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Last Updated: December 17, 2025

CLINICAL TRIALS PROFILE FOR AMPICILLIN SODIUM


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505(b)(2) Clinical Trials for AMPICILLIN SODIUM

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 Formulation NCT00244777 ↗ Introduction of Hypo-osmolar ORS for Routine Use Completed United States Agency for International Development (USAID) Phase 4 2002-12-01 The World Health Organization has very recently recommended the routine use of a hypo-osmolar ORS in the management of diarrhoeal diseases. This recommendation is based on the better efficacy of the hypo-osmolar ORS over the standard WHO ORS demonstrated in controlled clinical trials. The recommendation, however, also expressed the need for "careful monitoring to better assess risk, if any, of symptomatic hyponatraemia". There thus is a need for phase IV trials before the new solution is introduced into routine clinical practice to assess the risk in relatively large number of patient populations. The proposed study will be carried out at two different settings- at the urban settings of the Dhaka Hospital (60000 patients) and at the rural settings of the Matlab Hospital (15000 patients) of ICDDR,B. The hypo-osmolar rice or glucose-based ORS will be introduced as standard management of patients with diarrhoea . The hypo-osmolar ORS will contain 75 mmol /L of sodium instead of 90 mmol/L. Surveillance will be carried out to detect adverse events focusing on the occurrence of seizures or undue lethargy during hospitalization. Each episode of seizure or undue lethargy would be evaluated to determine if they are associated with abnormal levels of serum sodium or glucose, or fever. It has been estimated that about 3% (1,800) of patients initially admitted to the Short Stay Ward of the Dhaka Hospital, and 340 patients at the Matlab Hospital might require admission to the longer stay inpatient wards due to seizure or altered consciousness. Such patients would be thoroughly assessed including determination of their serum sodium and glucose, two common causes of seizures/altered consciousness, to determine if and to what extent they could be attributed to hyponatraemia.The results from this study would be used in planning and implementing the routine use of the new formulation of ORS at all Government, NGO and private health care facilities that treat diarrhoeal patients, in Bangladesh and in other countries.
New Formulation NCT00244777 ↗ Introduction of Hypo-osmolar ORS for Routine Use Completed International Centre for Diarrhoeal Disease Research, Bangladesh Phase 4 2002-12-01 The World Health Organization has very recently recommended the routine use of a hypo-osmolar ORS in the management of diarrhoeal diseases. This recommendation is based on the better efficacy of the hypo-osmolar ORS over the standard WHO ORS demonstrated in controlled clinical trials. The recommendation, however, also expressed the need for "careful monitoring to better assess risk, if any, of symptomatic hyponatraemia". There thus is a need for phase IV trials before the new solution is introduced into routine clinical practice to assess the risk in relatively large number of patient populations. The proposed study will be carried out at two different settings- at the urban settings of the Dhaka Hospital (60000 patients) and at the rural settings of the Matlab Hospital (15000 patients) of ICDDR,B. The hypo-osmolar rice or glucose-based ORS will be introduced as standard management of patients with diarrhoea . The hypo-osmolar ORS will contain 75 mmol /L of sodium instead of 90 mmol/L. Surveillance will be carried out to detect adverse events focusing on the occurrence of seizures or undue lethargy during hospitalization. Each episode of seizure or undue lethargy would be evaluated to determine if they are associated with abnormal levels of serum sodium or glucose, or fever. It has been estimated that about 3% (1,800) of patients initially admitted to the Short Stay Ward of the Dhaka Hospital, and 340 patients at the Matlab Hospital might require admission to the longer stay inpatient wards due to seizure or altered consciousness. Such patients would be thoroughly assessed including determination of their serum sodium and glucose, two common causes of seizures/altered consciousness, to determine if and to what extent they could be attributed to hyponatraemia.The results from this study would be used in planning and implementing the routine use of the new formulation of ORS at all Government, NGO and private health care facilities that treat diarrhoeal patients, in Bangladesh and in other countries.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for AMPICILLIN SODIUM

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00002052 ↗ Prospective Comparison of Ampicillin / Amoxicillin Versus Ceftriaxone for the Treatment of Salmonella Infections in AIDS Patients Completed University of Southern California N/A 1969-12-31 To compare the effectiveness of standard treatment with parenteral ampicillin and oral amoxicillin compared to initial daily therapy with ceftriaxone followed by 3 times weekly suppressive treatment for salmonella infections in AIDS patients.
NCT00021671 ↗ Antibiotics to Reduce Chorioamnionitis-Related Perinatal HIV Transmission Completed National Institute of Mental Health (NIMH) Phase 3 1969-12-31 The purpose of this study is to see if antibiotic drugs given to treat an infection of the uterus during pregnancy can reduce the chances of HIV being passed from an HIV-positive mother to her baby. A link between bacterial disease of the vagina, premature birth, infection of the uterus during pregnancy, and the passing of HIV from a mother to her baby has been found. Early treatment of these problems may reduce the risk of passing HIV from an HIV-positive mother to her baby. [Note: As of 02/21/03, enrollment into this study was halted because preliminary data showed that the study antibiotics were not effective in preventing mother-to-child HIV transmission.]
NCT00021671 ↗ Antibiotics to Reduce Chorioamnionitis-Related Perinatal HIV Transmission Completed National Institute on Drug Abuse (NIDA) Phase 3 1969-12-31 The purpose of this study is to see if antibiotic drugs given to treat an infection of the uterus during pregnancy can reduce the chances of HIV being passed from an HIV-positive mother to her baby. A link between bacterial disease of the vagina, premature birth, infection of the uterus during pregnancy, and the passing of HIV from a mother to her baby has been found. Early treatment of these problems may reduce the risk of passing HIV from an HIV-positive mother to her baby. [Note: As of 02/21/03, enrollment into this study was halted because preliminary data showed that the study antibiotics were not effective in preventing mother-to-child HIV transmission.]
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for AMPICILLIN SODIUM

Condition Name

Condition Name for AMPICILLIN SODIUM
Intervention Trials
HIV Infections 2
Diarrhoea 2
Sepsis 1
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Condition MeSH

Condition MeSH for AMPICILLIN SODIUM
Intervention Trials
Infections 2
Infection 2
HIV Infections 2
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Clinical Trial Locations for AMPICILLIN SODIUM

Trials by Country

Trials by Country for AMPICILLIN SODIUM
Location Trials
Japan 15
Australia 4
United States 3
Bangladesh 2
Korea, Republic of 1
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Trials by US State

Trials by US State for AMPICILLIN SODIUM
Location Trials
Texas 1
North Carolina 1
California 1
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Clinical Trial Progress for AMPICILLIN SODIUM

Clinical Trial Phase

Clinical Trial Phase for AMPICILLIN SODIUM
Clinical Trial Phase Trials
PHASE3 1
PHASE2 1
Phase 4 2
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Clinical Trial Status

Clinical Trial Status for AMPICILLIN SODIUM
Clinical Trial Phase Trials
Completed 8
RECRUITING 1
Terminated 1
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Clinical Trial Sponsors for AMPICILLIN SODIUM

Sponsor Name

Sponsor Name for AMPICILLIN SODIUM
Sponsor Trials
International Centre for Diarrhoeal Disease Research, Bangladesh 2
National Institute of Mental Health (NIMH) 1
Federal University of São Paulo 1
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Sponsor Type

Sponsor Type for AMPICILLIN SODIUM
Sponsor Trials
Other 14
NIH 3
Industry 2
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Clinical Trials Update, Market Analysis, and Projection for Ampicillin Sodium

Last updated: October 28, 2025


Overview of Ampicillin Sodium

Ampicillin Sodium stands as a broad-spectrum penicillin antibiotic, extensively employed to combat bacterial infections such as respiratory tract infections, urinary tract infections, and meningitis. Its efficacy in inhibiting bacterial cell wall synthesis has sustained its prominence in both hospital settings and outpatient care. Although generic and widely available, recent innovations and the evolving landscape of infectious disease management prompt an updated analysis of Ampicillin Sodium's clinical trials, market positioning, and future prospects.


Clinical Trials Landscape

Current Clinical Trial Activity

Recent years have seen limited clinical trials explicitly focused on Ampicillin Sodium as a standalone entity, primarily due to its status as a generic drug with established efficacy. However, ongoing research explores its combination therapies and novel delivery mechanisms, indicative of renewed scientific interest. For example:

  • Combination Therapy Trials: Several Phase II and III trials investigate Ampicillin Sodium in combination with other antibiotics or adjunct therapies to tackle resistant bacterial strains. These include combinations with beta-lactamase inhibitors to enhance activity against resistant organisms such as ESBL-producing Enterobacteriaceae.

  • Formulation Innovations: Trials examining nanoparticles and sustained-release formulations aim to improve pharmacokinetics, reduce dosing frequency, and minimize adverse effects.

  • Antimicrobial Stewardship and Resistance: Studies evaluating the role of Ampicillin Sodium within stewardship programs to curtail antimicrobial resistance (AMR) are also underway, highlighting a strategic shift toward optimizing its use.

Regulatory and Approval Dynamics

No recent approvals or significant label changes have emerged for Ampicillin Sodium in major markets like the US, EU, or China. Regulatory bodies continue to oversee its use within established guidelines, but the lack of new approvals underscores its status as a generic with minimal proprietary modifications.


Market Analysis

Historical Market Performance

Historically, Ampicillin Sodium has been a cornerstone antibiotic in the global infectious disease arena. According to IBISWorld and GlobalData, the antibiotic market was valued at approximately USD 45 billion in 2022, with penicillin derivatives constituting a significant share. Ampicillin and its derivatives account for an estimated USD 1.2 billion globally, predominantly within hospital procurement channels.

The predominant use cases remain urinary tract infections, pneumonia, and meningitis. The drug's affordability and established clinical profile support its persistent demand, especially in developing countries.

Market Drivers

  • Rising Infectious Disease Incidence: The continued global burden of bacterial infections sustains demand, particularly in regions with limited access to newer, branded antibiotics.

  • Cost-Effectiveness: As a generic, Ampicillin Sodium remains a preferred choice for budget-conscious healthcare systems, fostering consistent sales.

  • Antibiotic Stewardship Programs: Strategies emphasizing appropriate use can both support and restrict its use, depending on resistance patterns and clinical guidelines.

  • Emerging Resistance Concerns: The proliferation of beta-lactamase-producing bacteria has induced a shift toward combination therapies, which, while maintaining Ampicillin Sodium's relevance, also pose competitive pressures from newer antibiotics.

Market Challenges

  • Antimicrobial Resistance (AMR): Increasing resistance reduces the drug’s clinical utility, particularly against beta-lactamase producers, leading to potential declines in usage.

  • Pricing and Generic Competition: The surge of generic manufacturers has driven prices down, constraining profit margins.

  • Regulatory Pushback: Growing emphasis on antibiotic stewardship may restrict the scope of Ampicillin Sodium's use, especially in outpatient settings.

Regional Market Dynamics

  • North America & Europe: Market growth is relatively stagnant, driven by resistance concerns and a preference for newer agents.

  • Asia-Pacific & Latin America: These regions exhibit increased demand due to higher infectious disease prevalence and lower healthcare expenditure constraints, fueling steady growth.


Market Projection (2023-2030)

Applying a conservative compound annual growth rate (CAGR) of approximately 2-3%, factoring in resistance trends and clinical practice shifts, the global Ampicillin Sodium market is projected to attain a valuation of around USD 1.4–1.5 billion by 2030.

  • Key growth segments are anticipated in the combination therapy sub-sector, particularly formulations using beta-lactamase inhibitors.

  • Emerging markets will sustain growth, driven by expanding healthcare infrastructure and infectious disease burdens.

  • Innovation in formulations (e.g., sustained-release) could open niche markets, albeit with limited scale.

  • Regulatory and clinical guidelines will heavily influence future demand, with stewardship policies potentially curtailing usage in mature markets.


Strategic Considerations for Stakeholders

  • Innovation and Formulation Development: Investing in advanced delivery systems can differentiate products in mature markets.

  • Resistance Monitoring and Stewardship: Collaborating with health authorities to demonstrate responsible use can sustain market viability.

  • Regional Market Expansion: Tapping into emerging markets with high infectious disease prevalence offers growth opportunities.

  • Combination Therapies: Supporting research on Ampicillin Sodium-based combinations can extend its therapeutic life cycle and address resistance.


Key Takeaways

  • Clinical research for Ampicillin Sodium is currently centered around resistance mitigation, formulation improvements, and combination therapies.

  • Market demand remains steady in emerging regions, though mature markets face declining growth due to resistance and newer alternatives.

  • Projected growth through 2030 is modest but steady, with a focus on combination formulations and emerging markets.

  • Resistance development is a critical risk factor, demanding proactive stewardship and innovation.

  • Stakeholders should prioritize formulation innovation, regional expansion, and collaborative resistance management to sustain market relevance.


FAQs

1. How is resistance impacting the clinical use of Ampicillin Sodium?
Rising beta-lactamase production by bacteria diminishes Ampicillin Sodium's effectiveness, prompting increased use of combination therapies and restrictive stewardship measures to mitigate resistance development.

2. Are there ongoing developments to improve Ampicillin Sodium formulations?
Yes. Research focuses on sustained-release formulations and nanoparticle delivery systems to enhance pharmacokinetics, reduce dosing frequency, and improve patient compliance.

3. What regions are expected to drive future Ampicillin Sodium demand?
Emerging economies in Asia-Pacific and Latin America are poised to be primary growth drivers due to higher infectious disease burdens and lower competition from branded antibiotics.

4. How does antimicrobial stewardship influence the market outlook?
Stewardship initiatives aim to optimize antibiotic use, which can restrict Ampicillin Sodium's prescribing in some contexts but may also promote its strategic use where appropriate, balancing demand.

5. Is Ampicillin Sodium positioned to compete with newer antibiotics?
While facing competition from newer agents with broader spectra and resistance profiles, Ampicillin Sodium retains a niche in low-cost settings and combination therapies.


References

[1] IBISWorld. (2022). Global Antibiotic Market Report.
[2] GlobalData. (2023). Antibiotics Market Dynamics and Trends.
[3] WHO. (2021). Antimicrobial Resistance Market Impact Analysis.
[4] FDA Database. (2023). Drug Approvals and Labeling Updates.
[5] ClinicalTrials.gov. (2023). Ongoing Trials on Antibiotics and Resistance.


Disclaimer: The above analysis is based on publicly available data and expert projections as of early 2023. Market and clinical landscapes are subject to change.

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