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Last Updated: March 24, 2025

CLINICAL TRIALS PROFILE FOR LIDOCAINE HYDROCHLORIDE 0.2% IN DEXTROSE 5%


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505(b)(2) Clinical Trials for Lidocaine Hydrochloride 0.2% In Dextrose 5%

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.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Lidocaine Hydrochloride 0.2% In Dextrose 5%

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.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Lidocaine Hydrochloride 0.2% In Dextrose 5%

Condition Name

Condition Name for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Intervention Trials
Pain 191
Postoperative Pain 75
Pain, Postoperative 69
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Condition MeSH

Condition MeSH for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Intervention Trials
Pain, Postoperative 190
Neuralgia 56
Acute Pain 37
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Clinical Trial Locations for Lidocaine Hydrochloride 0.2% In Dextrose 5%

Trials by Country

Trials by Country for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Location Trials
Egypt 170
Canada 111
China 70
France 56
Brazil 53
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Trials by US State

Trials by US State for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Location Trials
California 115
New York 66
Pennsylvania 62
Texas 59
North Carolina 55
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Clinical Trial Progress for Lidocaine Hydrochloride 0.2% In Dextrose 5%

Clinical Trial Phase

Clinical Trial Phase for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Clinical Trial Phase Trials
Phase 4 571
Phase 3 214
Phase 2/Phase 3 58
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Clinical Trial Status

Clinical Trial Status for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Clinical Trial Phase Trials
Completed 936
Recruiting 281
Unknown status 208
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Clinical Trial Sponsors for Lidocaine Hydrochloride 0.2% In Dextrose 5%

Sponsor Name

Sponsor Name for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Sponsor Trials
Assiut University 45
Cairo University 27
Northwestern University 22
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Sponsor Type

Sponsor Type for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Sponsor Trials
Other 2027
Industry 214
U.S. Fed 49
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Lidocaine Hydrochloride 0.2% in Dextrose 5%: Clinical Trials, Market Analysis, and Projections

Introduction

Lidocaine hydrochloride, a local anesthetic and antiarrhythmic drug, is widely used in various medical procedures. When combined with dextrose, it is often administered intravenously for pain management and other therapeutic purposes. Here, we will delve into the clinical stability, market analysis, and future projections of lidocaine hydrochloride 0.2% in dextrose 5%.

Clinical Stability of Lidocaine Hydrochloride in Dextrose

Storage and Stability

Studies have shown that lidocaine hydrochloride mixed with 5% dextrose injection remains chemically stable for up to 120 days when stored at either room temperature (30 °C) or refrigerated temperature (4 °C) in plastic infusion bags. This stability is crucial for clinical use, as it ensures the drug's efficacy and safety over an extended period[1].

Concentration and Cell Viability

Research on the effects of dextrose and lidocaine concentrations on cell viability is important for clinical applications. For instance, concentrations of more than 0.1% lidocaine and 5% dextrose can decrease cell viability, while lower concentrations (e.g., 0.01% lidocaine and 1% dextrose) can mildly induce fibroblast proliferation and increase collagen synthesis[4].

Market Analysis

Market Size and Growth

The global lidocaine hydrochloride market is projected to experience significant growth. In 2023, the market size was valued at USD 512.70 million and is anticipated to grow to USD 838.60 million by 2032, with a compound annual growth rate (CAGR) of 5.7% from 2024 to 2032[2][3].

Driving Factors

Several factors are driving the growth of the lidocaine hydrochloride market:

  • Increasing Demand for Pain Management: The rising prevalence of chronic pain conditions and the need for effective pain management solutions, particularly among the aging population, are key drivers.
  • Advancements in Drug Delivery Technologies: Innovations in drug delivery systems, such as transdermal patches and sustained-release formulations, have enhanced the market appeal of lidocaine hydrochloride.
  • Growing Number of Surgical Procedures: The increase in dental, cosmetic, and plastic surgeries globally also contributes to the market growth[2][3].

Market Segmentation

The lidocaine hydrochloride market is segmented by dosage, application, distribution channel, and region. The creams segment is expected to witness the highest growth due to its widespread use in pain relief and anti-itching applications. Dental procedures also command a significant market share due to the extensive use of lidocaine hydrochloride in numbing targeted areas during dental interventions[2].

Market Projections

Regional Dominance

North America is currently leading the global lidocaine hydrochloride market, driven by the high demand for pain management solutions and the prevalence of dental and cosmetic procedures in the region[2].

Future Growth Opportunities

The market is expected to grow significantly due to the increasing need for efficient pain management solutions. Here are some key projections:

  • CAGR: The market is anticipated to grow at a CAGR of 5.7% from 2024 to 2032[2].
  • Market Size: The global lidocaine hydrochloride market is projected to reach USD 838.60 million by 2032[2].
  • Segment Growth: The creams segment and retail pharmacies distribution channel are expected to witness the highest growth during the forecast period[2].

Challenges and Considerations

Regulatory Scrutiny

Regulatory scrutiny is a significant challenge for the lidocaine hydrochloride market. Stringent adherence to safety standards and thorough approvals are necessary, which can impede market growth. Potential side effects associated with lidocaine hydrochloride also require careful management[2].

Competition and Safety Concerns

The market faces intense competition from alternative pain management solutions. Continuous research is needed to address safety concerns and ensure the long-term sustainability of lidocaine hydrochloride products[2].

Clinical Applications

Indications and Contraindications

Lidocaine hydrochloride 0.2% in dextrose 5% is indicated for use when fluid restriction is desirable. However, it is contraindicated in patients with known hypersensitivity to local anesthetics of the amide type or severe degrees of sinoatrial, atrioventricular, or intraventricular block[5].

Dosage and Administration

The drug requires administration by experienced health professionals, with constant ECG monitoring essential for proper administration. The onset of action is typically between 45 to 90 seconds, with a duration of action of 10 to 20 minutes[5].

Key Takeaways

  • Stability: Lidocaine hydrochloride 0.2% in dextrose 5% is chemically stable for up to 120 days at various storage temperatures.
  • Market Growth: The global market is projected to grow significantly, driven by increasing demand for pain management and advancements in drug delivery technologies.
  • Segmentation: The creams segment and dental applications are key drivers of market growth.
  • Challenges: Regulatory scrutiny, potential side effects, and competition from alternative solutions are significant challenges.
  • Clinical Use: The drug is indicated for use in specific clinical scenarios but requires careful administration and monitoring.

FAQs

What is the typical storage stability of lidocaine hydrochloride in dextrose?

Lidocaine hydrochloride mixed with 5% dextrose injection remains chemically stable for up to 120 days when stored at either room temperature (30 °C) or refrigerated temperature (4 °C) in plastic infusion bags[1].

What are the primary drivers of the lidocaine hydrochloride market growth?

The market growth is driven by the increasing demand for pain management solutions, advancements in drug delivery technologies, and the growing number of surgical procedures, particularly in dental and cosmetic fields[2][3].

Which segment of the lidocaine hydrochloride market is expected to grow the most?

The creams segment is expected to witness the highest growth during the forecast period due to its widespread use in pain relief and anti-itching applications[2].

What are the contraindications for lidocaine hydrochloride 0.2% in dextrose 5%?

The drug is contraindicated in patients with known hypersensitivity to local anesthetics of the amide type or severe degrees of sinoatrial, atrioventricular, or intraventricular block[5].

How is lidocaine hydrochloride 0.2% in dextrose 5% administered?

The drug requires administration by experienced health professionals, with constant ECG monitoring essential for proper administration. The onset of action is typically between 45 to 90 seconds, with a duration of action of 10 to 20 minutes[5].

What are the potential side effects and safety concerns associated with lidocaine hydrochloride?

Potential side effects include excessive depression of cardiac conductivity, and the drug requires careful management to address safety concerns. Continuous research is needed to ensure long-term safety[2][5].

Sources

  1. Smith, F. M., & Nuessle, N. O. (1981). Stability of lidocaine hydrochloride in 5% dextrose injection in plastic bags. American Journal of Hospital Pharmacy, 38(11), 1745–1747. https://doi.org/10.1093/ajhp/38.11.1745
  2. Polaris Market Research. Lidocaine Hydrochloride Market Size, Share, Global Analysis Report.
  3. Grand View Research. Lidocaine Hydrochloride Market Size & Share Report, 2030.
  4. Korean Journal of Pain. The proper concentrations of dextrose and lidocaine in regenerative medicine.
  5. Product Monograph. 0.4% Lidocaine Hydrochloride and 5% Dextrose Injection.

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