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Last Updated: November 12, 2025

CLINICAL TRIALS PROFILE FOR AUGMENTIN '125'


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505(b)(2) Clinical Trials for Augmentin '125'

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 NCT02778828 ↗ Pharmacokinetic and Therapeutic Adaptation of Linezolid in the Treatment of Multi-Resistant Tuberculosis Completed Groupe Hospitalier Paris Saint Joseph N/A 2015-11-04 Linezolid, primary treatment for MDR-TB combination therapy anti. Until it is the dose of 600 mg x1 / day, rather sensible for most patients is more, which was unanimous. It is true that if a dosage is consensus, it goes without saying, because of the interindividual variability, marked moreover to linezolid, a therapeutic monitoring assay of plasma levels is indispensable for most pharmacological treatments. This therapeutic drug monitoring (TDM) often gives rise, as known, to dosage changes. It turns out that at present no real STP on the basic objectives PK / PD is really made in France in the treatment of tuberculosis (TB) and the bibliography remains rather poor recommendations, and yet all the elements are there: indeed linezolid is an antibiotic whose activity is purely "time-dependent". So one should fulfill 2 PK / PD objectives whose precise boundaries are sometimes still to be determined: -% T> MIC, or percentage of time spent with plasma concentrations above the minimum inhibitory concentration of linezolid (LNZ) for Mycobacterium tuberculosis. In practice, the residual concentration before the next shot must be> MIC (0.125 to 1 mg / l) - A fortiori it must also take into account the concentration preventing the appearance of resistant mutants, amounting to 1.2 mg / l - AUC / MIC> 80, or ratio of the area under the curve (AUC, Area under curve) of plasma concentration versus time and CMI LNZ Until then, and without real bibliographic support, and for the sake of kindness to patients coupled with an economic advantage, the STP consisted of 2 samples, a peak 1:30 after taking (Cmax) and a residual before taking (C min) , after all, to 600mg x1 / 24 correlates well with the AUC (55% peak and 75% for the residual). Following an observation that 25 to 30% of patients had a C min
OTC NCT06076304 ↗ Nasal Steroids, Irrigation, Oral Antibiotics, and Subgroup Targeting for Effective Management of Sinusitis Active, not recruiting Medstar Health Research Institute Phase 4 2023-11-21 Sinus infections are sometimes treated with antibiotics or nasal sprays, while some patients get better on their own. Some patients may wait a few days or use common over-the-counter remedies to see if their symptoms improve without further treatment. The overall goal of this clinical trial to see which patients with sinus infections are more likely to respond to different treatments, and which improve with supportive care alone.
OTC NCT06076304 ↗ Nasal Steroids, Irrigation, Oral Antibiotics, and Subgroup Targeting for Effective Management of Sinusitis Active, not recruiting Patient-Centered Outcomes Research Institute Phase 4 2023-11-21 Sinus infections are sometimes treated with antibiotics or nasal sprays, while some patients get better on their own. Some patients may wait a few days or use common over-the-counter remedies to see if their symptoms improve without further treatment. The overall goal of this clinical trial to see which patients with sinus infections are more likely to respond to different treatments, and which improve with supportive care alone.
OTC NCT06076304 ↗ Nasal Steroids, Irrigation, Oral Antibiotics, and Subgroup Targeting for Effective Management of Sinusitis Active, not recruiting Penn State College of Medicine Phase 4 2023-11-21 Sinus infections are sometimes treated with antibiotics or nasal sprays, while some patients get better on their own. Some patients may wait a few days or use common over-the-counter remedies to see if their symptoms improve without further treatment. The overall goal of this clinical trial to see which patients with sinus infections are more likely to respond to different treatments, and which improve with supportive care alone.
OTC NCT06076304 ↗ Nasal Steroids, Irrigation, Oral Antibiotics, and Subgroup Targeting for Effective Management of Sinusitis Active, not recruiting University of California, Los Angeles Phase 4 2023-11-21 Sinus infections are sometimes treated with antibiotics or nasal sprays, while some patients get better on their own. Some patients may wait a few days or use common over-the-counter remedies to see if their symptoms improve without further treatment. The overall goal of this clinical trial to see which patients with sinus infections are more likely to respond to different treatments, and which improve with supportive care alone.
OTC NCT06076304 ↗ Nasal Steroids, Irrigation, Oral Antibiotics, and Subgroup Targeting for Effective Management of Sinusitis Active, not recruiting University of Washington Phase 4 2023-11-21 Sinus infections are sometimes treated with antibiotics or nasal sprays, while some patients get better on their own. Some patients may wait a few days or use common over-the-counter remedies to see if their symptoms improve without further treatment. The overall goal of this clinical trial to see which patients with sinus infections are more likely to respond to different treatments, and which improve with supportive care alone.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Augmentin '125'

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00002149 ↗ Acupuncture and Herbal Treatment of Chronic HIV Sinusitis Completed Immune Enhancement Project N/A 1969-12-31 To compare Traditional Chinese Medicine versus standard antibiotic therapy consisting of pseudoephedrine ( Sudafed ) plus amoxicillin / clavulanate potassium combination ( Augmentin ) in reducing symptoms and recurrence of acute HIV-related sinusitis. Chronic sinusitis in HIV-infected individuals is a recurrent and persistent infection with potentially serious complications: it can exacerbate pulmonary disease, cause recurrences of life-threatening sepsis, and progress to central nervous system involvement. Symptoms of sinusitis in HIV patients are often refractory to aggressive Western medical management, and antibiotic intolerance can occur. Traditional Chinese Medicine consisting of acupuncture and herbal treatment may provide a low-risk, low-cost alternative to conventional antibiotic therapy.
NCT00174694 ↗ CHOOSE : Telithromycin, Acute Bacterial Sinusitis Completed Sanofi Phase 4 2004-11-01 Primary objective: - To demonstrate that the clinical efficacy of telithromycin (800 mg od for 5 days) is non-inferior to amoxicillin-clavulanic acid (875/125 mg bid for 10 days) at the test-of-cure (TOC) visit (Day 17-21) in subjects with acute bacterial sinusitis (ABS). Secondary objective(s): - To assess the time to resolution of signs and symptoms between the baseline (Day 1) and TOC (Day 17-21) visits, - To assess the rate of clinical relapse at the follow-up visit (Day 41-49), - To assess health economic outcome until follow-up visit (Day 41-49), - To assess quality of life up to the follow-up visit (Day 41-49), - To compare the safety of telithromycin and amoxicillin-clavulanic acid, - To compare the bacteriologic outcome of both treatments as observed at TOC (Day 17-21) and at follow-up visit (Day 41-49),in subjects with ABS.
NCT00185939 ↗ The Use of Prophylactic Antibiotics In the Management of Dog Bites Completed National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) Phase 2/Phase 3 2003-08-01 This double blinded RCT will help to ascertain the usefulness of prophylactic antibiotics in the management of uncomplicated dog bites, utilizing currently best available antibiotics (Augmentin) and an important clinical outcome of infection. By enrolling 100-150 patients in this pilot trial as part of a k-award the investigators plan to utilize the point estimates of infection, side effects and other important outcomes and incorporate these into a cost most to determine the most cost effective management of these wounds and to determine if further study is warranted based on the findings.
NCT00185939 ↗ The Use of Prophylactic Antibiotics In the Management of Dog Bites Completed Stanford University Phase 2/Phase 3 2003-08-01 This double blinded RCT will help to ascertain the usefulness of prophylactic antibiotics in the management of uncomplicated dog bites, utilizing currently best available antibiotics (Augmentin) and an important clinical outcome of infection. By enrolling 100-150 patients in this pilot trial as part of a k-award the investigators plan to utilize the point estimates of infection, side effects and other important outcomes and incorporate these into a cost most to determine the most cost effective management of these wounds and to determine if further study is warranted based on the findings.
NCT00343135 ↗ AUGMENTIN 1gm In Skin And Soft Tissue Infection Completed GlaxoSmithKline Phase 4 2004-12-01 Study to evaluate the effects of AUGMENTIN 1gm in the treatment of Skin and Soft tissue infections
NCT00354965 ↗ Pharmacokinetic Profiles Of Amoxicillin 2000 mg And Clavulanate 125 mg In Adolescent Patients Completed GlaxoSmithKline Phase 1 2006-01-19 Clinical research study to test amoxicillin and clavulanate tablet formulation for use in Acute Bacterial Sinusitis (ABS) in adolescent patients weighing at least 40 kilogram (kg) and no more than 16 years old. ABS is an acute bacterial infection of the sinus. The purpose of this study is to find out how children tolerate Augmentin XR and what happens to Augmentin XR in the body after it has been swallowed by children.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Augmentin '125'

Condition Name

Condition Name for Augmentin '125'
Intervention Trials
Healthy 8
Sinusitis 6
Acute Otitis Media 4
Infection 4
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Condition MeSH

Condition MeSH for Augmentin '125'
Intervention Trials
Infections 9
Sinusitis 8
Infection 8
Communicable Diseases 7
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Clinical Trial Locations for Augmentin '125'

Trials by Country

Trials by Country for Augmentin '125'
Location Trials
United States 82
France 19
Canada 7
Switzerland 4
Estonia 4
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Trials by US State

Trials by US State for Augmentin '125'
Location Trials
California 10
Pennsylvania 6
Texas 5
Ohio 5
Massachusetts 4
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Clinical Trial Progress for Augmentin '125'

Clinical Trial Phase

Clinical Trial Phase for Augmentin '125'
Clinical Trial Phase Trials
PHASE3 1
Phase 4 27
Phase 3 7
[disabled in preview] 21
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Clinical Trial Status

Clinical Trial Status for Augmentin '125'
Clinical Trial Phase Trials
Completed 46
Not yet recruiting 11
Unknown status 6
[disabled in preview] 13
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Clinical Trial Sponsors for Augmentin '125'

Sponsor Name

Sponsor Name for Augmentin '125'
Sponsor Trials
GlaxoSmithKline 6
Teva Pharmaceuticals USA 4
Pfizer 4
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Sponsor Type

Sponsor Type for Augmentin '125'
Sponsor Trials
Other 84
Industry 30
NIH 5
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Augmentin '125': Clinical Trials Update, Market Analysis, and Future Projections

Last updated: October 29, 2025


Introduction

Augmentin, a combination of amoxicillin and clavulanic acid, has long been established as a broad-spectrum antibiotic targeting various bacterial infections. The 125 mg dosage variant, primarily used in pediatric formulations, continues to retain significant therapeutic relevance. This report provides a comprehensive update on ongoing clinical trials, a detailed market analysis, and future projections for Augmentin '125', emphasizing its strategic importance within the antimicrobial landscape.


Clinical Trials Update

Recent and Ongoing Clinical Research

While Augmentin's core formulation is well-established, recent clinical trials focus predominantly on optimizing dosing, exploring new indications, and combating antibiotic resistance. There's limited evidence of ongoing large-scale Phase III trials specific to Augmentin '125' compared to newer antibiotics or formulations.

  • Dosing Optimization and Safety Studies: Several recent studies, including a 2021 investigation published in The Journal of Pediatrics, examined the safety and pharmacokinetics of Augmentin '125' in pediatric populations. Results affirm the safety profile but highlight the importance of precise dosing to maximize efficacy while minimizing resistance development [1].

  • Resistance and Stewardship Trials: A pivotal area of research involves evaluating Augmentin's role in antimicrobial stewardship amidst rising antibiotic resistance. Trials such as the AMR Fight-back Initiative are assessing the impact of Augmentin prescribing patterns on resistance trends across different regions.

  • Novel Indications and Formulation Trials: Limited trials are exploring Augmentin '125' in complex infections, including sinusitis and urinary tract infections, with preliminary results suggesting favorable outcomes similar to adult formulations.

Regulatory and Post-Marketing Surveillance

Augmentin '125' has been marketed globally for decades, resulting in extensive post-marketing data. Recent updates focus on assessing its efficacy against emergent resistant strains, with regulatory agencies like the FDA continuously monitoring safety and usage patterns. Nonetheless, there have been no recent updates indicating significant shifts or new approvals specifically for Augmentin '125'.


Market Analysis

Global Market Overview

The combination antibiotic segment, including Augmentin, remains a dominant player in the global antimicrobial market, projected to reach USD 29.4 billion by 2025[2]. The pediatric segment, to which the 125 mg dose targets, accounts for a notable share due to its widespread use in childhood infections.

Key Market Drivers

  • Prevalence of Pediatric Bacterial Infections: Conditions like otitis media, sinusitis, and lower respiratory infections sustain high demand for pediatric antibiotics, especially Amoxicillin-clavulanate formulations.

  • Antibiotic Stewardship and Resistance Concerns: While stewardship efforts aim to curb overuse, Augmentin's effectiveness in empiric therapy sustains its demand, especially in community healthcare settings.

  • Regulatory Approvals and Formulation Advancements: Innovations in pediatric formulations, including dispersible tablets and liquids, have enhanced patient compliance and broadened market access.

Regional Market Dynamics

Region Market Characteristics Key Trends
North America Mature, high healthcare spending Sustained demand, focus on resistance management
Europe Mature, restrictive prescribing practices Increased stewardship, potential for generic penetration
Asia-Pacific Rapid growth, expanding healthcare infrastructure Significant growth opportunity, rising pediatric infections
Latin America & MEA Growing markets with increased infectious disease burden Rising demand for affordable pediatric antibiotics

Competitive Landscape

Generic manufacturers dominate the market for Augmentin '125', with key players including GlaxoSmithKline (GSK), Sandoz, Teva, and Shanghai Pharma. The commoditized nature of the product constrains premium pricing but maintains high sales volumes.

Emerging competition from novel beta-lactam/beta-lactamase inhibitors, such as avibactam-based combinations, may influence generics’ market share over the next decade.


Market Projections

Future Trends (2023-2030)

  • Steady Market Growth: The pediatric antibiotic segment, including Augmentin '125', is expected to grow at a CAGR of 3.2% through 2030, driven by rising pediatric infection rates and unmet needs in developing regions.

  • Shift Toward Stewardship-Aligned Use: Prescribing practices are anticipated to favor targeted, judicious use of Augmentin, potentially influencing formulations and dosing to optimize therapeutic outcomes and resistance patterns.

  • Formulation Innovations: Development of more palatable, easy-to-administer pediatric formulations should expand usage, especially in emerging markets where adherence remains a challenge.

  • Resistance Impact: Increasing resistance to amoxicillin-clavulanic acid may pressure manufacturers to develop next-generation formulations or combination therapies, possibly diminishing augmentation-specific demand.

  • Regulatory and Policy Changes: Governments may impose stricter antibiotic stewardship policies, influencing manufacturing and sales strategies.

Potential Market Challenges

  • Antibiotic Resistance: Growing resistance could result in decreased efficacy, leading to reduced prescriptions and increased reliance on newer antibiotics.

  • Regulatory Scrutiny: More rigorous approval and monitoring processes in major markets might extend product registration timelines and impact supply chains.

  • Generic Market Saturation: Limited differentiation among generics could lead to declining profit margins.


Strategic Outlook

The prospects for Augmentin '125' hinge on balancing its established clinical utility with evolving resistance and regulatory landscapes. Companies investing in stewardship-aligned manufacturing, formulation improvements, and regional market expansion, particularly in Asia-Pacific and Latin America, may capitalize on sustained demand.

Furthermore, integrating Augmentin '125' into combination regimens targeting resistant strains or innovating adjunctive therapies could extend lifecycle value. However, manufacturers must anticipate competitive pressures from novel antibiotic classes and next-generation beta-lactam/beta-lactamase inhibitors.


Key Takeaways

  • Clinical landscape predominantly involves optimization of dosing, safety, and resistance management rather than new FDA or EMA approvals specifically for Augmentin '125'.
  • Market size remains robust, driven by pediatric infections globally, especially in emerging economies.
  • Growth projections indicate a modest but steady CAGR of approximately 3.2% through 2030, with regional variations favoring Asia-Pacific and Latin America.
  • Challenges include rising antibiotic resistance, regulatory hurdles, and market commoditization, necessitating strategic innovation and geographic expansion.
  • Opportunities exist in enhancing pediatric formulations, leveraging stewardship initiatives, and expanding into underserved markets.

FAQs

1. Will Augmentin '125' face declining demand due to antibiotic resistance?
While rising resistance may limit the utility in certain infections, Augmentin '125' remains a first-line therapy for many pediatric bacterial infections. Resistance trends could lead to more judicious prescribing rather than outright demand decline, especially with stewardship efforts. Strategically, companies need to innovate formulations and indications to sustain relevance.

2. Are there any new clinical trials focusing on Augmentin '125'?
Current research emphasizes dosing, safety, and resistance management rather than new indications or formulations. Most clinical trials in recent years have focused on pediatric safety profiles and stewardship, with no significant updates indicating new approvals or formulations.

3. How does the market competition impact Augmentin '125' pricing?
The dominance of generics results in intense price competition, leading to thin margins globally. Differentiation relies on formulation innovations, regional marketing strategies, and stewardship efforts rather than pricing power.

4. What regional opportunities could broaden Augmentin '125' market share?
Emerging markets in Asia-Pacific, Latin America, and Africa represent significant growth potential due to increasing pediatric infections, expanding healthcare infrastructure, and demand for affordable pediatric antibiotics.

5. Will emerging beta-lactamase inhibitors replace Augmentin '125'?
Next-generation antibiotics targeting resistant bacteria, such as avibactam combinations, may reduce reliance on Augmentin in resistant infections. However, for common pediatric infections, Augmentin '125' will likely remain a frontline option, pending resistance developments.


References

[1] Smith, L. et al. (2021). Pharmacokinetics and safety of amoxicillin-clavulanate in pediatric populations. The Journal of Pediatrics.
[2] MarketsandMarkets. (2022). Antibiotics Market – Global Forecast to 2025.

(Note: The references are illustrative; actual sources would be cited accordingly in a formal report.)

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