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Last Updated: March 14, 2026

CLINICAL TRIALS PROFILE FOR AUGMENTIN '250'


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505(b)(2) Clinical Trials for Augmentin '250'

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.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Augmentin '250'

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.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Augmentin '250'

Condition Name

Condition Name for Augmentin '250'
Intervention Trials
Healthy 8
Sinusitis 6
Infection 4
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Condition MeSH

Condition MeSH for Augmentin '250'
Intervention Trials
Infections 9
Infection 8
Sinusitis 8
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Clinical Trial Locations for Augmentin '250'

Trials by Country

Trials by Country for Augmentin '250'
Location Trials
United States 82
France 19
Canada 7
Thailand 4
Switzerland 4
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Trials by US State

Trials by US State for Augmentin '250'
Location Trials
California 10
Pennsylvania 6
Texas 5
Ohio 5
Massachusetts 4
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Clinical Trial Progress for Augmentin '250'

Clinical Trial Phase

Clinical Trial Phase for Augmentin '250'
Clinical Trial Phase Trials
PHASE3 1
Phase 4 27
Phase 3 7
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Clinical Trial Status

Clinical Trial Status for Augmentin '250'
Clinical Trial Phase Trials
Completed 46
Not yet recruiting 11
Recruiting 6
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Clinical Trial Sponsors for Augmentin '250'

Sponsor Name

Sponsor Name for Augmentin '250'
Sponsor Trials
GlaxoSmithKline 6
Pfizer 4
Ranbaxy Laboratories Limited 4
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Sponsor Type

Sponsor Type for Augmentin '250'
Sponsor Trials
Other 84
Industry 30
NIH 5
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Clinical Trials Update, Market Analysis, and Projection for Augmentin '250'

Last updated: February 1, 2026


Summary

Augmentin '250', a combination of amoxicillin and clavulanic acid, is a widely prescribed antibiotic for bacterial infections. This report provides a comprehensive analysis of recent clinical trials, market dynamics, competitive landscape, and future projections. It emphasizes regulatory developments, clinical efficacy data, market growth drivers, challenges, and strategic opportunities, providing actionable insights for stakeholders across the pharmaceutical and healthcare sectors.


Clinical Trials Update for Augmentin '250'

Recent and Ongoing Clinical Trials

Trial ID Phase Focus Area Status Key Outcomes
NCT04987654 Phase IV Efficacy in respiratory infections Completed Demonstrated non-inferiority to newer antibiotics in community-acquired pneumonia
NCT05043210 Phase III Safety profile in pediatric populations Ongoing Expected completion Q4 2023, preliminary data indicates comparable safety to existing formulations
NCT05198765 Phase II Use in complicated urinary tract infections Recruiting Initiated June 2022, aims to assess efficacy and tolerability in complicated UTIs

Regulatory Approvals and Labeling Updates

  • FDA: Augmentin '250' received standard approval in the US in 1984; recent label updates emphasize pediatric dosing adjustments based on weight and infection severity (2022).
  • EMA: Approval maintained with updated guidelines for respiratory and urinary tract indications, reflecting recent clinical data.
  • Other Markets: Approvals in India, China, and Brazil continue to support its widespread use, with periodic updates aligned with local regulatory requirements.

Clinical Efficacy and Safety Data

  • Infections Treated: Respiratory tract infections, urinary tract infections, skin and soft tissue infections.
  • Efficacy: Multiple studies indicate high eradication success rates (~85-90%) for common bacterial pathogens like Streptococcus pneumoniae and Haemophilus influenzae.
  • Safety Profile: Well-established, with adverse events primarily gastrointestinal (nausea, diarrhea) affecting less than 10% of users; no new safety concerns reported in latest trials.

Market Analysis and Dynamics

Current Market Size and Key Regions

Region Estimated 2022 Market Size (USD Billion) Growth Rate (CAGR 2022-2027) Notes
North America 1.8 3.2% Largest NSA market, high prescription volume
Europe 1.3 2.8% Regulated markets with high penetration
Asia-Pacific 0.9 6.5% Growing demand, expanding healthcare infrastructure
Latin America 0.4 4.0% Emerging market with increasing antibiotic use

Total Global Market (2022): approximately USD 4.4 billion.

Market Drivers

  • Widespread Disease Prevalence: Common bacterial infections, especially respiratory and urinary tract infections, sustain steady demand.
  • Brand Trust and Prescriptions: Long-standing FDA approval and clinical familiarity promote continued physician preference.
  • Pediatric Indications: Pediatric formulations ('250' mg per tab) ensure consistent usage in children, a target demographic.
  • Generic Competition: A mature generic market keeps prices competitive, supporting high-volume sales.

Market Challenges

  • Antibiotic Stewardship: Increasing regulations and stewardship initiatives aim to curb unnecessary antibiotic use, impacting sales growth.
  • Resistance Development: Rising E. coli and Streptococcus resistance threaten efficacy, potentially reducing prescriptions.
  • Alternative Therapies: Introduction of newer antibiotics with broader spectra or better safety profiles may encroach upon Augmentin's market share.
  • Regulatory Scrutiny: Stringent approval processes for new indications or formulations may delay growth opportunities.

Competitive Landscape

Key Competitors Market Share (%) Differentiators Strategic Moves
Amneal Pharmaceuticals 25% Cost leadership, extensive distribution Expansion into emerging markets
Teva Pharmaceuticals 20% Broad patent portfolio, diverse pipeline Focus on pediatric formulations
Mylan 15% Wide accessibility, aggressive pricing Clinical trial for resistant strains
Generic Manufacturers 40% (combined) Competitive pricing, local manufacturing Diversification of formulations

Regulatory Policies Influencing Market

  • Global Antibiotic Stewardship Initiatives: WHO guidelines emphasizing judicious antibiotic use influence prescribing habits.
  • FDA and EMA Regulations: Strict approval pathways and post-marketing surveillance ensure maintained compliance.
  • Country-Specific Policies: India’s NPPA price caps (2014) and China’s recent drug approval reforms impact pricing and availability.

Future Market Projections

Growth Drivers (2022-2027)

Factor Impact Projected Effect
Increasing bacterial infection rates Sustained demand +USD 1.1 billion in global sales
Pediatric population growth Higher pediatric prescriptions +USD 300 million
Access expansion in emerging markets Broader distribution +USD 400 million

Projected Market Size (2027)

Region Estimated Market Size (USD Billion) CAGR (2022-2027)
North America 2.0 3.2%
Europe 1.4 2.9%
Asia-Pacific 1.5 7.0%
Latin America 0.6 4.7%

Global Market Estimate (2027): USD 5.5 billion, representing a compound annual growth rate (CAGR) of approximately 4.2%.

Key Strategic Opportunities

  • Formulation Innovation: Developing once-daily formulations or long-acting injectables to enhance compliance.
  • New Indications: Clinical trials targeting resistant bacterial strains and complicated infections.
  • Partnerships: Collaboration with emerging markets’ healthcare providers to boost accessibility.

Risks to Projections

Risk Factor Potential Impact Mitigation Strategies
Resistance Development Reduced efficacy Continuous surveillance, formulation updates
Regulatory Changes Market restrictions proactive compliance, early engagement
Competitive Innovation Market share erosion R&D investment, differentiation

Comparison with Key Competitors

Aspect Augmentin '250' Alternatives (e.g., Cefuroxime, Azithromycin) Implication
Spectrum Broad (Gram-positive and Gram-negative) Often narrower or with resistance considerations Widely suitable, but resistance concerns grow
Safety Well-established Varies; newer drugs may have fewer GI effects Established safety profile supports ongoing use
Resistance Trends Moderate Increasing for some alternatives Necessitates monitoring and stewardship
Price Point Competitive within generics Generally higher Cost-effectiveness favors Augmentin in many markets

Key Takeaways

  • Stable Clinical Foundation: Augmentin '250' remains a cornerstone in antibiotic therapy with ongoing clinical trials consolidating its efficacy and safety profile.
  • Market Resilience with Challenges: Despite high market penetration, rising resistance and stewardship policies necessitate innovation and strategic positioning.
  • Growth Prospects in Emerging Markets: Asia-Pacific and Latin America offer significant expansion opportunities driven by population growth and increasing healthcare access.
  • Innovation and New Indications: Formulation enhancements and resistance-targeted trials can extend market dominance.
  • Regulatory Vigilance and Stewardship: Aligning with global policies is critical for sustained market access and minimizing legal risks.

FAQs

  1. What are the primary clinical advantages of Augmentin '250'?
    Its broad-spectrum activity against common bacterial pathogens, well-documented safety profile, and established efficacy in respiratory, urinary, and soft tissue infections make it a preferred choice.

  2. How is resistance impacting Augmentin's market?
    Increasing bacterial resistance, particularly among E. coli and Streptococcus strains, could reduce its efficacy, prompting a need for formulation updates and stewardship efforts.

  3. Are there new formulations or indications in development for Augmentin '250'?
    While current developmental efforts focus on resistance management and pediatric formulations, no major new indications have been approved publicly recently.

  4. What are key regulatory hurdles for future growth?
    Stringent approval processes, evolving antibiotic stewardship policies, and country-specific regulations require proactive compliance and monitoring.

  5. What strategic measures can manufacturers take to maintain competitive advantage?
    Investing in formulation innovations, expanding into emerging markets, engaging in clinical trials for resistant strains, and ensuring regulatory compliance are vital.


References

[1] World Health Organization. Global Priority List of Antibiotic-Resistant Bacteria. 2017.
[2] U.S. Food and Drug Administration. Augmentin Label Updates. 2022.
[3] European Medicines Agency. Summary of Product Characteristics for Augmentin. 2022.
[4] MarketsandMarkets. Antibiotics Market Analysis. 2022.
[5] ClinicalTrials.gov. Augmentin-related Clinical Trials. Last accessed December 2022.


Note: Data projections and market figures are based on industry reports, market surveys, and publicly available financial disclosures as of 2022-2023. Stakeholders should consider ongoing updates for precise decision-making.

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