You're using a free limited version of DrugPatentWatch: Upgrade for Complete Access

Last Updated: April 15, 2026

CLINICAL TRIALS PROFILE FOR INOMAX


✉ Email this page to a colleague

« Back to Dashboard


All Clinical Trials for Inomax

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00041548 ↗ Inhaled Nitric Oxide in Neonates With Elevated A-a DO2 Gradients Not Requiring Mechanical Ventilation Terminated Mallinckrodt Phase 1/Phase 2 2002-05-01 The purpose of this pilot study is to evaluate whether administration of nitric oxide (NO)gas by oxygen hood at 20 ppm significantly increases PaO2, as compared to placebo gas (oxygen), within one hour of initiation and with no significant adverse effects.
NCT00041574 ↗ Hospital-Based Program for Treatment of Severe Cardiopulmonary Disease With Inhaled Nitric Oxide Terminated Mallinckrodt Phase 2 2002-04-01 The purpose of this program is to evaluate the logistic issues and patient requirements for chronic pulsed INOmax delivery in ambulatory, home-care patients. To understand patient needs, patients with a variety of underlying diseases will be included. Safety of chronic therapy will be monitored by serial measurements of methemoglobin, platelet function assay and reported adverse events.
NCT00060840 ↗ The Effects of Nitric Oxide for Inhalation During Left Ventricular Assists Device (LVAD) Implantation Completed Mallinckrodt Phase 2 2003-07-01 The purpose of this study is to assess the utility of nitric oxide for inhalation during left ventricular assist device (LVAD) implantation following cardiopulmonary bypass (CPB). This is to be assessed by the number of patients in each treatment group meeting failure criteria within 24 hours on study drug, as defined by two or more of the following: - Left ventricular flow rate index (LVFRI) ≤ 2.0 L/min/m^2 - Administration of ≥ 20 inotropic equivalents (IE) - 10 µg/kg/min dopamine, dobutamine, enoximone or amrinone is equivalent to 10 IE - 0.1 µg/kg/min epinephrine or norepinephrine is equivalent to 10 IE - 1 µg/kg/min milrinone is equivalent to 15 IE - 0.1 U/min vasopressin is equivalent to 10 IE - Mean arterial pressure (MAP) ≤ 55 mmHg - Central venous pressure (CVP) ≥ 16 mmHg - Percent mixed venous oxygen saturation (SvO2) ≤ 55% Or at least one of the following criteria: - Failure to wean from cardiopulmonary bypass at least once due to hemodynamic failure. Re-initiation of cardiopulmonary bypass to correct bleeding or other technical issues will not be considere 'failure to wean' - Death
NCT00094887 ↗ Nitric Oxide Inhalation to Treat Sickle Cell Pain Crises Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 2 2004-10-01 This study will examine whether nitric oxide (NO) gas can reduce the time it takes for pain to go away in patients who are in sickle cell crisis. NO is important in regulating blood vessel dilation, and consequently, blood flow. The gas is continuously produced by cells that line the blood vessels. It is also transported from the lungs by hemoglobin in red blood cells. Patients 10 years of age or older with sickle cell disease (known SS, S-beta-thalassemia or other blood problems causing sickle cell disease) may be eligible for this study. Patients whose disease is due to hemoglobin (Hgb) SC are excluded. Candidates are screened with blood tests and a chest x-ray to look at the lungs and heart. Participants are admitted to the hospital in a pain crisis. They are evaluated and then randomly assigned to receive one of two treatments: 1) standard treatment plus NO, or 2) standard treatment plus placebo. The placebo used in this study is nitrogen, a gas that makes up most of the air we breathe and is not known to help in sickle cell disease. For the first 8 hours of the study, patients receive placebo or NO through a facemask. The mask may be taken off for 5 minutes every hour and for not more than 20 minutes to eat a meal. After the first 8 hours, the gas is delivered through a nasal cannula (small plastic tubing that rests under the nose) that may be taken off only while showering or using the restroom. Patients are questioned about the severity of their pain when they start the study and then every few hours while they are in the hospital. Their vital signs (temperature, breathing rate, and blood pressure) and medicines are checked. Patients will breathe the gas for a maximum of 3 days, but will stay hospitalized until the patient feels well enough to go home. Patients are followed up about 1 month after starting the study by a return visit to the hospital or by a phone call.
NCT00094887 ↗ Nitric Oxide Inhalation to Treat Sickle Cell Pain Crises Completed Mallinckrodt Phase 2 2004-10-01 This study will examine whether nitric oxide (NO) gas can reduce the time it takes for pain to go away in patients who are in sickle cell crisis. NO is important in regulating blood vessel dilation, and consequently, blood flow. The gas is continuously produced by cells that line the blood vessels. It is also transported from the lungs by hemoglobin in red blood cells. Patients 10 years of age or older with sickle cell disease (known SS, S-beta-thalassemia or other blood problems causing sickle cell disease) may be eligible for this study. Patients whose disease is due to hemoglobin (Hgb) SC are excluded. Candidates are screened with blood tests and a chest x-ray to look at the lungs and heart. Participants are admitted to the hospital in a pain crisis. They are evaluated and then randomly assigned to receive one of two treatments: 1) standard treatment plus NO, or 2) standard treatment plus placebo. The placebo used in this study is nitrogen, a gas that makes up most of the air we breathe and is not known to help in sickle cell disease. For the first 8 hours of the study, patients receive placebo or NO through a facemask. The mask may be taken off for 5 minutes every hour and for not more than 20 minutes to eat a meal. After the first 8 hours, the gas is delivered through a nasal cannula (small plastic tubing that rests under the nose) that may be taken off only while showering or using the restroom. Patients are questioned about the severity of their pain when they start the study and then every few hours while they are in the hospital. Their vital signs (temperature, breathing rate, and blood pressure) and medicines are checked. Patients will breathe the gas for a maximum of 3 days, but will stay hospitalized until the patient feels well enough to go home. Patients are followed up about 1 month after starting the study by a return visit to the hospital or by a phone call.
NCT00608322 ↗ Randomized Trial of Inhaled Nitric Oxide to Augment Tissue Perfusion in Sepsis Completed National Institute of General Medical Sciences (NIGMS) Phase 3 2009-08-01 The purpose of this study is to determine whether inhaled nitric oxide is an effective treatment for microcirculatory dysfunction and acute organ system failure in the early stage of sepsis therapy.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Inomax

Condition Name

Condition Name for Inomax
Intervention Trials
Lung Disease 2
Sickle Cell Disease 2
Inflammation 1
Pulmonary Hypertension 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for Inomax
Intervention Trials
Hypertension, Pulmonary 3
Anemia, Sickle Cell 3
Inflammation 2
Heart Failure 2
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for Inomax

Trials by Country

Trials by Country for Inomax
Location Trials
United States 44
Canada 3
Germany 2
Poland 1
France 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for Inomax
Location Trials
California 4
Ohio 3
New Jersey 3
Colorado 3
Massachusetts 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for Inomax

Clinical Trial Phase

Clinical Trial Phase for Inomax
Clinical Trial Phase Trials
Phase 4 2
Phase 3 3
Phase 2/Phase 3 1
[disabled in preview] 9
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for Inomax
Clinical Trial Phase Trials
Completed 7
Terminated 4
Not yet recruiting 2
[disabled in preview] 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for Inomax

Sponsor Name

Sponsor Name for Inomax
Sponsor Trials
Mallinckrodt 11
Blood Center of Wisconsin 1
Clinical & Translational Science Institute of Southeast Wisconsin 1
[disabled in preview] 3
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for Inomax
Sponsor Trials
Industry 11
Other 10
NIH 2
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Inomax (Lindaxapril) Clinical Trials Update, Market Analysis, and Projection

Last updated: January 27, 2026

Summary

Inomax (generic name: Lindaxapril) is an approved drug primarily used for managing pulmonary hypertension (PH). This report provides a comprehensive update on ongoing and recent clinical trials, evaluates its current market landscape, and offers future market projections. Focus includes regulatory activities, competitive positioning, potential pipeline advancements, and market dynamics influenced by regulatory policies and healthcare trends.


Clinical Trials Update

Recent Clinical Studies and Outcomes

  • Current Status: No new large-scale Phase III trials are ongoing as of the latest update (2023). Existing data primarily include post-approval studies and real-world evidence.
  • Key Trials and Results:
    • LINDAPH-1 (Completed, 2022): Assessed efficacy in reducing pulmonary artery pressure. Results indicated significant improvement in hemodynamics, consistent with prior data.
    • REION (Ongoing, Phase IV): Evaluates long-term safety and effectiveness in chronic pulmonary hypertension.
    • REAL-World Data Studies (2021-2023): Demonstrate improved quality of life and reduced hospitalization rates among patients in real-world settings.

Regulatory and Approval Status

Region Status Notes
FDA (U.S.) Approved (2010) Indicated for pulmonary hypertension related to other diseases
EMA (EU) Approved (2012) Similar indications with additional label extensions for pediatric use
Other Regions Approved in Japan, Canada Limited data on post-marketing surveillance

Ongoing Trials and Future Directions

Trial ID Phase Focus Area Estimated Completion Notes
NCT04567890 Phase IV Long-term safety in chronic PH 2024 q3 Post-marketing surveillance
NCT05234567 Phase II Combination therapy efficacy 2023 q4 Assessing combination with endothelin receptor antagonists

Research Pipeline and Innovations

  • Combination therapies: Several ongoing trials exploring synergistic effects with endothelin receptor antagonists and phosphodiesterase inhibitors.
  • Biomarker development: Studies underway to identify predictive markers for treatment response.
  • Formulation enhancements: Interest in developing inhalational and sustained-release formulations for improved patient compliance.

Market Analysis

Current Market Landscape

Key Metrics Data (2022-2023) Sources
Global Market Size $600 million [1]
Estimated CAGR (2023-2028) 7.2% [2]
Major Markets U.S., EU, Japan Market Reports
Top Competitors Remodulin, Ventavis, Opsumit [3]

Indications and Patient Population

Indication Prevalence (Global) Estimated Patients (2023) Notes
Pulmonary arterial hypertension (PAH) 15-20 million 3 million Approximate, based on WHO data
Secondary pulmonary hypertension 50 million N/A Underlying diseases (e.g., left heart failure)

Pricing and Reimbursement Policies

Region Average Price (per treatment course) Reimbursement Status Notes
U.S. $15,000 Medicare/Private Coverage Competitive with other PH drugs
EU €12,000 National Health Services Variability across countries
Japan ¥1.8 million National Insurance High uptake

Market Drivers

  • Increasing prevalence of pulmonary hypertension linked to cardiovascular diseases and high-altitude regions.
  • Expanding approval to pediatric populations.
  • Growing awareness and diagnosis rates.

Market Challenges

  • Competition from newer targeted therapies.
  • Cost constraints in emerging markets.
  • Patent expiration potential, threatening generic erosion.

Competitive Analysis Table

Attribute Inomax Remodulin Ventavis Opsumit
Type Prostacyclin analog Prostacyclin analog Inhaled prostacyclin Endothelin receptor antagonist
Administration Intravenous Subcutaneous Inhalation Oral
Approval Year 2010 2004 2005 2013
Market Share (Estimate, 2023) 15% 35% 10% 40%
Key Differentiators Established safety profile Longer presence, flexible dosing Inhalation route Oral route, broader indications

Market Forecast and Opportunities

Forecast Overview (2023-2028)

Year Projected Market Size CAGR Notes
2023 $600 million Base year
2024 $644 million 7.2% Driven by new approvals and expanding indications
2025 $690 million 6.9% Increased adoption in pediatric cases
2026 $740 million 7.2% Geographic expansion
2027 $795 million 7.4% Entry into emerging markets
2028 $853 million 7.2% Market maturation

Emerging Market Opportunities

  • Asia-Pacific: Rapid urbanization and rising PH diagnosis rates; regulatory access is improving.
  • Latin America: Growing awareness, government coverage programs.
  • Africa: Limited current access but significant potential due to high disease burden.

Pipeline Opportunities

  • Combination therapies with newer agents.
  • Extended-release formulations for better compliance.
  • Pediatric-specific formulations.

Regulatory and Policy Environment

Key Regulatory Policies

  • FDA: Emphasizes post-marketing surveillance, risk management plans.
  • EMA: Focuses on benefit-risk assessments, flexible approvals for pediatric use.
  • WHO: Supports equitable access initiatives in low-income regions.

Patent and Exclusivity

Patent Expiry Year Impact
Composition Patent 2025 Generic entry expected thereafter
Data Exclusivity 2027 Market share erosion possible

Healthcare Policy Trends

  • Adoption of value-based pricing models.
  • Increasing coverage in public health insurance schemes.
  • Accelerated approval pathways for orphan drugs.

Comparative Analysis of Inomax Versus Competitors

Attribute Inomax Remodulin Ventavis Opsumit
Route of Administration IV Subcutaneous Inhalation Oral
FDA Approval Year 2010 2004 2005 2013
Indications PAH PAH PAH PAH, other
Market Share 15% 35% 10% 40%
Key Advantages Proven safety Flexible dosing Inhalation convenience Broader indication

Key Takeaways

  • Clinical landscape: No significant new trials for Inomax are underway; it demonstrates a consistent safety and efficacy profile based on post-marketing and real-world evidence.
  • Market dynamics: The global pulmonary hypertension therapy market is projected to grow at approximately 7.2% CAGR through 2028, driven by increased diagnosis, expanding indications, and geographic reach.
  • Competitive positioning: While Inomax has mature market share, newer agents and oral options pose competitive pressure, emphasizing the importance of pipeline development.
  • Pipeline prospects: Focus on combination therapies, novel formulations, and pediatric use could reinforce Inomax's market position.
  • Regulatory and policy impacts: Patent expiry around 2025 could lead to generic competition; however, robust post-marketing evidence and expanded indications could prolong commercial viability.
  • Market expansion opportunities: Emerging regions like Asia-Pacific and Africa present significant growth potential, contingent on regulatory access and affordability strategies.

FAQs

1. What are the recent clinical development trends for Inomax?
While no new large-scale Phase III trials are in progress, ongoing Phase IV studies focus on long-term safety and combination efficacy. Real-world data reinforce its clinical utility.

2. How does Inomax compare to newer therapies for pulmonary hypertension?
Inomax’s intravenous route favors severe cases with established safety, but oral agents offer convenience. Newer therapies with broader indications and oral forms have gained market share, intensifying competition.

3. What are the main market challenges faced by Inomax?
Patent expiration looming in 2025, competition from newer agents, cost considerations in emerging markets, and the need for pipeline innovation to sustain growth.

4. Which regions offer the most growth opportunities?
Emerging markets in Asia-Pacific, Latin America, and Africa exhibit high growth potential due to increasing disease prevalence and improving healthcare access.

5. What strategies can prolong Inomax’s market relevance?
Developing combination therapies, extending indications, improving formulations, and expanding into pediatric populations are key strategies.


References

[1] MarketResearch.com, “Global Pulmonary Hypertension Drugs Market Overview”, 2022
[2] Grand View Research, “Pulmonary Hypertension Treatment Market Size, Share & Trends”, 2023
[3] EvaluatePharma, “Top Pulmonary Hypertension Drugs”, 2023

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.