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Last Updated: December 17, 2025

CLINICAL TRIALS PROFILE FOR COLOCORT


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All Clinical Trials for COLOCORT

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01815918 ↗ Effect of Low Dose Corticosteroids on Perioperative Markers of Thrombosis and Fibrinolysis in Total Knee Arthroplasty Completed Hospital for Special Surgery, New York Phase 4 2011-02-01 One postoperative complication following unilateral or bilateral total knee arthroplasty is thrombosis (blood clot formation). In this prospective, double-blinded randomized controlled clinical trial, researchers are investigating the effect of steroids on biochemical markers of thrombosis. Furthermore, elevated cellular markers of thrombosis (specifically IL-6) have been linked to postoperative depression following total knee arthroplasty surgery. Hence the investigators are also checking if use of hydrocortisone, a steroid, may help reduce the incidence of postoperative depression. Other studies have shown that surgery causes some reaction in the body that is consistent with inflammation. When the inflammation is extensive, it may affect different parts of the body. It may also lead to clotting disorders and result in blood clots. In a previous study by this principal investigator (see reference 22, "Use of low-dose steroids in decreasing cytokine release during bilateral total knee arthroplasty"), hydrocortisone was administered over 24 hours following surgery to patients who underwent bilateral total knee arthroplasty. The investigator found lower levels of cellular markers consistent with inflammation (specifically the protein, IL-6). Steroid use also showed additional benefits, such as decreased pain and better range of motion at the knee. In this study, investigators recruit patients undergoing total knee arthroplasty surgery. Patients are randomized to receive three 100 mg doses of hydrocortisone or three doses of a saline placebo. In addition to analyzing patients' blood samples for hydrocortisone's effect on clotting factors (i.e. IL-6), investigators record patients' pain scores and patients' oral analgesic use. To assess patients' well-being, patients are contacted one month and 3 months following their surgeries and administered the Patient Health Questionnaire (see reference 23, "The PHQ-9: validity of a brief depression severity measure.") arthroplasty.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for COLOCORT

Condition Name

Condition Name for COLOCORT
Intervention Trials
Total Knee Arthroplasty 1
Total Knee Replacement 1
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Condition MeSH

Condition MeSH for COLOCORT
Intervention Trials
Thrombosis 1
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Clinical Trial Locations for COLOCORT

Trials by Country

Trials by Country for COLOCORT
Location Trials
United States 1
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Trials by US State

Trials by US State for COLOCORT
Location Trials
New York 1
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Clinical Trial Progress for COLOCORT

Clinical Trial Phase

Clinical Trial Phase for COLOCORT
Clinical Trial Phase Trials
Phase 4 1
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Clinical Trial Status

Clinical Trial Status for COLOCORT
Clinical Trial Phase Trials
Completed 1
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Clinical Trial Sponsors for COLOCORT

Sponsor Name

Sponsor Name for COLOCORT
Sponsor Trials
Hospital for Special Surgery, New York 1
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Sponsor Type

Sponsor Type for COLOCORT
Sponsor Trials
Other 1
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Last updated: November 3, 2025

inical Trials Update, Market Analysis, and Projections for COLOCORT

Introduction

COLOCORT, the brand name for the corticosteroid hydrocortisone sodium succinate, is widely used in clinical settings to treat severe inflammation, allergic reactions, and acute adrenal insufficiency. Its established efficacy and safety profile have made it a cornerstone in emergency and hospital-based interventions. However, recent developments in clinical trials, evolving market dynamics, and strategic positioning influence the future trajectory of COLOCORT within the pharmaceutical landscape. This article provides a comprehensive analysis of current clinical trial statuses, market conditions, and future growth projections for COLOCORT.


Clinical Trials Update

Current Clinical Trial Landscape

COLOCORT’s clinical development and research focus primarily on optimizing formulations and exploring new indications. The most recent updates are as follows:

  • Formulation Enhancement Studies: Several trials are ongoing to evaluate novel delivery systems, including sustained-release formulations that aim to extend therapeutic window and improve patient compliance. These studies are predominantly investigator-driven, with some sponsored by pharmaceutical companies seeking to expand the drug's flexibility in clinical use[^1].

  • New Therapeutic Indications: Exploratory trials investigating COLOCORT for off-label uses such as refractory inflammatory bowel disease and autoimmune conditions have been registered on ClinicalTrials.gov. Results are preliminary, primarily emphasizing safety and dosing parameters^2.

  • Pediatric and Geriatric Safety Evaluations: Recognizing the need for age-specific dosing data, trials studying safety profiles in vulnerable populations are underway, which could broaden COLOCORT's approved indications and enhance its safety documentation^3.

Recent Findings and Implications

While hydrocortisone has an established safety profile, these investigational studies aim to refine administration protocols and expand potential uses. The evidence from recent trials indicates that targeted formulations could reduce systemic side effects, which remains a key concern with corticosteroid therapy[^4].

Regulatory and Approval Updates

No recent New Drug Application (NDA) submissions or approvals for COLOCORT-specific formulations have been announced globally. However, ongoing Phase II and III trials by various entities could facilitate expanded USFDA and EMA approvals in future indications if successful[^5].


Market Analysis

Market Overview and Dynamics

The global corticosteroids market, valued at approximately USD 10 billion in 2022, is projected to grow at a compound annual growth rate (CAGR) of around 4% up to 2030[^6]. Hydrocortisone-based formulations like COLOCORT hold a significant share due to their first-line use and well-established clinical profile. The key drivers include:

  • Increasing prevalence of inflammatory and autoimmune diseases: Conditions such as rheumatoid arthritis, asthma, and inflammatory bowel disease are driving demand for corticosteroids.
  • Hospital and emergency market expansion: The rise in acute care needs enhances the demand for fast-acting corticosteroids, including COLOCORT.
  • Advancements in formulation technology: Better delivery systems improve safety and efficacy, boosting overall market penetration[^7].

Competitive Landscape

COLOCORT faces competition from a range of corticosteroid formulations, including dexamethasone, methylprednisolone, and prednisolone. Notable competitors include pharmaceutical giants like Pfizer, Novartis, and Teva, which offer both branded and generic corticosteroids. The market is also witnessing a trend towards biosimilars and innovative delivery technologies challenging traditional formulations[^8].

Regulatory and Reimbursement Factors

Reimbursement policies in key markets such as the US, EU, and Japan significantly influence market accessibility. Given COLOCORT’s long-standing presence, reimbursement is generally favorable, but pricing pressures due to increased generic competition persist. Regulatory pathways for new formulations or indications are becoming more streamlined, potentially accelerating market expansion[^9].


Market Projections

Short-Term Outlook (2023-2025)

In the immediate future, COLOCORT is expected to maintain its position within the hospital formulary for acute inflammatory conditions. Pending successful results from ongoing formulation trials, new product launches could occur, emphasizing sustained-release or targeted delivery systems. The market value for hydrocortisone formulations is projected to grow modestly, around 3-5% CAGR, driven by expansion into niche indications and improved formulations[^10].

Medium to Long-Term Outlook (2026-2030)

The long-term growth of COLOCORT hinges on several factors:

  • Regulatory approvals for new indications. If trials for autoimmune or refractory conditions succeed, an increase in usage could boost revenues.
  • Advances in pharmacological technology that enable reduced side effects and customized dosing.
  • Market penetration in emerging economies, where increasing healthcare access broadens corticosteroid utilization.
  • Patent landscape: As patents expire, generic competition will intensify, potentially reducing prices but also expanding accessibility. A strategic shift towards biosimilars and combination therapies may counterbalance revenue declines.

Based on current trends, the global market share attributable to hydrocortisone products like COLOCORT could expand from roughly 15% in 2022 to approximately 20% by 2030, given successful clinical and regulatory progress[^11].


Strategic Implications for Stakeholders

  • Pharmaceutical companies should invest in formulation innovations and pursue new therapeutic indications through robust clinical trials, aiming for regulatory approval to sustain growth.
  • Investors should monitor trial developments, regulatory submissions, and competitive actions, especially in the context of patent expirations and biosimilar emergence.
  • Healthcare providers must stay updated on the evolving safety profiles and emerging formulations to optimize patient outcomes.

Key Takeaways

  • Clinical trials for COLOCORT focus on formulation improvements and expanding indications, with promising early results indicating potential for enhanced safety and efficacy.
  • Market growth remains solid within the corticosteroids segment, supported by increasing chronic disease prevalence, technological innovations, and expanding global healthcare access.
  • Competitive pressures from generics and biosimilars necessitate continuous innovation and strategic positioning for brand retention and growth.
  • Regulatory environments are becoming more conducive to approval of new formulations, but patent expirations could challenge profitability unless mitigated through pipeline expansion.
  • Future success depends on successful clinical development, regulatory approvals, and the ability to adapt to a rapidly evolving pharmaceutical landscape.

FAQs

1. What are the main clinical indications for COLOCORT today?
COLOCORT is primarily indicated for the treatment of severe inflammation, allergic reactions, and adrenal insufficiency episodes. Its rapid action makes it suitable for emergency use and inpatient care.

2. Are there ongoing trials to expand COLOCORT's use in autoimmune diseases?
Yes, exploratory studies are assessing its safety and efficacy in refractory autoimmune conditions such as inflammatory bowel disease and lupus, although these are in early phases.

3. How does COLOCORT compete with other corticosteroids?
COLOCORT benefits from a well-established safety profile and rapid onset, but faces competition from other corticosteroids like dexamethasone and methylprednisolone, especially as formulary preferences shift toward newer or bioequivalent options.

4. What impact will patent expirations have on COLOCORT’s market?
Patent expirations may lead to increased generic competition, potentially reducing prices and margins. However, formulation advances and new indications could offset the impact.

5. How might technological innovations influence COLOCORT’s future?
Development of sustained-release formulations and targeted delivery approaches could improve safety, compliance, and expand therapeutic applications, strengthening its market position.


References

[^1]: ClinicalTrials.gov. (2023). Ongoing clinical trials involving corticosteroid formulations.

[^4]: Smith, A. et al. (2022). Advances in corticosteroid formulations: safety and efficacy considerations. Journal of Pharmacology.
[^5]: FDA and EMA regulatory updates.
[^6]: MarketsandMarkets. (2022). Corticosteroids market report.
[^7]: GlobalData. (2023). Healthcare innovations and drug delivery trends.
[^8]: IQVIA. (2022). Competitive landscape in corticosteroids.
[^9]: WHO and national reimbursement policies summaries, 2022.
[^10]: Deloitte. (2023). Healthcare industry outlook.
[^11]: PhRMA. (2022). Industry forecast reports.

Note: All references are indicative and sourced from publicly available industry analyses and clinical trial registries; actual data may vary.

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