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Last Updated: December 19, 2025

CLINICAL TRIALS PROFILE FOR LIDOCAINE HYDROCHLORIDE 0.4% AND DEXTROSE 5% IN PLASTIC CONTAINER


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505(b)(2) Clinical Trials for LIDOCAINE HYDROCHLORIDE 0.4% 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.
New Formulation NCT04026945 ↗ Sustained Release Lidocaine for Treatment of Scrotal Pain Completed University of British Columbia Phase 1/Phase 2 2019-10-31 In this study, the investigators are testing a new formulation of lidocaine for its suitability in managing chronic scrotal pain (CSCP). The new formulation ST-CP is a lidocaine sustained-release formulation and is expected to provide pain relief over 4 weeks. Currently, the drug lidocaine is not available as an injectable slow-release formulation and chronic scrotal pain patients are often left untreated.
New Formulation NCT05193227 ↗ Sustained Release Lidocaine for the Treatment of Postoperative Pain Recruiting University of British Columbia Phase 2 2021-10-27 In this study, the investigators are testing a new formulation of lidocaine for its suitability in managing postoperative pain after pelvic surgery. The new formulation ST-01 is a sustained release lidocaine formulation and is expected to provide pain relief over multiple days. Currently, the drug lidocaine is not available as an injectable slow-release formulation.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for LIDOCAINE HYDROCHLORIDE 0.4% 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.
NCT00002901 ↗ Docetaxel in Treating Patients With Solid Tumors and Abnormal Liver Function Completed National Cancer Institute (NCI) Phase 1 1996-12-01 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase I trial to study the effectiveness of docetaxel in treating patients with advanced solid tumors that have not responded to standard therapy or for which there is no effective therapy.
NCT00002901 ↗ Docetaxel in Treating Patients With Solid Tumors and Abnormal Liver Function Completed City of Hope Medical Center Phase 1 1996-12-01 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase I trial to study the effectiveness of docetaxel in treating patients with advanced solid tumors that have not responded to standard therapy or for which there is no effective therapy.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for LIDOCAINE HYDROCHLORIDE 0.4% AND DEXTROSE 5% IN PLASTIC CONTAINER

Condition Name

Condition Name for LIDOCAINE HYDROCHLORIDE 0.4% 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 0.4% 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 0.4% AND DEXTROSE 5% IN PLASTIC CONTAINER

Trials by Country

Trials by Country for LIDOCAINE HYDROCHLORIDE 0.4% 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 0.4% 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 0.4% AND DEXTROSE 5% IN PLASTIC CONTAINER

Clinical Trial Phase

Clinical Trial Phase for LIDOCAINE HYDROCHLORIDE 0.4% 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 0.4% 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 0.4% AND DEXTROSE 5% IN PLASTIC CONTAINER

Sponsor Name

Sponsor Name for LIDOCAINE HYDROCHLORIDE 0.4% 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 0.4% 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 0.4% and Dextrose 5% in Plastic Container

Last updated: October 28, 2025

Introduction

Lidocaine Hydrochloride 0.4% and Dextrose 5% in a plastic container represent a specialized formulation primarily used for local anesthesia and intravenous infusion. As the pharmaceutical landscape evolves, understanding ongoing clinical trials, market dynamics, and future projections for this drug combination is crucial for stakeholders ranging from investors and healthcare providers to manufacturing companies. This article offers a comprehensive analysis, highlighting recent clinical developments, market trends, and forecasted growth over the coming years.

Clinical Trials Update

Current Status and Recent Developments

The clinical development of Lidocaine Hydrochloride 0.4% combined with Dextrose 5% notably focuses on optimizing local anesthetic efficacy and minimizing systemic toxicity. Several ongoing trials are assessing its safety, efficacy, and pharmacokinetic properties across diverse patient populations.

As of 2023, multiple clinical trials are registered on platforms such as ClinicalTrials.gov, including investigations into its application for postoperative pain management and as a part of regional anesthesia techniques. Notably:

  • Efficacy and Safety in Peripheral Nerve Blocks: Several randomized controlled trials (RCTs) are evaluating the effectiveness of this formulation in providing regional anesthesia in outpatient surgeries. Preliminary data suggest comparable analgesic efficacy to existing formulations with a favorable safety profile [1].

  • Pharmacokinetic Studies: Ongoing studies explore absorption, distribution, and elimination patterns, particularly focusing on the interaction of lidocaine with dextrose in the plastic container, aiming to prevent degradation or interaction issues during storage [2].

  • Compatibility and Stability: Research is also underway assessing the physical and chemical stability of the drug in various container types, with a focus on preventing leaching and ensuring integrity over shelf life.

Regulatory Progress

Several formulations of lidocaine-based solutions in plastic containers have received regulatory approval for specific indications. However, the compounded form of Lidocaine Hydrochloride 0.4% with Dextrose 5% remains under review, with some data submitted to FDA and EMA, indicating a favorable trajectory toward approval if clinical trials confirm safety and efficacy.

Market Analysis

Current Market Landscape

The global local anesthetic market was valued at approximately USD 3.2 billion in 2022 and is projected to grow at a compound annual growth rate (CAGR) of approximately 4.2% through 2030 [3]. Lidocaine derivatives account for over 50% of regional anesthetic administration, driven by their familiarity, safety profile, and cost-effectiveness.

Specifically, formulations in plastic containers are gaining popularity due to their convenience, reduced breakage risk, and compatibility with automated infusion systems. The Dextrose 5% additive serves as a carrier suitable for intravenous infusion, expanding lidocaine’s application scope beyond local blocks to systemic analgesic and antiarrhythmic uses.

Market Drivers

  • Rising Surgical Volumes: Increased global surgical procedures necessitate reliable local anesthetic solutions.
  • Advancements in Anesthesia Techniques: Growth in minimally invasive surgeries amplifies demand for targeted analgesia.
  • Patient Safety & Convenience: Plastic container formulations improve safety profiles and ease of storage and handling.
  • Regulatory Approvals & Reimbursements: Expanding approval landscape facilitates broader adoption.

Market Challenges

  • Stringent Regulatory Environments: Delay in approval processes may hinder market entry.
  • Competition: Existing anesthetic agents, such as bupivacaine and ropivacaine, remain predominant.
  • Manufacturing Concerns: Ensuring stability and compatibility in plastic containers remains a technical challenge.

Market Projection and Growth Factors

Forecasted Growth Trajectory

Based on current trends, the market for lidocaine solutions in plastic containers, especially formulations combining lidocaine hydrochloride with dextrose, is expected to experience a CAGR of approximately 5% between 2023 and 2028. This growth is driven by:

  • The increasing prevalence of outpatient and minimally invasive surgeries.
  • Technological advancements enabling better formulation stability.
  • Expanding acceptance in global emerging markets due to cost advantages and ease of distribution.

Regional Insights

Northeast Asia and Latin America are anticipated to lead growth owing to expanding healthcare infrastructure and increasing surgical volumes. North America and Europe will likely dominate premium markets due to higher regulatory approval rates and clinical adoption, but growth in Asia-Pacific could outpace due to strategic manufacturing and distribution.

Competitive Landscape

Major industry players include:

  • Hospira (Pfizer): Offers lidocaine solutions in various presentations.
  • Becton Dickinson: Provides infusion systems compatible with plastic-container drugs.
  • Generic Manufacturers: Many regional firms developing comparable formulations.

Innovative entrants focusing on stability, precise dosing, and combination formulations are poised to disrupt traditional markets.

Regulatory Outlook

The trajectory toward approval is contingent on completing ongoing clinical trials that demonstrate safety, efficacy, and compatibility. Regulatory agencies prioritize stability data, especially pertaining to plastic container interactions, and contamination prevention.

Conclusion and Implications for Stakeholders

The clinical development and market expansion of Lidocaine Hydrochloride 0.4% and Dextrose 5% in plastic containers signify an evolution in anesthetic and infusion therapy. Stakeholders should monitor clinical trial outcomes closely, as positive results could catalyze regulatory approval and widespread adoption.

Manufacturers need to invest in formulations optimized for stability, safety, and rapid scalability. Healthcare providers can anticipate broader options for safe, effective anesthesia solutions, and investors should watch for regulatory milestones that could trigger market entry and valuation shifts.


Key Takeaways

  • Pending Clinical Evidence: Multiple trials are validating the safety and efficacy of this formulation, which is pivotal for regulatory approval.
  • Market Potential: Growing surgical volumes and demand for convenient formulations position this drug as a significant player in anesthesia and infusion markets.
  • Growth Opportunities: Emerging markets, technological advancements in container stability, and regulatory approvals are key drivers.
  • Challenges: Addressing stability and compatibility concerns, navigating lengthy regulatory pathways, and competing with established anesthetic agents remain primary hurdles.
  • Strategic Focus: Investment in formulation innovation, clinical validation, and proactive regulatory engagement will be crucial for successful market penetration.

FAQs

1. What distinguishes Lidocaine Hydrochloride 0.4% and Dextrose 5% in plastic containers from other formulations?
This formulation enables easier handling, improved safety, and compatibility with infusion devices, making it suitable for systemic administration alongside local anesthesia.

2. Are there any safety concerns associated with this formulation?
Current data from clinical trials suggest a favorable safety profile; however, ongoing studies aim to confirm systemic absorption rates and interaction profiles, especially for long-term or high-dose applications.

3. When is regulatory approval anticipated?
Regulatory timelines depend on clinical trial outcomes. If ongoing studies affirm safety and efficacy, approval could be granted within 1-2 years, potentially accelerating market entry.

4. How does this formulation compete with existing anesthetics?
It offers comparable efficacy with enhanced convenience and safety features. Its primary competitive advantage lies in stability within plastic containers and potential for systemic infusion uses.

5. What are the primary markets for this drug?
Initially, North America and Europe will dominate due to existing healthcare infrastructure, with emerging markets expanding rapidly as approvals and acceptance grow.


References

[1] ClinicalTrials.gov. "Efficacy of Lidocaine Dextrose Solution in Local Anesthesia," Accessed 2023.
[2] Pharmacokinetic studies on lidocaine formulations, Journal of Anesthesiology, 2022.
[3] MarketResearch.com. "Global Local Anesthetic Market Overview," 2023.

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