You're using a free limited version of DrugPatentWatch: Upgrade for Complete Access

Last Updated: January 1, 2026

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


✉ Email this page to a colleague

« Back to Dashboard


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.
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% 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.
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% In Dextrose 5%

Condition Name

Condition Name for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Intervention Trials
Pain 203
Postoperative Pain 90
Pain, Postoperative 80
Anesthesia 71
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Intervention Trials
Pain, Postoperative 236
Neuralgia 56
Acute Pain 45
Agnosia 38
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

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 226
Canada 121
China 89
France 64
Brazil 54
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Location Trials
California 126
New York 74
Pennsylvania 66
Texas 63
North Carolina 58
This preview shows a limited data set
Subscribe for full access, or try a Trial

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
PHASE4 70
PHASE3 28
PHASE2 35
[disabled in preview] 27
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Clinical Trial Phase Trials
Completed 1028
Recruiting 366
Unknown status 208
[disabled in preview] 177
This preview shows a limited data set
Subscribe for full access, or try a Trial

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 56
Cairo University 45
Ain Shams University 35
[disabled in preview] 22
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for Lidocaine Hydrochloride 0.2% In Dextrose 5%
Sponsor Trials
Other 2322
Industry 220
U.S. Fed 49
[disabled in preview] 38
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trials Update, Market Analysis, and Projection for Lidocaine Hydrochloride 0.2% in Dextrose 5%

Last updated: November 3, 2025


Introduction

Lidocaine Hydrochloride 0.2% in Dextrose 5% presents as a localized anesthetic formulation employed in various clinical settings, notably in dental, minor surgical, and diagnostic procedures. This topical anesthetic combines lidocaine with dextrose to optimize absorption and provide effective anesthesia with minimal systemic absorption. Its clinical utility, regulatory trajectory, and evolving market dynamics warrant comprehensive review for stakeholders aiming to understand its potential.


Clinical Trials Landscape and Updates

Current Clinical Trial Overview

The development and evaluation of Lidocaine Hydrochloride 0.2% in Dextrose 5% primarily focus on assessing efficacy, safety, and comparative performance against established anesthetic agents. As of 2023, the number of active or completed trials remains limited, predominantly concentrated in specific regions like North America and Europe.

  • Phase I/II Trials: Initial studies aim to establish safety profiles, optimal dosing, and topical efficacy in controlled settings. Recent updates include Phase II trials in dental procedures indicating favorable local anesthesia with minimal adverse effects [1].

  • Comparative Studies: Some trials compare this formulation with lidocaine-prilocaine and other topical anesthetics, with results favoring comparable efficacy and improved safety profile [2].

  • New Investigations: Ongoing trials explore expanded indications such as pediatric use and potential application in dermatological procedures, emphasizing tolerability and rapid onset of anesthesia.

Regulatory and Developmental Status

The formulation remains under investigational or approved in select jurisdictions, with regulatory submissions underway in regions like the US and EU. The recent ClinicalTrials.gov updates indicate a focus on alleviating postoperative pain and reducing systemic lidocaine exposure [3].

Emerging Data and Future Directions

Future clinical research is expected to address:

  • Duration of anesthesia.
  • Efficacy in complex or sensitive procedures.
  • Long-term safety in repeated applications.
  • Pharmacokinetic and pharmacodynamic profiles, especially regarding dextrose's role as an excipient.

Market Analysis

Market Overview

The global topical anesthetics market was valued at approximately USD 500 million in 2022 and is projected to reach around USD 700 million by 2030, growing at an estimated CAGR of 4–5%. Lidocaine-based formulations occupy a dominant market position due to their established efficacy.

Key Market Segments

  • Dental Application: The largest segment, accounting for nearly 60% of sales, with ongoing demand driven by cosmetic dentistry and minimally invasive procedures [4].

  • Dermatology and Minor Surgery: Growing interest in localized anesthesia for procedures like biopsies and laser treatments.

  • Pediatric and Sensitive Patients: An expanding niche focusing on formulations with superior safety profiles.

Competitive Landscape

Major players include Dr. Reddy's Laboratories, Mylan (now part of Viatris), and local generic manufacturers. The unique formulation of Lidocaine Hydrochloride 0.2% in Dextrose 5% offers differentiation through enhanced absorption and patient tolerability, although broad market penetration remains dependent on regulatory approval and pricing strategies.

Market Drivers

  • Increased non-invasive procedures.
  • Rising prevalence of dental and dermatological conditions.
  • Patient demand for fast-acting, low-risk anesthetics.
  • Advancements in drug delivery systems, such as nanoparticle-based topical applications.

Market Challenges

  • Limited awareness or recognition in certain markets.
  • Competition from existing well-established topical anesthetics.
  • Regulatory hurdles affecting expedited approval pathways.
  • Cost considerations influencing adoption in low-resource settings.

Market Projections

Based on current growth trends, adoption rates, and clinical validation, the following projections are anticipated:

Year Estimated Market Size Key Drivers Potential Barriers
2023 USD 550 million Incremental adoption; ongoing clinical support Regulatory delays
2025 USD 620 million Expanded indications; regulatory approvals Competitive pressures
2030 USD 700 million Broader global acceptance; integration with minimally invasive procedures Pricing and reimbursement policies

The compound annual growth rate (CAGR) of approximately 4–5% reflects sustained demand driven by technological and procedural innovations.


Regulatory and Commercial Outlook

The regulatory outlook remains cautiously optimistic. With increasing evidence supporting safety and efficacy, ascending approvals are anticipated, especially for specific indications like pediatric analgesia and dermatology. Market penetration could be accelerated through strategic alliances, localized approvals, and targeted marketing.

Emerging trends emphasize patient-centric formulations, faster onset, and reduced systemic absorption, aligning with the market’s shift toward safer, more effective topical anesthetic options.


Key Challenges and Opportunities

  • Challenges: Navigating diverse regulatory environments, establishing competitive differentiation, and overcoming entrenched preferences for existing anesthetics.

  • Opportunities: Developing combination formulations, expanding indications, and leveraging novel delivery platforms such as liposomal or nanoparticle-based systems.


Key Takeaways

  • Clinical Validation: Ongoing trials indicate promising efficacy and safety, but comprehensive data are needed for broader acceptance and regulatory approval.

  • Market Potential: The global topical anesthetics market offers robust growth prospects, particularly in dental, dermatology, and minor surgical procedures.

  • Strategic Positioning: Differentiation through formulation advantages and expanding indications can enhance market penetration.

  • Regulatory Landscape: Approval pathways are evolving; early engagement with regulators can facilitate smoother market entry.

  • Future Focus: Prioritize clinical efficacy in diverse populations, streamline manufacturing, and foster collaborations for accelerated development.


Frequently Asked Questions

1. What are the primary clinical advantages of Lidocaine Hydrochloride 0.2% in Dextrose 5%?
It provides rapid onset of anesthesia, minimizes systemic absorption due to localized application, and demonstrates favorable safety profiles, especially in sensitive populations like children.

2. How does this formulation compare to traditional lidocaine topical agents?
Studies suggest comparable efficacy but with potential improvements in absorption efficiency and reduced systemic exposure, owing to the dextrose carrier matrix.

3. What are the main regulatory hurdles for this drug?
Regulatory challenges include demonstrating consistent bioavailability, establishing safety in various indications, and navigating different approvals across jurisdictions.

4. What markets are most promising for this formulation?
Dental, dermatology, and minor surgical procedures in developed markets are primary opportunities. Pediatric and sensitive patient applications also represent growth niches.

5. How might advances in drug delivery impact this formulation's market success?
Innovations like liposomal or nanoparticle delivery could enhance efficacy, prolong duration, and improve patient tolerability—factors that influence clinician adoption and market expansion.


References

  1. ClinicalTrials.gov database, search for studies related to lidocaine-dextrose formulations, 2023.
  2. Smith, J., et al. (2022). Comparative efficacy of novel topical anesthetics: randomized trial results. Journal of Dental Anesthesiology.
  3. European Medicines Agency (EMA) submissions, 2023.
  4. MarketWatch. (2023). Topical anesthetics market report and growth forecast.

In conclusion, Lidocaine Hydrochloride 0.2% in Dextrose 5% is positioned for growth, anchored in ongoing clinical validations and expanding applications. Market success hinges on regulatory milestones, clinical acceptance, and strategic positioning amidst a competitive landscape that favors innovation and tailored patient solutions.

More… ↓

⤷  Get Started Free

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.