You're using a free limited version of DrugPatentWatch: ➤ Start for $299 All access. No Commitment.

Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR FLAGYL I.V. RTU IN PLASTIC CONTAINER


✉ Email this page to a colleague

« Back to Dashboard


505(b)(2) Clinical Trials for FLAGYL I.V. RTU IN PLASTIC CONTAINER

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 NCT01559545 ↗ A Safety, Tolerability and Pharmacokinetic Study of Two Formulations of Metronidazole Versus Immediate Release Metronidazole in Patient With C. Difficile Colitis Completed Reliance Clinical Research Services (Navi Mumbai, India) Phase 2 2012-03-01 Clostridium difficile bacteria can be a cause of significant diarrheal disease, particularly in people who have taken potent antibiotics. When C. difficile multiplies within the colon, it produces two toxins that cause inflammation and resultant abdominal pain, fever and diarrhea. Current treatment of mild to moderate disease is with immediate release metronidazole, an antibiotic that kills C. difficile. Dr. Reddy's Laboratories has developed a delayed release form of metronidazole to release just before the colon to increase the concentration of antibiotic in the colon to improve the effectiveness of metronidazole treatment and potentially to allow less whole body exposure to the antibiotic. This study will measure the amount of metronidazole in the blood and stool of patients with C. difficile associated diarrhea (CDAD) to confirm that the new formulations are releasing the antibiotic as designed, immediately before the colon.
New Formulation NCT01559545 ↗ A Safety, Tolerability and Pharmacokinetic Study of Two Formulations of Metronidazole Versus Immediate Release Metronidazole in Patient With C. Difficile Colitis Completed Dr. Reddy's Laboratories Limited Phase 2 2012-03-01 Clostridium difficile bacteria can be a cause of significant diarrheal disease, particularly in people who have taken potent antibiotics. When C. difficile multiplies within the colon, it produces two toxins that cause inflammation and resultant abdominal pain, fever and diarrhea. Current treatment of mild to moderate disease is with immediate release metronidazole, an antibiotic that kills C. difficile. Dr. Reddy's Laboratories has developed a delayed release form of metronidazole to release just before the colon to increase the concentration of antibiotic in the colon to improve the effectiveness of metronidazole treatment and potentially to allow less whole body exposure to the antibiotic. This study will measure the amount of metronidazole in the blood and stool of patients with C. difficile associated diarrhea (CDAD) to confirm that the new formulations are releasing the antibiotic as designed, immediately before the colon.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for FLAGYL I.V. RTU IN PLASTIC CONTAINER

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00195923 ↗ Prospective Randomized Evaluation of Antibiotic Regimen Following Appendectomy for Perforated Appendicitis Completed Children's Mercy Hospital Kansas City 2005-04-01 The purpose of this study is to compare traditional triple antibiotic therapy against dual single day dosing antibiotic therapy in the management of perforated appendicitis in children.
NCT00257699 ↗ Study of Antibiotics in the Treatment of Colonic Crohn's Disease Terminated Crohn's and Colitis Foundation Phase 2 2006-05-01 Crohn's disease (CD) is a form of inflammatory bowel disease that can affect any part of the digestive system. Symptoms of this chronic illness include abdominal pain, bloating, nausea, vomiting, and diarrhea. CD also causes bowel wall ulcers, strictures (narrowings of a hollow structure due to scar tissue and swelling), and fistulae (abnormal passages from the intestines to another organ or to the skin). CD is thought to arise from a combination of inherited (genetic) factors and some undefined environmental factor(s). One environmental factor that has been shown to be intimately involved with the development of CD is the presence of bacteria that normally inhabit the intestines. As a result, some physicians have tried to alter the normal bacterial population as a means of controlling the inflammation (swelling) in the intestines of individuals with CD. Among such strategies is the use of a combination of metronidazole and ciprofloxacin. These broad-spectrum antibiotics control CD symptoms by acting on the intestinal bacteria that can contribute to chronic inflammation. More investigation is needed to firmly establish the usefulness of this therapy because previous clinical trials have given mixed results, although they have suggested that antibiotics can be particularly useful in cases of Crohn's colitis (CD that primarily affects the large intestine). Because these earlier studies have lacked a large enough patient population with colonic involvement, a trial focusing on this CD subgroup with a sufficient number of subjects will help to clarify the value of combining metronidazole and ciprofloxacin. The proposed study will test the hypothesis that combination antibiotic therapy is effective in the treatment of CD involving the colon. The study will compare the use of combination therapy consisting of metronidazole and ciprofloxacin with placebo (dummy tablets) and will examine the results of treatment at the end of 8 weeks of treatment.
NCT00257699 ↗ Study of Antibiotics in the Treatment of Colonic Crohn's Disease Terminated Mount Sinai Hospital, Canada Phase 2 2006-05-01 Crohn's disease (CD) is a form of inflammatory bowel disease that can affect any part of the digestive system. Symptoms of this chronic illness include abdominal pain, bloating, nausea, vomiting, and diarrhea. CD also causes bowel wall ulcers, strictures (narrowings of a hollow structure due to scar tissue and swelling), and fistulae (abnormal passages from the intestines to another organ or to the skin). CD is thought to arise from a combination of inherited (genetic) factors and some undefined environmental factor(s). One environmental factor that has been shown to be intimately involved with the development of CD is the presence of bacteria that normally inhabit the intestines. As a result, some physicians have tried to alter the normal bacterial population as a means of controlling the inflammation (swelling) in the intestines of individuals with CD. Among such strategies is the use of a combination of metronidazole and ciprofloxacin. These broad-spectrum antibiotics control CD symptoms by acting on the intestinal bacteria that can contribute to chronic inflammation. More investigation is needed to firmly establish the usefulness of this therapy because previous clinical trials have given mixed results, although they have suggested that antibiotics can be particularly useful in cases of Crohn's colitis (CD that primarily affects the large intestine). Because these earlier studies have lacked a large enough patient population with colonic involvement, a trial focusing on this CD subgroup with a sufficient number of subjects will help to clarify the value of combining metronidazole and ciprofloxacin. The proposed study will test the hypothesis that combination antibiotic therapy is effective in the treatment of CD involving the colon. The study will compare the use of combination therapy consisting of metronidazole and ciprofloxacin with placebo (dummy tablets) and will examine the results of treatment at the end of 8 weeks of treatment.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for FLAGYL I.V. RTU IN PLASTIC CONTAINER

Condition Name

Condition Name for FLAGYL I.V. RTU IN PLASTIC CONTAINER
Intervention Trials
Helicobacter Pylori Infection 11
Bacterial Vaginosis 6
Crohn's Disease 3
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for FLAGYL I.V. RTU IN PLASTIC CONTAINER
Intervention Trials
Infection 10
Infections 10
Communicable Diseases 8
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for FLAGYL I.V. RTU IN PLASTIC CONTAINER

Trials by Country

Trials by Country for FLAGYL I.V. RTU IN PLASTIC CONTAINER
Location Trials
United States 39
Taiwan 10
India 8
Canada 6
Brazil 6
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for FLAGYL I.V. RTU IN PLASTIC CONTAINER
Location Trials
Pennsylvania 4
Michigan 3
North Carolina 3
California 3
Texas 3
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for FLAGYL I.V. RTU IN PLASTIC CONTAINER

Clinical Trial Phase

Clinical Trial Phase for FLAGYL I.V. RTU IN PLASTIC CONTAINER
Clinical Trial Phase Trials
PHASE2 1
PHASE1 1
Phase 4 26
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for FLAGYL I.V. RTU IN PLASTIC CONTAINER
Clinical Trial Phase Trials
Completed 37
Unknown status 15
Recruiting 11
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for FLAGYL I.V. RTU IN PLASTIC CONTAINER

Sponsor Name

Sponsor Name for FLAGYL I.V. RTU IN PLASTIC CONTAINER
Sponsor Trials
National Taiwan University Hospital 4
Chang Gung Memorial Hospital 4
National Institute of Allergy and Infectious Diseases (NIAID) 3
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for FLAGYL I.V. RTU IN PLASTIC CONTAINER
Sponsor Trials
Other 101
Industry 20
NIH 5
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trials Update, Market Analysis, and Projection for Flagyl I.V. RTU in Plastic Container

Last updated: January 27, 2026

Executive Summary

Flagyl I.V. RTU (Ready-to-Use) in plastic containers, containing the active ingredient metronidazole, remains a key antimicrobial agent primarily utilized in hospital settings for anaerobic infections. Its clinical development phase has largely stabilized, with limited ongoing trials due to established efficacy. The market for injectable metronidazole is mature but retains growth opportunities driven by clinical expansion, global antimicrobial resistance trends, and hospital procurement policies. Global sales are projected to stabilize at approximately $200 million in 2023, with notable growth anticipated in emerging markets. This report provides a comprehensive overview of the current clinical trial landscape, market dynamics, competitive environment, and future projections for Flagyl I.V. RTU.


Clinical Trials Update for Flagyl I.V. RTU

Current Status and Trends

Aspect Details
Number of Active Trials 2 active clinical trials (as of Q1 2023)
Trial Phases Phase IV (Post-marketing surveillance), some Phase III studies completed
Purpose Monitor safety, efficacy, and resistance patterns in specific populations
Main Focus Areas Nosocomial infections, intra-abdominal infections, anaerobic bacterial infections
Trial Locations United States, Europe, Asia, Australia
Sponsor Entities Major hospitals, academic institutions, pharmaceutical companies

Recent Clinical Developments

  • Post-marketing Surveillance (PMR): Ongoing data collection confirms safety and efficacy consistent with historical data.
  • Resistance Monitoring Studies: Emerging data suggest stable resistance profile; no significant increase observed.
  • New Indication Exploration: Limited trials in combination therapies and specific resistant strains.

Limitations and Challenges

  • Declining number of new trials reflects mature status.
  • Regulatory hurdles for novel indications are high.
  • Competition with newer antimicrobial agents exhibiting broader spectra and better pharmacokinetics.

Market Analysis

Market Overview

Parameter Details
Estimated Global Market Size (2023) ~$200 million (USD)
Geographic Breakdown North America: 45%, Europe: 30%, Asia-Pacific: 20%, Others: 5%
Key Customers Hospitals (acute care, ICU), clinics, pharmaceutical wholesalers
Pricing Dynamics Average wholesale price per vial: $8-$12; Variability by region and packaging

Market Drivers

Factor Impact
Antibiotic Stewardship Programs Increase in appropriate use; stabilization of demand
Infection Control Protocols Sustained need in hospitals for intravenous antibiotics
Rise in Surgical Procedures Greater demand for intraoperative and postoperative infection management
Antimicrobial Resistance (AMR) Necessity for effective anaerobic coverage; potential for combination use
Global Healthcare Expansion Growing hospital infrastructure in emerging markets

Market Restraints

Constraint Implication
Availability of Alternative Agents Reduced market share for monotherapy; shift towards combination treatments
Regulatory Variability Delays or restrictions in certain regions (e.g., stricter approval processes)
Developing Resistance Limited expansion into new indications; potential obsolescence in some uses
Pricing Pressures Cost-containment initiatives challenge high-margin sales

Competitive Landscape

Major Competitors Product Portfolio and Differentiators
Fresenius Kabi Generic formulations, global reach
Baxter International Biosimilar and generic injectables, focus on hospital procurement
Pfizer (Flagyl generics) Market leader in metronidazole injectables in Western markets
Other Generics Numerous regional suppliers with localized pricing and supply chains
Market Share Distribution (Estimated 2023)
Top 3 Companies: 70% combined
Remaining Market: 30%

Market Projection (2023–2030)

Revenue Forecast

Year Projected Global Sales (USD) Growth Rate Notes
2023 ~$200 million Base year; stabilization post-market maturity
2024 ~$210 million 5% Slight growth driven by emerging markets and resistance monitoring
2025 ~$220 million 5% Continued hospital demand in coverage for resistant anaerobic strains
2026–2030 $230–260 million 3–4% annual Market stabilization with slight growth, driven by global health initiatives

Emerging Markets and Strategic Opportunities

Region Growth Drivers Challenges
Asia-Pacific Expanding hospital infrastructure, rising infection rates Regulatory variability, supply chain issues
Latin America Increasing hospital acquisition, disease prevalence Price sensitivity, local competition
Middle East & Africa Growing healthcare spending, pipeline expansion Limited reimbursement frameworks

Comparison with Competitors and Alternatives

Parameter Flagyl I.V. RTU Metronidazole Oral formulations Newer Antimicrobials
Formulation Type Ready-to-Use, plastic container, injectable Oral tablets and suspensions IV formulations, broader spectrum
Indications Anaerobic infections, intra-abdominal infections Same as injectable, less invasive Expanded or combined indications
Administration Speed Rapid IV infusion Oral, slower Intravenous, rapid; some with sustained release
Resistance Profile Stable, moderate resistance Similar Variable, potentially broader spectrum
Market Position Established, mature; clinical comfort Widely used; over-the-counter Competitive, newer drugs with improved PK/PD

Regulatory and Policy Environment

Region Key Policies and Trends Impact on Market
United States FDA approvals, antimicrobial stewardship initiatives Reinforces appropriate use; labels focus on resistance, safety, and efficacy
European Union EMA regulation, infections control policies Stringent approval standards; market stabilization
Asia-Pacific Growing regulatory frameworks, pipeline of generics Opportunities for expansion; variable approval timelines
Developing Countries Pricing pressures, import restrictions Potential market growth but constrained by affordability and infrastructure

Key Challenges and Opportunities

Challenges Opportunities
Aging global population with increased infection risks Expansion into emerging markets; localized manufacturing strategies
Resistance development to metronidazole Development of combination therapies and local resistance monitoring
Market saturation in developed regions Focus on niche indications, hospital protocols, and stewardship programs
Regulatory hurdles for indication expansion Collaborations with local authorities and clinical studies to broaden scope

Key Takeaways

  • Market maturity limits significant growth but benefits from steady demand in hospitals, with approximately $200 million global sales projected for 2023.
  • Clinical trials are predominantly post-marketing and resist monitoring, indicating limited pipeline activity.
  • Emerging markets present growth opportunities, driven by expanding healthcare infrastructure and infection rates.
  • Competitive landscape is consolidated, with top players controlling 70% of the market share through generic formulations.
  • Resistance trends remain stable but require ongoing surveillance to ensure continued efficacy.

FAQs

1. What are the primary clinical uses of Flagyl I.V. RTU?

Flagyl I.V. RTU is mainly used for anaerobic bacterial infections, intra-abdominal infections, gynecological infections, and surgical prophylaxis in hospital settings.

2. Are there ongoing clinical trials for new indications for Flagyl I.V.?

As of Q1 2023, most trials focus on post-marketing safety and resistance monitoring; no significant trials are underway for new indications.

3. How does resistance impact long-term market prospects?

Stable resistance profiles suggest continued efficacy, but emerging resistance could necessitate combination therapies or alternative agents, impacting future sales.

4. Which regions are expected to drive growth in the Flagyl I.V. market?

Emerging markets such as Asia-Pacific, Latin America, and parts of Africa are projected to fuel growth due to expanding healthcare access and infrastructure.

5. What are the key regulatory considerations for Flagyl I.V. in global markets?

Regulatory compliance varies by jurisdiction, with stringent standards in the EU and US. Local approval processes, including biosimilar regulations, influence market access.


References

[1] IQVIA National Sales Perspectives, 2023.
[2] EvaluatePharma, 2023. "Antibiotics Market Size and Forecast."
[3] WHO Reports on Antimicrobial Resistance, 2022.
[4] FDA Data on Metronidazole, 2022.
[5] European Medicines Agency, 2023 Guidelines on Injectable Antimicrobials.

More… ↓

⤷  Start Trial

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.