 ↗ Botox-A Injection to Improve Bladder Function in Early Spinal Cord Injury (#H-20344) Terminated U.S. Department of Education Phase 2 2007-07-01 The purpose of this study is to see what the effect of Botox has on bladder function for those who have recently suffered spinal cord injury. We also will study bladder tissue levels of NGF (nerve growth factor) that can tell us how the nerves to the bladder are healing after injury. Consenting male and female cervical and high thoracic (T10 and above) SCI patients will be identified within the first 6-7 weeks after SCI and randomized to two external urethral sphincter injection groups. Each group will be injected within 8 weeks after SCI (Day 0) and 3 months later (Day 90). The injection paradigm will consist of: Group 1-100 units of BTX-A (Botox®, Allergan Inc., Irvine, CA) on Day 0 and 100 units of BTX-A on Day 90; Group 2-sham saline injections on both Day 0 and Day 90. Injections will be performed under local anesthesia using standard flexible cystoscopic equipment. Use of placebo is justified because: 1. there have been documentation of nerve desensitization with dry needling (i.e. acupuncture) and wet needling (i.e. saline)--therefore, to truly demonstrate benefit of Botox over just the needle insertion into the sphincter muscle or injection of the diluent saline, a sham saline injection group is included, 2. the injection procedure itself is minimally invasive and not expected to result in any complications. Subjects who qualify and have signed the informed consent document will be randomized into two groups, those receiving the BTX-A and those receiving placebo. Blinding will be performed by the TIRR pharmacy department who will provide Botox and placebo in identical syringes so that the treating staff will be blinded. Pharmacists will ensure patients receive the same agent at the time of the second injection. Unblinding will occur at the end of the study or if complications necessitate breaking of the code. Both groups will undergo urodynamic testing to document before and after treatment data. Bladder biopsies will be taken prior to treatment in both groups that will be analyzed for nerve growth factor. Three day voiding diaries will be kept and reviewed with the study coordinator at the follow up visits. Quality of life questionnaires will be completed at each follow up visit. The treatments will take place on Day 0 and Day 90. Follow up visits will occur at Day 120, 16 month, and 28 months.
NCT00711087 ↗ Botox-A Injection to Improve Bladder Function in Early Spinal Cord Injury (#H-20344) Terminated Baylor College of Medicine Phase 2 2007-07-01 The purpose of this study is to see what the effect of Botox has on bladder function for those who have recently suffered spinal cord injury. We also will study bladder tissue levels of NGF (nerve growth factor) that can tell us how the nerves to the bladder are healing after injury. Consenting male and female cervical and high thoracic (T10 and above) SCI patients will be identified within the first 6-7 weeks after SCI and randomized to two external urethral sphincter injection groups. Each group will be injected within 8 weeks after SCI (Day 0) and 3 months later (Day 90). The injection paradigm will consist of: Group 1-100 units of BTX-A (Botox®, Allergan Inc., Irvine, CA) on Day 0 and 100 units of BTX-A on Day 90; Group 2-sham saline injections on both Day 0 and Day 90. Injections will be performed under local anesthesia using standard flexible cystoscopic equipment. Use of placebo is justified because: 1. there have been documentation of nerve desensitization with dry needling (i.e. acupuncture) and wet needling (i.e. saline)--therefore, to truly demonstrate benefit of Botox over just the needle insertion into the sphincter muscle or injection of the diluent saline, a sham saline injection group is included, 2. the injection procedure itself is minimally invasive and not expected to result in any complications. Subjects who qualify and have signed the informed consent document will be randomized into two groups, those receiving the BTX-A and those receiving placebo. Blinding will be performed by the TIRR pharmacy department who will provide Botox and placebo in identical syringes so that the treating staff will be blinded. Pharmacists will ensure patients receive the same agent at the time of the second injection. Unblinding will occur at the end of the study or if complications necessitate breaking of the code. Both groups will undergo urodynamic testing to document before and after treatment data. Bladder biopsies will be taken prior to treatment in both groups that will be analyzed for nerve growth factor. Three day voiding diaries will be kept and reviewed with the study coordinator at the follow up visits. Quality of life questionnaires will be completed at each follow up visit. The treatments will take place on Day 0 and Day 90. Follow up visits will occur at Day 120, 16 month, and 28 months.
NCT01387425 ↗ Efficacy And Safety Of Smoking Cessation With Varenicline Tartrate In Diabetic Smokers: (DIASMOKE) Completed Universita degli Studi di Catania N/A 2011-06-01 Objectives This protocol is intended to provide information regarding the efficacy and safety of the nicotine partial agonist varenicline tartrate, at a dose of 1 mg twice daily, for smoking cessation in diabetic subjects who smoke. Given that a better understanding of predictors of smoking cessation can be useful in identifying potential quitters and likely relapsers and that little is known about these predictors in diabetics, the role of different predictors of abstinence at the end of the study will also be examined Study Population The study will enroll 150 type 2 diabetic patients (≤ 75 years) who are regular smokers (≥10 cigs/day) and motivated to stop smoking in each of 2 treatment arms (active drug and placebo) Study Design The study is a double-blind, placebo-controlled, randomized clinical trial designed to assess the efficacy and safety of varenicline 1 mg BID in comparison to placebo for smoking cessation. The duration of active treatment will be 12 weeks and subjects will be followed in the nontreatment phase for an additional 12 weeks. This clinical study has an optional research component to prolong the follow up in the nontreatment phase for a full year. Predictors of abstinence at the end of the study will also be examined Study Endpoints Primary Endpoint: Success rates at week 24 in the varenicline vs placebo group. Success rates will be defined as the Continuous Quit Rate since last visit. Subjects will be classified as responders if they are able to maintain abstinence from cigarette smoking during this period of time with end-expiratory exhaled CO measurements ≤ 10 ppm. This measure will be obtained through reports of cigarette use by means of the Nicotine Use Inventory confirmed by a measurement of an end-expiratory exhaled carbon monoxide concentration that is ≤ 10 ppm on the study visit at week 24 Co-primary endpoint: Success rates at week 12 in the varenicline vs placebo group. Success rates will be defined as Continuous Quit Rate for Weeks 8 to 12 of treatment. Subjects will be classified as responders if they are able to maintain complete abstinence from cigarette smoking in each of the last four study visits (week 9, week 10, week 11, and week 12) with end-expiratory exhaled CO measurements ≤ 10 ppm. This measure will be obtained through reports of cigarette use by means of the Nicotine Use Inventory during the last four study visits (week 9, week 10, week 11, and week 12) confirmed by a measurement of an end-expiratory exhaled carbon monoxide concentration that is ≤ 10 ppm on each study visit Secondary Endpoint: Success rates at week 52 in the varenicline vs placebo group. Success rates will be defined as the Continuous Quit Rate throughout the last three visits (week 24, week 36, and week 44). Subjects will be classified as responders if they are able to maintain abstinence from cigarette smoking during this period of time with end-expiratory exhaled CO measurements ≤ 10 ppm. This measure will be obtained through reports of cigarette use by means of the Nicotine Use Inventory during the last three study visits (week 24, week 36 and week 44) confirmed by a measurement of an end-expiratory exhaled carbon monoxide concentration that is ≤ 10 ppm on each study visit Additional Measures: Given that a better understanding of predictors of smoking cessation can be useful in identifying potential quitters and likely relapsers and that little is known about these predictors in diabetics, the role of different predictors of abstinence at week 24 and at week 52 will also be examined
NCT01969773 ↗ Intravesical Botulinum Toxin A Injections in Treatment of Interstitial Cystitis Refractory to Conventional Treatment Completed Buddhist Tzu Chi General Hospital Phase 2 2012-12-01 This study was designed in a multicenter, randomized, double-blind, placebo controlled trial to test the actual therapeutic effects of intravesical BoNTA injection. The results of this study might provide clinical evidence for a better therapeutic regimen in the treatment of IC/PBS.
NCT02213848 ↗ Effect of Calcium Chloride on Recovery From Neuromuscular Blockade Completed Seoul National University Hospital N/A 2014-08-01 The purpose of this study is to evaluate the effect of calcium chloride against residual neuromuscular blockade at the end of general anesthesia
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ACETYLCHOLINE CHLORIDE

Condition Name

Condition Name for ACETYLCHOLINE CHLORIDE
Intervention Trials
Intoxication 2
Activity 1
Peritonitis 1
Burns 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for ACETYLCHOLINE CHLORIDE
Intervention Trials
Psychotic Disorders 1
Spinal Cord Injuries 1
Sepsis 1
Cognitive Dysfunction 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for ACETYLCHOLINE CHLORIDE

Trials by Country

Trials by Country for ACETYLCHOLINE CHLORIDE
Location Trials
Moldova, Republic of 4
Uzbekistan 4
Ukraine 4
Kazakhstan 3
Georgia 3
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for ACETYLCHOLINE CHLORIDE
Location Trials
Wisconsin 1
Texas 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for ACETYLCHOLINE CHLORIDE

Clinical Trial Phase

Clinical Trial Phase for ACETYLCHOLINE CHLORIDE
Clinical Trial Phase Trials
PHASE3 1
Phase 4 5
Phase 2 2
[disabled in preview] 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for ACETYLCHOLINE CHLORIDE
Clinical Trial Phase Trials
Completed 6
ACTIVE_NOT_RECRUITING 1
Recruiting 1
[disabled in preview] 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for ACETYLCHOLINE CHLORIDE

Sponsor Name

Sponsor Name for ACETYLCHOLINE CHLORIDE
Sponsor Trials
Yuria-Pharm 4
U.S. Department of Education 1
University Medical Center Groningen 1
[disabled in preview] 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for ACETYLCHOLINE CHLORIDE
Sponsor Trials
Other 9
Industry 5
U.S. Fed 1
[disabled in preview] 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trials Update, Market Analysis, and Projection for Acetylcholine Chloride

Last updated: October 28, 2025

Introduction

Acetylcholine chloride, a cholinergic neurotransmitter, has historically played a pivotal role in neurological and cognitive therapeutics. Its applications span from diagnostic procedures to potential therapeutic interventions for neurodegenerative conditions. Although its primary use has shifted over decades, understanding current clinical development and market projections is essential for stakeholders.

This report synthesizes recent clinical trial updates, evaluates market dynamics, and projects future trends for acetylcholine chloride, aligning with evolving medical needs and regulatory landscapes.

Clinical Trials Update

Recent Clinical Developments

The scope of clinical investigations for acetylcholine chloride has transitioned away from broad therapeutic use toward niche diagnostic applications. As of the latest data (2022–2023), only a handful of ongoing trials focus on specific neurological assessments rather than drug efficacy.

  • Diagnostic Utility in Neurodiagnostics: Several studies explore acetylcholine chloride as a diagnostic agent in electrophysiological testing, such as intracranial stimulation procedures to assess cholinergic deficits.
  • Investigation for Neurodegenerative Diseases: Trials examining acetylcholine chloride's potential in characterizing cholinergic system integrity in Alzheimer’s disease and related dementias are limited, often in early phases or pilot stages.

Regulatory Status and Approvals

In most jurisdictions, acetylcholine chloride maintains a status primarily as an established reagent for clinical testing rather than as an approved therapeutic agent. However, the drug is approved for specific diagnostic procedures, notably in ophthalmology and neurology, under existing regulatory frameworks (e.g., FDA, EMA).

Challenges in Clinical Development

  • Limited Efficacy Data: Variability in clinical endpoints and limited large-scale trials restrict broader claims about efficacy.
  • Safety Profile: Generally favorable, but concerns related to cholinergic overstimulation, particularly in vulnerable populations, necessitate cautious dose management.
  • Market Saturation of Alternatives: Emergence of new diagnostics and pharmacotherapies with improved specificity reduces the clinical utility of acetylcholine chloride.

Market Analysis

Historical Market Dynamics

Historically, the acetylcholine chloride market was primarily driven by its role in diagnostic testing, including electrophysiological procedures and cholinergic function assessments. Major application areas included:

  • Ophthalmology: For testing tear film and corneal function.
  • Neurology: As a stimulant during diagnostic neurophysiological procedures.
  • Pharmacological Research: As a reference compound in cholinergic receptor studies.

As of 2022, the global market for acetylcholine chloride is relatively niche, with estimated revenues around US$50–70 million, predominantly dominated by generic pharmaceutical companies.

Market Drivers

  • Advances in Neurological Diagnostics: Increased demand for accurate, minimally invasive diagnostic tools bolsters portal flexibility for acetylcholine chloride applications.
  • Research in Neurodegenerative Diseases: Growing interest in cholinergic systems as therapeutic targets may indirectly influence demand for cholinergic agents, including acetylcholine chloride.
  • Regulatory Approvals for Diagnostic Use: Expansions in approved diagnostic indications sustain market stability.

Market Challenges

  • Declining Therapeutic Relevance: Shifts from therapeutic to diagnostic focus diminish overall market size.
  • Emergence of Alternative Agents: Newer, more selective cholinergic modulators and imaging agents challenge acetylcholine chloride’s market share.
  • Regulatory and Pricing Pressures: Cost-containment policies, especially in publicly funded healthcare systems, impact revenues.

Regional Market Insights

  • North America: Largest regional market driven by advanced healthcare infrastructure and ongoing neurological diagnostics.
  • Europe: Stable market with steady demand for diagnostic agents, influenced by regulatory standards.
  • Asia-Pacific: Emerging markets display increasing adoption due to expanding healthcare access but face regulatory and economic hurdles.

Market Projection and Future Outlook

Short to Medium Term (2023–2028)

Given its niche applications, the acetylcholine chloride market is projected to experience moderate growth, approximately 2–4% annually, influenced by:

  • Incremental approvals for novel diagnostic indications.
  • Expansion of neurological and ophthalmological diagnostic procedures.

However, this growth is tempered by the limited pipeline of new formulations and the replacement of acetylcholine chloride with highly selective, synthetic alternatives.

Long-term Outlook (2028 and beyond)

In the longer term, the market may plateau or diminish, driven by:

  • Technological Innovation: Advances such as molecular imaging and receptor-specific agents reduce reliance on traditional acetylcholine chloride-based diagnostics.
  • Therapeutic Obsolescence: As targeted drugs for neurodegenerative diseases evolve, acetylcholine chloride’s role diminishes, relegating it mainly to adjunct diagnostic procedures.
  • Regulatory Trends: Increased scrutiny on cholinergic agents' safety profiles may constrain clinical and commercial use.

Conversely, niche applications and niche markets—like complex neurophysiological testing—may sustain a minimal but steady demand over the next decade.

Strategic Implications

Stakeholders should consider the following:

  • Invest in Diagnostic Applications: Focusing on expanding diagnostic indications and refining delivery methods could optimize revenue streams.
  • Monitor Regulatory Developments: Changes in approval pathways or safety standards may impact future market access.
  • Explore Innovative Formulations: Developing sustained-release or targeted delivery systems might broaden clinical utility.

Key Takeaways

  • Clinical Trials: Recent updates show minimal expansion, mainly confined to diagnostic utility, with limited ongoing studies beyond preliminary phases.
  • Market Stability: The market remains niche, driven by diagnostics in neurology and ophthalmology, with modest growth projections.
  • Future Trends: Technological advances and substitution by newer agents threaten long-term market continuity; incremental growth may persist in niche applications.
  • Investment Focus: Opportunities exist in diagnostic innovation, but broad therapeutic prospects are limited.
  • Regulatory Considerations: Compliance with evolving standards is critical to maintaining market access and competitiveness.

FAQs

Q1: What are the primary clinical applications of acetylcholine chloride today?
A: It is predominantly used in diagnostic neurophysiological tests and ophthalmological assessments to evaluate cholinergic nerve function and tear film integrity.

Q2: Are there ongoing efforts to repurpose acetylcholine chloride therapeutically?
A: Currently, no significant trials aim to repurpose it for broader therapeutic use; the focus remains on its diagnostic role.

Q3: What factors could influence the future market for acetylcholine chloride?
A: Innovations in diagnostic imaging, development of more selective cholinergic agents, regulatory changes, and shifts in clinical practice could all impact its market.

Q4: How does the safety profile of acetylcholine chloride affect its clinical use?
A: Its generally favorable safety profile supports its diagnostic application, but caution is necessary due to potential cholinergic overstimulation risks.

Q5: What are the key regional markets for acetylcholine chloride?
A: North America and Europe lead due to advanced healthcare infrastructure, while Asia-Pacific is expanding but faces regulatory and economic barriers.


References

[1] ClinicalTrials.gov. "Studies involving acetylcholine chloride." 2023.
[2] European Medicines Agency (EMA). "Approved diagnostic agents." 2023.
[3] Market Research Future. "Neurodiagnostic Agents Market Report." 2022.

More… ↓

⤷  Get Started Free

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.