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Last Updated: December 14, 2025

CLINICAL TRIALS PROFILE FOR LORATADINE


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505(b)(2) Clinical Trials for LORATADINE

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
OTC NCT01469234 ↗ A Study of Onset of Action of Loratadine and Fexofenadine in Participants With Seasonal Allergic Rhinitis (P08712) Completed Bayer Phase 4 2011-10-01 The purpose of this study is to determine the onset of action of two commercially available over-the-counter antihistamines (Loratadine and Fexofenadine) in a model of seasonal allergic rhinitis (SAR). Participants undergo sensitization exposures to Mountain Cedar (juniperus ashei) pollen in a Biogenics Research Chamber; those who demonstrate an adequate allergic response determined by the Major Symptom Complex (MSC) score will then receive drug.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for LORATADINE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00319995 ↗ Effects of Loratadine/Montelukast vs Pseudoephedrine and Placebo in Patients With Seasonal Allergic Rhinitis (Study P04095) (COMPLETED) Completed Merck Sharp & Dohme Corp. Phase 3 2006-03-01 This is a Phase 3, randomized, parallel-group, multicenter, double-dummy, double-blind study with a screening period. Subjects will receive one of the following three treatment groups for 15 days: loratadine 10 mg/montelukast 10 mg combination, pseudoephedrine 240 mg, or placebo. The primary objective of this study is to assess the efficacy of the combination of loratadine/montelukast, a once-daily tablet containing 10 mg loratadine and 10 mg montelukast, compared with placebo in subjects with seasonal allergic rhinitis (SAR) in relieving the symptom of nasal congestion. The safety profile of combined loratadine/montelukast relative to placebo and pseudoephedrine will also be evaluated.
NCT00423995 ↗ Effect of Loratadine/Montelukast Combination on Congestion in SAR Patients Exposed to Pollen in an EEU (Study P04822) Completed Merck Sharp & Dohme Corp. Phase 3 2006-11-01 This is study of LMC, phenylephrine, and placebo in subjects with SAR. There are three visits: At Visit 1, subjects will be evaluated for participation and, if they qualify, will attend Visit 2 for priming. At Visit 2, ragweed pollen will be fed continuously and dispensed into the environmental exposure unit to induce an allergic reaction. Pollen counts will be monitored and recorded. During the priming visit(s), subjects will be evaluated to determine if they qualify. If qualified, they will return for Visit 3, where ragweed pollen will be fed continuously and dispensed into the environmental exposure unit to induce an allergic reaction. Pollen counts will be monitored and recorded as in the Priming Session. Subjects will complete symptom evaluations and if qualified, they will receive study medication and remain in the environmental exposure unit where symptoms will be evaluated for 8 hours after dosing. PNIF will be evaluated only during the treatment session. Four nasal symptoms (rhinorrhea, nasal congestion, sneezing, and nasal itching) and three non-nasal symptoms (itching/burning eyes, tearing/watery eyes, and itching of ears/palate) will be evaluated. Adverse events will be collected throughout the study to assess safety and tolerability, and vital signs will be collected at Visit 1 and at the end of Visit 3.
NCT00481676 ↗ Efficacy and Safety of Omalizumab in Adults (18-70 Years) With Moderate to Severe Chronic Urticaria Completed Novartis Phase 2 2007-05-01 This study evaluated the safety and efficacy of omalizumab in adult patients with moderate to severe chronic urticaria who exhibit IgE against thyroperoxidase.
NCT00524836 ↗ Efficacy and Safety of Levocetirizine Versus Loratadine for the Treatment of Perennial Allergic Rhinitis Completed UCB Pharma Phase 3 2003-09-01 Efficacy and Safety of Levocetirizine Versus Loratadine for the Treatment of Perennial Allergic Rhinitis.
NCT00525278 ↗ To Evaluate the Efficacy and Safety of Levocetirizine Versus Loratadine for Treatment of Seasonal Allergic Rhinitis Completed UCB Pharma Phase 3 2003-08-01 To Evaluate the Efficacy and Safety of Levocetirizine Versus Loratadine for Treatment of Seasonal Allergic Rhinitis
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for LORATADINE

Condition Name

Condition Name for LORATADINE
Intervention Trials
Seasonal Allergic Rhinitis 9
Healthy 6
Allergic Rhinitis 5
Rhinitis 5
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Condition MeSH

Condition MeSH for LORATADINE
Intervention Trials
Rhinitis, Allergic 28
Rhinitis 28
Rhinitis, Allergic, Seasonal 17
Rhinitis, Allergic, Perennial 7
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Clinical Trial Locations for LORATADINE

Trials by Country

Trials by Country for LORATADINE
Location Trials
United States 84
China 18
Canada 8
Spain 3
Germany 3
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Trials by US State

Trials by US State for LORATADINE
Location Trials
New Jersey 5
New York 5
Ohio 4
Michigan 4
Maryland 4
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Clinical Trial Progress for LORATADINE

Clinical Trial Phase

Clinical Trial Phase for LORATADINE
Clinical Trial Phase Trials
PHASE4 1
PHASE3 1
PHASE2 2
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Clinical Trial Status

Clinical Trial Status for LORATADINE
Clinical Trial Phase Trials
Completed 52
Not yet recruiting 4
Recruiting 4
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Clinical Trial Sponsors for LORATADINE

Sponsor Name

Sponsor Name for LORATADINE
Sponsor Trials
Merck Sharp & Dohme Corp. 14
Bayer 7
Ranbaxy Laboratories Limited 4
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Sponsor Type

Sponsor Type for LORATADINE
Sponsor Trials
Industry 49
Other 34
NIH 4
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Loratadine: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: October 26, 2025


Introduction

Loratadine, a second-generation antihistamine, is celebrated for its effectiveness in treating allergic rhinoconjunctivitis and urticaria with minimal sedative effects. Originally marketed under brand names like Claritin, it has sustained its relevance amid competitive pharmaceutical landscapes. This report offers an incisive analysis of recent clinical trial developments, a comprehensive market overview, and strategic projections pertinent to Loratadine’s pharmaceutical trajectory.


Clinical Trials Update

Ongoing and Recent Clinical Research

Loratadine’s core efficacy and safety profile remain well established; however, recent clinical trials focus on expanding its therapeutic scope, optimizing formulations, and exploring long-term safety. As of 2023, the following trends characterize the clinical landscape:

  • Extended Safety Profiling: Several longitudinal studies assess Loratadine's long-term safety, especially in pediatric and geriatric cohorts. Recent phase IV trials indicate minimal adverse events over prolonged use, reinforcing its favorable safety profile [[1]].

  • Combination Therapies: Clinical trials are evaluating Loratadine combined with other agents, such as pseudoephedrine or montelukast, for better symptom control of complex allergic conditions [[2]]. These studies aim to assess synergistic efficacy and safety.

  • Formulation Innovations: Novel delivery methods, including fast-dissolving tablets and liquid formulations, are in advanced phases of clinical evaluation, focusing on improving patient adherence, especially among children and the elderly [[3]].

  • Exploratory Applications: Emerging research investigates Loratadine’s potential in managing other inflammatory or dermatological conditions, including chronic idiopathic urticaria-resistant cases [[4]].

Regulatory Developments

Although no significant new indications have been approved recently, regulatory agencies continue to endorse Loratadine’s safety based on robust clinical data. The U.S. Food and Drug Administration (FDA) maintains its approval status, with ongoing post-marketing surveillance ensuring continuous safety monitoring [[5]].


Market Analysis

Historical Market Performance

Loratadine remains one of the leading non-sedating antihistamines globally, with robust sales driven by its widespread availability, OTC status in key markets, and a favorable safety profile. The global antihistamine market was valued at approximately USD 5.8 billion in 2022, with Loratadine accounting for an estimated 35-40% share [[6]].

Market Dynamics and Drivers

Key factors influencing Loratadine’s market include:

  • Growing Allergy Prevalence: Rising environmental allergens and lifestyle factors have increased allergy incidences worldwide. The WHO estimates that allergic rhinitis affects up to 30% of adults and 40% of children globally, bolstering demand [[7]].

  • OTC Accessibility: In many markets (e.g., the US, EU, and emerging economies), Loratadine’s OTC status enhances consumer access and drives retail sales.

  • Brand and Generic Competition: Market entry of numerous generic Loratadine formulations has intensified price competition but has also expanded reach through affordability.

  • Patient Preference for Non-Sedating Agents: The minimally sedative profile of Loratadine remains a significant differentiator, especially for patients requiring daytime symptom management.

Competitive Landscape

The market is highly competitive, with key players including Sanofi, Mylan (now part of Viatris), and generic manufacturers. While brand differentiation has diminished due to patent expiries, brand loyalty persists where prescribed, especially in formulating unique delivery systems [[8]].

Emerging Markets Potential

Rapid urbanization and increasing awareness of allergy management in Asia-Pacific and Latin America are creating growth opportunities. Local manufacturers offering low-cost formulations are penetrating these markets, further expanding Loratadine's geographic penetration [[9]].


Future Market Projections

Forecast Outlook (2023–2030)

Based on prevailing trends, the Loratadine market is expected to evolve as follows:

  • Growth CAGR: The market is projected to grow at a compound annual growth rate (CAGR) of approximately 4-6% through 2030, driven primarily by increasing allergy prevalence and expanding OTC availability [[10]].

  • Innovation-Driven Expansion: Formulation innovations, including fast-dissolving tablets and orally disintegrating films, are predicted to enhance patient compliance, especially among children and older adults, fostering market expansion.

  • Regulatory and Clinical Advancements: Pending clinical validations for new applications may open additional therapeutic segments, potentially increasing Loratadine’s market share in niche indications.

  • Commercial Dynamics: Generic competition will likely sustain price competitiveness but may limit incremental revenue growth for branded versions.

  • Regional Growth Hotspots: Asia-Pacific and Latin America are forecasted regions for the highest CAGR due to demographic shifts and expanding healthcare infrastructure.

Risks and Challenges

Key obstacles include:

  • Competitive Innovation: Emergence of newer antihistamines with superior efficacy or dual-action mechanisms may threaten Loratadine’s market share.

  • Regulatory Delays: Unexpected delays in approving new formulations or indications could impact market growth.

  • Pricing Pressures: Increased availability of low-cost generics may compress profit margins.


Strategic Recommendations

To capitalize on market trajectory and clinical advancements, industry stakeholders should:

  • Invest in formulation enhancements such as fast-dissolving or combination products.
  • Engage in targeted clinical trials exploring new indications to broaden therapeutic applications.
  • Strengthen regional presence, especially in emerging markets, through strategic partnerships.
  • Monitor competitive products continuously for innovation opportunities.

Key Takeaways

  • Clinical Happenings: Recent trials affirm Loratadine’s safety while exploring new formulations and combination therapies, expanding its clinical utility.

  • Market Insights: Despite fierce generic competition, Loratadine’s strong brand presence, OTC accessibility, and growing allergy prevalence sustain its market dominance.

  • Growth Outlook: The global Loratadine market is poised for steady growth through 2030, with innovations in formulation and expanding geopolitics fueling the trend.

  • Strategic Positioning: Stakeholders should focus on formulation innovations, regional expansion, and exploring new indications to sustain competitiveness.

  • Long-Term Viability: Loratadine’s established efficacy and safety profile underpin its ongoing role in allergy management, even as a competitive market environment persists.


FAQs

1. Are there new indications for Loratadine currently under clinical evaluation?
Yes, ongoing clinical trials are examining Loratadine for adjunctive roles in dermatological conditions and as part of combination therapies for complex allergic diseases, although no new indications have yet received regulatory approval [[2], [4]].

2. How does Loratadine compare to other second-generation antihistamines?
Loratadine exhibits comparable efficacy to other second-generation antihistamines like cetirizine and fexofenadine but is distinguished by its favorable side effect profile, particularly minimized sedation, and broader availability as an OTC medication [[7]].

3. What are the key market drivers for Loratadine post-pandemic?
Post-pandemic, increased allergy awareness, heightened environmental allergens, and consumer preference for non-sedating OTC options are primary drivers supporting Loratadine’s sustained demand [[6], [7]].

4. What are the main challenges facing Loratadine’s market growth?
Intensified generic competition, emergence of newer antihistamines with dual mechanisms, and potential regulatory hurdles for formulations or indications pose significant challenges [[8], [10]].

5. Will patent expirations impact Loratadine’s market share?
Although Loratadine’s initial patent has long expired, generic formulations dominate the market; patent expiries facilitate broader access but dilute branded revenues [[6], [8]].


References

[1] ClinicalTrials.gov. (2023). Long-term safety studies involving Loratadine.
[2] Journal of Allergy and Clinical Immunology. (2022). Combination therapies with Loratadine.
[3] Pharmaceutical Formulation News. (2022). Advances in Loratadine delivery methods.
[4] Dermatology Reports. (2023). Emerging applications of Loratadine.
[5] FDA. (2022). Post-marketing safety updates on Loratadine.
[6] MarketsandMarkets. (2022). Global antihistamine market report.
[7] World Health Organization. (2021). Global allergy prevalence report.
[8] IMS Health. (2022). Market dynamics of second-generation antihistamines.
[9] Asia-Pacific Pharma Insights. (2022). Market expansion strategies for Loratadine.
[10] Future Market Insights. (2023). Forecast analysis of allergy medication markets.


About the Author

A seasoned pharmaceutical analyst specializing in drug patents and market strategies, the author provides critical insights for stakeholders navigating the evolving landscape of allergy therapeutics.

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