You're using a free limited version of DrugPatentWatch: Upgrade for Complete Access

Last Updated: April 2, 2026

CLINICAL TRIALS PROFILE FOR CYCLOSPORINE


✉ Email this page to a colleague

« Back to Dashboard


505(b)(2) Clinical Trials for CYCLOSPORINE

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Combination NCT00373815 ↗ Everolimus in Combination With Cyclosporine A and Prednisolone for the Treatment of Graft Versus Host Disease Terminated University Hospital Tuebingen Phase 1 2006-09-01 The present protocol is a dose-finding and toxicity study in preparation of a randomised study comparing current standard treatment CSA/prednisolone with the new combination CSA/prednisolone/everolimus.
New Formulation NCT02961608 ↗ Conversion Pharmacodynamic Study in Stable Renal Transplant Patients Receiving Tacrolimus Two Times a Day to a New Formulation of Tacrolimus - LCP Tacro - 1 Time a Day. Completed Hospital Universitari de Bellvitge Phase 4 2016-05-01 LCP-Tacro is an extended-release formulation of tacrolimus designed for once-daily dosing. Phase 1 studies demonstrated greater bioavailability than twice-daily tacrolimus capsules and no new safety concerns. - Stable kidney transplant patients can be safely converted from Adoport® twice-daily to LCP-Tacro®. - The greater bioavailability of LCP-Tacro after once-daily dosing results in similar (AUC) exposure, at a dose approximately 30% less, than the total daily dose of Adoport®. - LCP-Tacro provides a slow drug release and this results in flatter kinetics characterized by significantly lower peak-trough fluctuations. - CN is the major cellular target of the calcineurin inhibitors (CNIs) cyclosporine A (CsA) and tacrolimus. The ability of these drugs to inhibit CN activity is dependent on their binding to the respective immunophilins, cyclophilins A and B for CsA and FKBP12 for tacrolimus. - CN inhibition is a rate limiting phenomenon. Over concentrations of tacrolimus does not correlate with an increase in the CN activity.
OTC NCT04515329 ↗ Tear Film Markers in Dry Eye Syndrome Not yet recruiting Sun Pharma Global FZE Phase 4 2021-12-01 Dry eye is the most common reason for visit to an ophthalmologist's office. The prevalence is on the rise and is mainly attributed to factors such as increased environmental pollution and contact lens use. The current management options are limited to over the counter artificial tear drops and three FDA-approved drugs. Of these, cyclosporine has been used worldwide for treating mild to moderate dry eyes. The earlier version consisted of 0.05% cyclosporine which worked well for a limited number of inflammatory dry eye conditions. Recently, 0.09% cyclosporine was approved by the FDA. The nearly double concentration is expected to be more beneficial for severe inflammation which is often seen in Sjögren syndrome and other Rheumatological conditions associated with dry eyes. In this pilot project, the investigator proposes to evaluate the change in expression of SLURP1 and other markers of ocular surface inflammation before and after treatment with 0.09% cyclosporine eye drops.
OTC NCT04515329 ↗ Tear Film Markers in Dry Eye Syndrome Not yet recruiting Vishal Jhanji Phase 4 2021-12-01 Dry eye is the most common reason for visit to an ophthalmologist's office. The prevalence is on the rise and is mainly attributed to factors such as increased environmental pollution and contact lens use. The current management options are limited to over the counter artificial tear drops and three FDA-approved drugs. Of these, cyclosporine has been used worldwide for treating mild to moderate dry eyes. The earlier version consisted of 0.05% cyclosporine which worked well for a limited number of inflammatory dry eye conditions. Recently, 0.09% cyclosporine was approved by the FDA. The nearly double concentration is expected to be more beneficial for severe inflammation which is often seen in Sjögren syndrome and other Rheumatological conditions associated with dry eyes. In this pilot project, the investigator proposes to evaluate the change in expression of SLURP1 and other markers of ocular surface inflammation before and after treatment with 0.09% cyclosporine eye drops.
New Formulation NCT07033858 ↗ Evaluaion the Short Term Effects of Advograf Plus Rapamiune After Kidney Transplantation RECRUITING Shahid Beheshti University of Medical Sciences NA 2025-03-01 Cornerstone immunosuppressive therapy currently relies on immediate-release tacrolimus, a calcineurin inhibitor (CNI) that is potentially nephrotoxic and is more diabetogenic than cyclosporine A. A new formulation of tacrolimus has been launched: an extended-release formulation (Advagraf/Astagraf XL, Astellas company).
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for CYCLOSPORINE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000524 ↗ Myocarditis Treatment Trial Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 2 1986-07-01 To determine whether immunosuppressive treatment improved cardiac function in patients with biopsy-proven myocarditis.
NCT00000524 ↗ Myocarditis Treatment Trial Completed University of Utah Phase 2 1986-07-01 To determine whether immunosuppressive treatment improved cardiac function in patients with biopsy-proven myocarditis.
NCT00000880 ↗ A Study to Test the Effect of Cyclosporine on the Immune System of Patients With Early HIV Disease Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 2 1969-12-31 The purpose of this study is to determine the safety and effectiveness of low doses of cyclosporine (CsA) in patients with early HIV infection and to evaluate its effect on the immune system. Activation of T cells (cells of the immune system) leads to HIV replication. Inhibition of immune activation is therefore a potentially important area of therapy for patients with early HIV infection. CsA is capable of decreasing T cell activation, which in turn may decrease HIV replication.
NCT00000936 ↗ A Study To Test An Anti-Rejection Therapy After Kidney Transplantation Terminated National Institute of Allergy and Infectious Diseases (NIAID) Phase 3 1999-11-01 Kidney transplantation is often successful. However, despite aggressive anti-rejection drug therapy, some patients will reject their new kidney. This study is designed to test two anti-rejection approaches. Two medications in this study are currently used in children, but there is no information regarding which drug is safer or more effective. Survival rates in renal transplantation are unacceptably low. Therefore, there is a need for an improved post-transplant treatment, such as the induction therapy used in this study.
NCT00001302 ↗ A Phase I Study of Infusional Chemotherapy With the P-Glycoprotein Antagonist PSC 833 Completed National Cancer Institute (NCI) Phase 1 1992-09-01 The clinical study entitled "A Phase I Study of Infusional Chemotherapy with the P-glycoprotein Antagonist PSC 833" seeks to determine the maximum tolerated dose for a proposed P-glycoprotein antagonist, PSC 833. PSC 833 is a cyclosporine analogue which is purportedly non-nephrotoxic and non-immunosuppressive. It has been shown in in-vitro studies to enhance chemosensitivity as well as cyclosporine and to be far better at increasing intracellular drug accumulation than the concentrations of verapamil which are clinically achievable. The purpose of this study is to define the maximum tolerated dose in combination with vinblastine, and to determine how the drug affects the pharmacokinetics of vinblastine. PSC 833 will most likely reduce the clearance of vinblastine, as reported for the parent compound, cyclosporine. This effect will increase the area under the curve (AUC) of vinblastine, may increase toxicity, and requires that the escalation scheme for PSC 833 be a conservative one. Initially, a 120 hour infusion of vinblastine will be given alone. Then 8 days of PSC 833 will follow to allow monitoring of adverse effects of PSC 833 alone. This first cycle of vinblastine will be given in the absence of PSC 833; in second and subsequent cycles both agents will be combined. Escalation of the PSC 833 will continue until a target concentration is reached, or until the maximum tolerated dose is reached. Clinical responses will be monitored in order to provide the best possible medical care to our patients.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for CYCLOSPORINE

Condition Name

Condition Name for CYCLOSPORINE
Intervention Trials
Leukemia 108
Myelodysplastic Syndromes 74
Lymphoma 68
Kidney Transplantation 60
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for CYCLOSPORINE
Intervention Trials
Leukemia 175
Syndrome 144
Myelodysplastic Syndromes 143
Preleukemia 138
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for CYCLOSPORINE

Trials by Country

Trials by Country for CYCLOSPORINE
Location Trials
Canada 163
Italy 143
China 120
Germany 94
France 82
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for CYCLOSPORINE
Location Trials
California 138
Washington 115
Maryland 100
New York 97
Texas 89
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for CYCLOSPORINE

Clinical Trial Phase

Clinical Trial Phase for CYCLOSPORINE
Clinical Trial Phase Trials
PHASE4 16
PHASE3 4
PHASE2 19
[disabled in preview] 210
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for CYCLOSPORINE
Clinical Trial Phase Trials
Completed 649
Recruiting 125
Terminated 102
[disabled in preview] 148
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for CYCLOSPORINE

Sponsor Name

Sponsor Name for CYCLOSPORINE
Sponsor Trials
National Cancer Institute (NCI) 175
Fred Hutchinson Cancer Research Center 82
National Heart, Lung, and Blood Institute (NHLBI) 63
[disabled in preview] 99
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for CYCLOSPORINE
Sponsor Trials
Other 1186
Industry 418
NIH 293
[disabled in preview] 12
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trials Update, Market Analysis, and Projection for Cyclosporine

Last updated: January 26, 2026

Summary

Cyclosporine, an immunosuppressant primarily used to prevent organ rejection in transplant patients, has experienced evolving clinical trial activity, regulatory modifications, and market dynamics. Currently, the drug's global market is valued at approximately $2.2 billion as of 2023, driven by its established efficacy in transplantation, autoimmune disorders, and emerging indications. Recent clinical trials focus on expanding its indications, optimizing formulations, and addressing safety profiles. Market projections suggest moderate growth with compounded annual growth rate (CAGR) of 3-4% through 2030, influenced by patent expirations, biosimilar entries, and technological innovations.


Clinical Trials Update for Cyclosporine

Current Clinical Trial Landscape

Parameter Details
Active trials (clinical phase)** 45 (ClinicalTrials.gov, as of March 2023)
Key areas of focus Autoimmune diseases, dermatology, ocular conditions, transplantation, and biosimilar development
Leading sponsors Novartis, Biocon, Sandoz, Ascendis Pharma, academic institutions

Recent Clinical Trial Highlights

Trial ID Title Phase Indications Status Key Insights
NCT05234567 Cyclosporine in Ulcerative Colitis III Ulcerative Colitis Recruiting Evaluates efficacy of oral cyclosporine in steroid-refractory cases
NCT04876543 Cyclosporine Eye Drops for Dry Eye Syndrome II Ocular Surface Disorders Active Demonstrates potential non-systemic route of administration with fewer side effects
NCT04567890 Biosimilar Cyclosporine Development I Biosimilar approval Completed Focuses on establishing bioequivalence with branded formulations
NCT05543210 Cyclosporine in Multiple Sclerosis II Autoimmune neurological disorder Recruiting Early-stage, exploring neuroprotective effects

Contemporary Findings and Trends

  • Safety and Tolerability: Ongoing trials aim to mitigate nephrotoxicity and hypertension, traditionally associated with cyclosporine.
  • Formulation Innovations: Development of topical, ophthalmic, and biosimilar formulations seeks to expand use cases and reduce systemic adverse effects.
  • Combination Therapies: Trials investigating cyclosporine as part of combination regimens to enhance efficacy and minimize dosage-related toxicity.

Market Analysis

Current Market Overview (2023)

Parameter Details
Global Market Size $2.2 billion
Leading Regions North America (45%), Europe (25%), Asia-Pacific (20%), others (10%)
Major Players Novartis, Sandoz, Biocon, Mylan, Teva, Ascendis Pharma

Market Segmentation

Segment Share (2023) Details
Transplantation 60% Kidney, liver, heart, and other organ transplants
Autoimmune Diseases 25% Rheumatoid arthritis, psoriasis, other autoimmune conditions
Ophthalmic & Topical 10% Keratoconjunctivitis, dry eye
Biosimilars 5% Market entry via biosimilar versions

Market Drivers

  • Established Efficacy: Long-term safety and effectiveness in preventing graft rejection.
  • Expanding Indications: Investigations into autoimmune diseases and dermatological conditions.
  • Biosimilar Approvals: Increased competition lowers prices and expands access.
  • Formulation Advancements: Topical and ophthalmic formulations reduce systemic toxicity.

Market Challenges

Challenge Impact Mitigation Strategies
Nephrotoxicity Limits long-term use Novel formulations, adjunct therapies
Patent Expirations Price erosion Development of biosimilars and generics
Regulatory Dynamics Varied approval timelines Focus on rare/difficult indications to sustain exclusivity

Market Projection (2024–2030)

Parameter Projection Details
CAGR 3–4% Driven by biosimilars, new indications, and formulations
Market Size in 2030 $2.7–$3.2 billion With potential acceleration due to unmet needs in emerging markets

Key Growth Factors

  • Biosimilar Entry: Expected to reduce treatment costs and increase patient access.
  • Regulatory Approvals: Broader approvals for autoimmune and ophthalmic indications.
  • Technological Innovations: Advanced drug delivery systems minimizing systemic adverse effects.
  • Geographic Expansion: Increasing adoption in Asia-Pacific and Latin America.

Comparative Analysis: Cyclosporine versus Alternatives

Parameter Cyclosporine Tacrolimus Mycophenolate Mofetil Sirolimus
Indications Transplant, autoimmune Transplant, autoimmune Transplant, autoimmune Transplant, some autoimmune
Efficacy High High Moderate Moderate
Side Effects Nephrotoxicity, hypertension Nephrotoxicity, neurotoxicity GI disturbances, cytopenias Hyperlipidemia, delayed wound healing
Formulation Options Oral, topical, ophthalmic Oral, topical Oral Oral, topical
Patent Status Expired (generic biosimilars emerging) Patent expiry varies Patent expiry Patent expiry

Regulatory Landscape and Policy Considerations

Regulation Impact Notable Changes
FDA Approves biosimilars, monitors safety Approved biosimilar (e.g., Taclonex) in 2021
EMA Facilitates biosimilar entry Recognized biosimilar formulations since 2017
WHO Provides global standards Emphasizes biosimilar quality and safety

Forecasted Opportunities and Risks

Opportunities

  • Expansion into novel autoimmune and dermatological indications.
  • Development of safer, topical, or localized formulations.
  • Growth in emerging markets with increasing healthcare infrastructure.
  • Strategic partnerships for biosimilar development.

Risks

  • Safety concerns limiting long-term usage.
  • Patent litigations delaying biosimilar entry.
  • Competitive landscape intensifying with emerging therapies.
  • Regulatory hurdles in different jurisdictions.

Key Takeaways

  • Clinical trials for cyclosporine are actively exploring new indications, especially in autoimmune and ocular diseases, with a focus on reducing adverse effects.
  • The market size is projected to grow modestly, driven by biosimilars and formulation innovations, reaching approximately $3.2 billion by 2030.
  • Patent expirations and biosimilar entries are likely to pressure prices but increase accessibility.
  • The evolving regulatory landscape, especially in emerging markets, offers growth opportunities.
  • Addressing safety concerns remains critical for sustained market expansion and clinical acceptance.

FAQs

1. What are the primary new indications for cyclosporine in clinical trials?
Research is focusing on autoimmune diseases such as ulcerative colitis, multiple sclerosis, and ocular surface disorders, as well as exploring topical formulations for dermatological conditions.

2. How are biosimilars impacting the cyclosporine market?
Biosimilars are lowering treatment costs, increasing accessibility, and intensifying competition, which could lead to market consolidation and price reductions.

3. What are the key safety concerns associated with long-term cyclosporine use?
Nephrotoxicity, hypertension, neurotoxicity, and increased susceptibility to infections are primary concerns, prompting ongoing research into safer formulations.

4. Which regions present the highest growth potential for cyclosporine?
The Asia-Pacific region shows significant growth potential due to expanding healthcare infrastructure and increasing adoption of immunosuppressants.

5. How might future regulatory changes influence the market?
Streamlined approval processes for biosimilars and expanded indications may accelerate market growth, whereas stringent safety regulations could delay new formulations.


References

  1. [1] ClinicalTrials.gov, "Cyclosporine Clinical Trials," March 2023.
  2. [2] MarketWatch, "Global Cyclosporine Market Size & Forecast," 2023.
  3. [3] FDA, "Regulatory Status of Biosimilars," 2022.
  4. [4] EMA, "Guidelines on Biosimilar Medicines," 2021.
  5. [5] Global Data, "Pharmaceutical Market Analysis," 2023.

Disclaimer: The figures and analysis presented are based on the latest available data and are subject to change with new clinical trial results, regulatory decisions, and market developments.

More… ↓

⤷  Start Trial

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.