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Last Updated: April 30, 2025

CLINICAL TRIALS PROFILE FOR CALCITONIN SALMON


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All Clinical Trials for Calcitonin Salmon

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00004358 ↗ Phase II Study of Calcitonin for Tumoral Calcinosis Completed Ann & Robert H Lurie Children's Hospital of Chicago Phase 2 1992-11-01 OBJECTIVES: I. Determine whether intermittent, long-term, subcutaneous administration of calcitonin increases phosphaturia, reduces hyperphosphatemia, and increases intact parathyroid hormone levels in patients with tumoral calcinosis. II. Determine whether calcitonin reduces or prevents tumor recurrence. III. Determine whether hyperphosphatemia abolishes the normal circadian pattern of serum phosphorus. IV. Determine how repetitive calcitonin administration alters the biochemical markers of bone metabolism in osteopenic patients with tumoral calcinosis.
NCT00004358 ↗ Phase II Study of Calcitonin for Tumoral Calcinosis Completed National Center for Research Resources (NCRR) Phase 2 1992-11-01 OBJECTIVES: I. Determine whether intermittent, long-term, subcutaneous administration of calcitonin increases phosphaturia, reduces hyperphosphatemia, and increases intact parathyroid hormone levels in patients with tumoral calcinosis. II. Determine whether calcitonin reduces or prevents tumor recurrence. III. Determine whether hyperphosphatemia abolishes the normal circadian pattern of serum phosphorus. IV. Determine how repetitive calcitonin administration alters the biochemical markers of bone metabolism in osteopenic patients with tumoral calcinosis.
NCT00239889 ↗ Efficacy and Safety of Salmon Calcitonin Nasal Spray in Improving Muscle Strength and Reducing Pain After Forearm Fracture in Postmenopausal Women Completed Novartis Phase 4 2002-03-01 Calcitonin has been used for many years for treating osteoporosis in postmenopausal women, and it has been shown that calcitonin reduces pain after spine and hip fracture in women with osteoporosis. Therefore, this study assesses the safety and efficacy of salmon calcitonin nasal spray on muscle strength after a forearm fracture, pain, quality of life and fracture healing in postmenopausal women.
NCT00372099 ↗ Bone Microstructure in Nasal Salmon Calcitonin Treated Postmenopausal Women Completed Rene Rizzoli Phase 3 2007-01-01 Calcitonin has been used for many years for treating osteoporosis in postmenopausal women. Recent data from the 2 years placebo-controlled QUEST study have shown a preservation of microarchitecture as measured by high resolution MRI in postmenopausal women with prevalent vertebral fractures at baseline.This pilot study should provide additional new insights in the mode of action of nasal calcitonin, on structural changes as measured by high resolution peripheral CT, and on the comparison between weight bearing and non weight bearing bones in postmenopausal women.
NCT00376311 ↗ Effects of Oral Salmon Calcitonin in Human Osteoarthritis Terminated Novartis Phase 2 2002-09-01 To assess the safety, tolerability and clinical efficacy of oral salmon calcitonin in patients suffering from osteoarthritis
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Calcitonin Salmon

Condition Name

Condition Name for Calcitonin Salmon
Intervention Trials
Osteoarthritis 4
Osteoporosis 3
Osteoporosis, Post-Menopausal 2
Osteoporosis, Postmenopausal 2
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Condition MeSH

Condition MeSH for Calcitonin Salmon
Intervention Trials
Osteoporosis 10
Osteoporosis, Postmenopausal 7
Osteoarthritis 4
Osteoarthritis, Knee 2
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Clinical Trial Locations for Calcitonin Salmon

Trials by Country

Trials by Country for Calcitonin Salmon
Location Trials
United States 32
United Kingdom 8
Denmark 7
Poland 4
Czech Republic 3
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Trials by US State

Trials by US State for Calcitonin Salmon
Location Trials
Missouri 5
Maryland 3
California 3
Pennsylvania 2
Alabama 2
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Clinical Trial Progress for Calcitonin Salmon

Clinical Trial Phase

Clinical Trial Phase for Calcitonin Salmon
Clinical Trial Phase Trials
Phase 4 4
Phase 3 9
Phase 2 6
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Clinical Trial Status

Clinical Trial Status for Calcitonin Salmon
Clinical Trial Phase Trials
Completed 18
Terminated 2
Recruiting 1
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Clinical Trial Sponsors for Calcitonin Salmon

Sponsor Name

Sponsor Name for Calcitonin Salmon
Sponsor Trials
Novartis 9
Tarsa Therapeutics, Inc. 4
Eli Lilly and Company 4
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Sponsor Type

Sponsor Type for Calcitonin Salmon
Sponsor Trials
Industry 21
Other 7
NIH 1
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Calcitonin Salmon: Clinical Trials, Market Analysis, and Projections

Introduction to Calcitonin Salmon

Calcitonin salmon, a synthetic form of the hormone calcitonin found in salmon, is widely used in the treatment of osteoporosis and other bone-related disorders. It is synthesized through recombinant DNA technology and helps in regulating calcium levels, reducing bone resorption, improving bone density, and preventing fractures. It is available in various forms, including nasal sprays, injections, and tablets[2].

Clinical Trials and Safety Concerns

Recent Clinical Trial Findings

Recent clinical trials have prompted significant scrutiny of calcitonin-salmon products. A meta-analysis of 21 randomized, controlled clinical trials indicated an increased risk of malignancies in patients treated with calcitonin-salmon compared to those treated with a placebo. The overall incidence of malignancies was 4.1% in the calcitonin-salmon group versus 2.9% in the placebo group. Although the data did not establish a definitive causal relationship between calcitonin-salmon use and malignancies, it has led to a careful re-evaluation of the benefits and risks associated with this treatment[1][4].

FDA Review and Advisory Committee

In response to these findings, the FDA held an Advisory Committee meeting in March 2013 to discuss the potential overall cancer risk and the evidence of efficacy in postmenopausal osteoporosis. The FDA continues to monitor and re-evaluate the safety and efficacy of calcitonin-salmon products as more information becomes available[2].

Patient Safety and Treatment Continuation

Despite the safety concerns, the FDA has chosen to keep calcitonin-salmon products on the market, providing options for patients who cannot or do not want to use other treatments for osteoporosis. Patients currently taking calcitonin-salmon containing medicines are advised to discuss their treatment with healthcare professionals to assess the benefits and risks of continued therapy[1][4].

Market Analysis

Market Overview

The Calcitonin Salmon market is experiencing substantial growth driven by factors such as the increasing prevalence of osteoporosis, rising demand for advanced treatments, and growing awareness about bone health. The market is characterized by the presence of several key players involved in research and development activities to introduce innovative products[2].

Key Market Drivers

  • Demographic Factors: The aging population is a significant driver, as older individuals are more prone to osteoporosis.
  • Technological Advancements: Improvements in drug delivery systems and medical technology are enhancing treatment efficacy and patient compliance.
  • Regulatory Environment: Favorable regulatory policies in regions like North America and Europe support market growth.
  • Healthcare Infrastructure: Improving healthcare infrastructure in emerging markets such as Asia-Pacific and Latin America is also driving growth[2][5].

Regional Analysis

  • North America: This region holds a significant share due to a large aging population, high healthcare expenditure, and favorable reimbursement policies.
  • Europe: High prevalence of osteoporosis and increasing awareness about bone health contribute to market growth in this region.
  • Asia-Pacific: Countries like China, Japan, and India are key contributors due to the increasing aging population and rising disposable income.
  • Latin America: Brazil, Mexico, and Argentina are significant markets driven by the growing geriatric population and increasing healthcare expenditure[2].

Market Projections

Growth Forecast

The Calcitonin Salmon market is expected to witness significant growth during the forecast period, driven by the increasing prevalence of osteoporosis, growing awareness about bone health, and technological advancements in drug delivery systems. The market is anticipated to grow at a CAGR of around 7.5% from 2021 to 2028[3].

Future Outlook

The future outlook for the Calcitonin Salmon market appears promising, with sustained growth expected particularly in emerging regions. Continued research and development efforts, strategic collaborations, and focus on patient education are likely to contribute to market expansion. However, industry participants must remain vigilant about evolving regulatory guidelines and competition from alternative treatment options[2][5].

Challenges and Opportunities

Safety Concerns and Regulatory Compliance

Despite the growth, the market faces challenges related to safety concerns, particularly the potential association between calcitonin-salmon use and malignancies. Regulatory compliance and the need for periodic re-evaluation of treatment benefits and risks are also significant considerations[1][4].

Availability of Alternatives

The presence of alternative treatments for osteoporosis poses a challenge to the Calcitonin Salmon market. However, for patients who cannot or do not want to use these alternatives, calcitonin-salmon remains a viable option[4].

Emerging Markets and Product Development

Emerging markets, such as those in Asia-Pacific and Latin America, present significant growth opportunities. Product development, including innovative drug delivery systems, and strategic collaborations are expected to drive market growth further[2][5].

Key Takeaways

  • Clinical Trials: Recent trials have highlighted an increased risk of malignancies associated with calcitonin-salmon, prompting careful re-evaluation of its use.
  • Market Growth: The market is driven by demographic factors, technological advancements, and growing awareness about bone health.
  • Regional Analysis: North America, Europe, and Asia-Pacific are key regions contributing to market growth.
  • Future Outlook: The market is expected to grow significantly, driven by emerging markets and continued research and development.
  • Challenges: Safety concerns, regulatory compliance, and competition from alternatives are key challenges.

FAQs

What are the primary indications for calcitonin-salmon treatment?

Calcitonin-salmon is primarily indicated for the treatment of symptomatic Paget’s disease of bone, hypercalcemia, and postmenopausal osteoporosis in women greater than 5 years postmenopause when alternative treatments are not suitable[4].

What are the safety concerns associated with calcitonin-salmon?

The primary safety concern is the potential increased risk of malignancies, as indicated by a meta-analysis of clinical trials. However, a definitive causal relationship has not been established[1][4].

Why is the FDA continuing to allow the use of calcitonin-salmon despite safety concerns?

The FDA continues to allow the use of calcitonin-salmon because there is no conclusive evidence of a causal relationship between the drug and cancer. It provides an option for patients who cannot or do not want to use other treatments for osteoporosis[1][4].

What are the key drivers of the Calcitonin Salmon market?

The key drivers include the increasing prevalence of osteoporosis, technological advancements in drug delivery systems, favorable regulatory policies, and improving healthcare infrastructure in emerging markets[2][5].

What is the projected growth rate of the Calcitonin Salmon market?

The market is expected to grow at a CAGR of around 7.5% during the forecast period, driven by the increasing prevalence of osteoporosis and technological advancements[3].

Sources

  1. FDA: Changes to the Indicated Population for Miacalcin (calcitonin-salmon) - https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-changes-indicated-population-miacalcin-calcitonin-salmon
  2. MarkWide Research: Calcitonin Salmon market 2024-2032 | Size, Share, Growth - https://markwideresearch.com/calcitonin-salmon-market/
  3. DataIntelo: Calcitonin Injection Market Report | Global Forecast From 2023 To ... - https://dataintelo.com/report/calcitonin-injection-market
  4. Aetna: Calcitonin Injection - Medical Clinical Policy Bulletins - http://www.aetna.com/cpb/medical/data/800_899/0803.html
  5. Market Research Intellect: Calcitonin (salmon) Sales Market Size, Scope And Forecast Report - https://www.marketresearchintellect.com/product/global-calcitonin-salmon-sales-market/

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