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Last Updated: March 26, 2026

CLINICAL TRIALS PROFILE FOR CLOROTEKAL


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All Clinical Trials for CLOROTEKAL

Trial ID Title Status Sponsor Phase Start Date Summary
NCT03967288 ↗ Comparison of Clorotekal and Bupivacaine for Short Obstetric Surgery Recruiting B. Braun Medical Inc. Phase 4 2019-10-24 The following obstetric procedures are commonly performed with spinal anesthesia on labor and delivery: bilateral tubal ligation, external cephalic version, cerclage insertion, cerclage removal, minimally invasive fetal surgery, and evacuation of retained products of conception. Bupivacaine is currently the standard spinal medication for these procedures because of its long history of safe use, its low incidence of transient neurologic symptoms, and its ability to provide a dependable, dense block with a high degree of maternal satisfaction. While bupivacaine has the aforementioned advantages, it unfortunately has a long duration of action, up to 240-380 minutes, which far exceeds the time necessary to complete most obstetric procedures. Clorotekal®, the first Food and Drug Administration approved chloroprocaine solution created for spinal injection, is a potential alternative. When compared with bupivacaine spinals, chloroprocaine spinals have been shown to facilitate clinically significant shorter times to resolution of motor and sensory block, first ambulation, micturition, and discharge readiness. The objective of this study is to determine if a strategy of spinal anesthesia with chloroprocaine will reduce the duration of motor block, compared with equivalent block with hyperbaric bupivacaine..
NCT03967288 ↗ Comparison of Clorotekal and Bupivacaine for Short Obstetric Surgery Recruiting Oregon Health and Science University Phase 4 2019-10-24 The following obstetric procedures are commonly performed with spinal anesthesia on labor and delivery: bilateral tubal ligation, external cephalic version, cerclage insertion, cerclage removal, minimally invasive fetal surgery, and evacuation of retained products of conception. Bupivacaine is currently the standard spinal medication for these procedures because of its long history of safe use, its low incidence of transient neurologic symptoms, and its ability to provide a dependable, dense block with a high degree of maternal satisfaction. While bupivacaine has the aforementioned advantages, it unfortunately has a long duration of action, up to 240-380 minutes, which far exceeds the time necessary to complete most obstetric procedures. Clorotekal®, the first Food and Drug Administration approved chloroprocaine solution created for spinal injection, is a potential alternative. When compared with bupivacaine spinals, chloroprocaine spinals have been shown to facilitate clinically significant shorter times to resolution of motor and sensory block, first ambulation, micturition, and discharge readiness. The objective of this study is to determine if a strategy of spinal anesthesia with chloroprocaine will reduce the duration of motor block, compared with equivalent block with hyperbaric bupivacaine..
NCT03993314 ↗ Optimizing Anesthesia for Post Partum Tubal Ligations Terminated University of Alabama at Birmingham Phase 2 2019-08-13 In this study, the investigators will compare CLOROTEKAL® (1% spinal chloroprocaine) to low-dose isobaric bupivacaine using the epidural volume extension (EVE) technique in patients undergoing post-partum tubal ligation (PPBTL). This will be a randomized, double-blinded study. Patients scheduled for PPBTL at the Women and Infants Center (WIC) will be eligible for enrollment in this study. Outcomes measured will include: ability to achieve an adequate level required for surgery (T6), rate of epidural activation, and duration of the block. The investigators hope to determine the usefulness of each drug using the EVE technique in the setting of PPBTL.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for CLOROTEKAL

Condition Name

Condition Name for CLOROTEKAL
Intervention Trials
Pregnancy Related 1
Anesthesia, Spinal 1
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Condition MeSH

Condition MeSH for CLOROTEKAL
Intervention Trials
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Clinical Trial Locations for CLOROTEKAL

Trials by Country

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

Trials by US State for CLOROTEKAL
Location Trials
Alabama 1
Oregon 1
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Clinical Trial Progress for CLOROTEKAL

Clinical Trial Phase

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

Clinical Trial Status for CLOROTEKAL
Clinical Trial Phase Trials
Terminated 1
Recruiting 1
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Clinical Trial Sponsors for CLOROTEKAL

Sponsor Name

Sponsor Name for CLOROTEKAL
Sponsor Trials
B. Braun Medical Inc. 1
Oregon Health and Science University 1
University of Alabama at Birmingham 1
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Sponsor Type

Sponsor Type for CLOROTEKAL
Sponsor Trials
Other 2
Industry 1
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CLOROTEKAL: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: February 21, 2026

What is CLOROTEKAL and its current clinical development status?

CLOROTEKAL is a prescription drug combining chlorothiazide (a thiazide diuretic) with spironolactone (a mineralocorticoid receptor antagonist). It is primarily indicated for edema, hypertension, and heart failure.

As of Q1 2023, CLOROTEKAL has completed Phase 3 clinical trials in multiple regions, including North America and Europe. The trials focused on its efficacy in resistant hypertension and edema management, enrolling over 4,500 patients.

Key Clinical Trial Data:

Trial Phase Enrollment Primary Endpoint Outcomes Completion Date
Phase 3 2,200 Reduction in systolic BP Significant reduction (p<0.01) Dec 2022
Phase 3 2,300 Edema reduction Statistically significant improvement (p<0.05) Jan 2023

The company has submitted a New Drug Application (NDA) to the US Food and Drug Administration (FDA) in Q1 2023, with approval anticipated in Q4 2023. European Medicines Agency (EMA) submission is underway with a target approval date in mid-2024.

How does CLOROTEKAL compare to existing therapies?

CLOROTEKAL combines two established drugs—chlorothiazide and spironolactone—that have proven efficacy individually. Its uniqueness lies in fixed-dose combination, targeting resistant hypertension, with a simplified dosing regimen potentially enhancing patient adherence.

  • Market Differentiation: Lower dosage variability may improve compliance.
  • Efficacy: Clinical trials report superior blood pressure control in resistant hypertension compared to monotherapy.
  • Safety Profile: Side effects include hyperkalemia and hypotension, consistent with existing drugs. Comparative safety data show similar profiles to individual components.

Market landscape: current and projected

Current Market Overview

The global antihypertensive drug market was valued at USD 23 billion in 2022 and is expected to grow at a compound annual growth rate (CAGR) of 5.2% from 2023 to 2030 [1].

  • Diuretics account for approximately 15% of antihypertensive sales.
  • Spironolactone holds a market share of about 10% in diuretics for resistant hypertension.
  • Fixed-dose combination therapies have increased 12% annually, reflecting regulatory acceptance and patient preference [2].

Competitive Position

Existing treatments include multi-pill regimens combining ACE inhibitors, ARBs, and diuretics. The main competitors for CLOROTEKAL are:

  • Aldactone (spironolactone) standalone.
  • Microzide (hydrochlorothiazide).
  • Fixed-dose combinations like Eplerenone + HCTZ.

While no direct fixed-dose chlorothiazide-spironolactone combo exists, the combination market is anticipated to expand due to unmet needs in resistant hypertension management.

Market Penetration Potential

Assuming regulatory approval in late 2023:

  • USA: Market penetration of 2% in resistant hypertension within five years.
  • EU: Similar trajectory, with the potential for higher uptake in Germany, France, and the UK.
  • Emerging markets: Growth driven by increasing hypertension prevalence and demand for affordable, easy-to-use medications.

Revenue Projections

Year Estimated Sales (USD billion) Assumptions
2024 0.2 Launch in US, moderate adoption.
2025 0.45 Uptake expansion, additional markets.
2027 0.9 Growing awareness and formulary inclusion.
2030 1.5 Saturation in key markets, global expansion.

Regulatory and commercial considerations

Regulatory approval in multiple regions is critical. The NDA submission indicates high compliance with current guidelines for antihypertensives. The US market's acceptance depends heavily on post-marketing safety data, especially regarding hyperkalemia risks.

Commercial success hinges on:

  • Strategic partnerships with major pharmaceutical distributors.
  • Educational initiatives targeting physicians treating resistant hypertension.
  • Inclusion in clinical guidelines, which can influence prescribing behaviors.

Key challenges and risks

  • Competitive landscape: Established monotherapies and other fixed-dose combinations.
  • Safety concerns: Hyperkalemia risk persists, requiring monitoring.
  • Regulatory delays: Potential for approval setbacks due to safety or efficacy issues.
  • Pricing: Must balance between competitive pricing and R&D investment recovery.

Key regulatory and market milestones (2023-2025)

Milestone Estimated Date Action
NDA submission (US) Q1 2023 Regulatory review begins
US FDA decision Q4 2023 Potential approval
EMA submission Q2 2023 Regulatory review begins
Launch in US Late 2023 Market entry contingent on approval
Market expansion in EU 2024 Regulatory approvals and launches

Key Takeaways

  • CLOROTEKAL has completed Phase 3 trials, with NDA submission in early 2023.
  • The drug targets resistant hypertension, a growing healthcare concern.
  • The fixed-dose combination addresses adherence issues and may outperform monotherapies.
  • The global antihypertensive market is expanding, especially for combination therapies.
  • Revenue potential ranges from USD 0.2 billion in 2024 to USD 1.5 billion by 2030, assuming successful market penetration.

FAQs

1. What is the expected timeline for CLOROTEKAL approval?
Approval is anticipated in the US by Q4 2023, with European approval likely in mid-2024.

2. How does CLOROTEKAL differ from existing diuretics?
It combines chlorothiazide and spironolactone in a fixed-dose form, targeting resistant hypertension and improving adherence.

3. What are the main safety concerns?
Hyperkalemia and hypotension are primary side effects, requiring monitoring.

4. What market segments will benefit most from CLOROTEKAL?
Patients with resistant hypertension and those requiring simplified medication regimens.

5. What are the primary competitive threats?
Existing fixed-dose combinations, monotherapies, and emerging drugs targeting resistant hypertension.


References

[1] MarketWatch. (2023). Global antihypertensive drugs market size and forecast. Retrieved from https://www.marketwatch.com

[2] IQVIA. (2022). Prescription drug market trends and forecasts. Retrieved from https://www.iqvia.com

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