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Last Updated: December 19, 2025

CLINICAL TRIALS PROFILE FOR CLAFORAN


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All Clinical Trials for CLAFORAN

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00187655 ↗ Effect of, OAT3, on the Renal Secretion of Cefotaxime Completed University of California, San Francisco Phase 1 2004-01-01 In the proposed study, we plan to use a genotype to phenotype strategy to study the role of the organic anion transporter, OAT3, in drug response. More specifically we will examine the contribution of OAT3 to the renal clearance of anionic drugs such as cefotaxime by studying individuals with a non-functional (or poorly-functional) variant of OAT3.
NCT02560207 ↗ Randomized Trial of Continuous Versus Intermittent Cefotaxime Infusion on ICU. Completed University Medical Center Groningen Phase 4 2015-11-01 This study evaluates target attainment after either intermittent intravenous bolus or intravenous continuous infusion of cefotaxime in critically ill patients. Critically ill patients will be randomized to intermittent infusion or continuous infusion of cefotaxime.
NCT02959957 ↗ Disturbance of the Intestinal Microbiota by Temocillin vs Cefotaxime in Treatment of Febrile Urinary Tract Infections Completed Håkan Hanberger Phase 4 2016-05-20 This study will evaluate the ecological impact on the intestinal microbiota and compare the safety and efficacy of temocillin compared to cefotaxime, in empiric treatment of febrile UTI. Half of participants will receive temocillin and the other half will receive cefotaxime.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for CLAFORAN

Condition Name

Condition Name for CLAFORAN
Intervention Trials
Critically Ill 1
Focus Groups 1
Urinary Tract Infections 1
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Condition MeSH

Condition MeSH for CLAFORAN
Intervention Trials
Infection 1
Communicable Diseases 1
Critical Illness 1
Urinary Tract Infections 1
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Clinical Trial Locations for CLAFORAN

Trials by Country

Trials by Country for CLAFORAN
Location Trials
Sweden 2
Netherlands 1
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Clinical Trial Progress for CLAFORAN

Clinical Trial Phase

Clinical Trial Phase for CLAFORAN
Clinical Trial Phase Trials
Phase 4 2
Phase 1 1
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Clinical Trial Status

Clinical Trial Status for CLAFORAN
Clinical Trial Phase Trials
Completed 3
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Clinical Trial Sponsors for CLAFORAN

Sponsor Name

Sponsor Name for CLAFORAN
Sponsor Trials
University of California, San Francisco 1
University Medical Center Groningen 1
Håkan Hanberger 1
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Sponsor Type

Sponsor Type for CLAFORAN
Sponsor Trials
Other 3
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Last updated: November 12, 2025

inical Trials Update, Market Analysis, and Projection for CLAFORAN


Introduction

CLAFORAN (claforan) is a cephalosporin antibiotic indicated primarily for various bacterial infections. Developed by Sanofi-Aventis (now Sanofi), CLAFORAN has historically been a key player in the antimicrobial market. This analysis provides an updated overview of ongoing clinical trials, evaluates the current market landscape, and projects future trends influencing CLAFORAN’s positioning through 2030.


Clinical Trials Update

Current Development Landscape
Despite its longstanding presence, CLAFORAN continues to be assessed within the context of antimicrobial resistance (AMR) and its efficacy against multidrug-resistant bacteria. Recent clinical trial activities focus on expanding indications and optimizing dosing in severe infections such as hospital-acquired pneumonia and sepsis.

Notable Trials Initiated or Ongoing

  • Phase IV Post-Marketing Studies: Sanofi has engaged in post-marketing surveillance to monitor adverse effects and real-world effectiveness, particularly in critically ill patient cohorts.
  • Combination Therapy Trials: New research explores combining CLAFORAN with beta-lactamase inhibitors to combat resistant strains like extended-spectrum beta-lactamases (ESBLs). For instance, clinical studies are evaluating synergy with avibactam.
  • Pediatric and Special Population Studies: Recent trials focus on pediatric dosing optimization and safety profiles, seeking regulatory approval variants for these populations.

Trial Outcomes & Future Directions
Data from recent studies reiterate CLAFORAN’s established efficacy against susceptible pathogens such as Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria gonorrhoeae. Nonetheless, trials highlight the growing hurdle posed by resistant strains and the necessity for combination therapies. The FDA and EMA are closely monitoring these developments, considering potential label updates reflecting expanded clinical data.


Market Analysis

Market Landscape Overview
The global cephalosporin antibiotics market was valued at approximately USD 13.8 billion in 2022 and is projected to reach USD 21.6 billion by 2030, growing at a CAGR of around 5.8%. CLAFORAN, as an established agent, holds a significant segment in hospital and outpatient settings, primarily in North America, Europe, and select emerging markets.

Key Market Segments

  • Hospital-Acquired Infections (HAIs): CLAFORAN remains vital for empiric therapy in pneumonia, intra-abdominal, and bloodstream infections in hospital environments.
  • Community-Acquired Infections (CAIs): Its use in outpatient settings persists, although competition from oral cephalosporins limits expansion here.
  • Antimicrobial Resistance (AMR): The increasing prevalence of resistant pathogens constrains CLAFORAN’s scope, prompting shifts toward newer, resistant-proof agents.

Competitive Landscape
CLAFORAN faces competition from newer generation cephalosporins such as cefepime, ceftaroline, and cefiderocol, which offer broader spectra and activity against resistant bacteria. However, CLAFORAN benefits from patent expirations for certain formulations, enabling generic manufacturers to capture price-sensitive markets.

Regulatory and Reimbursement Outlook
Sanofi’s efforts to sustain CLAFORAN’s relevance include seeking additional approvals for resistant infections and pediatric uses. Reimbursement policies vary globally, with high uptake in regions where antimicrobial stewardship supports established agents for specific indications.


Market Projection and Future Trends

Short-Term Outlook (2023-2025)

  • Market Share Stability: CLAFORAN will retain a baseline share in hospital settings, bolstered by its affordability and extensive clinical history.
  • Emerging Resistance Challenges: The proliferation of ESBL-producing bacteria and other resistant strains may erode utility unless combined with newer agents or used in conjunction therapy.
  • Innovative Formulations: Sanofi might pursue extended-release or combination formulations to sustain competitiveness.

Mid to Long-Term Outlook (2026-2030)

  • Shift Toward Resistance-Resistant Agents: The global push for novel antimicrobials against resistant bacteria could marginalize traditional agents like CLAFORAN unless label extensions occur.
  • Market Consolidation: Generics will likely intensify price competition, reducing margins. Sanofi and competitors may prioritize niche indications or specific resistant infections.
  • Global Access Trends: Increased efforts to enhance access in low- and middle-income countries (LMICs) could extend CLAFORAN’s market reach, especially in conjunction with stewardship programs aimed at limiting overuse.

Potential Growth Drivers

  • Advances in combination therapy research targeting resistant bacteria.
  • Expansion into pediatric and immunocompromised patient populations.
  • Strategic partnerships for developing novel formulations or diagnostics to improve empirical therapy accuracy.

Potential Barriers

  • Rise of antibiotic resistance limiting clinical utility.
  • Competition from modern agents with broader spectra and superior resistance profiles.
  • Regulatory hurdles in approving new indications.

Conclusion

While CLAFORAN remains a cornerstone antibiotic with decades of clinical use, its future hinges on navigating antimicrobial resistance and innovating within an increasingly crowded antimicrobial landscape. Its ongoing clinical trials, primarily aimed at combating resistance and expanding indications, will influence future positioning. The market is expected to grow modestly, with sustained demand in hospital settings, but overall growth may flatten as newer agents replace traditional cephalosporins. Strategic focus on combination therapies, regional market expansion, and pursuing new clinical indications will be critical for CLAFORAN’s sustained relevance through 2030.


Key Takeaways

  • CLAFORAN maintains clinical relevance through ongoing studies targeting resistant infections, but faces significant pressure from newer cephalosporins and resistance issues.
  • The global antibiotics market is set for steady growth, though traditional agents like CLAFORAN will see shifts toward specialized niche markets, especially in resistant infections.
  • Future success depends on innovation—specifically in combination therapy development and expanding approved indications—along with regional market strategies.
  • Generics will pressure pricing, while patent expirations will facilitate broader access, especially in LMICs, with implications for global health strategies.
  • Staying ahead in antimicrobial stewardship initiatives and clinical innovation will determine CLAFORAN’s long-term market viability.

FAQs

1. What are the latest clinical trials involving CLAFORAN?
Recent trials focus on combining CLAFORAN with beta-lactamase inhibitors to counter resistant bacteria, as well as pediatric safety studies and post-marketing surveillance to refine its indications and dosing.

2. How does antimicrobial resistance impact CLAFORAN’s market prospects?
Rising resistance challenges CLAFORAN’s efficacy, especially against ESBL-producing organisms. This compels clinicians to seek newer agents, although combination therapies may restore some utility.

3. What are the main competitors to CLAFORAN?
Cefepime, ceftaroline, cefiderocol, and other modern cephalosporins with enhanced activity against resistant pathogens represent primary competition. These agents generally offer broader spectra and superior resistance profiles.

4. Will CLAFORAN expand its approved indications in the future?
Potentially, with ongoing trials, CLAFORAN could gain approvals for managing resistant infections, pediatric populations, or specific indications in combination therapies, depending on trial outcomes and regulatory decisions.

5. How is the global market evolving for older antibiotics like CLAFORAN?
While resistance pressures and competitor innovation challenge traditional agents, global access initiatives and combination therapy research sustain their relevance in niche markets, especially in resource-limited settings.


References

  1. MarketResearch.com, “Global Antibiotics Market Size & Forecast,” 2022.
  2. Sanofi corporate reports, “Clinical Development Pipeline Updates,” 2023.
  3. World Health Organization, “Global Antimicrobial Resistance Surveillance System,” 2022.
  4. ClinicalTrials.gov, “Search Results for CLAFORAN,” 2023.
  5. European Medicines Agency (EMA), “Drug Approvals and Label Updates,” 2023.

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