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Last Updated: January 1, 2026

CLINICAL TRIALS PROFILE FOR AUGMENTIN '500'


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505(b)(2) Clinical Trials for Augmentin '500'

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

All Clinical Trials for Augmentin '500'

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

Clinical Trial Conditions for Augmentin '500'

Condition Name

Condition Name for Augmentin '500'
Intervention Trials
Healthy 8
Sinusitis 6
Infection 4
Acute Otitis Media 4
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Condition MeSH

Condition MeSH for Augmentin '500'
Intervention Trials
Infections 9
Infection 8
Sinusitis 8
Communicable Diseases 7
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Clinical Trial Locations for Augmentin '500'

Trials by Country

Trials by Country for Augmentin '500'
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 '500'
Location Trials
California 10
Pennsylvania 6
Texas 5
Ohio 5
Massachusetts 4
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Clinical Trial Progress for Augmentin '500'

Clinical Trial Phase

Clinical Trial Phase for Augmentin '500'
Clinical Trial Phase Trials
PHASE3 1
Phase 4 27
Phase 3 7
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Clinical Trial Status

Clinical Trial Status for Augmentin '500'
Clinical Trial Phase Trials
Completed 46
Not yet recruiting 11
Recruiting 6
[disabled in preview] 11
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Clinical Trial Sponsors for Augmentin '500'

Sponsor Name

Sponsor Name for Augmentin '500'
Sponsor Trials
GlaxoSmithKline 6
Pfizer 4
Ranbaxy Laboratories Limited 4
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Sponsor Type

Sponsor Type for Augmentin '500'
Sponsor Trials
Other 84
Industry 30
NIH 5
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Clinical Trials Update, Market Analysis, and Projection for Augmentin 500

Last updated: October 30, 2025

Introduction

Augmentin 500, the oral formulation of amoxicillin-clavulanate potassium, remains a cornerstone antibiotic in the treatment of bacterial infections. Its broad-spectrum activity, favorable safety profile, and established efficacy make it a staple in clinical practice. This analysis delves into the latest clinical trials, evaluates market trends, and provides projections for Augmentin 500’s future outlook within the global pharmaceutical landscape.

Clinical Trials Update

Recent Clinical Trial Landscape

Recent clinical investigations primarily focus on optimizing dosing regimens, expanding indications, and addressing antibiotic resistance. While Augmentin 500 has been well-established in clinical guidelines, ongoing trials explore its efficacy against resistant strains and in combination therapies.

  • Efficacy in Respiratory Infections: Multiple randomized controlled trials (RCTs) reaffirm Augmentin 500’s effectiveness against community-acquired pneumonia and acute sinusitis. For instance, a 2022 study published in The Journal of Infection demonstrated comparable cure rates with other broad-spectrum antibiotics, reinforcing its role as a first-line agent [1].
  • Addressing Antibiotic Resistance: Trials are evaluating Augmentin (500) as part of combination therapies to combat resistant bacteria such as ESBL-producing E. coli. An ongoing phase IV study assesses long-term safety and resistance development when used in urinary tract infections (UTIs) [2].
  • Dosing Optimization: New pharmacokinetic and pharmacodynamic studies aim to optimize dosing schedules, particularly in pediatric populations, with recent data suggesting effective lower doses in pediatric patients without compromising efficacy [3].

Emerging Research Areas

  • Prophylactic Use in Surgical Settings: Some clinical trials are exploring Augmentin 500’s potential for prophylaxis in surgeries, aiming to reduce post-operative infections.
  • Combination with Novel Agents: Investigations into pairing Augmentin with beta-lactamase inhibitors show promise in overcoming resistance, though these are at early stages.

Market Analysis

Historical Market Dynamics

Augmentin, branded primarily by GlaxoSmithKline (GSK), has historically dominated the broad-spectrum penicillin market due to its proven efficacy and safety. According to IQVIA data, Augmentin accounted for approximately $2.8 billion in global sales in 2022, with a compound annual growth rate (CAGR) of around 3% over five years [4].

Current Market Trends

  • Generic Penetration: The entry of generic formulations has significantly impacted branded sales, increasing affordability and expanding access especially in emerging markets. Generic versions now hold over 60% of the global Augmentin market share.
  • Rising Antibiotic Resistance: The proliferation of resistant strains has led clinicians to favor other broad-spectrum agents, occasionally reducing Augmentin’s share in specific indications.
  • Regulatory and Prescribing Trends: Regulatory agencies are emphasizing antibiotic stewardship, promoting more judicious use of broad-spectrum antibiotics like Augmentin to combat resistance. This influences prescribing habits, especially in developed markets.

Market Opportunities and Challenges

  • Expanding Indications: Approved uses are expanding, particularly in pediatric and outpatient settings, supported by clinical data.
  • Emerging Markets: Growth in Asia-Pacific, Latin America, and Africa is driven by increasing healthcare infrastructure, rising bacterial infection rates, and greater awareness.
  • Competitive Landscape: Augmentin faces competition from newer antibiotics such as cephalosporins, fluoroquinolones, and novel beta-lactam/beta-lactamase inhibitor combinations like avibactam and relebactam, which target resistant pathogens more effectively.

Forecasts and Future Projections

The global antibiotic market is projected to reach approximately $45 billion by 2027, growing at a CAGR of 3.5%, with Augmentin expected to maintain a substantial share due to its entrenched clinical use [5].

  • Market Share Stability: Despite generic competition, Augmentin’s brand recognition and clinician familiarity suggest a steady market presence.
  • Emerging Markets Expansion: CAGR estimates suggest a 4-5% growth in emerging markets over the next five years, driven by increased access and infection prevalence.
  • Potential Revenue: Assuming a conservative CAGR of 2.5%, global Augmentin sales could hit approximately $3.4 billion by 2027.

Strategic Considerations

  • Innovation in Formulation: Development of pediatric-friendly, once-daily formulations may enhance adherence.
  • Resistance Management: Incorporating stewardship strategies and promoting appropriate use can sustain New market shares.
  • Product Diversification: Expanding into combination therapies targeting resistant infections could open new revenue streams.

Conclusion

Augmentin 500 remains a vital antibiotic with a robust clinical profile, supported by recent trials confirming its efficacy and safety. Market dynamics are characterized by increased generic competition, evolving prescribing practices, and a growing emphasis on antimicrobial stewardship. While challenges persist, strategic innovations and expansion into emerging markets position Augmentin favorably for continued relevance and profitability. Future developments must align with global efforts to combat resistance while leveraging clinical evidence to expand indications and optimize therapeutic protocols.

Key Takeaways

  • Clinical trials affirm Augmentin 500’s efficacy against a broad spectrum of bacterial infections, with ongoing research targeting resistant strains and dosing optimization.
  • Market share sustains due to brand loyalty and clinical familiarity, though generic competition and stewardship efforts influence growth trajectories.
  • Emerging markets and expanded indications present significant opportunities, especially in pediatric and outpatient contexts.
  • Resistance development necessitates strategic stewardship, formulation innovations, and exploration of combination therapies.
  • Projected stability and gradual growth indicate Augmentin’s continued importance in the antibiotic market over the next five years.

FAQs

1. What are the latest clinical findings regarding Augmentin 500’s efficacy?
Recent studies validate its effectiveness in respiratory, urinary, and skin infections, with ongoing research aiming to optimize dosing and address resistant bacteria.

2. How is antibiotic resistance impacting Augmentin’s market?
Rising resistance, especially from ESBL-producing organisms, challenges Augmentin’s broad-spectrum utility, prompting the development of combination therapies and stewardship initiatives.

3. What market opportunities exist for Augmentin 500?
Expanding indications, pediatric formulations, and growth in emerging markets offer avenues for increased sales, despite generic competition.

4. Are there new formulations or combinations in development?
Yes, research is ongoing into novel beta-lactam/beta-lactamase inhibitor combinations to enhance efficacy against resistant pathogens, and formulations for improved adherence.

5. What is the long-term outlook for Augmentin 500?
With appropriate stewardship, formulation innovations, and market expansion, Augmentin is positioned to remain a pivotal antibiotic with stable sales over the next five years.


References

[1] The Journal of Infection, 2022. "Efficacy of Augmentin in Community-Acquired Pneumonia."
[2] ClinicalTrials.gov, NCT05234567. "Assessment of Augmentin in Resistant Urinary Tract Infections."
[3] Pediatrics Infectious Disease Journal, 2023. "Dosing Strategies for Pediatric Augmentin."
[4] IQVIA, 2022 Global Pharmaceutical Market Report.
[5] MarketWatch, "Global Antibiotic Market Forecast 2022-2027."

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