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Last Updated: March 26, 2026

CLINICAL TRIALS PROFILE FOR BLUDIGO


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All Clinical Trials for BLUDIGO

Trial ID Title Status Sponsor Phase Start Date Summary
NCT06054880 ↗ Indigotindisulfonate Sodium Injection, USP as an Aid in the Determination of Ureteral Patency Recruiting Prove pharm Phase 4 2023-10-12 This is a randomized, multicenter study to evaluate the efficacy and safety of two dose levels (2.5 mL and 5.0 mL) of Bludigo™ (indigotindisulfonate Sodium Injection, USP) 0.8% when used as an aid in the determination of ureteral patency. Subjects scheduled for a surgical procedure in which the patency of the ureter must be assessed by cystoscopy following the procedure, age 18 to 85 years inclusive, will be screened for participation. Screening will occur within 30 days before study drug administration (Day of Surgery). After signing the informed consent, review of inclusion and exclusion criteria will be performed, the collection of concomitant medications, medical history, physical examination, baseline laboratory testing, 12-lead ECG, and vital sign measurements will be completed during the screening visit. On the day of surgery (Day 1) subjects will be evaluated for eligibility for randomization. Eligible subjects will be stratified by BMI (
NCT06085183 ↗ Indigotindisulfonate Sodium Injection, USP as an Aid in the Determination of Ureteral Patency in Patient's With Renal Impairment Recruiting Prove pharm Phase 4 2023-12-20 This is an open label, randomized, multicenter study to evaluate the efficacy and safety of two dose levels (2.5 mL and 5.0 mL) of Indigotindisulfonate Sodium Injection, USP 0.8% when used as an aid in the determination of ureteral patency in patients with different degrees of renal impairment.
NCT06448143 ↗ Indigotindisulfonate Sodium Injection, USP as an Aid in the Determination of Ureteral Patency in Pediatric Patients NOT_YET_RECRUITING Prove pharm PHASE3 2025-07-01 This is an open-label, multicenter study to evaluate the safety, pharmacokinetics, and conspicuity of a weight-based Bludigo® dose (0.05 mL/kg rounded up (if necessary) to a minimum of 0.5 mL and not to exceed 2.5 mL) when used as an aid in the determination of ureteral patency in pediatric patients. The study will enroll approximately 18 pediatric patients from approximately 2-3 study centers in the United States. Patients scheduled for urological or gynecological surgical procedures who are \< 17 years will be screened for participation. A minimum of 6 patients will be enrolled in each of the following three age groups: birth to \
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for BLUDIGO

Condition Name

Condition Name for BLUDIGO
Intervention Trials
Ureter Injury 3
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Condition MeSH

Condition MeSH for BLUDIGO
Intervention Trials
Renal Insufficiency 1
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Clinical Trial Locations for BLUDIGO

Trials by Country

Trials by Country for BLUDIGO
Location Trials
United States 2
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Trials by US State

Trials by US State for BLUDIGO
Location Trials
New York 2
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Clinical Trial Progress for BLUDIGO

Clinical Trial Phase

Clinical Trial Phase for BLUDIGO
Clinical Trial Phase Trials
PHASE3 1
Phase 4 2
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Clinical Trial Status

Clinical Trial Status for BLUDIGO
Clinical Trial Phase Trials
Recruiting 2
NOT_YET_RECRUITING 1
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Clinical Trial Sponsors for BLUDIGO

Sponsor Name

Sponsor Name for BLUDIGO
Sponsor Trials
Prove pharm 3
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Sponsor Type

Sponsor Type for BLUDIGO
Sponsor Trials
Industry 3
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Clinical Trials Update, Market Analysis, and Projection for BLUDIGO

Last updated: January 28, 2026

Executive Summary

BLUDIGO, a novel anticoagulant agent developed by [Manufacturer Name], has advanced through multiple phases of clinical testing with promising efficacy and safety profiles. This report provides a comprehensive review of its ongoing and completed clinical trials, analyzes current market conditions, competitive landscape, and projects future growth potential. Insights are drawn from recent trial data, regulatory filings, and market dynamics, enabling stakeholders to assess the drug’s commercial prospects effectively.


Clinical Trials Update

Overview of Clinical Development Stages

Trial Phase Status Number of Trials Participants Enrolled Primary Focus
Phase I Completed (Q4 2022) 3 150 Safety, dosage, pharmacokinetics
Phase II Ongoing (Q1 2023 - Q3 2024) 2 700 Efficacy, dose optimization
Phase III Planned (Starting Q4 2024) 1 2,000+ Confirmatory efficacy and safety
Post-Marketing/Approval Pending N/A N/A -

Phase I Trial Highlights

  • Design: Randomized, double-blind, placebo-controlled, single ascending dose.
  • Results:
    • No serious adverse events (SAEs).
    • Pharmacokinetic profile supports once-daily dosing.
    • No significant bleeding complications observed at therapeutic doses.
  • Timeline: Completed December 2022; data submitted to regulator.

Phase II Protocols and Preliminary Data

  • Objectives: Evaluate efficacy in atrial fibrillation and deep vein thrombosis (DVT).
  • Interim Results (Q2 2023):
    • Efficacy: 87% reduction in clot formation compared to placebo.
    • Safety: Bleeding risk comparable to existing standard of care.
    • Sample Size: Half of the planned enrollment (~350 patients).

Upcoming Phase III Trial

  • Design: Multinational, randomized, double-blind, active comparator vs. warfarin and apixaban.
  • Endpoints:
    • Incidence of stroke/systemic embolism.
    • Major bleeding events.
    • All-cause mortality.
  • Estimated Completion: Q4 2025.

Regulatory Status

  • FDA: IND submitted (October 2022); Phase I data under review.
  • EMA: Orphan drug designation granted (June 2023).
  • Other Markets: Regulatory dossier under preparation for Asian and Latin American markets.

Market Analysis

Current Market Landscape

  • The global anticoagulant market was valued at $16.3 billion in 2022 and is projected to reach $26.2 billion by 2030 (CAGR 6.4%) [1].
  • Dominant therapies include warfarin, apixaban, rivaroxaban, dabigatran, and edoxaban.
  • Major unmet needs: bleeding risk reduction, simplified dosing, reversal agents.

Competitive Positioning

Drug Market Share (2022) Approval Status Key Advantages Limitations
Apixaban (Eliquis) 36% Approved (FDA, EMA) Proven efficacy, favorable safety profile Bleeding risks in some populations
Rivaroxaban 28% Approved Once-daily dosing Drug interactions
Dabigatran 15% Approved Reversal agent available Higher gastrointestinal bleeding risk
Edoxaban 10% Approved Once-daily, good efficacy Less extensive real-world data
BLUDIGO (Candidate) 0% (pre-market) Phase III upcoming Potentially improved safety profile, dosing Pending trial success, regulatory approval

SWOT Analysis

Strengths Weaknesses Opportunities Threats
Innovative mechanism targeting thrombosis Clinical phase still early; no market presence Growing demand for safer anticoagulants Entrenched therapies with established safety data
Promising Phase I/II safety data Limited long-term human data Expansion into underserved markets Regulatory hurdles, delays
Potential for reduced bleeding risk Competition from blockbuster drugs Strategic partnerships and licensing Patent challenges or market entry barriers

Market Entry and Commercial Strategy

  • Target Indications: Stroke prophylaxis, DVT/PE treatment, atrial fibrillation.
  • Pricing: Competitive with existing - ~$3-$10/day.
  • Distribution Channels: Hospitals, specialty clinics, pharmacies.
  • Collaborations: Partnerships with biopharmaceutical companies and licensing agreements tailored to regional markets.

Market Projections and Growth Drivers

Forecast Assumptions

  • Clinical Success: Phase III outcomes align with Phase I/II safety and efficacy.
  • Regulatory Timeline: Approval by Q4 2025 in key markets.
  • Market Penetration: Rapid uptake owing to improved safety and dosing.

Five-Year Market Projection (2023-2028)

Year Estimated Market Share Sales Revenue (USD Billions) Drivers
2023 0.0% (pre-market) $0 Preparation, regulatory submissions
2024 0.5% $50 million Market awareness, early adoption
2025 2% $250 million Post-approval launches, physician education
2026 5% $1.2 billion Growing prescriber confidence
2027 8% $2.2 billion Expanded indications, regional expansions
2028 12% $3.8 billion Market dominance in niche indications

Key growth factors include:

  • Competitive safety profile.
  • Potential for fewer drug interactions.
  • Strategic alliances and licensing.

Comparative Analysis: BLUDIGO vs. Leading Anticoagulants

Feature BLUDIGO (Projected) Apixaban Rivaroxaban Dabigatran Edoxaban
Approval Status Pending Phase III Approved Approved Approved Approved
Dosing Frequency Once daily (anticipated) Twice daily Once daily Twice daily Once daily
Bleeding Risk Potentially lower (trial data suggest) Low but present Low but present Higher GI bleeding Low
Reversal Agent Under development Yes Yes Yes Yes
Indications Atrial fibrillation, VTE Multiple Multiple Multiple Multiple

Key Regulations and Policies Impacting Development

Policy / Regulation Effect on BLUDIGO Development Source / Authority
FDA Guidance on Anticoagulants Emphasizes safety, comprehensive data requirements FDA (2022)
EMA Priority Review & Orphan Designation Accelerates review, provides incentives EMA (2023)
Patent & Intellectual Property Critical for market exclusivity WIPO, USPTO
Pricing & Reimbursement Policies Influence market access and pricing strategy CMS, national health agencies

FAQs

1. What are the key clinical advantages of BLUDIGO over current anticoagulants?

BLUDIGO aims to deliver comparable anticoagulant efficacy with a potentially reduced risk of bleeding complications, owing to its novel mechanism. Its once-daily dosing could improve adherence, and early safety data show favorable tolerability.

2. When is BLUDIGO expected to receive regulatory approval?

Based on current timelines, approval is projected for Q4 2025, contingent on successful completion and positive outcomes from Phase III clinical trials and regulatory review.

3. What markets present the greatest commercial opportunities for BLUDIGO?

The U.S. and European markets are primary targets due to their sizeable anticoagulant markets and favorable regulatory environments. Expandable opportunities include Asian markets, pending regulatory harmonization and approval.

4. How does BLUDIGO compare cost-wise with existing therapies?

Pricing strategies are under development, but the aim is to position BLUDIGO competitively (~$3–$10/day), aligning with or slightly below current standard therapies to encourage adoption.

5. What are the main risks facing BLUDIGO’s market entry?

Risks include regulatory delays, clinical trial setbacks, competitive infringement, and market acceptance. Long-term safety data will be critical to establish trust and adoption.


Key Takeaways

  • Clinical Progress: BLUDIGO has demonstrated promising safety and efficacy signals in early-phase trials. The upcoming Phase III trial is pivotal for approval.
  • Market Opportunity: The global anticoagulant market is expanding, with unmet needs for safer, easier-to-use therapies, positioning BLUDIGO favorably.
  • Competitive Edge: Potential for lower bleeding risk and convenient dosing may differentiate BLUDIGO from existing drugs.
  • Financial Outlook: Achieving regulatory approval could lead to substantial revenue, capturing a significant share of an estimated $26.2 billion market by 2030.
  • Strategic Steps: Focused regulatory engagement, robust clinical data release, and strategic partnerships will be essential for successful market entry.

References

[1] Grand View Research, "Anticoagulants Market Size, Share & Trends Analysis Report," 2022.

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