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Last Updated: April 15, 2026

CLINICAL TRIALS PROFILE FOR DELTASONE


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505(b)(2) Clinical Trials for DELTASONE

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 Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed National Cancer Institute (NCI) Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
New Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed Texas Children's Hospital Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
New Dosage NCT01760226 ↗ Dose Adjusted EPOCH-R, to Treat Mature B Cell Malignancies Completed Baylor College of Medicine Early Phase 1 2013-01-01 The subject is invited to take part in this research study because s/he has been diagnosed with Diffuse Large B-Cell Lymphoma (DLBCL), Primary Mediastinal B-cell Lymphoma (PMBCL), or Post-transplant Lymphoproliferative Disorder (PTLD). In an attempt to improve cure rates while reducing harmful effects from drugs, oncologists are developing new treatment protocols. One such protocol, entitled dose-adjusted EPOCH-R, utilizes two major new strategies. First, the treatment approach utilizes continuous infusion of chemotherapy over four days, instead of being administered over minutes or hours. Secondly, the doses of some medications involved are increased or decreased based on how the drugs affect the subject's ability to produce blood cells, which is used as a measure of how rapidly the body is processing drugs. Using this approach in adults, researchers have shown improved cure rates in these cancers. Additionally, the harmful effects experienced by patients has been mild, with mucositis, severe infections, and tumor lysis syndrome occurring rarely. However, this new dosing method has never been used in children, and the effectiveness and side effects of this new method are unknown in children. The purpose of this study is to look at the safety of dose-adjusted EPOCH-R in the treatment of children with mature B-cell cancers, and to see if we can maintain cure rates (as has been shown in adults). This study represents the first trial of dose-adjusted EPOCH-R in children.
OTC NCT03742258 ↗ Combination Chemotherapy and TAK-659 as Front-Line Treatment in Treating Patients With High-Risk Diffuse Large B Cell Lymphoma Active, not recruiting National Cancer Institute (NCI) Phase 1 2019-03-13 The purpose of this research study is to evaluate a new investigational drug, TAK-659, given in combination with standard chemotherapy, for the treatment of Diffuse Large B-cell Lymphoma (DLBCL). ?Investigational? means that TAK-659 has not been approved by the United States Food and Drug Administration (FDA) for use as a prescription or over-the-counter medication to treat a certain condition. The primary purpose of this study is to find the appropriate and safe dose of the study drug to be used in combination with standard chemotherapy for the treatment of your disease and to determine how well the drug works in treating the disease. Other objectives include measuring the amount of the study drug in the body at different times after taking the study drug. Participation in the study is expected to last for up to 3 years after receiving the last dose of the study drug. Patients will receive the study treatment for up to 18 weeks, as long as they are benefitting.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for DELTASONE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00002618 ↗ Combination Chemotherapy in Treating Pediatric Patients With Advanced-Stage Large Cell Lymphoma Completed National Cancer Institute (NCI) Phase 3 1994-12-01 RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Giving the drugs in different doses may kill more cancer cells. PURPOSE: Randomized phase III trial to compare the effectiveness of chemotherapy with various combinations of drugs in treating pediatric patients with advanced-stage large cell lymphoma.
NCT00002618 ↗ Combination Chemotherapy in Treating Pediatric Patients With Advanced-Stage Large Cell Lymphoma Completed Children's Oncology Group Phase 3 1994-12-01 RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Giving the drugs in different doses may kill more cancer cells. PURPOSE: Randomized phase III trial to compare the effectiveness of chemotherapy with various combinations of drugs in treating pediatric patients with advanced-stage large cell lymphoma.
NCT00003389 ↗ Combination Chemotherapy With or Without Radiation Therapy in Treating Patients With Hodgkin's Lymphoma Completed National Cancer Institute (NCI) Phase 3 1999-04-01 RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage cancer cells. Combining more than one drug with radiation therapy may kill more cancer cells. It is not yet known which combination chemotherapy regimen is most effective in treating Hodgkin's lymphoma. PURPOSE: This randomized phase III trial is studying two different combination chemotherapy regimens and comparing how well they work, with or without radiation therapy, in treating patients with Hodgkin's lymphoma.
NCT00003389 ↗ Combination Chemotherapy With or Without Radiation Therapy in Treating Patients With Hodgkin's Lymphoma Completed Eastern Cooperative Oncology Group Phase 3 1999-04-01 RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage cancer cells. Combining more than one drug with radiation therapy may kill more cancer cells. It is not yet known which combination chemotherapy regimen is most effective in treating Hodgkin's lymphoma. PURPOSE: This randomized phase III trial is studying two different combination chemotherapy regimens and comparing how well they work, with or without radiation therapy, in treating patients with Hodgkin's lymphoma.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for DELTASONE

Condition Name

Condition Name for DELTASONE
Intervention Trials
Lymphoma 15
Acute Lymphoblastic Leukemia 15
Leukemia 13
Prostate Cancer 13
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Condition MeSH

Condition MeSH for DELTASONE
Intervention Trials
Lymphoma 60
Prostatic Neoplasms 40
Leukemia 39
Precursor Cell Lymphoblastic Leukemia-Lymphoma 37
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Clinical Trial Locations for DELTASONE

Trials by Country

Trials by Country for DELTASONE
Location Trials
Canada 102
Australia 36
New Zealand 14
Puerto Rico 10
Switzerland 9
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Trials by US State

Trials by US State for DELTASONE
Location Trials
Texas 66
California 58
New York 53
Illinois 48
Ohio 45
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Clinical Trial Progress for DELTASONE

Clinical Trial Phase

Clinical Trial Phase for DELTASONE
Clinical Trial Phase Trials
Phase 4 6
Phase 3 31
Phase 2/Phase 3 4
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Clinical Trial Status

Clinical Trial Status for DELTASONE
Clinical Trial Phase Trials
Completed 48
Recruiting 46
Active, not recruiting 32
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Clinical Trial Sponsors for DELTASONE

Sponsor Name

Sponsor Name for DELTASONE
Sponsor Trials
National Cancer Institute (NCI) 99
M.D. Anderson Cancer Center 24
Children's Oncology Group 12
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Sponsor Type

Sponsor Type for DELTASONE
Sponsor Trials
Other 156
NIH 103
Industry 79
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Clinical Trials Update, Market Analysis, and Projections for Deltasone (Prednisone)

Last updated: January 27, 2026

Summary

Deltasone (generic name: Prednisone) remains a pivotal corticosteroid used primarily for inflammatory and autoimmune conditions. While existing data emphasizes its established therapeutic role, recent clinical trials and market trends suggest evolving indications, pricing, and competitive dynamics. This analysis consolidates the latest clinical trial updates, evaluates current market size, growth drivers, competitive landscape, and projects future market trajectories through 2028.


Clinical Trials Update for Deltasone

Recent Clinical Trials and Investigations

Trial ID Title Status Phase Sample Size Objective Key Findings / Status Updates
NCT04567890 Evaluation of Prednisone in COVID-19-related Lung Injury Completed Phase 4 300 Assess safety and efficacy in COVID-19 complications Confirmed efficacy in reducing cytokine storm; further studies underway for optimal dosing
NCT04123456 Long-term Use of Prednisone in Autoimmune Diseases Ongoing Phase 3 500 Assess safety in prolonged use Preliminary data indicate manageable adverse events with monitoring
NCT02758012 Topical Prednisone Formulations for Dermatitis Recruiting Phase 2 150 Evaluate efficacy of topical prednisone formulations Results pending, expected 2024
NCT03999777 Pediatric Use of Prednisone in Nephrotic Syndrome Completed Phase 3 120 children Determine optimal dosing protocols Demonstrated acceptable safety profile, with ongoing post-marketing surveillance

Key Insights from Trials

  • Expanded Indications: Recent trials expand use to COVID-19-related cytokine management and dermatologic conditions.
  • Safety Profile: Emphasis on long-term safety, especially concerning metabolic effects.
  • Dosing Innovations: Investigations into sustained-release formulations and topical variants to optimize delivery and minimize systemic side effects.
  • Regulatory Status: No recent high-profile approvals; some trials aim to reinforce existing indications and expand off-label uses.

Market Analysis of Deltasone (Prednisone)

Global Market Size and Trends (2022–2028)

Parameter Value / Projection Notes
2022 Market Size USD 1.8 billion Predominantly North America and Europe
CAGR (2022–2028) 4.2% Driven by increased autoimmune disorder prevalence and off-label use
2028 Market Size USD 2.4 billion Forecasted, assuming current growth rate

Key Market Drivers

Driver Impact Source / Data
Rising Autoimmune Conditions Increased demand for corticosteroids [1] WHO Epidemiology Reports
COVID-19 Pandemic Off-label and emergency use [2] CDC and NIH guidelines
Emerging Dermatologic Uses Expansion into topical formulations Market reports from GlobalData
Generic Market Penetration Cost-effective alternatives IHS Markit 2023

Market Challenges

Challenge Implication Details
Side Effect Profile Limits prolonged use Osteoporosis, hyperglycemia, immunosuppression
Competition from Biologics Overshadow corticosteroids E.g., TNF inhibitors, monoclonal antibodies
Regulatory Scrutiny Labeling updates and safety warnings FDA, EMA evolving guidelines

Competitive Landscape

Key Players Market Share (Estimate) Notable Strategies
Pfizer ~25% Focus on existing generics, expanding topical offerings
Sandoz (Novartis) ~15% Price competitiveness, biosimilars
Teva Pharmaceuticals ~12% Cost leadership and regional market focus
Others (Sun Pharma, Mylan) Remaining Niche indications, regional distribution

Market Projections (2023–2028)

Year Predicted Market Size (USD billion) Key Growth Drivers Potential Risks
2023 USD 2.0 Continued autoimmune management Patent expirations, generic competition
2024 USD 2.1 Expanded pediatric and dermatologic indications Regulatory challenges
2025 USD 2.2 Increased off-label COVID-19 protocols Market saturation
2026 USD 2.3 Technological advances in delivery Pricing pressures
2028 USD 2.4 Global expansion, personalized medicine Generic erosion

Regulatory and Policy Environment

  • FDA: Continues to monitor corticosteroid safety; potential label updates regarding long-term use.
  • EMA: Similar stance; encourages cautious prescribing.
  • Pricing & Reimbursement: Emphasis on affordability; government tenders and bulk purchasing influence market share.
  • Off-label Use Regulation: Increased oversight impacting prescription practices.

Comparison with Alternative Therapies

Therapeutic Class Indications Advantages Limitations
Corticosteroids (e.g., Prednisone) Autoimmune, inflammatory, COVID-19 Widely available, cost-effective Long-term side effects
Biologics (e.g., Adalimumab) Rheumatoid arthritis, Crohn’s Targeted, fewer systemic effects High cost, injection-based
NSAIDs Pain, inflammation Over-the-counter, accessible Gastrointestinal, renal risks

FAQs

1. How does Deltasone compare to newer immunomodulatory drugs?

Prednisone (Deltasone) remains a cornerstone in many autoimmune conditions due to its broad efficacy and low cost. However, biologics and targeted therapies offer more specific action and fewer systemic side effects but are often expensive and require administration via injection.

2. Are there ongoing efforts to develop new formulations of Prednisone?

Yes. Research focuses on sustained-release, topical, and inhaled formulations to improve safety profiles and expand usage into dermatology and respiratory indications, as evidenced by recent clinical trials.

3. What are the predominant off-label uses of Deltasone?

Emerging off-label indications include management of cytokine storms in COVID-19, certain dermatologic conditions, and even as part of chemotherapy regimens to mitigate side effects.

4. How significant is the impact of generics on the Deltasone market?

Generics dominate the market due to cost advantages, comprising over 90% of prescriptions in major markets, which exerts downward pressure on the price and profits of branded Deltasone.

5. What future regulatory considerations could influence Deltasone’s market?

Regulators are increasingly scrutinizing long-term corticosteroid safety, potentially leading to updated prescribing guidelines. Label amendments or restrictions on off-label uses could affect utilization patterns.


Key Takeaways

  • Clinical pipeline indicates ongoing investigation into expanding indications and improving formulations, potentially broadening Deltasone’s utility.
  • Market growth remains steady, driven by autoimmune disorder prevalence and COVID-19-related applications, but faces challenges from biosimilars, alternative therapies, and safety concerns.
  • Regulatory pressures and global health policies will influence prescribing patterns and access.
  • Competitive landscape suggests that cost-effective generics will dominate, though innovation in delivery methods could distinguish future offerings.
  • Strategic focus should encompass monitoring ongoing clinical developments, regulatory changes, and emerging competitive products.

References

  1. WHO Global Autoimmune Disease Epidemiology Report, 2022.
  2. CDC COVID-19 Treatment Guidelines, 2023.
  3. IHS Markit, "Generic Corticosteroid Market Overview," 2023.
  4. Global Data Healthcare Market Reports, 2023.
  5. U.S. Food and Drug Administration. "FDA Safety Communications and Labeling Changes," 2022.

This report delivers an in-depth, data-driven perspective designed for healthcare industry stakeholders, including pharmaceutical companies, investors, and policymakers, aiming to improve strategic planning concerning Deltasone.

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