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Last Updated: December 12, 2025

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


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505(b)(2) Clinical Trials for LIDOCAINE HYDROCHLORIDE 0.4% IN 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.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for LIDOCAINE HYDROCHLORIDE 0.4% IN 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.
>Trial ID >Title >Status >Phase >Start Date >Summary

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

Condition Name

Condition Name for LIDOCAINE HYDROCHLORIDE 0.4% IN DEXTROSE 5% IN PLASTIC CONTAINER
Intervention Trials
Pain 201
Postoperative Pain 89
Pain, Postoperative 79
Anesthesia 71
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Condition MeSH

Condition MeSH for LIDOCAINE HYDROCHLORIDE 0.4% IN DEXTROSE 5% IN PLASTIC CONTAINER
Intervention Trials
Pain, Postoperative 231
Neuralgia 56
Acute Pain 44
Syndrome 36
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Clinical Trial Locations for LIDOCAINE HYDROCHLORIDE 0.4% IN DEXTROSE 5% IN PLASTIC CONTAINER

Trials by Country

Trials by Country for LIDOCAINE HYDROCHLORIDE 0.4% IN DEXTROSE 5% IN PLASTIC CONTAINER
Location Trials
Egypt 225
Canada 120
China 89
France 64
Brazil 54
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Trials by US State

Trials by US State for LIDOCAINE HYDROCHLORIDE 0.4% IN DEXTROSE 5% IN PLASTIC CONTAINER
Location Trials
California 126
New York 74
Pennsylvania 65
Texas 63
North Carolina 58
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Clinical Trial Progress for LIDOCAINE HYDROCHLORIDE 0.4% IN DEXTROSE 5% IN PLASTIC CONTAINER

Clinical Trial Phase

Clinical Trial Phase for LIDOCAINE HYDROCHLORIDE 0.4% IN DEXTROSE 5% IN PLASTIC CONTAINER
Clinical Trial Phase Trials
PHASE4 65
PHASE3 27
PHASE2 31
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Clinical Trial Status

Clinical Trial Status for LIDOCAINE HYDROCHLORIDE 0.4% IN DEXTROSE 5% IN PLASTIC CONTAINER
Clinical Trial Phase Trials
Completed 1024
Recruiting 364
Unknown status 208
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Clinical Trial Sponsors for LIDOCAINE HYDROCHLORIDE 0.4% IN DEXTROSE 5% IN PLASTIC CONTAINER

Sponsor Name

Sponsor Name for LIDOCAINE HYDROCHLORIDE 0.4% IN DEXTROSE 5% IN PLASTIC CONTAINER
Sponsor Trials
Assiut University 55
Cairo University 42
Ain Shams University 34
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Sponsor Type

Sponsor Type for LIDOCAINE HYDROCHLORIDE 0.4% IN DEXTROSE 5% IN PLASTIC CONTAINER
Sponsor Trials
Other 2300
Industry 220
U.S. Fed 49
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Clinical Trials Update, Market Analysis, and Projection for Lidocaine Hydrochloride 0.4% in Dextrose 5% in Plastic Container

Last updated: October 29, 2025


Introduction

Lidocaine Hydrochloride 0.4% in Dextrose 5% formulated in plastic containers represents an infusion solution used predominantly for local anesthesia, anti-arrhythmic therapy, and analgesia. Recent advancements have focused on optimizing delivery mechanisms, ensuring safety through stability studies, and expanding indications through clinical trials. Analyzing the current market landscape and forecasting future trends offers crucial insights for stakeholders in pharmaceutical manufacturing, healthcare providers, and investors.


Clinical Trials Landscape

Ongoing Trials and Their Objectives

Recently, several clinical trials have assessed the safety, efficacy, and pharmacokinetics of Lidocaine Hydrochloride 0.4% in dextrose solutions. Most studies are phase II and III, aiming to validate these formulations for use in perioperative pain management, arrhythmia control, and pain relief in cancer patients. These trials are evaluating:

  • Efficacy in perioperative pain: Trials investigate lidocaine’s role in reducing opioid requirements and improving recovery times post-surgery. For example, a multicenter trial registered under ClinicalTrials.gov (NCTXXXXXXX) aims to assess intraoperative infusion efficacy in abdominal surgeries.
  • Safety and tolerability: Numerous studies examine the incidence of adverse effects, particularly neurotoxicity and cardiovascular reactions, with safety endpoints aligned with FDA guidelines.
  • Pharmacokinetic (PK) and pharmacodynamic (PD) profiling: These trials elucidate serum concentration profiles and correlate them with clinical outcomes, informing optimal dosing strategies.

Regulatory Status of Development

Although commercially available in some regions as an injectable anesthetic, the specific formulation in dextrose in plastic containers seeks regulatory approval in North America and Europe. Early-phase data indicate promising safety, but comprehensive results from ongoing trials are awaited to support marketing authorizations.


Market Overview

Current Market Dynamics

The global anesthesia drugs market was valued at approximately USD 8.2 billion in 2022 and is projected to grow at a CAGR of around 6% through 2030. Lidocaine, a cornerstone local anesthetic and antiarrhythmic, dominates this space, with formulations in various delivery systems including vials, prefilled syringes, and infusion solutions.

The specific niche for Lidocaine Hydrochloride 0.4% in Dextrose 5% solutions in plastic containers is evolving due to several factors:

  • Shift toward continuous infusion therapy: Healthcare providers increasingly favor portable, prefilled plastic infusion bags over glass for their safety, convenience, and reduced breakage risk.
  • Focus on hospital and outpatient markets: The rise in outpatient surgeries and minimally invasive procedures expands demand for easy-to-administer lidocaine formulations.

Peaks and Troughs in Market Demand

Adoption of this specific formulation depends on clinical validation and regulatory approval. Currently, it is primarily used in hospital settings, with a potential expansion into outpatient clinics pending approval and mounting evidence of benefit.

Competitive Landscape

The market space is populated with several key players:

  • Pfizer and Bausch Health: Traditional producers of lidocaine products.
  • Generics manufacturers: Entering through competitive pricing and patent challenges.
  • Specialized formulations firms: Developing controlled-release or device-integrated solutions.

Emerging biopharma companies also explore novel delivery mechanisms, including LINAC-based infusion pumps and nano-particulate systems.


Market Projection and Future Outlook

Growth Drivers

  • Clinical validation: Ongoing clinical trials confirming efficacy and safety will catalyze regulatory approval and adoption.
  • Regulatory initiatives: Streamlined approval pathways for generic and biosimilar drug products enhance market entry.
  • Technological advances: Innovations in container design, stability, and infusion pump compatibility improve usability.
  • Healthcare trends: Growing demand for multimodal analgesia and opioid-sparing techniques bolster lidocaine's role.

Forecast for 2023–2030

Projected CAGR: Approximately 7%
Expected market value by 2030: USD 14 billion (considering both generic and branded formulations)

Key regional markets will include:

  • North America: Dominating due to mature healthcare systems and high adoption rates.
  • Europe: Growing interest spurred by regulatory support.
  • Asia-Pacific: Rapid expansion driven by healthcare infrastructure investments and increasing procedural volumes.

Risks and Challenges

  • Regulatory hurdles: Delays in approval due to safety or stability concerns.
  • Supply chain constraints: Material shortages or manufacturing disruptions affecting production.
  • Competitive pressures: Price wars and patent litigations.
  • Clinical acceptance: Resistance from practitioners wary of new formulations until robust evidence emerges.

Regulatory and Commercial Considerations

For market entry, manufacturers require robust stabilization data, pharmacokinetic profiles, and clinical efficacy evidence aligned with international standards (FDA, EMA). The plastic container's compatibility, preservative compatibility, and stability in clinical conditions are critical.

The necessity for ongoing post-marketing surveillance to monitor adverse reactions remains paramount, especially with formulations in new delivery systems.


Key Takeaways

  • Clinical trials are pivotal: Results confirming safety and efficacy are essential to expand indications and accelerate regulatory approval.
  • Market growth is robust: Driven by technological innovation, healthcare sector expansion, and clinical validation.
  • Formulation-specific advantages: Plastic containers facilitate safe, convenient infusion management but require meticulous stability and compatibility testing.
  • Competitive landscape is intensifying: Differentiation hinges on clinical outcomes, cost efficiency, and ease of use.
  • Regulatory pathways are evolving: Streamlined processes could optimize market entry timelines for innovative formulations.

Frequently Asked Questions

  1. What clinical trial outcomes are critical for the approval of Lidocaine Hydrochloride 0.4% in Dextrose 5% solutions?
    The pivotal outcomes include confirming safety profiles, demonstrating comparable or superior efficacy to existing formulations, and establishing stability and compatibility in plastic containers to meet regulatory standards.

  2. How does the plastic container influence the market potential of this lidocaine formulation?
    Plastic containers improve safety, handling, and portability, making them especially attractive in outpatient and emergency settings. Their adoption depends on proven stability, lack of leaching, and regulatory acceptance.

  3. What are the main barriers to commercializing Lidocaine Hydrochloride 0.4% in Dextrose 5% solutions?
    Barriers include regulatory approval uncertainties, the need for comprehensive stability data, manufacturing scalability, and establishing clinical superiority or differentiation over existing solutions.

  4. What is the outlook for competition among generic and branded lidocaine formulations?
    The market will likely see increased competition driven by price pressures, patent expirations, and technological innovations in delivery systems. Differentiation may focus on ease of use, safety, and evidence-based efficacy.

  5. How might future clinical trials influence the market trajectory?
    Positive trial outcomes could broaden indications, improve safety profiles, and bolster clinician confidence, thereby accelerating adoption and expanding market share.


References

[1] MarketsandMarkets, “Anesthesia Drugs Market by Product, Application, End User – Global Forecast to 2030,” 2022.
[2] ClinicalTrials.gov, “Studies on Lidocaine in Various Formulations,” 2023.
[3] IQVIA Institute, “The Future of Pain Management,” 2022.
[4] European Medicines Agency (EMA), “Guidelines on Stability Testing of Injectable Products,” 2021.
[5] FDA Drug Approvals Reports, 2022.


Conclusion

The development of Lidocaine Hydrochloride 0.4% in Dextrose 5% in plastic containers stands at a promising juncture, underpinned by active clinical research, evolving regulatory landscapes, and expanding healthcare needs. Success hinges on demonstrating safety, stability, and clinical benefit, which will determine its trajectory within the competitive anesthesia and analgesic markets. Strategic investment in clinical validation and regulatory engagement can accelerate market entry, influencing patient care and generating substantial commercial value.


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