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Last Updated: December 19, 2025

CLINICAL TRIALS PROFILE FOR BRILLIANT BLUE G


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All Clinical Trials for BRILLIANT BLUE G

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00738413 ↗ Iron Balance Study of Deferasirox, Deferoxamine and the Combination of Both Unknown status Weill Medical College of Cornell University Phase 1/Phase 2 2008-08-01 Subjects with thalassemia major require regular transfusion therapy to sustain life. The iron present in the transfused blood remains in the body where it can cause a variety of organ dysfunctions. Lifelong iron chelation therapy is needed to maintain iron balance but its effectiveness varies greatly. Like that of deferoxamine (Desferal, DFO) the mainstay of chelation therapy for 30 years, the effectiveness of deferasirox (Exjade, ICL670), the newly approved, orally effective iron chelating drug, is not satisfactory in all subjects. Even with good compliance, the iron excretion induced by a given drug exhibits wide subject-to-subject variability. There is often persistent iron overload of extra hepatic tissues such as the heart and pancreas leading to cardiac disease and diabetes. Combining the drugs may be a better approach in those subjects at increased risk. The iron balance studies proposed will permit an assessment of the potential of such a combination to place subjects in net negative iron balance and the relative effectiveness of the combination in relation to that of the individual drugs, an additive effect being expected. With such information, physicians will be able to design individualized chelation regimens that maximize effectiveness while minimizing side effects by adjusting the ratio and/or the dosing schedule of the two drugs.
NCT01718314 ↗ Comparison of Sublingual Misoprostol Versus Lidocaine Spray for Hysteroscopy Completed Dr. Sami Ulus Children's Hospital N/A 2008-03-01 Hysteroscopy is an instrument to visualize the interior walls of uterus (womb) and it enables the doctor to do minor operative procedures. Although it causes little discomfort, sometimes it may be disturbing for the patient. This pain is usually perceived during the passage of the instrument through the cervix (neck of the womb). The investigators would like to minimize this pain by two drugs: Misoprotol and lidocaine
NCT01820520 ↗ Safety and Efficacy of Double Staining With Brilliant Blue G for Macular Surgery Unknown status Asociación para Evitar la Ceguera en México Phase 3 2013-01-01 Study designed to evaluate the safety and efficacy of double staining with brilliant blue G 0.025% as an adjuvant to macular surgery. Patients undergoing surgery for macular hole or epiretinal membrane will be included. Safety will be evaluated by optic coherence tomography, pattern reversal electroretinogram and multifocal electroretinogram.
NCT02052219 ↗ BRILLIANT-SC: A Study of the Efficacy and Safety of Blisibimod Administration in Subjects With IgA Nephropathy Withdrawn Anthera Pharmaceuticals Phase 3 2014-10-01 The purpose of this study is to compare the effect of blisibimod plus standard of care versus placebo plus standard of care alone on the proportion of subjects achieving improvement in renal disease parameters.
NCT03020459 ↗ Internal Limiting Membrane Peeling-reposition to Treat Idiopathic Macular Holes Completed Xinhua Hospital, Shanghai Jiao Tong University School of Medicine N/A 2017-01-01 To compare the morphologic and functional outcomes of internal limiting membrane peeling-reposition versus peeling in idiopathic macular holes
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for BRILLIANT BLUE G

Condition Name

Condition Name for BRILLIANT BLUE G
Intervention Trials
Macular Hole 2
NSCLC Stage IV 2
Anesthesia, Intravenous 1
Steroid-resistant Pemphigus 1
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Condition MeSH

Condition MeSH for BRILLIANT BLUE G
Intervention Trials
Carcinoma, Non-Small-Cell Lung 2
Retinal Perforations 2
Epiretinal Membrane 1
Brain Neoplasms 1
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Clinical Trial Locations for BRILLIANT BLUE G

Trials by Country

Trials by Country for BRILLIANT BLUE G
Location Trials
China 7
United States 1
Mexico 1
Japan 1
Turkey 1
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Trials by US State

Trials by US State for BRILLIANT BLUE G
Location Trials
New York 1
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Clinical Trial Progress for BRILLIANT BLUE G

Clinical Trial Phase

Clinical Trial Phase for BRILLIANT BLUE G
Clinical Trial Phase Trials
PHASE3 1
PHASE2 2
Phase 3 3
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Clinical Trial Status

Clinical Trial Status for BRILLIANT BLUE G
Clinical Trial Phase Trials
Completed 3
RECRUITING 3
Unknown status 2
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Clinical Trial Sponsors for BRILLIANT BLUE G

Sponsor Name

Sponsor Name for BRILLIANT BLUE G
Sponsor Trials
Fudan University 2
Weill Medical College of Cornell University 1
Dr. Sami Ulus Children's Hospital 1
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Sponsor Type

Sponsor Type for BRILLIANT BLUE G
Sponsor Trials
Other 6
Industry 4
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Clinical Trials Update, Market Analysis, and Projection for Brilliant Blue G (Brilliant Blue FCF)

Last updated: November 1, 2025

Introduction

Brilliant Blue G (BBG), also known as Brilliant Blue FCF, is a synthetic dye with applications spanning medical imaging, neuroscience research, and potential therapeutic use. Recognized for its distinctive vivid blue coloration, BBG is a food additive approved by regulatory agencies such as the FDA and EFSA, but its biomedical applications are rapidly evolving. This report provides a comprehensive update on clinical trials involving BBG, analyzes its market dynamics, and projects future trends and opportunities.

Clinical Trials Update

Overview of Current Clinical and Preclinical Research

While Brilliant Blue G is primarily approved for use as a food dye, its biological activity—particularly as a P2X7 receptor antagonist—has garnered significant interest in medical research. The P2X7 receptor is implicated in neurodegenerative diseases, cancers, and inflammatory conditions, positioning BBG as a promising candidate for targeted therapeutics and diagnostic imaging.

Preclinical Studies

Preclinical studies have demonstrated BBG's potential as an anti-inflammatory and neuroprotective agent. Notably, research published in recent years has explored BBG's efficacy in models of Parkinson’s disease, Alzheimer’s disease, and traumatic brain injury. These studies utilize BBG's ability to inhibit microglial activation and cytokine release via P2X7 receptor blockade, thus reducing neuroinflammation.

Clinical Trials

As of 2023, clinical trials directly involving BBG as a therapeutic agent remain limited:

  • Phase I/II Trials: No registered successful Phase I or II clinical trials specifically investigating BBG's therapeutic efficacy. Most research remains in preclinical or exploratory biomarker studies.
  • Diagnostic Imaging: Trials utilizing BBG as a dye in medical imaging techniques, particularly for neural tissue visualization in neurosurgical procedures, have seen some preliminary validation. These applications are primarily in early-stage clinical assessments.

Pending or Ongoing Trials

Several experimental therapies employing BBG as a P2X7 antagonist are under development, primarily in academic settings or by biotech startups. However, formal registration and progression into late-phase clinical trials have yet to occur. The lack of rigorous clinical trial data hinders regulatory approval for therapeutic indications beyond its food additive status.

Regulatory Landscape

Despite limited clinical applications, BBG's safety profile has been extensively evaluated in animal models with high tolerability margins. Regulatory agencies such as the FDA classify it as food additive E133, permitting widespread use in consumables, though therapeutic use remains investigational.

Market Analysis

Market Size and Segments

The overall market for dye compounds like Brilliant Blue G is part of the broader specialty chemicals and biomedical imaging sectors:

  • Food Industry: The global food dye market was valued at approximately USD 3.2 billion in 2022, with E133 accounting for a significant share.
  • Biomedical Imaging and Research: The biomolecular imaging market, expected to reach USD 7.8 billion by 2027 (CAGR ~6%), includes dyes and contrast agents similar to BBG.
  • Pharmaceutical and Therapeutic Applications: Currently minimal, with a potential to grow as research translates into clinical therapies.

Competitive Landscape

BBG's primary competitors include other blue dyes like Patent Blue V, Methylene Blue, and newer contrast agents for imaging. In therapeutics targeting P2X7 receptors, compounds such as AZD9056 and CE-224535 are under development, although none specifically utilize BBG.

Emerging biotech startups focusing on repurposing known dyes like BBG for neurological and inflammatory diseases are entering early development phases. Academic collaborations are pivotal to advancing BBG-based therapeutics.

Regulatory and Commercial Challenges

  • Safety and Efficacy: The limited clinical data in humans presents significant hurdles. Demonstrating therapeutic benefit and safety in Phase I/II trials is necessary.
  • Intellectual Property: Patent protection is uncertain, given BBG's long-standing use as a dye. Innovation hinges on formulation, delivery mechanisms, and novel therapeutic indications.
  • Manufacturing and Supply: BBG is produced at scale for food use, but pharmaceutical-grade synthesis aligned with Good Manufacturing Practices (GMP) is essential for clinical development.

Market Opportunities

  • Neuroscience and Neurodegenerative Diseases: Increasing prevalence of Parkinson’s and Alzheimer’s diseases creates demand for targeted therapeutics and diagnostics.
  • Inflammatory Disorders and Cancers: BBG's P2X7 antagonism offers avenues for drug development, especially in immune modulation.
  • Diagnostic Imaging: The use of BBG as a neural tissue stain or contrast agent in surgical and diagnostic settings is poised for expansion, especially with advancements in bioimaging technology.

Forecast and Projections

Based on current trends, the biomedical segment involving BBG could see a compounded annual growth rate (CAGR) of approximately 8-10% over the next five years:

  • Short-term (1-3 years): Focus on preclinical validation, expanding research collaborations, and initial regulatory engagement.
  • Mid-term (4-6 years): Entry into Phase I/II trials for selected indications; potential for regulatory approval of imaging agents.
  • Long-term (7+ years): Potential approval of BBG-based therapeutics, with market penetration in neurology and inflammatory diseases projected to reach USD 1 billion globally.

Future Trends and Strategic Outlook

Advances in neuroinflammation research and molecular imaging technologies will be the primary drivers. The push for personalized medicine and targeted therapies may incentivize pharmaceutical companies to revisit BBG's potential beyond its traditional food additive role.

Collaboration across academia, biotech, and regulatory bodies will be vital. Developing innovative delivery systems—such as nanoparticle encapsulation—may enhance BBG’s therapeutic profile, addressing bioavailability and specificity issues.

Regulatory pathways remain complex; gaining approval would necessitate robust clinical data demonstrating safety and efficacy. Early-phase investigative trials will pave the way for larger, pivotal studies.

Key Takeaways

  • Clinical Status: Currently, Brilliant Blue G predominantly exists as an experimental therapeutic or diagnostic agent, with no approved drug indications. Its use as a food dye provides an established safety profile conducive to clinical repurposing.
  • Research Momentum: Preclinical validation of BBG’s neuroprotective and anti-inflammatory properties is promising, but clinical data remain limited. Expedited trial development is critical for therapeutic advancement.
  • Market Dynamics: The dye market is mature, but niche biomedical applications involving BBG could generate high-value opportunities, especially in neuroimaging and targeted therapy sectors.
  • Investment Outlook: High potential exists in developing BBG-based P2X7 antagonists and diagnostic agents. Strategic partnerships and innovative formulations will be pivotal.
  • Regulatory Hurdles: Gaining approval for new indications requires significant investment in safety, efficacy studies, and clinical trials, underscoring the need for early engagement with regulators.

FAQs

Q1: What are the main therapeutic indications being explored for Brilliant Blue G?
Answer: Key areas include neurodegenerative diseases like Parkinson’s and Alzheimer’s, inflammatory disorders, and cancer immunotherapy, mainly focusing on BBG’s role as a P2X7 receptor antagonist.

Q2: Are there any ongoing clinical trials for BBG as a drug?
Answer: As of 2023, no registered Phase I or Phase II clinical trials are underway specifically for BBG as a therapeutic agent. Most research remains preclinical.

Q3: How does BBG compare to other dyes in biomedical imaging?
Answer: BBG’s high affinity for neural tissues and established safety profile make it a promising contrast agent, especially for intraoperative neural visualization, competing with dyes like Patent Blue V and Methylene Blue.

Q4: What regulatory challenges hinder BBG’s transition from food additive to therapeutic agent?
Answer: Lack of clinical efficacy data, the need for GMP manufacturing protocols, and comprehensive safety evaluations in humans are key hurdles before regulatory approval for new indications.

Q5: What strategic moves can accelerate BBG’s development pipeline?
Answer: Establishing academic-industry collaborations, investing in formulation innovations, securing orphan or breakthrough designations, and initiating early-phase clinical trials are vital steps.

References

  1. Food and Drug Administration. (2022). Listing of Color Additives Exempt from Certification: FD&C Blue No. 1 and other approved dyes.
  2. Czuprynski, C. J. et al. (2021). Potential Therapeutic Applications of Brilliant Blue G via P2X7 Receptor Blockade. Journal of Neuroinflammation, 18(1).
  3. Grand View Research. (2023). Neuroimaging Market Analysis & Trends.
  4. European Food Safety Authority. (2019). Scientific Opinion on the safety of Brilliant Blue FCF (E133).

Note: The above projection and analysis are based on current publicly available data, ongoing research trends, and industry insights up to early 2023.

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