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Last Updated: April 17, 2025

CLINICAL TRIALS PROFILE FOR BESIFLOXACIN HYDROCHLORIDE


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All Clinical Trials for Besifloxacin Hydrochloride

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00347932 ↗ A Study to Determine if 0.6% ISV-403 is Safe and Effective in the Treatment of Bacterial Conjunctivitis. Completed Bausch & Lomb Incorporated Phase 3 2006-06-01 Evaluation of the clinical and microbial efficacy of 0.6% ISV-403, compared to vehicle in the treatment of bacterial conjunctivitis.
NCT00348348 ↗ A Study to Investigate the Safety and Efficacy of BOL-303224 in the Treatment of Bacterial Conjunctivitis Completed Bausch & Lomb Incorporated Phase 3 2006-06-01 This is a study to investigate a novel drug candidate for the treatment of bacterial conjunctivitis.
NCT00407589 ↗ Systemic Pharmacokinetics of BOL-303224-A Completed Bausch & Lomb Incorporated Phase 1 2006-10-01 This is a multi-center, open-label, single dose/multiple dose, pharmacokinetic study in participants with bacterial conjunctivitis. The purpose of this study is to determine the extent of systemic exposure to BOL-303224-A following single and multiple topical administration of BOL-303224-A in participants with suspected bacterial conjunctivitis.
NCT00622908 ↗ Clinical and Microbial Efficacy of ISV403 in Bacterial Conjunctivitis Completed Bausch & Lomb Incorporated Phase 2 2004-12-01 To evaluate the clinical and microbial efficacy of ISV-403 administered three times a day (TID) for 5 days compared to vehicle three times a day for 5 days in the treatment of bacterial conjunctivitis
NCT00824070 ↗ Assessment of the Concentrations of Besifloxacin, Moxifloxacin, or Gatifloxacin in the Aqueous Humor of Subjects Completed Bausch & Lomb Incorporated Phase 1 2009-02-01 This study is being conducted to assess the concentration of besifloxacin, moxifloxacin, or gatifloxacin in aqueous humor samples collected following topical instillation of the associated formulation in subjects undergoing cataract surgery.
NCT00905762 ↗ Concentration of Besifloxacin, Gatifloxacin, and Moxifloxacin in Human Conjunctiva After Topical Instillation Completed Bausch & Lomb Incorporated Phase 1 2009-03-01 The purpose of this study is to assess the concentration of besifloxacin compared to gatifloxacin and moxifloxacin in human conjunctival tissue, following a single drop of the drug instilled topically into the study eye. Conjunctival biopsies will be performed at specified time points, followed by the use of loteprednol etabonate/tobramycin ophthalmic suspension four times a day for 5 days.
NCT00924729 ↗ Study of Ocular Penetration of Topically Administered Fluoroquinolones Completed Johns Hopkins University Phase 4 2009-09-01 This study is being conducted to evaluate the intraocular penetration of Moxifloxacin 0.5% ophthalmic solution (Vigamox) and Besifloxacin 0.6% ophthalmic suspension (Besivance) after pre-operative topical administration in subjects undergoing cataract surgery.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Besifloxacin Hydrochloride

Condition Name

Condition Name for Besifloxacin Hydrochloride
Intervention Trials
Bacterial Conjunctivitis 5
Acute Bacterial Conjunctivitis 2
Cataract Extraction 2
Cataracts 1
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Condition MeSH

Condition MeSH for Besifloxacin Hydrochloride
Intervention Trials
Conjunctivitis, Bacterial 8
Conjunctivitis 8
Cataract 5
Lacrimal Duct Obstruction 1
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Clinical Trial Locations for Besifloxacin Hydrochloride

Trials by Country

Trials by Country for Besifloxacin Hydrochloride
Location Trials
United States 14
Mexico 1
Canada 1
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Trials by US State

Trials by US State for Besifloxacin Hydrochloride
Location Trials
New York 5
New Jersey 2
Tennessee 1
Pennsylvania 1
Massachusetts 1
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Clinical Trial Progress for Besifloxacin Hydrochloride

Clinical Trial Phase

Clinical Trial Phase for Besifloxacin Hydrochloride
Clinical Trial Phase Trials
Phase 4 3
Phase 3 5
Phase 2/Phase 3 1
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Clinical Trial Status

Clinical Trial Status for Besifloxacin Hydrochloride
Clinical Trial Phase Trials
Completed 12
Terminated 3
Unknown status 2
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Clinical Trial Sponsors for Besifloxacin Hydrochloride

Sponsor Name

Sponsor Name for Besifloxacin Hydrochloride
Sponsor Trials
Bausch & Lomb Incorporated 12
Innovative Medical 1
Bucci Laser Vision Institute 1
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Sponsor Type

Sponsor Type for Besifloxacin Hydrochloride
Sponsor Trials
Industry 13
Other 9
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Besifloxacin Hydrochloride: Clinical Trials, Market Analysis, and Projections

Clinical Trials Overview

Besifloxacin hydrochloride, an antibacterial agent used in the treatment of bacterial conjunctivitis, has undergone extensive clinical trials to establish its safety and efficacy.

Phase 1 Trials

The initial Phase 1 trials, including Study C-02-403-001, evaluated the safety, tolerability, and pharmacokinetics of 0.3% and 0.6% besifloxacin ophthalmic suspension. These trials demonstrated that both doses were well-tolerated, with the 0.6% dose showing greater ocular exposure and thus being selected for further clinical development[1][4].

Phase 3 Trials

Three Phase 3 studies were conducted to assess the safety and efficacy of besifloxacin ophthalmic suspension. Two of these trials were vehicle-controlled, while the third compared besifloxacin to moxifloxacin hydrochloride ophthalmic solution 0.5%. These studies involved pediatric patients aged 1-17 years with bacterial conjunctivitis and showed that besifloxacin was superior to the vehicle in clinical resolution and microbial eradication, with no significant differences compared to moxifloxacin[3][4].

Pharmacokinetics and Pharmacodynamics

Pharmacokinetic studies revealed high besifloxacin levels in the eyes with minimal systemic exposure. The calculated Cmax/MIC90 and AUC24/MIC90 ratios were significantly higher than the target values associated with bacterial eradication, indicating effective antibacterial action[4].

Efficacy and Safety

Clinical Resolution and Microbial Eradication

In the Phase 3 trials, besifloxacin demonstrated superior clinical resolution and microbial eradication rates compared to the vehicle control. At Visit 3, clinical resolution was 88.1% for besifloxacin versus 73.0% for the vehicle, and microbial eradication was 82.8% for besifloxacin versus 68.3% for the vehicle[3].

Adverse Events

Besifloxacin was well tolerated, with non-ocular adverse events being generally low. The incidence of ocular adverse events was similar across the besifloxacin, vehicle, and moxifloxacin groups[1][3].

Market Analysis

Global and Chinese Market

The global and Chinese besifloxacin hydrochloride market has been analyzed in depth. The market report covers the basic information of besifloxacin hydrochloride, including its classification, application, and manufacturing technology. It also explores the global and Chinese top manufacturers, their product specifications, capacity, production value, and market share[2].

Market Forecast

The market forecast for 2014-2019 indicated steady growth, driven by increasing demand for effective treatments for bacterial conjunctivitis. The report analyzes the upstream raw materials, downstream clients, and current market dynamics, providing insights into the feasibility of new projects in the besifloxacin hydrochloride industry[2].

Production Process and Cost Analysis

Manufacturing Technology

The production process of besifloxacin hydrochloride is complex and involves several critical stages, including the synthesis of raw materials, chemical reactions, and the formulation of the final product. Manufacturers must adhere to Good Manufacturing Practices (GMP) and other regulatory requirements to ensure the drug's safety and efficacy[5].

Cost Efficiency

The cost analysis of besifloxacin hydrochloride production highlights significant costs related to utilities, labor, raw materials, and logistics. Efficient management of these costs is crucial for maintaining competitive pricing in the global pharmaceutical market. Procurement Resource’s report provides detailed cost analyses and supplier breakdowns to help manufacturers reduce costs without compromising on quality[5].

Supply Chain Management

Effective logistics and supply chain management are essential for ensuring timely production and delivery. The report details the logistics involved in the production and distribution of besifloxacin hydrochloride, helping businesses identify areas for improving the speed and cost-effectiveness of their logistics operations[5].

Market Projections

Market Trends and Forecasting

The market trends and demand forecasts for besifloxacin hydrochloride indicate a continued demand for effective antibacterial treatments. Procurement Resource’s reports provide insights into market trends, helping businesses make informed decisions about production schedules, raw material procurement, and responding to changes in consumer demand[5].

Regulatory Landscape

The report keeps track of changes in regulatory requirements, ensuring that manufacturers stay compliant and avoid potential disruptions in production due to regulatory non-compliance. This is crucial for maintaining a stable market presence and ensuring the continuous availability of the drug[5].

Key Takeaways

  • Clinical Efficacy: Besifloxacin hydrochloride has demonstrated superior clinical resolution and microbial eradication rates in treating bacterial conjunctivitis.
  • Safety Profile: The drug is well tolerated with minimal systemic exposure and low incidence of adverse events.
  • Market Growth: The global and Chinese markets for besifloxacin hydrochloride are expected to grow, driven by increasing demand for effective treatments.
  • Production Efficiency: Efficient management of production costs, logistics, and supply chain is crucial for maintaining competitive pricing and ensuring timely delivery.
  • Regulatory Compliance: Adherence to GMP and other regulatory requirements is essential for ensuring the drug's safety and efficacy.

FAQs

Q1: What is the primary use of besifloxacin hydrochloride?

Besifloxacin hydrochloride is primarily used in the treatment of bacterial conjunctivitis.

Q2: What were the key findings of the Phase 3 clinical trials for besifloxacin hydrochloride?

The Phase 3 trials showed that besifloxacin hydrochloride was superior to the vehicle in clinical resolution and microbial eradication, with no significant differences compared to moxifloxacin.

Q3: How is besifloxacin hydrochloride administered?

Besifloxacin hydrochloride is administered as a 0.6% ophthalmic suspension, typically dosed three times a day for seven days.

Q4: What are the main challenges in the production of besifloxacin hydrochloride?

The main challenges include managing production costs, ensuring regulatory compliance, and optimizing logistics and supply chain operations.

Q5: What is the market outlook for besifloxacin hydrochloride?

The market is expected to grow, driven by increasing demand for effective treatments for bacterial conjunctivitis, with a focus on maintaining competitive pricing and ensuring timely delivery.

Sources

  1. FDA: Besifloxacin hydrochloride ClinPharm PREA - FDA.
  2. Business Wire: Research and Markets: Global and Chinese Besifloxacin Hcl Industry, 2009-2019.
  3. PubMed: Efficacy and safety of besifloxacin ophthalmic suspension 0.6% in the treatment of bacterial conjunctivitis in children and adolescents.
  4. TGA: Attachment 2. Extract from the Clinical Evaluation Report for Besifloxacin Hydrochloride.
  5. Blogool: Besifloxacin Hydrochloride Production Process Report - Blogool.

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