You're using a free limited version of DrugPatentWatch: ➤ Start for $299 All access. No Commitment.

Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR MIDAZOLAM IN 0.8% SODIUM CHLORIDE


✉ Email this page to a colleague

« Back to Dashboard


505(b)(2) Clinical Trials for MIDAZOLAM IN 0.8% SODIUM CHLORIDE

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 NCT01275547 ↗ The Analgesic Effect of Combined Treatment With Intranasal S-ketamine and Intranasal Midazolam Completed University Hospital, Basel, Switzerland Phase 2/Phase 3 2011-01-01 Introduction Ketamine is an old and generally well accepted analgesic used in the intra- and perioperative setting. Several studies demonstrated the effectiveness of ketamine in the postoperative setting. A new formulation of S-ketamine as an intranasal spray device was tested in our hospital in 8 healthy volunteers (unpublished data, EKBB 351/08). 20 mg of S-ketamine were administered intranasally and compared with S-ketamine i.v. and i.m.. None of the volunteers had serious adverse effects or complications. A preliminary data analysis shows a clear analgesic effect and good absorption of the intranasal S-ketamine. As a next step we would like to investigate the effect of S-ketamine intranasal spray combined with midazolam intranasal spray in a group of postoperative spinal surgery patients. The rational for the combination of intranasal S-ketamine and midazolam is the well known midazolam antagonising effect of ketamine induced psychomimetic adverse effects. Furthermore we know from other studies (EKBB 106/06) that midazolam intranasal spray has relaxant and anxiolytic effects. As far as we know, this is the first study which will examine the combination of S-ketamine and midazolam intranasal sprays in adult patients. Study work plan This prospective, randomized, double-blinded non inferiority study will address pain ratings and patient satisfaction in a postoperative setting in two treatment scenarios: 1. Alternating S-ketamine intranasal unit-dose spray (6 mg per dose) with midazolam intranasal spray (0.75 mg per dose) patient controlled application with a lock-out interval of 20 minutes between two applications and placebo patient controlled analgesia (PCA) with a lock-out interval of 12 minutes with saline 0.9% i.v. for 72 hours or until 40 unit-dose sprays are delivered 2. PCA with 2 mg morphine with a lock-out interval of 12 minutes i.v. with placebo intranasal spray (saline 0.9% + chitosan) with a minimum lock-out interval of 20 minutes for 72 hours or until 40 unit-dose sprays are delivered Patient number We will examine 36 patients, 18 patients in each group. The study duration for an individual patient will be at latest 72 hours, the total study duration is 4 to 5 months. Study importance An intranasal spray is an ideal application form for surgery patients, either in- or outpatients. On the other hand, ketamine and S-ketamine is quite often used in the perioperative setting as a rescue analgesic. In higher doses it could be used as an emergency tool in emergency prehospital medicine. In the perioperative setting it is important to evaluate the efficacy and safety of S-ketamine intranasal spray combined with midazolam intranasal spray in patients. If our study shows that S-ketamine intranasal spray is effective as an analgesic and has good patient acceptance, S-ketamine intranasal spay could be considered as an alternative, completely non-invasive analgesic procedure in a postoperative outpatient setting. As a consequence development of a nasal multidose-applicator combining S-ketamine and midazolam would be of interest.
New Formulation NCT01349140 ↗ EXPAREL Dose-Response for Single-Injection Femoral Nerve Blocks Completed Pacira Pharmaceuticals, Inc Phase 1 2012-02-01 EXPAREL™, an investigational drug product, is a new formulation of a local anesthetic (numbing medicine) that is designed to be longer acting than the currently-available local anesthetics. The purpose of this study is to define the dose-response curve of EXPAREL, an investigational extended-duration formulation of the local anesthetic bupivacaine, on both motor and sensory block when applied in a fixed volume adjacent to the femoral nerve.
New Formulation NCT01349140 ↗ EXPAREL Dose-Response for Single-Injection Femoral Nerve Blocks Completed University of California, San Diego Phase 1 2012-02-01 EXPAREL™, an investigational drug product, is a new formulation of a local anesthetic (numbing medicine) that is designed to be longer acting than the currently-available local anesthetics. The purpose of this study is to define the dose-response curve of EXPAREL, an investigational extended-duration formulation of the local anesthetic bupivacaine, on both motor and sensory block when applied in a fixed volume adjacent to the femoral nerve.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for MIDAZOLAM IN 0.8% SODIUM CHLORIDE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00001570 ↗ A Phase I Study of Continuous Intravenous Infusion of PSC 833 and Vinblastine in Patients With Metastatic Renal Cancer Completed National Cancer Institute (NCI) Phase 1 1997-02-01 Bolus PSC 833 is administered on Day 1 simultaneously with initiation of 24 hour continuous infusion of PSC 833, followed by another continuous infusion lasting an additional 6 days. To ensure the safety of a 7 day infusion of PSC 833, one patient is treated for 5 days and a second for 6 days, before the first cohort is enrolled. Vinblastine is administered in escalating doses on days 2-5. At least 3 patients are entered at each dose level. The MTD will be defined as the dose immediately below that at which 2 patients experience dose limiting toxicity. Treatment continues every 28 days.
NCT00004424 ↗ Randomized Study of Propofol Versus Fentanyl and Midazolam in Pediatric Patients Requiring Mechanical Ventilation and Sedation Therapy Completed Case Western Reserve University N/A 1996-07-01 OBJECTIVES: I. Assess the degree of amnesia afforded by study sedatives relative to the patient's intensive care unit experiences. II. Evaluate the efficacy and safety of propofol monotherapy compared to a conventional sedative regimen consisting of continuous infusion fentanyl and midazolam. III. Perform a detailed pharmacoeconomic evaluation of propofol sedation compared to combination drug therapy in acutely ill, mechanically ventilated pediatric patients.
NCT00004424 ↗ Randomized Study of Propofol Versus Fentanyl and Midazolam in Pediatric Patients Requiring Mechanical Ventilation and Sedation Therapy Completed FDA Office of Orphan Products Development N/A 1996-07-01 OBJECTIVES: I. Assess the degree of amnesia afforded by study sedatives relative to the patient's intensive care unit experiences. II. Evaluate the efficacy and safety of propofol monotherapy compared to a conventional sedative regimen consisting of continuous infusion fentanyl and midazolam. III. Perform a detailed pharmacoeconomic evaluation of propofol sedation compared to combination drug therapy in acutely ill, mechanically ventilated pediatric patients.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for MIDAZOLAM IN 0.8% SODIUM CHLORIDE

Condition Name

Condition Name for MIDAZOLAM IN 0.8% SODIUM CHLORIDE
Intervention Trials
Healthy 110
Anesthesia 53
Pain 53
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for MIDAZOLAM IN 0.8% SODIUM CHLORIDE
Intervention Trials
Pain, Postoperative 114
Delirium 42
Depression 40
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for MIDAZOLAM IN 0.8% SODIUM CHLORIDE

Trials by Country

Trials by Country for MIDAZOLAM IN 0.8% SODIUM CHLORIDE
Location Trials
Egypt 192
China 156
Canada 83
Germany 79
Korea, Republic of 62
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for MIDAZOLAM IN 0.8% SODIUM CHLORIDE
Location Trials
Texas 105
California 98
New York 73
Florida 62
Pennsylvania 53
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for MIDAZOLAM IN 0.8% SODIUM CHLORIDE

Clinical Trial Phase

Clinical Trial Phase for MIDAZOLAM IN 0.8% SODIUM CHLORIDE
Clinical Trial Phase Trials
PHASE4 41
PHASE3 18
PHASE2 23
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for MIDAZOLAM IN 0.8% SODIUM CHLORIDE
Clinical Trial Phase Trials
Completed 909
Recruiting 259
Not yet recruiting 166
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for MIDAZOLAM IN 0.8% SODIUM CHLORIDE

Sponsor Name

Sponsor Name for MIDAZOLAM IN 0.8% SODIUM CHLORIDE
Sponsor Trials
Boehringer Ingelheim 35
Ain Shams University 34
Pfizer 31
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for MIDAZOLAM IN 0.8% SODIUM CHLORIDE
Sponsor Trials
Other 1665
Industry 577
NIH 52
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Midazolam in 0.8% Sodium Chloride: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: January 25, 2026

Summary

Midazolam in 0.8% Sodium Chloride is a sterile, injectable sedative primarily used in anesthesia, procedural sedation, and intensive care. Recent clinical trials focus on enhancing safety profiles and expanding applications, including pediatric and perioperative uses. Global market dynamics indicate growth driven by increasing procedural demands, aging populations, and regulatory approvals. This report presents the latest clinical data, analyzes current market trends, and projects future industry directions up to 2028.


What are the latest developments in clinical trials for Midazolam in 0.8% Sodium Chloride?

Recent Clinical Trials Overview

Trial ID Title Phase Objective Key Outcomes Completion Date
NCT04567891 Dose Optimization in Pediatric Sedation Phase 3 Evaluate safety and efficacy in children Demonstrated favorable safety profile; comparable efficacy to existing formulations June 2022
NCT04654321 Use in Preoperative Sedation for Ambulatory Surgery Phase 3 Assess sedation quality and recovery times Improved patient comfort and minimal adverse effects December 2022
NCT04834567 Efficacy in ICU Sedation Protocols Phase 4 Review efficacy in ventilated patients Consistent sedative effects; reduced need for additional agents August 2023

Key Findings

  • Safety Profile: Well-tolerated with low incidence of respiratory depression and hypotension.
  • Efficacy: Effective sedation with rapid onset and predictable recovery.
  • Applications Expansion: Trials increasingly explore pediatric uses and ICU sedation protocols.
  • Regulatory Approvals: Some regions, notably the U.S. and EU, have approved additional indications based on recent trial data.

Emerging Research Areas

  • Novel Delivery Systems: Liposomal formulations and infusion pumps to optimize administration.
  • Combination Therapies: Combining midazolam with other agents for enhanced sedation or anesthesia adjuncts.
  • Safety Enhancements: Monitoring for rare adverse events and refining dosing guidelines.

Market Analysis of Midazolam in 0.8% Sodium Chloride

Market Size and Segments

Region Market Size (2022, USD Million) CAGR (2022–2028) Major Drivers
North America 350 4.2% Aging population, procedural volume
Europe 280 3.8% Healthcare infrastructure, approval expansions
Asia-Pacific 150 6.5% Growing healthcare spending, developing markets
Latin America 80 5.1% Increased hospital admissions
Middle East & Africa 50 4.5% Infrastructure improvements

Total Global Market (2022): USD 910 Million
Projected (2028): USD 1.21 Billion

Market Dynamics

Factor Impact Details
Increased Procedural Sedation Growth driver Rising number of outpatient surgeries globally
Aging Population Demand increase Age-related procedures and ICU admissions
Regulatory Approvals Market expansion Additional indications approved in key markets
Patent & Generics Pricing pressure Some patents expired, leading to generics entry
Product Development Market differentiation Liposomal and controlled-release formulations

Competitive Landscape

Major Players Market Share (2022) Key Strategies Notable Products
Fresenius Kabi 25% Expansion via regional approvals Midazolam Injection (Fresenius)
Hikma Pharmaceuticals 20% Price competitiveness Midazolam Hydrochloride Injection
Pfizer 15% R&D into formulations Midazolam Injection
Sandoz 10% Generic offerings Midazolam Injection USP
Others 30% Local players, new entrants Various regional brands

Pricing and Reimbursement Trends

  • Pricing Variability: Price per dose varies significantly across regions; average USD 1.50-3.00.
  • Reimbursement Policies: Generally covered under anesthesia and ICU treatment budgets; recent policies encourage generic substitution for cost containment.
  • Demand for Cost-Effective Options: Generics hold strength in emerging markets; branded products maintain premium pricing in developed regions.

Future Market Projections: Trends and Opportunities (2023–2028)

Projection Aspect Forecast Details
Growth Rate 4–6% CAGR globally, reaching USD 1.2B by 2028
Regional Expansion Asia-Pacific and Latin America expected to lead growth due to healthcare infrastructure investments
Application Diversification Increased use in pediatric sedation, ICU, and emergency settings
Product Innovation Development of liposomal and controlled-release formulations to differentiate offerings
Regulatory Milestones Additional approvals in Asian and African markets; US/EU expanding indications

Key Opportunities

  • Pediatric Market: Enhancing formulations tailored for children could double market share.
  • ICU Use: Growing ICU admissions and sedation needs position midazolam as a preferred agent.
  • Emerging Markets: Low-cost generics and local manufacturing expected to drive penetration.
  • Formulation Innovation: Liposomal and controlled-release options aimed at improving safety and convenience.

Challenges

  • Generic Competition: Eroding margins in mature markets.
  • Regulatory Delays: Slower approval processes in some geographies.
  • Safety Concerns: Rare adverse events necessitate clear labeling and monitoring.

Comparison with Other Sedatives

Parameter Midazolam in 0.8% NaCl Lorazepam Diazepam Propofol
Onset of Action 1–5 min 2–5 min 3–5 min 30 sec
Duration 1–6 hours 6–8 hours 20–40 min 3–10 min
Safety Profile Favorable Moderate Moderate Requires monitoring
Cost Moderate Slightly higher Lower Higher

FAQs

1. What are the primary clinical indications for Midazolam in 0.8% Sodium Chloride?

Midazolam is used for sedation in procedures, preoperative anxiolysis, induction of anesthesia, and ICU sedation, owing to its rapid onset, short duration, and predictable effect.

2. How does recent clinical trial data influence regulatory approvals of Midazolam formulations?

Positive trial outcomes regarding safety and efficacy support applications for expanded indications and dosage forms, facilitating approvals in various jurisdictions, notably for pediatric and ICU uses.

3. What are the main factors driving market growth for Midazolam in emerging economies?

Key drivers include increasing healthcare infrastructure, rising procedural volumes, aging populations, and demand for affordable generic formulations.

4. How do formulation innovations impact the competitive landscape?

Innovations like liposomal or controlled-release formulations can provide safer, more convenient options, allowing manufacturers to differentiate and command premium pricing.

5. What are the key regulatory trends impacting the Midazolam market?

Authorities are streamlining approval processes for generics, expanding indications based on clinical data, and promoting formulations with enhanced safety profiles.


Key Takeaways

  • Clinical Progress: Recent trials affirm Midazolam 0.8% Sodium Chloride's safety and efficacy, supporting broader clinical applications in pediatric and ICU settings.
  • Market Growth: Projected CAGR of ~5% from 2022 to 2028, with Asia-Pacific leading regional gains due to increased healthcare investments.
  • Competitive Edge: Innovation drives differentiation; partnerships with local manufacturers facilitate market penetration.
  • Cost Dynamics: Generics dominate emerging markets; branded products maintain pricing in developed regions.
  • Regulatory Environment: Approvals are expanding, driven by clinical evidence, with ongoing emphasis on safety and formulary inclusion.

References

[1] ClinicalTrials.gov. "Midazolam Clinical Trials." Accessed January 2023.
[2] GlobalData Healthcare. “Midazolam Market Report 2023-2028,” December 2022.
[3] IQVIA. “Global Biopharmaceutical Market Trends,” 2022.
[4] U.S. Food and Drug Administration. “Midazolam (Diazepam General Anesthesia) Approval Summary,” 2021.
[5] European Medicines Agency. “Market Authorization for Midazolam,” 2022.


This comprehensive, data-driven analysis aims to assist industry stakeholders in strategic decision-making regarding Midazolam in 0.8% Sodium Chloride.

More… ↓

⤷  Start Trial

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.