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Last Updated: January 15, 2025

CLINICAL TRIALS PROFILE FOR CETIRIZINE HYDROCHLORIDE ALLERGY


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505(b)(2) Clinical Trials for Cetirizine Hydrochloride Allergy

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
OTC NCT02024152 ↗ Safety, Tolerability and Pharmacokinetics Trial of JDP-205 Injection 10 mg Completed Algorithme Pharma Inc Phase 1 2011-03-01 This study is to investigate the pharmacokinetics (PK) together with the safety and tolerability of JDP-205 at 5 mg and 10 mg intravenous doses and 10 mg intramuscular dose, in comparison to the marketed cetirizine oral product Zyrtec® 10 mg tablets (an OTC product) in healthy male and female volunteers after a single dose administration.
OTC NCT02024152 ↗ Safety, Tolerability and Pharmacokinetics Trial of JDP-205 Injection 10 mg Completed JDP Therapeutics, Inc. Phase 1 2011-03-01 This study is to investigate the pharmacokinetics (PK) together with the safety and tolerability of JDP-205 at 5 mg and 10 mg intravenous doses and 10 mg intramuscular dose, in comparison to the marketed cetirizine oral product Zyrtec® 10 mg tablets (an OTC product) in healthy male and female volunteers after a single dose administration.
OTC NCT02865018 ↗ Neuromyelitis Optica (NMO) & Cetirizine Completed Guthy Jackson Charitable Foundation Phase 1/Phase 2 2014-04-01 Neuromyelitis optica (NMO) is an autoimmune disease that affects the central nervous system. Patients have relapses (also known as attacks) which are often quite severe and leave them with significant disability. Without treatment, within 5 years 50% of NMO patients are blind in one or both eyes or require walking assistance (cane, walker or wheelchair). NMO has only been relatively recently described and is fairly rare. Most NMO patients' immune systems produce abnormal antibodies against aquaporin-4 (AQP4), which is found in certain cells in the central nervous system. When these AQP4 antibodies bind to AQP4, they trigger a cascade of events involving the immune system which eventually leads to damage to the nervous system. This ultimately leads to disability, some of which is permanent. Until now, treatments for NMO have been mostly focused on decreasing production of this AQP4 antibody. However, recent experiments in animal models of NMO have shown the importance of what happens inside the central nervous system after the antibody binds to the nervous system cell. Specifically, researchers have noted the importance of a specific cell type, eosinophils, in causing damage in NMO lesions. In a recent study, researchers showed they could prevent damage from NMO by blocking eosinophils using cetirizine, which is a popular over-the-counter allergy medicine. Cetirizine is already known to be safe and well-tolerated in the general population. In this study, the researchers plan to add cetirizine on to patients' current NMO treatment. The researchers aim to show that it is safe, well-tolerated, and that with cetirizine, NMO patients have less relapses and therefore less disability over the course of the year following initiation of treatment. The researchers also plan to study how cetirizine changes the immunological profile in NMO patients by examining blood and cerebrospinal fluid.
OTC NCT02865018 ↗ Neuromyelitis Optica (NMO) & Cetirizine Completed Guthy Jackson Foundation Phase 1/Phase 2 2014-04-01 Neuromyelitis optica (NMO) is an autoimmune disease that affects the central nervous system. Patients have relapses (also known as attacks) which are often quite severe and leave them with significant disability. Without treatment, within 5 years 50% of NMO patients are blind in one or both eyes or require walking assistance (cane, walker or wheelchair). NMO has only been relatively recently described and is fairly rare. Most NMO patients' immune systems produce abnormal antibodies against aquaporin-4 (AQP4), which is found in certain cells in the central nervous system. When these AQP4 antibodies bind to AQP4, they trigger a cascade of events involving the immune system which eventually leads to damage to the nervous system. This ultimately leads to disability, some of which is permanent. Until now, treatments for NMO have been mostly focused on decreasing production of this AQP4 antibody. However, recent experiments in animal models of NMO have shown the importance of what happens inside the central nervous system after the antibody binds to the nervous system cell. Specifically, researchers have noted the importance of a specific cell type, eosinophils, in causing damage in NMO lesions. In a recent study, researchers showed they could prevent damage from NMO by blocking eosinophils using cetirizine, which is a popular over-the-counter allergy medicine. Cetirizine is already known to be safe and well-tolerated in the general population. In this study, the researchers plan to add cetirizine on to patients' current NMO treatment. The researchers aim to show that it is safe, well-tolerated, and that with cetirizine, NMO patients have less relapses and therefore less disability over the course of the year following initiation of treatment. The researchers also plan to study how cetirizine changes the immunological profile in NMO patients by examining blood and cerebrospinal fluid.
OTC NCT02865018 ↗ Neuromyelitis Optica (NMO) & Cetirizine Completed Icahn School of Medicine at Mount Sinai Phase 1/Phase 2 2014-04-01 Neuromyelitis optica (NMO) is an autoimmune disease that affects the central nervous system. Patients have relapses (also known as attacks) which are often quite severe and leave them with significant disability. Without treatment, within 5 years 50% of NMO patients are blind in one or both eyes or require walking assistance (cane, walker or wheelchair). NMO has only been relatively recently described and is fairly rare. Most NMO patients' immune systems produce abnormal antibodies against aquaporin-4 (AQP4), which is found in certain cells in the central nervous system. When these AQP4 antibodies bind to AQP4, they trigger a cascade of events involving the immune system which eventually leads to damage to the nervous system. This ultimately leads to disability, some of which is permanent. Until now, treatments for NMO have been mostly focused on decreasing production of this AQP4 antibody. However, recent experiments in animal models of NMO have shown the importance of what happens inside the central nervous system after the antibody binds to the nervous system cell. Specifically, researchers have noted the importance of a specific cell type, eosinophils, in causing damage in NMO lesions. In a recent study, researchers showed they could prevent damage from NMO by blocking eosinophils using cetirizine, which is a popular over-the-counter allergy medicine. Cetirizine is already known to be safe and well-tolerated in the general population. In this study, the researchers plan to add cetirizine on to patients' current NMO treatment. The researchers aim to show that it is safe, well-tolerated, and that with cetirizine, NMO patients have less relapses and therefore less disability over the course of the year following initiation of treatment. The researchers also plan to study how cetirizine changes the immunological profile in NMO patients by examining blood and cerebrospinal fluid.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Cetirizine Hydrochloride Allergy

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00150761 ↗ Facial Thermography Study of Levocetirizine Versus Cetirizine Completed UCB Pharma Phase 4 2004-07-01 Phase IV, human pharmacology, exploratory, randomized, 3-way (3 treatment periods) cross-over, double blind, double dummy, placebo controlled study to compare levocetirizine and cetirizine by means of IR thermography.
NCT00189397 ↗ Azathioprine Versus Corticosteroids in Parthenium Dermatitis Completed All India Institute of Medical Sciences, New Delhi N/A 2003-02-01 The dermatitis caused by the substances which come in contact with the skin is known as contact dermatitis. When such a reaction is caused by the agents suspended in the air, it is called air-borne contact dermatitis (ABCD). Parthenium hysterophorus at present is the commonest cause of ABCD in India though in some cases other plants have also been found to cause ABCD. Parthenium dermatitis is one of the major health problems in dermatology in our country. Though it has very little mortality, the disease normally continues to persist with variable remissions and relapses causing great distress and morbidity. Corticosteroids, topical and systemic have been the mainstay of the treatment so far. Therefore, the patients with ABCD who have to take corticosteroids for long periods of time tend to develop severe and sometimes irreversible side effects of the therapy. Azathioprine is an immunosuppressive drug which acts by inhibiting the T lymphocytes. In our previous studies we have been able to induce remissions in these patients with azathioprine used as daily as well as monthly bolus dose, without having to use systemic corticosteroids. The side effect with azathioprine in these studies were almost absent. We have therefore planned to study the therapeutic efficacy of azathioprine weekly pulse doses versus daily azathioprine in achieving remissions in patients having Parthenium dermatitis and to monitor the side effects of both the regimens.
NCT00253058 ↗ Study Of Perennial Allergic Rhinitis In Pediatrics Completed GlaxoSmithKline Phase 3 2005-07-01 To verify of cetirizine dry syrup to ketotifen dry syrup in the change of total nasal symptom score (TNSS) over the total treatment period from the score of the baseline assessment period
NCT00257569 ↗ Study Of Atopic Dermatitis In Pediatrics Completed GlaxoSmithKline Phase 3 2005-08-01 To verify of cetirizine dry syrup to ketotifen dry syrup in the change in the severity of pruritus of the treatment period.
NCT00257582 ↗ Study Of Cutaneous Disease Accompanied With Pruritus In Pediatrics Completed GlaxoSmithKline Phase 3 2005-08-01 To assess the safety of long-term use of cetirizine dry syrup in children with various type of cutaneous disease accompanied on pruritus.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Cetirizine Hydrochloride Allergy

Condition Name

Condition Name for Cetirizine Hydrochloride Allergy
Intervention Trials
Allergic Rhinitis 11
Healthy 9
Seasonal Allergic Rhinitis 9
Urticaria 6
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Condition MeSH

Condition MeSH for Cetirizine Hydrochloride Allergy
Intervention Trials
Rhinitis 34
Rhinitis, Allergic 33
Rhinitis, Allergic, Seasonal 15
Urticaria 12
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Clinical Trial Locations for Cetirizine Hydrochloride Allergy

Trials by Country

Trials by Country for Cetirizine Hydrochloride Allergy
Location Trials
United States 56
Canada 13
Germany 5
France 3
Japan 3
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Trials by US State

Trials by US State for Cetirizine Hydrochloride Allergy
Location Trials
Texas 9
Massachusetts 4
Maryland 4
Indiana 3
California 3
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Clinical Trial Progress for Cetirizine Hydrochloride Allergy

Clinical Trial Phase

Clinical Trial Phase for Cetirizine Hydrochloride Allergy
Clinical Trial Phase Trials
Phase 4 24
Phase 3 21
Phase 2/Phase 3 3
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Clinical Trial Status

Clinical Trial Status for Cetirizine Hydrochloride Allergy
Clinical Trial Phase Trials
Completed 69
Recruiting 10
Unknown status 4
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Clinical Trial Sponsors for Cetirizine Hydrochloride Allergy

Sponsor Name

Sponsor Name for Cetirizine Hydrochloride Allergy
Sponsor Trials
GlaxoSmithKline 12
UCB Pharma 6
Merck Sharp & Dohme Corp. 5
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Sponsor Type

Sponsor Type for Cetirizine Hydrochloride Allergy
Sponsor Trials
Industry 69
Other 48
NIH 2
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Cetirizine Hydrochloride: A Comprehensive Overview of Clinical Trials, Market Analysis, and Projections

Introduction to Cetirizine Hydrochloride

Cetirizine hydrochloride is a widely used antihistamine belonging to the class of H1 receptor antagonists. It is employed to treat a variety of allergic conditions, including allergic rhinitis, allergic conjunctivitis, and hives. Here, we will delve into the current state of clinical trials, market analysis, and future projections for this medication.

Mechanism and Therapeutic Use

Cetirizine hydrochloride works by blocking the action of histamine, a natural chemical in the body that causes allergy symptoms such as sneezing, watery eyes, and a runny nose. Its efficacy and safety profile have made it a staple in both prescription and over-the-counter (OTC) treatments for allergies[5].

Clinical Trials Update

Several clinical trials have been conducted to evaluate the efficacy and safety of cetirizine hydrochloride in various settings.

  • Randomized, Double-Blind, Placebo-Controlled Studies: A notable study involved a multi-center, randomized, double-blind, placebo-controlled trial to assess the efficacy and safety of cetirizine hydrochloride in patients with seasonal allergic rhinitis and concomitant mild to moderate asthma. This study highlighted the drug's effectiveness in managing symptoms of allergic rhinitis and asthma[4].

  • Phase III Clinical Studies: Another significant study was a phase III clinical trial that focused on the efficacy and safety of cetirizine hydrochloride injection. This trial was designed to evaluate the drug's performance in a clinical setting, ensuring its safety and efficacy for patients requiring injectable antihistamine treatment[1].

Market Analysis

The global market for cetirizine hydrochloride is substantial and growing due to several key factors.

Market Size and Forecast

  • As of 2023, the global market for cetirizine hydrochloride was estimated to be worth US$ 839.2 million. It is forecasted to reach US$ 945.6 million by 2030, with a Compound Annual Growth Rate (CAGR) of 1.7% during the forecast period of 2024-2030[2].

  • Another projection indicates that the market could reach US$ 8.0 billion by 2034, growing at a CAGR of 2.6% from 2024 to 2034. This growth is driven by the increasing prevalence of allergic diseases and the drug's adaptability across various demographics[3].

Key Drivers

  • Rising Allergy Prevalence: The global increase in allergic diseases such as eczema, food allergies, and allergic rhinitis is a significant driver. For instance, over 1 in 4 American children and over 1 in 3 American adults reported having a food allergy, eczema, or seasonal allergy in 2021[3].

  • Public Awareness: Expanding public knowledge of allergies and available treatments is another key driver. Increased awareness makes it easier for people to identify allergy symptoms and seek professional diagnosis and treatment[3].

Market Segmentation

  • By Type: The market is segmented into tablets, capsules, and solutions. These forms cater to different patient needs and preferences, contributing to the drug's widespread use[2].

  • By Application: Cetirizine hydrochloride is used in various settings, including hospitals, clinics, and drug stores. Its availability over-the-counter (OTC) at pharmacies and supermarkets further enhances its accessibility[3].

Regional Insights

  • North America: This region holds a dominant position due to the high prevalence of hay fever and allergic conjunctivitis. The economic burden of allergic diseases on the population also contributes to the market growth in this region[5].

  • Asia Pacific: This region is expected to witness the fastest revenue growth due to an aging population, increased disposable income, and rising allergy awareness. Developing nations in this region offer significant market potential[3].

  • Europe and Latin America: These regions are also experiencing steady growth due to an aging population and increasing healthcare spending, respectively[3].

Key Players

The market for cetirizine hydrochloride is competitive, with several major players involved.

  • Johnson & Johnson: Known for its Zyrtec brand, which includes a range of cetirizine hydrochloride products, including oral dissolvable tablets[5].

  • UCB Pharma, GSK, Teva: These companies are among the leading manufacturers and distributors of cetirizine hydrochloride globally[2].

  • Mylan, Apotex, Jubilant Life Sciences: Other significant players that contribute to the market's competitive landscape[5].

Challenges and Restraints

Despite the growth potential, the market faces several challenges.

  • Regulatory Hurdles: Stringent regulations and the need for compliance can slow down market growth. New drug developments could also pose a threat to the market share of cetirizine hydrochloride[3].

  • Side Effects: The drug can induce side effects such as insomnia, hyperactivity, uneven heartbeat, nausea, constipation, and headache, which can limit its adoption and hinder market growth[5].

Future Projections

The future of the cetirizine hydrochloride market looks promising, driven by several factors:

  • Increasing Allergy Prevalence: The rising rates of allergic diseases globally will continue to drive the demand for effective treatments like cetirizine hydrochloride[3].

  • Generic Versions: The availability of generic versions of the drug will increase competition, leading to lower prices and greater accessibility for a broader range of socioeconomic backgrounds[3].

  • Innovative Product Launches: Key players are focused on launching new and convenient forms of the drug, such as oral dissolvable tablets, which will enhance market share and patient compliance[5].

Key Takeaways

  • Cetirizine hydrochloride is a widely used antihistamine for treating allergic conditions.
  • Clinical trials have consistently shown its efficacy and safety.
  • The global market is projected to grow significantly, driven by increasing allergy prevalence and public awareness.
  • Key players are innovating to enhance market share and patient compliance.
  • Regulatory hurdles and side effects are challenges that need to be addressed.

FAQs

What is the primary mechanism of action of cetirizine hydrochloride?

Cetirizine hydrochloride works by blocking the action of histamine, a natural chemical in the body that causes allergy symptoms.

What are the common applications of cetirizine hydrochloride?

Cetirizine hydrochloride is used in hospitals, clinics, and drug stores for treating allergic conditions such as allergic rhinitis, allergic conjunctivitis, and hives.

What is the forecasted market size of cetirizine hydrochloride by 2030?

The global market for cetirizine hydrochloride is forecasted to reach US$ 945.6 million by 2030, with a CAGR of 1.7% during the forecast period of 2024-2030[2].

Who are the major players in the cetirizine hydrochloride market?

Major players include Johnson & Johnson, UCB Pharma, GSK, Teva, Mylan, Apotex, and Jubilant Life Sciences[2][5].

What are the main challenges facing the cetirizine hydrochloride market?

The main challenges include stringent regulations, the development of new medications, and the potential side effects of the drug[3][5].

Sources

  1. Synapse: Cetirizine Hydrochloride - Drug Targets, Indications, Patents.
  2. Valuates Reports: Cetirizine Hydrochloride - Market Size.
  3. Prophecy Market Insights: Global Cetirizine Hydrochloride Market Size, Trends and Forecast to 2034.
  4. EU Clinical Trials Register: A multi-center, randomized, double blind, placebo controlled study of the efficacy and safety of Zyrtex-D 12 hour.
  5. Coherent Market Insights: Cetirizine Hydrochloride Market Size And Forecast To 2026.

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