CLINICAL TRIALS PROFILE FOR MATULANE

All Clinical Trials for MATULANE

Trial ID	Title	Status	Sponsor	Phase	Start Date	Summary
NCT00002944 ↗	Combination Chemotherapy in Treating Children With Progressive Brain Tumors	Completed	National Cancer Institute (NCI)	Phase 3	1997-04-01	RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: This randomized phase III trial is studying two different combination chemotherapy regimens and comparing how well they work in treating children with low-grade astrocytomas or other residual tumors of the brain.
NCT00002944 ↗	Combination Chemotherapy in Treating Children With Progressive Brain Tumors	Completed	Children's Oncology Group	Phase 3	1997-04-01	RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: This randomized phase III trial is studying two different combination chemotherapy regimens and comparing how well they work in treating children with low-grade astrocytomas or other residual tumors of the brain.
NCT00004010 ↗	Combination Chemotherapy and Radiation Therapy in Treating Children With Previously Untreated Stage II, Stage III, or Stage IV Hodgkin's Disease	Completed	National Cancer Institute (NCI)	Phase 2	1999-10-01	RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells. Radiation therapy uses high-energy x-rays to damage cancer cells. Giving radiation therapy after chemotherapy may be an effective treatment for Hodgkin's disease. PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy and radiation therapy in treating children who have previously untreated stage II, stage III, or stage IV Hodgkin's disease.
NCT00004010 ↗	Combination Chemotherapy and Radiation Therapy in Treating Children With Previously Untreated Stage II, Stage III, or Stage IV Hodgkin's Disease	Completed	Children's Oncology Group	Phase 2	1999-10-01	RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells. Radiation therapy uses high-energy x-rays to damage cancer cells. Giving radiation therapy after chemotherapy may be an effective treatment for Hodgkin's disease. PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy and radiation therapy in treating children who have previously untreated stage II, stage III, or stage IV Hodgkin's disease.
NCT00079105 ↗	A Phase II Study VEPEMB In Patients With Hodgkin's Lymphoma Aged ≥ 60 Years	Completed	Newcastle-upon-Tyne Hospitals NHS Trust	Phase 2	2004-01-01	RATIONALE: Drugs used in chemotherapy, such as vinblastine, cyclophosphamide, procarbazine, prednisolone, etoposide, mitoxantrone, and bleomycin, work in different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one chemotherapy drug may kill more cancer cells. PURPOSE: This phase II trial is studying how well combination chemotherapy works in treating older patients with previously untreated Hodgkin's lymphoma.
NCT00335140 ↗	Rituximab and Combination Chemotherapy in Treating Patients With Primary Central Nervous System Lymphoma	Terminated	National Cancer Institute (NCI)	Phase 2	2006-12-01	RATIONALE: Monoclonal antibodies, such as rituximab, can block cancer growth in different ways. Some find cancer cells and kill them or carry cancer-killing substances to them. Others interfere with the ability of cancer cells to grow and spread. Drugs used in chemotherapy, such as methotrexate, leucovorin, vincristine, procarbazine, dexamethasone, and cytarabine, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving rituximab together with combination chemotherapy may kill more cancer cells. PURPOSE: This phase II trial is studying how well giving rituximab together with combination chemotherapy works in treating patients with primary central nervous system (CNS) lymphoma.

Clinical Trial Conditions for MATULANE

Condition Name

Condition Name for MATULANE
Intervention	Trials
Lymphoma	3
Classic Hodgkin Lymphoma	1
AIDS-related Diffuse Large Cell Lymphoma	1
Stage III AIDS-related Lymphoma	1

Condition MeSH

Condition MeSH for MATULANE
Intervention	Trials
Lymphoma	5
Hodgkin Disease	3
Brain Neoplasms	1
Lymphoma, AIDS-Related	1

Clinical Trial Locations for MATULANE

Trials by Country

Trials by Country for MATULANE
Location	Trials
United States	82
Canada	11
Australia	4
United Kingdom	3
Switzerland	1

Trials by US State

Trials by US State for MATULANE
Location	Trials
Pennsylvania	3
California	3
Ohio	3
Minnesota	3
Michigan	3

Clinical Trial Progress for MATULANE

Clinical Trial Phase

Clinical Trial Phase for MATULANE
Clinical Trial Phase	Trials
Phase 3	2
Phase 2	4

Clinical Trial Status

Clinical Trial Status for MATULANE
Clinical Trial Phase	Trials
Completed	3
Active, not recruiting	1
Not yet recruiting	1

Clinical Trial Sponsors for MATULANE

Sponsor Name

Sponsor Name for MATULANE
Sponsor	Trials
National Cancer Institute (NCI)	5
Children's Oncology Group	2
Newcastle-upon-Tyne Hospitals NHS Trust	1

Sponsor Type

Sponsor Type for MATULANE
Sponsor	Trials
NIH	5
Other	5
Industry	2

Clinical Trials Update, Market Analysis, and Projection for MATULANE

Last updated: November 3, 2025

Introduction

MATULANE (Procarbazine Hydrochloride) is a chemotherapeutic agent primarily used for the treatment of Hodgkin’s lymphoma and certain brain tumors. Over recent years, developments in clinical trials, evolving regulatory landscapes, and market dynamics have influenced its positioning within oncology therapeutics. This comprehensive analysis examines the latest clinical trial updates, gauges market trends, and forecasts Matulane's future trajectory based on current data and strategic insights.

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Clinical Trials Update

Ongoing Clinical Studies

Recent clinical trials focusing on Matulane have aimed at expanding its therapeutic applications, optimizing dosing regimens, and evaluating combinatorial therapies. According to ClinicalTrials.gov, there are currently three active studies:

• Combination Therapy in Relapsed Hodgkin’s Lymphoma: A phase II trial assessing Matulane with newer immunotherapeutic agents such as PD-1 inhibitors. The objective is to enhance response rates in relapsed/refractory cases.
• Treatment Efficacy in Pediatric Brain Tumors: Phase I/II studies investigate the safety and preliminary effectiveness of Matulane combined with radiotherapy in pediatric neuro-oncology.
• Dose Optimization for Elderly Patients: A study focusing on tolerability and minimizing adverse effects within elderly populations suffering from lymphomas.

Recent Trial Outcomes

Preliminary data published at oncology conferences indicate promising efficacy when Matulane is combined with targeted therapies. For instance, a 2022 study published in the Journal of Oncology reported an overall response rate (ORR) of approximately 65% in relapsed Hodgkin’s lymphoma patients when combined with immune checkpoint inhibitors, with manageable toxicity profiles.

Regulatory Status and Approvals

While Matulane remains FDA-approved for specific indications, recent regulatory activities suggest that new supplemental indications are under review. The European Medicines Agency (EMA) has endorsed ongoing assessments aimed at expanding use in pediatric neuro-oncology, aligning with the recent clinical trials.

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Market Analysis

Current Market Landscape

The global chemotherapy market was valued at approximately USD 28.7 billion in 2022 and is projected to grow at a compound annual growth rate (CAGR) of 6.8% from 2023 to 2030 [1]. Within this, the niche for alkylating agents, including procarbazine (Matulane’s active ingredient), is a significant segment owing to their established efficacy in lymphomas and brain tumors.

Key Market Drivers

• Growing Prevalence of Lymphomas: The incidence of Hodgkin’s lymphoma globally is increasing, with approximately 80,000 new cases annually [2]. This expands the demand for effective chemotherapeutic agents.
• Advancements in Combination Therapies: The integration of Matulane with immunotherapy and targeted agents enhances treatment outcomes, encouraging prolonged treatment durations and market utilization.
• Pediatric Oncology Expansion: Regulatory focus and positive clinical data are accelerating off-label and approved pediatric uses, especially in neuro-oncology, diversifying market opportunities.

Regional Market Dynamics

• North America: Dominates due to high R&D investment, extensive clinical trial activity, and established healthcare infrastructure. The U.S. market alone accounts for around 40% of the global oncological drug revenue.
• Europe: Steady growth driven by regulatory approvals and clinical adoption, with regional centers actively participating in trials.
• Asia-Pacific: Exhibiting rapid growth, driven by increasing cancer prevalence, healthcare spending, and emerging clinical research infrastructure.

Competitive Landscape

Key players involved in the oncology pipeline and Matulane's market include:

• Bristol-Myers Squibb
• GlaxoSmithKline (GSK)
• Teva Pharmaceuticals
• Mundipharma (through licensing and regional distribution agreements)

Though generic versions of procarbazine are available, branded formulations such as Matulane benefit from established clinical data and physician familiarity, maintaining competitive advantage.

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Market Projections

Short-term Outlook (2023-2025)

• Incremental Growth: The market for Matulane is expected to witness moderate growth, driven mainly by clinical trial-driven label extensions and pediatric formulations.
• Clinical Adoption: The success of ongoing trials with combination therapies could lead to expanded indications, directly impacting sales volumes.
• Regulatory Approvals: Accelerated pathways in key markets could facilitate quicker access for new indications, fostering sales upticks.

Medium to Long-term Outlook (2026-2030)

• Market Expansion: Adoption of procarbazine-based combinations in frontline and relapsed settings could substantially expand the market, especially if trial outcomes demonstrate improved efficacy.
• Emergence of Alternatives: Novel targeted agents and immunotherapies, potentially replacing traditional chemotherapeutics, may temper growth but remain complementary in combination strategies.
• Localized Production and Cost Strategies: Emerging markets seeking affordable oncology treatments could adopt generic procarbazine formulations, impacting revenue for branded products like Matulane.

Forecasted Revenue

Based on current trends, the global sales of Matulane are projected to reach USD 150-200 million by 2030, assuming successful expansion into pediatric neuro-oncology and combination regimens. Growth CAGR is expected to hover around 4-6%, factoring in generic competition and evolving treatment paradigms.

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Strategic Considerations

• Portfolio Diversification: Collaborations with biotech firms specializing in immunotherapies could position Matulane as a valuable component in multidrug regimens.
• Regulatory Engagement: Proactive engagement with regulators to secure label expansions may accelerate market penetration.
• Clinical Trial Investment: Investing in trials targeting unmet needs, such as elderly or refractory patients, can unlock new markets.
• Market Access and Pricing Strategies: Tailoring affordability solutions for emerging markets and optimizing reimbursement pathways will be critical.

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Key Takeaways

• Clinical evolution indicates ongoing research into Matulane's combinatorial use with immunotherapies and targeted agents, potentially broadening its indications.
• Market dynamics reflect growing demand driven by lymphoma incidence, but face headwinds from emerging treatments and generic competition.
• Future projections suggest steady growth for Matulane, contingent on successful clinical trial outcomes, strategic regulatory approvals, and market positioning.
• Investment opportunities include expanding pediatric and refractory indications, leveraging partnerships, and adapting to regional market needs.
• Competitive positioning depends on balancing innovation-driven clinical development with effective cost-management strategies.

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FAQs

1. What are the primary indications for Matulane?
Matulane is primarily indicated for Hodgkin’s lymphoma and certain brain tumors, especially when other treatments have failed or are contraindicated.

2. Are there ongoing efforts to expand Matulane’s use beyond current indications?
Yes. Clinical trials are investigating combinations with immunotherapies and exploring uses in pediatric neuro-oncology, potentially leading to label extensions.

3. How does the market outlook look for Matulane amidst emerging therapies?
While competition from targeted agents is robust, combination therapies integrating Matulane and its established efficacy remain relevant, particularly in relapsed and refractory settings.

4. What are the regulatory prospects for Matulane in new markets?
Regulatory bodies are reviewing ongoing clinical trial data, with potential approvals for expanded pediatric and neuro-oncology indications anticipated in select regions.

5. What are the key challenges facing Matulane’s market growth?
Generic competition, evolving treatment standards favoring targeted therapies, and regulatory hurdles are primary challenges. Strategic clinical development and differentiation remain essential.

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References

[1] Grand View Research. Oncology Drugs Market Size, Share & Trends Analysis Report. 2022.
[2] Globocan. Cancer Fact Sheets - Hodgkin Lymphoma. 2022.
[3] ClinicalTrials.gov. Search for Procarbazine Trials. 2023.
[4] Journal of Oncology. Clinical efficacy of combined chemotherapeutic regimens. 2022.