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Last Updated: February 12, 2025

CLINICAL TRIALS PROFILE FOR CEFTRIAXONE SODIUM


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505(b)(2) Clinical Trials for Ceftriaxone Sodium

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 Formulation NCT00244777 ↗ Introduction of Hypo-osmolar ORS for Routine Use Completed United States Agency for International Development (USAID) Phase 4 2002-12-01 The World Health Organization has very recently recommended the routine use of a hypo-osmolar ORS in the management of diarrhoeal diseases. This recommendation is based on the better efficacy of the hypo-osmolar ORS over the standard WHO ORS demonstrated in controlled clinical trials. The recommendation, however, also expressed the need for "careful monitoring to better assess risk, if any, of symptomatic hyponatraemia". There thus is a need for phase IV trials before the new solution is introduced into routine clinical practice to assess the risk in relatively large number of patient populations. The proposed study will be carried out at two different settings- at the urban settings of the Dhaka Hospital (60000 patients) and at the rural settings of the Matlab Hospital (15000 patients) of ICDDR,B. The hypo-osmolar rice or glucose-based ORS will be introduced as standard management of patients with diarrhoea . The hypo-osmolar ORS will contain 75 mmol /L of sodium instead of 90 mmol/L. Surveillance will be carried out to detect adverse events focusing on the occurrence of seizures or undue lethargy during hospitalization. Each episode of seizure or undue lethargy would be evaluated to determine if they are associated with abnormal levels of serum sodium or glucose, or fever. It has been estimated that about 3% (1,800) of patients initially admitted to the Short Stay Ward of the Dhaka Hospital, and 340 patients at the Matlab Hospital might require admission to the longer stay inpatient wards due to seizure or altered consciousness. Such patients would be thoroughly assessed including determination of their serum sodium and glucose, two common causes of seizures/altered consciousness, to determine if and to what extent they could be attributed to hyponatraemia.The results from this study would be used in planning and implementing the routine use of the new formulation of ORS at all Government, NGO and private health care facilities that treat diarrhoeal patients, in Bangladesh and in other countries.
New Formulation NCT00244777 ↗ Introduction of Hypo-osmolar ORS for Routine Use Completed International Centre for Diarrhoeal Disease Research, Bangladesh Phase 4 2002-12-01 The World Health Organization has very recently recommended the routine use of a hypo-osmolar ORS in the management of diarrhoeal diseases. This recommendation is based on the better efficacy of the hypo-osmolar ORS over the standard WHO ORS demonstrated in controlled clinical trials. The recommendation, however, also expressed the need for "careful monitoring to better assess risk, if any, of symptomatic hyponatraemia". There thus is a need for phase IV trials before the new solution is introduced into routine clinical practice to assess the risk in relatively large number of patient populations. The proposed study will be carried out at two different settings- at the urban settings of the Dhaka Hospital (60000 patients) and at the rural settings of the Matlab Hospital (15000 patients) of ICDDR,B. The hypo-osmolar rice or glucose-based ORS will be introduced as standard management of patients with diarrhoea . The hypo-osmolar ORS will contain 75 mmol /L of sodium instead of 90 mmol/L. Surveillance will be carried out to detect adverse events focusing on the occurrence of seizures or undue lethargy during hospitalization. Each episode of seizure or undue lethargy would be evaluated to determine if they are associated with abnormal levels of serum sodium or glucose, or fever. It has been estimated that about 3% (1,800) of patients initially admitted to the Short Stay Ward of the Dhaka Hospital, and 340 patients at the Matlab Hospital might require admission to the longer stay inpatient wards due to seizure or altered consciousness. Such patients would be thoroughly assessed including determination of their serum sodium and glucose, two common causes of seizures/altered consciousness, to determine if and to what extent they could be attributed to hyponatraemia.The results from this study would be used in planning and implementing the routine use of the new formulation of ORS at all Government, NGO and private health care facilities that treat diarrhoeal patients, in Bangladesh and in other countries.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Ceftriaxone Sodium

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000648 ↗ A Pilot Study Evaluating Penicillin G and Ceftriaxone as Therapies for Presumed Neurosyphilis in HIV Seropositive Individuals Completed Hoffmann-La Roche N/A 1969-12-31 To provide information on the response of HIV infected, neurosyphilis patients to the currently recommended treatment for neurosyphilis; to determine whether possible co-infection with both HIV and syphilis makes more difficult the diagnosis of syphilis; to explore the usefulness of an alternative treatment which, if effective, would permit outpatient treatment for neurosyphilis that until now required prolonged hospitalization. Studies suggest that syphilis treatment failures may be more common in HIV infected patients than in patients without HIV infection and that treatment failures occur due to and/or are displayed as central nervous system (CNS) involvement. Very little is known about the best treatment course for neurosyphilis in patients who are also infected with HIV.
NCT00000648 ↗ A Pilot Study Evaluating Penicillin G and Ceftriaxone as Therapies for Presumed Neurosyphilis in HIV Seropositive Individuals Completed National Institute of Allergy and Infectious Diseases (NIAID) N/A 1969-12-31 To provide information on the response of HIV infected, neurosyphilis patients to the currently recommended treatment for neurosyphilis; to determine whether possible co-infection with both HIV and syphilis makes more difficult the diagnosis of syphilis; to explore the usefulness of an alternative treatment which, if effective, would permit outpatient treatment for neurosyphilis that until now required prolonged hospitalization. Studies suggest that syphilis treatment failures may be more common in HIV infected patients than in patients without HIV infection and that treatment failures occur due to and/or are displayed as central nervous system (CNS) involvement. Very little is known about the best treatment course for neurosyphilis in patients who are also infected with HIV.
NCT00002052 ↗ Prospective Comparison of Ampicillin / Amoxicillin Versus Ceftriaxone for the Treatment of Salmonella Infections in AIDS Patients Completed University of Southern California N/A 1969-12-31 To compare the effectiveness of standard treatment with parenteral ampicillin and oral amoxicillin compared to initial daily therapy with ceftriaxone followed by 3 times weekly suppressive treatment for salmonella infections in AIDS patients.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Ceftriaxone Sodium

Condition Name

Condition Name for Ceftriaxone Sodium
Intervention Trials
Surgical Site Infection 3
Diverticulitis 2
HIV Infections 2
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Condition MeSH

Condition MeSH for Ceftriaxone Sodium
Intervention Trials
Infections 10
Infection 9
Communicable Diseases 9
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Clinical Trial Locations for Ceftriaxone Sodium

Trials by Country

Trials by Country for Ceftriaxone Sodium
Location Trials
United States 47
Japan 15
Canada 4
Brazil 3
India 3
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Trials by US State

Trials by US State for Ceftriaxone Sodium
Location Trials
Massachusetts 3
Connecticut 3
California 3
Texas 3
Ohio 3
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Clinical Trial Progress for Ceftriaxone Sodium

Clinical Trial Phase

Clinical Trial Phase for Ceftriaxone Sodium
Clinical Trial Phase Trials
Phase 4 8
Phase 3 5
Phase 2/Phase 3 2
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Clinical Trial Status

Clinical Trial Status for Ceftriaxone Sodium
Clinical Trial Phase Trials
Completed 15
Not yet recruiting 3
Recruiting 3
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Clinical Trial Sponsors for Ceftriaxone Sodium

Sponsor Name

Sponsor Name for Ceftriaxone Sodium
Sponsor Trials
Merck Sharp & Dohme Corp. 2
Wyeth is now a wholly owned subsidiary of Pfizer 2
International Centre for Diarrhoeal Disease Research, Bangladesh 2
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Sponsor Type

Sponsor Type for Ceftriaxone Sodium
Sponsor Trials
Other 18
Industry 11
NIH 1
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Ceftriaxone Sodium: Clinical Trials, Market Analysis, and Projections

Introduction to Ceftriaxone Sodium

Ceftriaxone sodium is a broad-spectrum antibiotic widely used in the treatment of various bacterial infections, including pneumonia, meningitis, sepsis, and urinary tract infections. Its efficacy and broad spectrum of activity make it a crucial component in modern healthcare.

Clinical Trials and Development

Subcutaneous Administration

A significant development in the administration of ceftriaxone sodium is the subcutaneous route. scPharmaceuticals conducted a pivotal clinical trial in the US to evaluate the efficacy and safety of subcutaneous ceftriaxone compared to intravenous administration. The study demonstrated non-inferior antimicrobial coverage, highlighting the potential to eliminate the need for long-term IV catheters and reduce associated complications and costs[1].

Ongoing Research and Trials

Several pharmaceutical companies, including major players like Roche and Novartis, are continuously investing in research and development to expand the therapeutic applications of ceftriaxone. For instance, Novartis is exploring new indications such as intra-abdominal infections and acute bacterial otitis media, which are expected to contribute to market growth[4].

Market Analysis

Global Market Size and Growth

The global ceftriaxone sodium market is projected to experience significant growth over the coming years. According to Fact.MR, the market is expected to grow from $339.44 million in 2024 to $821.62 million by 2034, with a Compound Annual Growth Rate (CAGR) of 9.2% during this period[2].

Regional Market Outlook

  • North America: This region is anticipated to maintain its position as the highest revenue-generating market, driven by a robust healthcare system and a high prevalence of bacterial infections. North America is expected to account for approximately 35.6% of the global market share in 2024[2].
  • Asia-Pacific: This region is forecasted to witness the highest CAGR, driven by the increasing burden of bacterial infections and improving healthcare infrastructure[4].
  • Western Europe: Countries such as Germany, France, and the UK are showing bullish sentiments due to the increasing use of ceftriaxone sodium to treat serious bacterial infections[2].

Market Segmentation

  • Product Type: High-purity ceftriaxone sodium (> 99.8%) is in high demand due to its exceptional qualities and ability to cure serious bacterial infections. This segment is estimated to hold a significant portion of the revenue share[2].
  • Indications: The pneumonia segment currently dominates the market, but acute bacterial otitis media is expected to exhibit the highest CAGR during the forecast period, reflecting evolving therapeutic needs[4].

Market Drivers

Efficacy in Treating Multi-Drug Resistant Infections

Ceftriaxone's effectiveness against a broad spectrum of bacteria, including those resistant to other antibiotics, is a major driver of its market growth. This is particularly significant in healthcare settings where stronger medicines are prioritized[4].

Growing Incidence of Bacterial Infections

The increasing prevalence of bacterial infections such as urinary tract infections, pneumonia, and others drives the demand for ceftriaxone sodium. Major pharmaceutical companies like Pfizer have played a crucial role in raising awareness about the importance of timely and effective treatment[4].

Expansion of Indications and Therapeutic Applications

Continuous exploration of new therapeutic applications for ceftriaxone, such as intra-abdominal infections and acute bacterial otitis media, is an emerging driver in the market. Clinical trials and real-world evidence support ceftriaxone's potential in these areas[4].

Market Restraints

Antibiotic Stewardship Challenges and Resistance Concerns

Despite its efficacy, the ceftriaxone market faces challenges related to antibiotic stewardship and resistance concerns. The overuse and misuse of antibiotics have led to the development of resistant bacterial strains, necessitating effective stewardship programs to mitigate these concerns[4].

Key Takeaways

  • Clinical Trials: Subcutaneous administration of ceftriaxone sodium has shown promising results, reducing the need for IV catheters and associated complications.
  • Market Growth: The global ceftriaxone sodium market is projected to grow significantly, driven by its efficacy in treating multi-drug resistant infections and the growing incidence of bacterial infections.
  • Regional Outlook: North America and Asia-Pacific are key regions driving market growth due to robust healthcare systems and increasing healthcare infrastructure.
  • Market Drivers: Efficacy against resistant infections, growing incidence of bacterial infections, and expansion of therapeutic applications are major drivers.
  • Market Restraints: Antibiotic stewardship challenges and resistance concerns remain significant restraints.

FAQs

What is the projected growth rate of the ceftriaxone sodium market from 2024 to 2034?

The ceftriaxone sodium market is expected to grow at a CAGR of 9.2% from 2024 to 2034[2].

Which region is expected to dominate the ceftriaxone sodium market in terms of revenue?

North America is anticipated to maintain its position as the highest revenue-generating region due to its robust healthcare system and high prevalence of bacterial infections[2].

What are the primary drivers of the ceftriaxone sodium market?

The primary drivers include its efficacy in treating multi-drug resistant infections, the growing incidence of bacterial infections, and the expansion of therapeutic applications[4].

What are the main challenges facing the ceftriaxone sodium market?

The main challenges include antibiotic stewardship challenges and concerns about antibiotic resistance[4].

Which segment is expected to exhibit the highest CAGR in the ceftriaxone sodium market by indication?

The acute bacterial otitis media segment is expected to exhibit the highest CAGR during the forecast period[4].

Sources

  1. Biospace: "scPharmaceuticals Announces Positive Results from Pivotal Trial of Second Program: Subcutaneous Ceftriaxone for Treatment of Bacterial Infections"
  2. Fact.MR: "Ceftriaxone Sodium Market Size, Share & Statistics 2034"
  3. Biospace: "Ceftriaxone Sodium Market Size, Share, Growth, Trends, Report 2022-2030"
  4. GlobeNewswire: "Ceftriaxone Industry Research 2024: Effective Treatment of Multi-Drug Resistant Infections Bolsters Growth - Global Forecasts to 2032"

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