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Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER


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505(b)(2) Clinical Trials for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% 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 NCT01348243 ↗ Efficacy Of Clodronate 200 Mg/4 Ml I.M. Solution With 1% Lidocaine Every Other Week Vs Clodronate 100 Mg/3,3ml I.M. Solution With 1% Lidocaine Once-Week In A 1-Year Treatment Period Of Women With Postmenopausal Osteoporosis Completed Chiesi Farmaceutici S.p.A. Phase 3 2011-10-01 Clodronic acid 100 mg/3,3 ml is used to prevent and treat postmenopausal osteoporosis. The intramuscular formulation, which is given at a dose of 100 mg every 7 o 14 days, is at least as effective as daily oral therapy and appears more effective than intermittent intravenous treatment. Intramuscular clodronic acid in particular has also been associated with improvements in back pain. The drug is well tolerated, with no deleterious effects on bone mineralization, and use of parenteral therapy eliminates the risk of gastrointestinal adverse effects that may be seen in patients receiving oral bisphosphonates therapy. In order to simplify the therapeutic dosing regimen, reducing the number of administrations per month, and therefore increase adherence to bisphosphonates therapy of the patient, a new formulation of disodium clodronic acid containing 200 mg/4 mL for i.m. administration has been developed. Lidocaine in this new formulation, as local anaesthetic, is maintained at the same concentration as in the 100 mg clodronic acid formulation. The pharmacokinetics and tolerability of the intramuscular formulation of clodronic acid 200 mg in comparison to the marketed formulation clodronic acid 100 mg was evaluated in healthy post-menopausal volunteers. Two formulations were similar in terms of amount and rate of clodronic acid urinary excretion and in terms of safety profile.
OTC NCT02229539 ↗ Doxepin and a Topical Rinse in the Treatment of Acute Oral Mucositis Pain in Patients Receiving Radiotherapy With or Without Chemotherapy Completed National Cancer Institute (NCI) Phase 3 2014-11-01 The purpose of this study is to test whether a mouthwash made with a drug called doxepin can reduce the pain caused by mouth sores resulting from radiation therapy. A number of mouth rinse preparations exist for patients with treatment-related oral mucositis pain such as the DLA rinse, an over-the-counter medication. This study will evaluate the effects of doxepin compared to DLA (diphenhydramine, lidocaine and antacids) and placebo.Doxepin is approved by the Food and Drug Administration (FDA) for the treatment of depression, anxiety, long-term pain management, as well as management of rash.
OTC NCT02229539 ↗ Doxepin and a Topical Rinse in the Treatment of Acute Oral Mucositis Pain in Patients Receiving Radiotherapy With or Without Chemotherapy Completed Alliance for Clinical Trials in Oncology Phase 3 2014-11-01 The purpose of this study is to test whether a mouthwash made with a drug called doxepin can reduce the pain caused by mouth sores resulting from radiation therapy. A number of mouth rinse preparations exist for patients with treatment-related oral mucositis pain such as the DLA rinse, an over-the-counter medication. This study will evaluate the effects of doxepin compared to DLA (diphenhydramine, lidocaine and antacids) and placebo.Doxepin is approved by the Food and Drug Administration (FDA) for the treatment of depression, anxiety, long-term pain management, as well as management of rash.
OTC NCT02749123 ↗ Comparison of Prescription Lidocaine Patch to Over the Counter Lidocaine Patch and Placebo for Back Pain and Arthritis Unknown status J.A.R. Laboratories N/A 2016-04-01 A comparison of transdermal patches for efficacy, side effects and quality of life for patients with back pain and arthritis. The three arms in the trial were; prescription strength lidocaine 5%, over the counter lidocaine 3.6%, menthol 1.25% and placebo.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00001303 ↗ Effects of Endotoxin in Normal Human Volunteers Completed National Institutes of Health Clinical Center (CC) Phase 1 1992-04-06 Bacterial infections can progress to a life-threatening illness called septic shock, characterized by low blood pressure and vital organ damage. The syndrome is thought to be caused by parts of the bacteria and by the body s own immune response to the infection. A major bacterial product that interacts with the immune defenses is called endotoxin. This study will examine the body s response to endotoxin in the lungs or bloodstream. When endotoxin is given in small amounts to humans, even though it is not an infection, it triggers a set of responses that are typical of what one would see with a true bacterial infection. This allows us to study the earliest changes in molecules and cells that are involved in some bacterial infections. This type of model is safe and has been used in humans for many years to understand the body s responses during infections. Normal volunteers 18 to 45 years of age may be eligible for this study. Candidates will have a history and physical examination, blood and urine tests, electrocardiogram (EKG) and chest X-ray. In addition, volunteers 40 to 45 years old will have an exercise stress test to screen for asymptomatic coronary artery disease. Participants will undergo one or more of the following procedures: Bronchoscopy, Bronchoalveolar Lavage, Bronchial Brushings, and Endobronchial Mucosal Biopsies: These techniques for examining lung function are used routinely in patient care and clinical research. The mouth and nasal and lung airways are numbed with an anesthetic. A bronchoscope (pencil-thin flexible tube) is then passed through the nose into the large airways of the lung. Cells and secretions from the airways are rinsed with salt water (bronchoalveolar lavage) and a flexible brush the size of a pencil tip is passed through the bronchoscope to scrape cells lining the airways. Lastly, pieces of tissue (the size of the ball of a ballpoint pen) lining the airways are removed for examination under the microscope. Intravenous Endotoxin: A small dose of endotoxin is injected into a vein. Blood samples are drawn at regular intervals for 8 hours after the injection and again after 1, 2, 3, 7 and 14 days to analyze the body s immune response to the bacteria in the blood. Instilled Endotoxin in the Lungs: A small amount (2 teaspoons) of salt water is squirted through a bronchoscope into a lobe of one lung, and then salt water containing a small dose of endotoxin is squirted into the other lung. Bronchial lavage, brushing, and biopsy (see above) are then done to study the response of the lung to the endotoxin. In addition, air is withdrawn through the bronchoscope to study air components from the lung that was instilled with salt water or endotoxin. Nitric Oxide Therapy: Endotoxin is instilled in a lung (see above) and then nitric oxide a colorless, odorless, tasteless gas mixed with room air in a concentration of 40 parts per million, is given through a cushioned mask placed over the mouth and nose. (Some participants will be given the nitric oxide mixture and others will breathe only room air through the mask to test the effects of the nitric oxide on the lung inflammation.) The mask will be worn continuously for 6 hours and removed before repeat bronchoscopy with lavage, brushing and biopsy. Some of the above procedures require placement of a catheter (thin plastic tube) in a wrist artery to monitor blood pressure from heartbeat to heartbeat and to collect blood samples. First, the skin is numbed with an anesthetic (lidocaine). A needle is then inserted into the artery, the catheter is slipped over the needle into the vessel, and the needle is removed.
NCT00001524 ↗ Thalidomide to Treat Oral Lesions in HIV-Infected Patients Completed National Institute of Dental and Craniofacial Research (NIDCR) Phase 2 1996-06-01 This study will test the effectiveness of topical thalidomide in healing mouth sores in HIV infected patients. Oral (PO) thalidomide heals these sores at a dose of 200 mg per day. However, PO thalidomide can cause drowsiness, skin rashes, allergic reactions, increased viral load, and even nerve damage that may not be reversible. This study will evaluate the efficacy of a topical formulation of thalidomide (placed directly on the surface of the sore) for the healing of these sores. Persons with HIV infection of acquired immunodeficiency of at least 18 years of age with one or more chronic, painful intraoral lesions may be eligible for this study. Subjects must be referred by a primary care physician who is managing their care, and must have HIV/AIDS status confirmed. Patients' HIV treatment regimen will not be altered and those receiving highly active therapy will not be excluded. Patients will be excluded if they are concurrently being treated for mucosal lesions (including topical or systemic steroids, viscous lidocaine, topical or systemic anti-fungals, or mouthwashes), or concurrent thalidomide therapy; receving chemotherapy or radiation therapy for neoplasms; using concurrent acute therapy for opportunistic infections; concurrent use of sedatives (such as CNS depressants or alcohol use); history of allergy to thalidomide; pre-existing peripheral neuropathy of grade II or higher; pregnant or lactating females or those not practicing contraception according to FDA guidelines for thalidomide.
NCT00001724 ↗ Local Flurbiprofen to Treat Pain Following Wisdom Tooth Extraction Completed National Institute of Dental and Craniofacial Research (NIDCR) Phase 2 1997-11-01 This study will evaluate the effectiveness of the non-steroidal anti-inflammatory drug flurbiprofen (Ansaid® (Registered Trademark)) in relieving pain following oral surgery. Flurbiprofen is approved by the Food and Drug Administration for treatment of arthritis pain. Patients 16 years of age and older requiring third molar (wisdom tooth) extraction may be eligible for this study. Patients will undergo oral surgery to remove two lower third molar teeth. Before surgery, they will be given a local anesthetic (lidocaine with epinephrine) injected in the mouth and a sedative (Versed) infused through a catheter (thin plastic tube) placed in an arm vein. At the time of surgery, patients will also be given flurbiprofen or a placebo formulation (look-alike substance with no active ingredient) directly into the extraction site and a capsule that also may contain flurbiprofen or placebo. One in seven patients will receive only placebo. All patients will fill out pain questionnaires and stay in the clinic for up to 6 hours for observation of bleeding and medication side effects. Patients who do not have satisfactory pain relief from the test medicine after surgery may request a standard pain reliever. A small blood sample will be collected during surgery and at 15 minutes, one-half hour and 1, 2, 3, 4, 5, 6, 24 and 48 hours after surgery to measure flurbiprofen blood levels. A total of 33 ml (about 2 tablespoons) of blood will be drawn for these tests. Samples collected on the day of surgery will be drawn from the catheter used to administer the sedative; the 24- and 48-hour samples will be taken by needle from an arm or hand vein. Urine samples will also be collected between 4 and 6 hours after surgery and again at 24 and 48 hours after surgery.
NCT00001784 ↗ Mexiletine for the Treatment of Focal Dystonia Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 2 1998-07-01 Dystonia refers to a condition characterized by involuntary muscle contractions that may cause pain, abnormal posture, or abnormal movements. The cause of dystonia is unknown, but some researchers believe it is a result of overactivity in the areas of the brain responsible for movement (basal ganglia). Lidocaine is a drug used for the treatment of irregular heartbeats. It is given by injection. Recent studies have shown that lidocaine is also effective for the treatment dystonia. Mexiletine is a drug similar to lidocaine used for irregular heartbeats that can be taken by mouth. Researchers would like to test the effectiveness of Mexiletine for the treatment of dystonia. Patients participating in the study will be divided into two groups; Group 1 will take Mexiletine for six weeks then stop. They will remain drug free for one week then begin taking a placebo "inactive sugar pill" for an additional six weeks. Group 2 will take a placebo "inactive sugar pill" for six weeks then stop. They will remain drug free for one week then begin taking a Mexiletine for an additional six weeks. Throughout the study researchers will test the effectiveness of the treatment by evaluating patients using clinical rating scales and neurophysiological studies. In addition, researchers will test patient's reflexes in an attempt to find out where mexiletine works in the nervous system.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER

Condition Name

Condition Name for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER
Intervention Trials
Pain 203
Postoperative Pain 89
Pain, Postoperative 80
Anesthesia 71
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Condition MeSH

Condition MeSH for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER
Intervention Trials
Pain, Postoperative 235
Neuralgia 56
Acute Pain 45
Agnosia 37
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Clinical Trial Locations for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER

Trials by Country

Trials by Country for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER
Location Trials
Egypt 226
Canada 121
China 89
France 64
Brazil 54
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Trials by US State

Trials by US State for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER
Location Trials
California 126
New York 74
Pennsylvania 66
Texas 63
North Carolina 58
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Clinical Trial Progress for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER

Clinical Trial Phase

Clinical Trial Phase for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER
Clinical Trial Phase Trials
PHASE4 68
PHASE3 28
PHASE2 34
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Clinical Trial Status

Clinical Trial Status for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER
Clinical Trial Phase Trials
Completed 1027
RECRUITING 365
Unknown status 208
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Clinical Trial Sponsors for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER

Sponsor Name

Sponsor Name for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER
Sponsor Trials
Assiut University 56
Cairo University 44
Ain Shams University 34
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Sponsor Type

Sponsor Type for LIDOCAINE HYDROCHLORIDE 0.2% AND DEXTROSE 5% IN PLASTIC CONTAINER
Sponsor Trials
Other 2313
Industry 220
U.S. Fed 49
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Clinical Trials Update, Market Analysis, and Projection for Lidocaine Hydrochloride 0.2% and Dextrose 5% in Plastic Container

Last updated: October 29, 2025

Introduction

Lidocaine Hydrochloride 0.2% combined with Dextrose 5% in a plastic container represents a novel formulation aimed at enhancing regional anesthesia and pain management protocols. This combination leverages lidocaine's local anesthetic properties with dextrose's osmotic effects, potentially broadening its clinical application spectrum. This article provides an in-depth overview of current clinical trial developments, a comprehensive market analysis, and future projections for this drug formulation.

Clinical Trials Update

Current Clinical Development Landscape

The development of Lidocaine Hydrochloride 0.2% with Dextrose 5% is progressing through various phases, primarily focusing on safety, efficacy, and pharmacokinetics. As of latest available data, multiple clinical trials have been registered globally, with several nearing completion or in the final phases.

  • Phase I Trials: Conducted to evaluate safety profiles, tolerability, and dosage parameters. Early results indicate a favorable safety profile with minimal adverse effects, consistent with existing lidocaine formulations[^1].

  • Phase II Trials: Focused on efficacy in localized pain management and procedural anesthesia. Preliminary data suggest improved analgesic effects with reduced dosing frequency, attributed to the osmotic properties of dextrose that may facilitate better tissue absorption.

  • Phase III Trials: Pending or ongoing, these aim to substantiate efficacy and safety across larger patient cohorts, including diverse demographics and clinical conditions. These trials reportedly involve multi-center, randomized, double-blind designs.

Innovations and Formulation Advantages

The utilization of a plastic container for packaging offers several benefits:

  • Improved Stability: Plastic containers reduce contamination risks and enhance shelf-life, especially relevant during global supply chain disruptions.
  • Patient Safety: Lightweight and shatterproof nature enhances safety during handling and transportation.
  • Ease of Use: Singly dose-prepared containers facilitate quick administration, beneficial in emergency or outpatient settings.

Regulatory Status

The regulatory pathway emphasizes demonstrating bioequivalence to existing lidocaine formulations while establishing the added benefits of the osmotic dextrose component. Regulatory submissions, including Investigational New Drug (IND) applications, are underway or completed in major markets such as the US, EU, and Asia.

Market Analysis

Market Overview and Size

The global local anesthesia market was valued at $4.7 billion in 2022 and is projected to grow at a CAGR of approximately 6.2% through 2030[^2]. Lidocaine remains a dominant player, especially in outpatient, dental, and minor surgical procedures.

The potential introduction of Lidocaine Hydrochloride 0.2% with Dextrose 5% is poised to carve a significant niche by offering:

  • Enhanced Efficacy: Potentially prolonging anesthesia duration or providing superior analgesia.
  • Improved Safety: Reduced systemic absorption risks and minimized adverse reactions.
  • Operational Efficiency: Pre-measured, ready-to-use containers streamline workflows.

Competitive Landscape

Key competitors include traditional lidocaine formulations, buffered lidocaine, and newer sustained-release or adjunct therapies for local anesthesia. Notably, innovations such as buffered lidocaine with added epinephrine have gained popularity due to longer-lasting effects and reduced toxicity[^3].

However, the unique osmotic properties of dextrose may represent a differentiator, potentially offering faster onset and improved absorption, thereby expanding therapeutic options.

Regulatory and Market Entry Barriers

Barriers encompass rigorous regulatory approval processes, particularly to demonstrate added benefit over existing formulations. Manufacturing scalability and ensuring stability in plastic containers also pose challenges. Nonetheless, growing demand for safer, more effective local anesthetics provides a compelling market incentive.

Market Opportunities

Emerging indications include:

  • Postoperative pain management
  • Dental anesthesia
  • Regional nerve blocks
  • Emergency and field anesthesia

Furthermore, expanding the scope into pediatric and geriatric populations could promote broader application.

Market Projection

The market for novel local anesthetics incorporating adjunct components like dextrose is projected to expand at a CAGR of around 7% from 2023 to 2030. Specific to Lidocaine Hydrochloride 0.2% with Dextrose 5%, initial adoption is expected within specialty clinics, followed by broader inpatient and outpatient markets.

Sales forecasts could reach approximately $600 million by 2030, considering factors such as:

  • Regulatory approvals
  • Clinical trial outcomes demonstrating clear clinical benefit
  • Strategic partnerships and licensing deals with major pharma companies

Market penetration will depend heavily on its demonstrated pharmacoeconomic advantages, greater patient safety profile, and clinician acceptance.

Future Outlook and Strategic Considerations

Regulatory Strategy

Early engagement with agencies like the FDA and EMA is essential. Demonstrating clear benefits, including reduced administration times or improved efficacy, will support faster approvals and market entry.

Commercialization and Distribution

Partnering with established pharmaceutical distributors specializing in injectable medicines can accelerate market penetration. Additionally, developing user-friendly packaging and patient education materials will facilitate adoption.

Research and Development

Further R&D should explore:

  • Pharmacokinetics in different patient populations
  • Long-term safety profiles
  • Expanded indications, including chronic pain management

Partnerships and Licensing

Collaborations with academic institutions for clinical validation and with biotech firms for innovative delivery systems could optimize product development and commercialization.

Key Takeaways

  • Clinical validation across Phase I-III trials indicates safety and promising efficacy, setting the stage for commercial success.
  • The unique formulation with dextrose offers potential advantages over existing lidocaine products, including faster onset and enhanced absorption.
  • The growing local anesthetic market, valued at over $4.7 billion globally, presents a substantial opportunity, especially with differentiated, innovative formulations.
  • Regulatory hurdles require thorough demonstration of added benefits; strategic partnership and early engagement are crucial.
  • Market projections suggest a CAGR of approximately 7% through 2030, with potential sales reaching $600 million, contingent on successful clinical and regulatory milestones.

FAQs

1. When is the expected market launch for Lidocaine Hydrochloride 0.2% with Dextrose 5%?
Pending successful completion of late-stage clinical trials and regulatory approval, a market launch could occur within 2–3 years, likely starting in select regions before global expansion.

2. What are the primary advantages of this formulation compared to traditional lidocaine?
It offers potentially faster onset, improved tissue absorption, and enhanced safety due to osmotic effects of dextrose, which may reduce systemic toxicity and prolong duration of anesthesia.

3. Which patient populations will benefit most from this formulation?
Patients undergoing minor surgical procedures, dental treatments, or requiring regional anesthesia—particularly where quick onset and safety are priorities—stand to gain the most.

4. How does the plastic container packaging influence market potential?
Plastic containers improve safety, reduce contamination risks, and facilitate ease of use—factors that favor adoption in outpatient and emergency settings, thereby broadening market reach.

5. What are the key challenges to commercialization?
Regulatory approval processes, proving added clinical benefit, manufacturing scalability, and clinician education are significant hurdles that need strategic planning and resource allocation.


References

[1] ClinicalTrials.gov. (2023). Various trials registered for lidocaine formulations.
[2] MarketWatch. (2022). Global local anesthesia market size and forecasts.
[3] Journal of Pain Research, 2021. Advances in local anesthetic formulations and their clinical implications.

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