Last Updated: June 9, 2026

CLINICAL TRIALS PROFILE FOR AMMONIUM CHLORIDE IN PLASTIC CONTAINER


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505(b)(2) Clinical Trials for AMMONIUM CHLORIDE IN PLASTIC CONTAINER

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 NCT07356271 ↗ Effects of Mouthwashes on the Oral Microbiome and Systemic Health NOT_YET_RECRUITING University of Plymouth EARLY_PHASE1 2026-02-01 OVERVIEW While antimicrobial mouthwashes are proven to be clinically effective for management of certain oral microbial diseases, recent studies (Bescos et al 2025, Gallard et al 2025) suggest tha, in addition to targeting bacteria responsible for gum diseases such as gingivitis and periodontitis, they may harm healthy bacteria and disturb the balance and protective role of the oral microbiome (dysbiosis). Most findings on the oral microbiome and mouthwashes involve chlorhexidine use, demonstrating that it may induce dysbiosis and compromise the host oral microenvironment (Bescos et al 2020). A recent study completed in 2025 (Gallardo et al 2025) has shown that CPC mouthwash can also inhibit nitrate synthesis in the mouth. However there remains a need for further research on other agents used in mouthrinses, such as hydrogen peroxide, essential oils, or saline mouthwashes, to determine whether their clinical effectiveness in managing oral disease is accompanied by changes to the oral microbiome. In dentistry, despite this being the place where most people are treated, there are very few research studies that have been performed in primary care settings. Hence this study will be designed for delivery in primary care, to produce 'real-life' data on a patient cohort more typical of general dental practice. This PhD project will select several of the most commonly used over the counter (OTC) mouthwash constituents, used by the general public, that have a limited evidence base, regarding their effects on the oral microbiome in vivo. The first agent to be studied is physiological saline (sodium chloride), as this is the mouthwash advised by dental guidelines for use after tooth extractions, yet there is little evidence to support this approach. No previous studies have previously quantified its effects on clinical outcomes and the oral microbiome. All mouthwashes will be tested in people with, or without, gum disease (gingivitis and periodontitis) to determine which interventions are best used in either health or disease.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for AMMONIUM CHLORIDE IN PLASTIC CONTAINER

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01440478 ↗ The Effects of Urinary pH Changes on an Investigational Compound in Healthy Subjects Completed Eli Lilly and Company Phase 1 2011-09-01 This study is designed to explore the effect of increased and decreased urinary pH on the single pharmacokinetic (PK) dose of LY2140023 and its active metabolite LY404039. All participants will receive the three treatments in a randomized order.
NCT01690039 ↗ Influence of Polymorphisms in the ATP6V1 Gene of the V-ATPase on the Development of Incomplete Distal Renal Tubular Acidosis Completed University Hospital Inselspital, Berne 2012-09-01 Purpose 1. To compare the performance of the two currently employed urinary acidifications tests in stone formers, the furosemide/fludrocortisone and ammonium chloride loading test. 2. To study the impact of polymorphisms in the genes ATP6V1B1, ATP6V0A4 and SLC4A1 on urinary acidification in stone formers.
NCT02360826 ↗ Statin Distribution Completed American Heart Association Phase 1 2014-06-17 Anticipating an increased use of statins in children and adolescents, it is imperative that we understand the genetic and developmental characteristics affecting the pharmacokinetics and pharmacodynamics of statins in childhood and adolescence. Simply extrapolating pediatric dosing guidelines from adult dose-exposure-response relationships fails to recognize the potential impact of growth and development in pediatric patients, which may have important clinical implications for drug efficacy or toxicity. Current evidence indicates that genetic variation in the SLCO1B1 transporter is important for statin disposition and toxicity in adults. The ontogeny of SLCO1B1 during human growth and development has not been well characterized, and limited pediatric data indicate that the genotype-phenotype relationship in children is the opposite of that observed in adults. Therefore, investigating the relative roles of SLCO1B1 ontogeny and genetic variation in statin disposition and response is key to determining the age at which the statin dose-exposure-response relationship mimics adults, and has important implications for other medications transported by the SLCO1B1 protein. As the first step in this process, our specific aims for the current investigation are 1) to determine the effect of genetic variation of SLCO1B1 on the pharmacokinetics of pravastatin and simvastatin by comparing Cmax, AUC and elimination between children and adolescents with 2 functional SLCO1B1 alleles and those with one or more variant alleles, and 2) to determine if the magnitude of the genetic effect on pravastatin pharmacokinetics (defined as Cmax, AUC and elimination) is equivalent to the effect on simvastatin pharmacokinetics. As a secondary aim, Cmax and AUC of pravastatin and simvastatin will be compared between children and adolescents for each genotype group. These results will be utilized to determine the sample size necessary to adequately power future studies characterizing the role of ontogeny on statin disposition. The ultimate goal of this proposed investigation is to establish the role of genetic variation in key transporters on the dose-exposure relationship of two commonly used statin drugs in children. This study is the first step in a series of investigations aimed at determining the mechanisms behind variations in physiologic response, clinical efficacy and significant adverse effect risk that surround the statin drugs in children and adolescents.
NCT02360826 ↗ Statin Distribution Completed Children's Mercy Hospital Kansas City Phase 1 2014-06-17 Anticipating an increased use of statins in children and adolescents, it is imperative that we understand the genetic and developmental characteristics affecting the pharmacokinetics and pharmacodynamics of statins in childhood and adolescence. Simply extrapolating pediatric dosing guidelines from adult dose-exposure-response relationships fails to recognize the potential impact of growth and development in pediatric patients, which may have important clinical implications for drug efficacy or toxicity. Current evidence indicates that genetic variation in the SLCO1B1 transporter is important for statin disposition and toxicity in adults. The ontogeny of SLCO1B1 during human growth and development has not been well characterized, and limited pediatric data indicate that the genotype-phenotype relationship in children is the opposite of that observed in adults. Therefore, investigating the relative roles of SLCO1B1 ontogeny and genetic variation in statin disposition and response is key to determining the age at which the statin dose-exposure-response relationship mimics adults, and has important implications for other medications transported by the SLCO1B1 protein. As the first step in this process, our specific aims for the current investigation are 1) to determine the effect of genetic variation of SLCO1B1 on the pharmacokinetics of pravastatin and simvastatin by comparing Cmax, AUC and elimination between children and adolescents with 2 functional SLCO1B1 alleles and those with one or more variant alleles, and 2) to determine if the magnitude of the genetic effect on pravastatin pharmacokinetics (defined as Cmax, AUC and elimination) is equivalent to the effect on simvastatin pharmacokinetics. As a secondary aim, Cmax and AUC of pravastatin and simvastatin will be compared between children and adolescents for each genotype group. These results will be utilized to determine the sample size necessary to adequately power future studies characterizing the role of ontogeny on statin disposition. The ultimate goal of this proposed investigation is to establish the role of genetic variation in key transporters on the dose-exposure relationship of two commonly used statin drugs in children. This study is the first step in a series of investigations aimed at determining the mechanisms behind variations in physiologic response, clinical efficacy and significant adverse effect risk that surround the statin drugs in children and adolescents.
NCT02644135 ↗ A Pilot Study of the Safety, Tolerability, and Effectiveness of Halo Completed University Hospitals Cleveland Medical Center N/A 2013-01-01 This is a pilot study of the safety, tolerability, and effectiveness of Halo to prevent acute upper respiratory illness and respiratory virus infections. This study will be conducted at one site (University Hospitals Case Medical Center) in healthy adults during the upcoming respiratory virus season (12/15/11 to 3/14/12). The intervention will be with Halo, a commercial product which is FDA-approved for the treatment of xerostomia. The placebo will consist of the phosphate buffered saline plus the preservatives in the Halo formulation and without CPC - the active antiseptic. This placebo was chosen as the Halo formulation without CPC serves to act as a barrier to attachment of oral pathogens, and as such is an important contributing factor to its antimicrobial activity (see above). Also, the formulation without CPC with preservatives exhibits some antibacterial and antiviral activity. Moreover, the formulation without CPC and no preservatives is easily contaminated and not practical to utilize as the placebo in these studies. Male and female participants 18-45 years of age will be recruited and monitored for the development of, duration, and severity of clinical symptoms and signs consistent with acute respiratory disease (defined below) captured daily through diaries, and PCR confirmation of important respiratory viruses including influenza, rhinoviruses, adenoviruses, and respiratory syncytial virus during episodes of acute respiratory disease during the length of the study will be undertaken. Secondary objectives will assess the tolerance, acceptability and adherence to Halo as well as the change in the bacterial (oral streptococci and Group A streptococcus) and fungal microflora in the oropharynx. School or work absenteeism, visits to physicians' offices, emergency departments and urgent care centers will also be captured. Conventional cultures for these bacterial and fungal organisms will be pursued (see below). Throughout the study period, the safety, tolerability, acceptability and adherence to study products will be assessed.
NCT06209359 ↗ Mechanisms of Diuretic Resistance in Heart Failure, Aim 3 RECRUITING National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) PHASE1 2024-07-24 Randomized double-blind placebo-controlled crossover study design
NCT06209359 ↗ Mechanisms of Diuretic Resistance in Heart Failure, Aim 3 RECRUITING Yale University PHASE1 2024-07-24 Randomized double-blind placebo-controlled crossover study design
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for AMMONIUM CHLORIDE IN PLASTIC CONTAINER

Condition Name

Condition Name for AMMONIUM CHLORIDE IN PLASTIC CONTAINER
Intervention Trials
Acidosis, Renal Tubular 1
Diuretic Resistance 1
Drug Distribution 1
Healthy 1
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Condition MeSH

Condition MeSH for AMMONIUM CHLORIDE IN PLASTIC CONTAINER
Intervention Trials
Acidosis 1
Heart Failure 1
Cardiomyopathies 1
Nephrolithiasis 1
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Clinical Trial Locations for AMMONIUM CHLORIDE IN PLASTIC CONTAINER

Trials by Country

Trials by Country for AMMONIUM CHLORIDE IN PLASTIC CONTAINER
Location Trials
United States 2
United Kingdom 1
Switzerland 1
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Trials by US State

Trials by US State for AMMONIUM CHLORIDE IN PLASTIC CONTAINER
Location Trials
Connecticut 1
Missouri 1
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Clinical Trial Progress for AMMONIUM CHLORIDE IN PLASTIC CONTAINER

Clinical Trial Phase

Clinical Trial Phase for AMMONIUM CHLORIDE IN PLASTIC CONTAINER
Clinical Trial Phase Trials
PHASE1 1
Phase 1 2
N/A 1
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Clinical Trial Status

Clinical Trial Status for AMMONIUM CHLORIDE IN PLASTIC CONTAINER
Clinical Trial Phase Trials
Completed 4
NOT_YET_RECRUITING 1
RECRUITING 1
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Clinical Trial Sponsors for AMMONIUM CHLORIDE IN PLASTIC CONTAINER

Sponsor Name

Sponsor Name for AMMONIUM CHLORIDE IN PLASTIC CONTAINER
Sponsor Trials
Eli Lilly and Company 1
University Hospital Inselspital, Berne 1
American Heart Association 1
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Sponsor Type

Sponsor Type for AMMONIUM CHLORIDE IN PLASTIC CONTAINER
Sponsor Trials
Other 6
Industry 1
NIH 1
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Last updated: May 29, 2026

Ammonium Chloride in Plastic Container Clinical Trials Update, Market Analysis, and Future Pricing Projections

Ammonium chloride for oral administration in plastic containers is a niche, largely off-patent product category. Public clinical-trial signals are typically sparse because the active ingredient is long-established and products differ mainly by formulation, container system, and labeling. Market activity is dominated by supply reliability, container/packaging compliance, and reseller purchasing rather than patent-led innovation. Without product-specific identifiers tied to a named NDA/ANDA (or specific clinical program identifiers), any attempt to project price, share, or future pipeline milestones for “ammonium chloride in plastic container” risks mixing unrelated SKUs and regulatory histories.

Because the request is not bounded to a specific applicant, strength, dosage form (oral solution vs. oral tablets vs. IV vs. combination products), or FDA submission (NDA/ANDA/BLA), a complete and accurate clinical and patent-linked update cannot be produced.

Are there active clinical trials for ammonium chloride oral dosing in plastic containers?

Featured snippet answer: Public clinical-trial activity for ammonium chloride as an active ingredient is generally limited; most “updates” you see in registries relate to historical studies, dosing in specific populations, or supportive physiological research rather than new randomized registrational programs.

Where do trials typically appear, and what do they study?

Common trial patterns for ammonium chloride in public registries include:

  • Metabolic acidosis physiology and renal tubular response studies
  • “Acid-loading” or gastric pH related research
  • Population studies in renal disease contexts (historically) and pharmacodynamic endpoints

What is usually missing for container-specific claims?

Registrations and trial publications almost never treat “plastic container” as a clinical variable. Container system differences usually matter for:

  • Leachables/extractables risk
  • Stability and sorption effects
  • Microbial ingress and shelf-life
  • Packaging compliance and labeling

How to interpret “trial activity” for pipeline projections

For investor-grade projection, the key is whether there is:

  • A new chemical entity or new regulatory filing
  • A new container system that changes shelf-life or product performance enough to drive a new NDA/ANDA
  • A trial linked to a specific sponsor with an FDA submission

Without a sponsor-program mapping, “clinical trials update” for this product family becomes non-actionable.

What is the market size and demand outlook for ammonium chloride solutions or tablets in plastic packaging?

Featured snippet answer: The market is supply-driven and depends on hospital and retail pharmacy procurement cycles. Demand is tied to use as an acidifying agent, electrolyte/metabolic indications, and niche pharmacy stocking.

Market structure

  • Primary buyers: hospitals, institutional pharmacies, and distributors
  • Sellers: generic manufacturers and repackagers with overlapping distribution footprints
  • Differentiation: packaging, label language, shelf-life, and logistics

Key demand drivers

  • Clinical reliance on acidifying regimens in defined patient populations
  • Procurement substitution: when specific package formats (plastic bottles vs. glass) are required by a buyer’s handling or formulary practice
  • Regulatory/QA stability performance that keeps inventory in-market

Key constraints

  • Off-patent status reduces pricing power
  • Procurement tends to select lowest total cost of supply (including expiration risk)
  • Container compliance and stability performance can determine vendor eligibility

How much is ammonium chloride priced, and what price projections are realistic over 12–36 months?

Featured snippet answer: For long-established off-patent products, realistic pricing projection is usually a function of raw material availability, packaging costs, and competitive tender pricing rather than product-driven innovation.

What typically drives near-term price movement

  • Plastic packaging cost and freight volatility
  • Supply disruptions at manufacturing sites
  • Distributor contract changes
  • Seasonality in institutional procurement

What cannot be responsibly projected without an anchored SKU

A “plastic container” label is not a market-level identifier. Price varies materially by:

  • Strength and dosage form
  • Bottle size and unit count
  • Sales channel (NHS-style centralized purchasing vs. US wholesaler contracting)
  • Country and tender structure

A numeric price forecast cannot be produced without a specific SKU set mapped to a regulatory submission or commercial catalog baseline.

What patents protect ammonium chloride, and how does patent status affect competition?

Featured snippet answer: Ammonium chloride as an active ingredient is long off-patent in major markets. Competition is primarily driven by generics, packaging/stability IP, and manufacturing process claims rather than active-ingredient exclusivity.

Where protection, if any, tends to exist

  • Formulation/stability claims (shelf-life, excipient ratios, pH control)
  • Container-system claims (packaging compatibility, sorption reduction, barrier properties)
  • Method-of-manufacture claims (process control, sterilization or purification steps, if relevant)
  • Labeling and method-of-use claims (rare for legacy ingredient unless linked to a specific new indication or regimen)

How this impacts market pricing

  • Generic entry tends to cap list price growth
  • Margin differences arise from reliability and logistics
  • Container-specific differentiation may shift buyer preference but usually does not create durable exclusivity unless linked to a protected submission history

What is the Orange Book status of ammonium chloride plastic container products?

Featured snippet answer: Orange Book listings exist for many small-molecule generics and branded products, but “ammonium chloride in plastic container” usually maps to active ingredient listings with multiple generic ANDAs. Orange Book status must be tied to a specific application number, dosage form, and strength.

What to check for actionable exclusivity

For each strength/dosage form:

  • Orange Book active ingredient listing
  • Listed patents (if any)
  • Expiration and exclusivity blocks
  • 505(b)(2) vs. ANDA status

Without a specific NDA/ANDA mapping, a definitive Orange Book status summary cannot be stated.

What generic entry risks exist for ammonium chloride plastic-container SKUs?

Featured snippet answer: Generic entry risk is low in the sense that many products already have generic supply; the risk is more about substitution and switching among multiple already-marketed generic versions.

What drives substitution

  • Container handling requirements at hospitals
  • Shelf-life acceptance by pharmacy and wholesaler
  • Stability documentation that supports long distribution periods

Which companies supply ammonium chloride products in plastic containers?

Featured snippet answer: Supply typically consists of multiple generic manufacturers and distributors with overlapping catalogs. Determining the top suppliers requires SKU-level mapping to NDCs, which is not provided.

A ranked supplier list would be speculative without NDC or regulatory identifiers.

How does ammonium chloride in plastic containers compare with other packaging systems (glass, bags, unit-dose)?

Featured snippet answer: Container choice usually impacts stability and handling more than pharmacologic performance. Plastic can improve breakage resistance and logistics but must demonstrate compatibility and extractables control.

Technical comparison axes

  • Shelf-life and potency retention
  • Leachables/extractables compliance for oral solutions
  • Permeation and CO2/water vapor effects (depending on material system)
  • Cost per dispensed unit
  • Hazard handling and procurement preferences

What manufacturing/IP barriers affect new entrants for ammonium chloride plastic-container products?

Featured snippet answer: Barriers are usually regulatory and quality-system focused rather than patent led for the active ingredient.

Typical barriers

  • Stability package and real-time testing to justify expiration
  • Container compatibility studies
  • Documentation needed for cGMP release and QA
  • Ability to pass distribution shelf-life requirements

Do any settlement agreements or Paragraph IV litigations affect ammonium chloride products?

Featured snippet answer: For widely generic, legacy active ingredients, major Paragraph IV litigation is uncommon unless specific formulation or packaging-related patents are asserted by a reference product.

A litigation and settlement timeline cannot be produced without identifying:

  • The specific asserted patents
  • The NDA/ANDA reference product
  • Court dockets and filing parties

Key Takeaways

  • “Ammonium chloride in plastic container” is a packaging-characterized product family; clinical and market projections require SKU-level anchoring (NDC, strength, dosage form, and regulatory application).
  • For the active ingredient ammonium chloride, the market is typically off-patent and competition is supply and packaging-driven.
  • Numeric clinical-trial update and pricing projections cannot be stated credibly without mapping to specific FDA submissions and sponsor programs.
  • Actionable due diligence for this category focuses on regulatory filing history, container compatibility/stability documentation, and supplier eligibility rather than on patent-led pipeline events.

FAQs

  1. How do container system differences (plastic vs glass) impact ammonium chloride oral solution stability and shelf life?
  2. What FDA submission types (NDA vs ANDA vs 505(b)(2)) are most common for legacy ammonium chloride products?
  3. How does hospital formulary selection weigh price versus shelf-life and container handling for ammonium chloride?
  4. Are there any remaining formulation or packaging patents that can delay generic substitution for ammonium chloride solutions?
  5. What due diligence items determine whether a manufacturer can qualify an ammonium chloride liquid in plastic for institutional supply?

References

  1. U.S. Food and Drug Administration. Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. FDA. https://www.accessdata.fda.gov/scripts/cder/daf/
  2. U.S. National Library of Medicine. ClinicalTrials.gov. https://clinicaltrials.gov/

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