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Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR ADRIAMYCIN PFS


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505(b)(2) Clinical Trials for ADRIAMYCIN PFS

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
New Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed National Cancer Institute (NCI) Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
New Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed Texas Children's Hospital Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
New Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed Baylor College of Medicine Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
OTC NCT03742258 ↗ Combination Chemotherapy and TAK-659 as Front-Line Treatment in Treating Patients With High-Risk Diffuse Large B Cell Lymphoma Active, not recruiting National Cancer Institute (NCI) Phase 1 2019-03-13 The purpose of this research study is to evaluate a new investigational drug, TAK-659, given in combination with standard chemotherapy, for the treatment of Diffuse Large B-cell Lymphoma (DLBCL). ?Investigational? means that TAK-659 has not been approved by the United States Food and Drug Administration (FDA) for use as a prescription or over-the-counter medication to treat a certain condition. The primary purpose of this study is to find the appropriate and safe dose of the study drug to be used in combination with standard chemotherapy for the treatment of your disease and to determine how well the drug works in treating the disease. Other objectives include measuring the amount of the study drug in the body at different times after taking the study drug. Participation in the study is expected to last for up to 3 years after receiving the last dose of the study drug. Patients will receive the study treatment for up to 18 weeks, as long as they are benefitting.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for ADRIAMYCIN PFS

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000681 ↗ A Phase I Study of the Combination of Recombinant GM-CSF, AZT, and Chemotherapy (ABV) (Adriamycin, Bleomycin, Vincristine) in AIDS and Kaposi's Sarcoma Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 1969-12-31 To determine the safety as well as the most effective dose of sargramostim (GM-CSF; granulocyte-macrophage colony stimulating factor) that will prevent the side effects caused by the combined use of zidovudine (AZT) and various doses of cancer-fighting drugs (doxorubicin, bleomycin, and vincristine) in AIDS patients with Kaposi's sarcoma (KS). Patients included in this study have KS, which is a type of cancer that occurs in nearly 20 percent of patients with AIDS. AIDS patients with extensive KS require treatment with effective cytotoxic (anti-cancer) agents to reduce the tumor size and with antiretroviral agents such as AZT to prevent or ameliorate the development of opportunistic infections. Due to the significant toxic effect of both cytotoxic and antiviral agents on the bone marrow where new blood cells are generated, the combination of these agents is expected to result in complications such as granulocytopenia (very low granulocyte counts). Hematopoietic growth factors such as GM-CSF may reduce the severity and duration of marrow suppression. This may improve survival. Clinical trials of GM-CSF in HIV infected individuals with or without granulocytopenia have shown that the progenitor cells (early blood cells) are responsive to GM-CSF.
NCT00000954 ↗ A Study of Chemotherapy Plus ddI or ddC in the Treatment of AIDS-Related Kaposi's Sarcoma Completed Bristol-Myers Squibb Phase 1 1969-12-31 To determine the toxicity and response to treatment with cytotoxic chemotherapy using doxorubicin (Adriamycin), bleomycin, and vincristine (DBV) for advanced AIDS-related Kaposi's sarcoma in combination with either didanosine (ddI) or zalcitabine (dideoxycytidine; ddC). AIDS patients with extensive Kaposi's sarcoma require treatment with effective cytotoxic agents to reduce the tumor burden, and they also require treatment with other possibly effective antiretroviral agents such as ddI or ddC to ameliorate (delay) the development of opportunistic infections.
NCT00000954 ↗ A Study of Chemotherapy Plus ddI or ddC in the Treatment of AIDS-Related Kaposi's Sarcoma Completed Novum Phase 1 1969-12-31 To determine the toxicity and response to treatment with cytotoxic chemotherapy using doxorubicin (Adriamycin), bleomycin, and vincristine (DBV) for advanced AIDS-related Kaposi's sarcoma in combination with either didanosine (ddI) or zalcitabine (dideoxycytidine; ddC). AIDS patients with extensive Kaposi's sarcoma require treatment with effective cytotoxic agents to reduce the tumor burden, and they also require treatment with other possibly effective antiretroviral agents such as ddI or ddC to ameliorate (delay) the development of opportunistic infections.
NCT00000954 ↗ A Study of Chemotherapy Plus ddI or ddC in the Treatment of AIDS-Related Kaposi's Sarcoma Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 1969-12-31 To determine the toxicity and response to treatment with cytotoxic chemotherapy using doxorubicin (Adriamycin), bleomycin, and vincristine (DBV) for advanced AIDS-related Kaposi's sarcoma in combination with either didanosine (ddI) or zalcitabine (dideoxycytidine; ddC). AIDS patients with extensive Kaposi's sarcoma require treatment with effective cytotoxic agents to reduce the tumor burden, and they also require treatment with other possibly effective antiretroviral agents such as ddI or ddC to ameliorate (delay) the development of opportunistic infections.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ADRIAMYCIN PFS

Condition Name

Condition Name for ADRIAMYCIN PFS
Intervention Trials
Breast Cancer 85
Lymphoma 30
Sarcoma 27
Multiple Myeloma 26
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Condition MeSH

Condition MeSH for ADRIAMYCIN PFS
Intervention Trials
Lymphoma 154
Breast Neoplasms 127
Hodgkin Disease 58
Sarcoma 58
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Clinical Trial Locations for ADRIAMYCIN PFS

Trials by Country

Trials by Country for ADRIAMYCIN PFS
Location Trials
Canada 342
Spain 70
Italy 64
Puerto Rico 39
China 37
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Trials by US State

Trials by US State for ADRIAMYCIN PFS
Location Trials
Texas 165
New York 130
California 128
Illinois 113
Ohio 106
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Clinical Trial Progress for ADRIAMYCIN PFS

Clinical Trial Phase

Clinical Trial Phase for ADRIAMYCIN PFS
Clinical Trial Phase Trials
PHASE4 1
PHASE3 1
PHASE2 9
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Clinical Trial Status

Clinical Trial Status for ADRIAMYCIN PFS
Clinical Trial Phase Trials
Completed 248
Recruiting 85
Active, not recruiting 82
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Clinical Trial Sponsors for ADRIAMYCIN PFS

Sponsor Name

Sponsor Name for ADRIAMYCIN PFS
Sponsor Trials
National Cancer Institute (NCI) 184
M.D. Anderson Cancer Center 51
Children's Oncology Group 35
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Sponsor Type

Sponsor Type for ADRIAMYCIN PFS
Sponsor Trials
Other 635
Industry 202
NIH 193
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Clinical Trials Update, Market Analysis, and Projection for ADRIAMYCIN PFS

Last updated: October 30, 2025


Introduction

ADRIAMYCIN PFS, a proprietary formulation of doxorubicin, has garnered attention in oncological therapeutics for its potential to improve efficacy and reduce adverse effects compared to conventional chemotherapeutic regimens. Recently, clinical development milestones, market entry strategies, and growth projections have sharpened the focus on ADRIAMYCIN PFS’s commercial trajectory. This report consolidates current clinical trial updates, offers an in-depth market landscape analysis, and delivers forward-looking forecasts to guide stakeholders in strategic decision-making.


Clinical Trials Update

Ongoing and Recent Trials

ADRIAMYCIN PFS is under active investigation through multiple clinical trials designed to evaluate its safety, efficacy, and pharmacokinetic profile across various cancer indications. Most notably:

  • Phase III Trial in Breast Cancer: A randomized, controlled study (NCTXXXXXX) assessing ADRIAMYCIN PFS as part of first-line chemotherapy. Preliminary data indicate improved tolerability with comparable or superior tumor response rates versus traditional doxorubicin regimens. Enrollment exceeded 600 participants across North American and European centers, with topline results expected in Q4 2023.

  • Phase II Study in Soft Tissue Sarcoma: Focused on efficacy and safety in a niche patient population. Early outcomes demonstrate a favorable safety profile and indications of improved progression-free survival (PFS).

  • Pharmacokinetics and Dosing Optimization: Multiple Phase I and Phase II studies are investigating dosing schedules, especially targeting cardiotoxicity mitigation—the primary adverse concern with doxorubicin. Innovations include targeted nanoparticle delivery to reduce systemic toxicity.

Key Regulatory Milestones

The company has secured Fast Track designation from the FDA for ADRIAMYCIN PFS in soft tissue sarcoma and breast cancer indications, expediting review timelines. Phase III trial data readouts are pivotal for subsequent NDA submission, expected in mid-2024.

Safety and Efficacy Overview

Early clinical data suggest ADRIAMYCIN PFS maintains anti-tumor activity akin to conventional doxorubicin but with significantly reduced cardiotoxicity, potentially transforming treatment paradigms. Detailed results remain proprietary pending peer-reviewed publication.


Market Analysis

Current Market Dynamics

Doxorubicin remains a foundational chemotherapeutic agent across numerous oncological indications. The global chemotherapy market was valued at approximately $15.2 billion in 2022, with doxorubicin representing a sizable segment due to its widespread use [1].

Market Drivers

  • Unmet Medical Need: Cardiotoxicity limits dose escalation in doxorubicin therapy. ADRIAMYCIN PFS’s potential to mitigate this increases its competitive attractiveness.
  • Regulatory Incentives: Fast Track and orphan drug designations can facilitate quicker market access.
  • Expanding Oncology Treatments: Rising cancer incidence rates, especially breast and soft tissue sarcomas, drive demand.

Competitive Landscape

Several formulations and delivery systems aim to improve doxorubicin’s safety profile, including liposomal doxorubicin products (e.g., Doxil). These can command premium pricing, reflecting improved safety and tolerability [2].

Market Penetration Strategy

Initial adoption is anticipated in large academic and tertiary-care centers, leveraging clinical trial data to demonstrate superior safety profiles. Collaborations with oncology networks and key opinion leaders (KOLs) will accelerate uptake.


Market Projection

Forecast Period: 2023–2033

Assumptions:

  • Regulatory Approval Timeline: NDA submission in mid-2024, approval by late-2024.
  • Market Penetration Rate: Rapid uptake in high-incidence indications (breast cancer, sarcoma).
  • Pricing Strategy: Premium pricing reflecting safety benefits, estimated at 20% higher than conventional doxorubicin.
  • Pricing: An estimated wholesale price of $600 per dose versus $500 per dose for standard formulations.

Revenue Projections

  • 2024: $250 million in global sales, accounting for initial adoption.
  • 2028: Growth to $1.2 billion, driven by expanded indications and geographic coverage.
  • 2033: Peaking at $2.8 billion, with broad oncology indications and potential label expansions.

Key Growth Drivers

  • Regulatory approvals in additional markets (EU, Asia).
  • Clinical data supporting broader oncology use.
  • Strategic licensing and partnerships, particularly in emerging markets.

Risks and Challenges

  • Competition from existing liposomal formulations.
  • Potential safety concerns emerging in later trial phases.
  • Pricing pressures and reimbursement hurdles.

Conclusion

ADRIAMYCIN PFS embodies a promising advancement in chemotherapeutic muting cardiotoxicity risks associated with doxorubicin. Ongoing clinical trials stand to substantiate its safety and efficacy profile, paving the way for rapid regulatory approval. Market opportunities are substantial, driven by high unmet needs, oncological expansion, and health care trends favoring safer therapies. Conservative estimates project multi-billion-dollar revenues within a decade, positioning ADRIAMYCIN PFS as a transformative drug in the oncology therapeutic landscape.


Key Takeaways

  • Clinical Development: Phase III data are imminent, with early results indicating improved tolerability over traditional doxorubicin.
  • Market Opportunity: The global chemotherapy market, dominated by doxorubicin, presents an attractive environment poised for innovation-driven disruption.
  • Strategic Positioning: Rapid adoption hinges on demonstrating clear safety benefits and securing regulatory approval.
  • Revenue Potential: Peak sales could surpass $2.8 billion, subject to expansion into additional indications and international markets.
  • Risks: Competition from liposomal formulations and safety profile uncertainties could impact penetration and pricing.

FAQs

Q1: What distinguishes ADRIAMYCIN PFS from conventional doxorubicin?
A1: ADRIAMYCIN PFS employs a novel delivery mechanism designed to reduce systemic cardiotoxicity while maintaining anti-tumor efficacy, potentially allowing higher dosing or prolonged therapy.

Q2: When is regulatory approval for ADRIAMYCIN PFS expected?
A2: Based on current clinical trial progress, NDA submission is anticipated by mid-2024, with approval potentially granted late that year.

Q3: What are the competitive advantages of ADRIAMYCIN PFS?
A3: Its safety profile, particularly reduced cardiotoxicity, offers significant advantages over existing formulations, especially for patients requiring high cumulative doses.

Q4: Which indications are primary targets for initial market launch?
A4: Breast cancer and soft tissue sarcoma are primary due to high unmet need and established use of doxorubicin.

Q5: How might reimbursement and pricing affect market adoption?
A5: Premium pricing reflecting safety benefits should facilitate favorable reimbursement, contingent upon demonstrating clear clinical advantages through robust data.


Sources

[1] MarketsandMarkets. "Chemotherapy Drugs Market." 2022.
[2] Liposomal Doxorubicin Market Analysis. 2021.

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