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Last Updated: March 25, 2025

CLINICAL TRIALS PROFILE FOR EPIPEN


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All Clinical Trials for Epipen

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00434421 ↗ Sublingual Cockroach Safety in Adults With Cockroach Allergy & Perennial Allergic Rhinitis With or Without Asthma Completed Inner-City Asthma Consortium Phase 1 2007-02-01 Immunotherapy may help reduce symptoms of allergy and asthma. Problems concerning compliance and adverse events with subcutaneous allergen immunotherapy have generated interest in delivering immunotherapy sublingually (under the tongue). The purpose of this study is to evaluate the safety of a cockroach extract given sublingually to people with perennial (year-round) allergic rhinitis, with or without asthma.
NCT00434421 ↗ Sublingual Cockroach Safety in Adults With Cockroach Allergy & Perennial Allergic Rhinitis With or Without Asthma Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 2007-02-01 Immunotherapy may help reduce symptoms of allergy and asthma. Problems concerning compliance and adverse events with subcutaneous allergen immunotherapy have generated interest in delivering immunotherapy sublingually (under the tongue). The purpose of this study is to evaluate the safety of a cockroach extract given sublingually to people with perennial (year-round) allergic rhinitis, with or without asthma.
NCT00809146 ↗ Paramedic Treatment of Prolonged Seizures by Intramuscular Versus Intravenous Anticonvulsant Medications Completed Medical University of South Carolina Phase 3 2009-06-01 The goal of this non-inferiority trial is to determine which type of routine care is the best for paramedics to stop someone from seizing.
NCT00809146 ↗ Paramedic Treatment of Prolonged Seizures by Intramuscular Versus Intravenous Anticonvulsant Medications Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 3 2009-06-01 The goal of this non-inferiority trial is to determine which type of routine care is the best for paramedics to stop someone from seizing.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Epipen

Condition Name

Condition Name for Epipen
Intervention Trials
Anaphylaxis 2
Handling of Auto-injectors 1
Surgery 1
Intracranial Aneurysm 1
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Condition MeSH

Condition MeSH for Epipen
Intervention Trials
Rhinitis 2
Anaphylaxis 2
Rhinitis, Allergic 2
Brain Edema 1
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Clinical Trial Locations for Epipen

Trials by Country

Trials by Country for Epipen
Location Trials
United States 40
Thailand 1
Hungary 1
Canada 1
Croatia 1
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Trials by US State

Trials by US State for Epipen
Location Trials
Maryland 4
New York 3
Wisconsin 2
Virginia 2
Texas 2
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Clinical Trial Progress for Epipen

Clinical Trial Phase

Clinical Trial Phase for Epipen
Clinical Trial Phase Trials
Phase 4 3
Phase 3 3
Phase 2/Phase 3 1
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Clinical Trial Status

Clinical Trial Status for Epipen
Clinical Trial Phase Trials
Completed 8
Withdrawn 1
Not yet recruiting 1
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Clinical Trial Sponsors for Epipen

Sponsor Name

Sponsor Name for Epipen
Sponsor Trials
National Institute of Allergy and Infectious Diseases (NIAID) 2
Siriraj Hospital 1
ALK Nordic A/S, Danmark Filial 1
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Sponsor Type

Sponsor Type for Epipen
Sponsor Trials
Other 10
Industry 5
NIH 3
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The Evolving Landscape of Epinephrine: Clinical Trials, Market Analysis, and Projections for EpiPen and Similar Products

Introduction to Epinephrine and EpiPen

Epinephrine, commonly known by its brand name EpiPen, is a life-saving medication used to treat severe allergic reactions, including anaphylaxis. The drug has been a cornerstone in emergency medical response for decades, but recent advancements and market dynamics are reshaping its future.

Clinical Trials Update: neffy® and Other Epinephrine Products

neffy® (Epinephrine Nasal Spray) Clinical Trials

ARS Pharma has made significant strides with its epinephrine nasal spray, neffy®, designed as a needle-free alternative to traditional epinephrine injectors. A recent repeat dosing study under nasal allergen challenge conditions has yielded favorable results, demonstrating a pharmacokinetic and pharmacodynamic profile comparable to or greater than intramuscular injections[1].

  • Pharmacokinetic and Pharmacodynamic Profile: The study showed that repeat doses of neffy® in the same nostril resulted in higher exposure and pharmacodynamic responses than intramuscular injections at all time points measured.
  • Addressing FDA Concerns: These results are expected to address the deficiencies identified in the FDA’s Complete Response Letter, paving the way for the New Drug Application (NDA) submission in the second quarter of 2024.

Ongoing and Completed Clinical Trials

The epinephrine market is supported by a robust pipeline of clinical trials. As of September 2024, there were 2,025 clinical trial studies involving epinephrine, with 434 ongoing studies across various phases[2].

  • Phase Distribution: These ongoing studies include 23 phase 1, 59 phase 2, 31 phase 3, and 60 phase 4 studies, indicating a continuous effort to improve epinephrine delivery systems and treatment protocols.
  • Completed Studies: Over 1,077 studies have been completed, providing valuable data on the efficacy and safety of epinephrine in various clinical settings.

Market Analysis: Current State and Trends

Market Size and Growth Projections

The global epinephrine market is experiencing significant growth driven by several factors:

  • Current Market Size: The market was estimated at approximately $2.87 billion in 2023 and is projected to reach $6.93 billion by 2034, growing at a CAGR of 8.34% from 2024 to 2034[2].
  • Regional Growth: North America currently holds the largest market share, but the Asia-Pacific region is expected to grow the fastest with a CAGR of 7.49% during the forecast period[2].

Key Drivers of Market Growth

Several factors are driving the growth of the epinephrine market:

  • Increasing Incidence of Allergic Reactions: The rising prevalence of acute disorders such as food allergies, asthma, and cardiovascular diseases is a major driver[2][3].
  • Technological Advancements: Improvements in drug delivery systems, such as auto-injectors and nasal sprays, are enhancing the market[3].
  • Government Initiatives: Awareness campaigns and training programs for the use of epinephrine are also contributing to market growth[2].

Market Projections: Future Outlook

Global Market Size by 2034

The epinephrine market is expected to reach $6.93 billion by 2034, with a CAGR of 8.34% from 2024 to 2034. This growth is supported by the increasing demand for quick and effective emergency treatments[2].

Regional Market Dynamics

  • Asia-Pacific Growth: This region is anticipated to grow the fastest due to the rising prevalence of acute disorders, established pharmaceutical presence, and favorable reimbursement policies[2].
  • European Market: Europe is also expected to display notable growth due to the escalating prevalence of cardiovascular disorders and anaphylaxis[5].

Challenges and Opportunities

Side Effects and Safety Concerns

While epinephrine is a life-saving drug, it comes with side effects such as high blood pressure, headache, and abnormal heart rhythm. These side effects can hamper market growth to some extent[3].

Supply Chain and Expiration Date Extensions

Pfizer has coordinated with the FDA to extend the expiration dates of certain lots of EpiPen 0.3 mg Auto-Injectors to address supply shortages. This move helps maintain patient confidence in the product[4].

Technological Advancements and Innovations

Auto-Injectors and Nasal Sprays

The market is witnessing significant technological advancements, particularly in the development of auto-injectors and nasal sprays. These innovations aim to provide quicker, more convenient, and less invasive delivery methods for epinephrine[1][3].

Clinical Trials and Research

Ongoing clinical trials are evaluating various aspects of epinephrine use, including different drug delivery systems and accurate dosing regimens. This research is crucial for enhancing the efficacy and safety of epinephrine treatments[2].

Key Takeaways

  • Clinical Trials Success: neffy® has shown promising results in clinical trials, potentially offering a needle-free alternative to traditional epinephrine injectors.
  • Market Growth: The global epinephrine market is projected to grow significantly, driven by increasing allergic reactions, technological advancements, and government initiatives.
  • Regional Dynamics: The Asia-Pacific region is expected to grow the fastest, while Europe will also see notable growth due to cardiovascular and anaphylaxis prevalence.
  • Challenges and Opportunities: Despite side effects and safety concerns, the market is driven by innovations in drug delivery systems and efforts to address supply chain issues.

FAQs

Q: What are the key findings from the neffy® repeat dosing study?

A: The study showed that neffy® has a pharmacokinetic and pharmacodynamic profile greater than or similar to intramuscular injections, addressing FDA concerns and supporting its potential approval[1].

Q: How is the global epinephrine market expected to grow?

A: The market is projected to grow from $2.87 billion in 2023 to $6.93 billion by 2034, with a CAGR of 8.34% from 2024 to 2034[2].

Q: What are the main drivers of the epinephrine market growth?

A: The growth is driven by increasing allergic reactions, technological advancements in drug delivery systems, and government initiatives to spread awareness and training[2][3].

Q: Which region is expected to grow the fastest in the epinephrine market?

A: The Asia-Pacific region is anticipated to grow the fastest with a CAGR of 7.49% during the forecast period[2].

Q: What are some of the challenges facing the epinephrine market?

A: Side effects such as high blood pressure and abnormal heart rhythm, as well as supply chain issues, are some of the challenges facing the market[3][4].

Sources

  1. ARS Pharma Announces Favorable Topline Results from Repeat Dosing Study of neffy® (Epinephrine Nasal Spray) Under Nasal Allergen Challenge Conditions. ARS Pharma.
  2. Epinephrine Market Size, Trends & 8.34% CAGR Rise by 2034. Towards Healthcare.
  3. Epinephrine Market Size 2022-2028- Rapidly Rising Demand For Epinephrine Auto-Injectors. BioSpace.
  4. Important Update on EpiPen® (epinephrine injection, USP) 0.3 mg Auto-Injectors. Pfizer.
  5. Epinephrine Market Size & Share, Growth Forecasts 2025-2037. Research Nester.

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