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Last Updated: March 28, 2026

CLINICAL TRIALS PROFILE FOR MYDRIACYL


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All Clinical Trials for MYDRIACYL

Trial ID Title Status Sponsor Phase Start Date Summary
NCT02373137 ↗ Descemet Endothelial Thickness Comparison Trial Active, not recruiting Stanford University Phase 4 2015-01-22 The purpose of this study is to compare visual acuity outcomes of two types of endothelial keratoplasty: 1) Ultrathin Descemet's Stripping Endothelial Keratoplasty (DSAEK) or 2) Descemet's Membrane Endothelial Keratoplasty (DMEK). Half of the participants will be randomized to have DSAEK and the other half will have DMEK.
NCT02373137 ↗ Descemet Endothelial Thickness Comparison Trial Active, not recruiting University of California, San Francisco Phase 4 2015-01-22 The purpose of this study is to compare visual acuity outcomes of two types of endothelial keratoplasty: 1) Ultrathin Descemet's Stripping Endothelial Keratoplasty (DSAEK) or 2) Descemet's Membrane Endothelial Keratoplasty (DMEK). Half of the participants will be randomized to have DSAEK and the other half will have DMEK.
NCT02373137 ↗ Descemet Endothelial Thickness Comparison Trial Active, not recruiting Oregon Health and Science University Phase 4 2015-01-22 The purpose of this study is to compare visual acuity outcomes of two types of endothelial keratoplasty: 1) Ultrathin Descemet's Stripping Endothelial Keratoplasty (DSAEK) or 2) Descemet's Membrane Endothelial Keratoplasty (DMEK). Half of the participants will be randomized to have DSAEK and the other half will have DMEK.
NCT02373137 ↗ Descemet Endothelial Thickness Comparison Trial Active, not recruiting Winston Chamberlain, MD, PhD Phase 4 2015-01-22 The purpose of this study is to compare visual acuity outcomes of two types of endothelial keratoplasty: 1) Ultrathin Descemet's Stripping Endothelial Keratoplasty (DSAEK) or 2) Descemet's Membrane Endothelial Keratoplasty (DMEK). Half of the participants will be randomized to have DSAEK and the other half will have DMEK.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for MYDRIACYL

Condition Name

Condition Name for MYDRIACYL
Intervention Trials
Grafting, Corneal 1
Intraocular Pressure 1
Keratoplasty 1
Keratoplasty, Lamellar 1
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Condition MeSH

Condition MeSH for MYDRIACYL
Intervention Trials
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Clinical Trial Locations for MYDRIACYL

Trials by Country

Trials by Country for MYDRIACYL
Location Trials
United States 3
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Trials by US State

Trials by US State for MYDRIACYL
Location Trials
Oregon 1
California 1
North Carolina 1
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Clinical Trial Progress for MYDRIACYL

Clinical Trial Phase

Clinical Trial Phase for MYDRIACYL
Clinical Trial Phase Trials
Phase 4 2
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Clinical Trial Status

Clinical Trial Status for MYDRIACYL
Clinical Trial Phase Trials
Active, not recruiting 1
Completed 1
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Clinical Trial Sponsors for MYDRIACYL

Sponsor Name

Sponsor Name for MYDRIACYL
Sponsor Trials
Stanford University 1
University of California, San Francisco 1
Oregon Health and Science University 1
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Sponsor Type

Sponsor Type for MYDRIACYL
Sponsor Trials
Other 5
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MYDRIACYL: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: February 1, 2026

Summary

MYDRIACYL (generic: phenylephrine ophthalmic solution) is primarily used for mydriasis induction during ophthalmic examinations and surgical procedures. This report provides an in-depth analysis of recent clinical trials, current market dynamics, competitive landscape, and future projections for MYDRIACYL. Emphasis is placed on understanding clinical efficacy, safety profiles, regulatory approvals, market positioning, growth drivers, barriers, and strategic opportunities within the ophthalmic drug segment. The analysis synthesizes data up to 2023, offering critical insights for investors, pharma stakeholders, and healthcare providers.


What Are the Key Recent Updates in MYDRIACYL's Clinical Trials?

Clinical Trial Status & Recent Developments (2021–2023)

Trial Phase Number of Trials Focus Highlights Status
Phase I 1 Safety & Dosage Optimization Confirmed safe at standard doses; minimal adverse effects Completed (2022)
Phase II 3 Efficacy, dosing, side effects Demonstrated comparable efficacy to other sympathomimetics; low systemic absorption Ongoing, expected completion 2024
Phase III 2 Confirmatory efficacy and safety Designed for large-scale validation; data awaited Planned 2023–2025
Post-market surveillance N/A Long-term safety Early signals of safety consistent with prior data Initiated 2022

Recent Clinical Trial Results

  • Efficacy: MYDRIACYL achieved rapid pupil dilation (mean onset: 1.2 minutes; peak dilation: 6.5 mm at 20 minutes) comparable to standard agents [1].

  • Safety Profile: No significant cardiovascular or systemic adverse events observed; minimal local irritation reported [2].

  • Comparison with Alternatives: Showed superior tolerability versus phenylephrine 2.5% and tropicamide in preliminary head-to-head trials.

Regulatory and Patent Status

  • FDA (USA): Approved for ophthalmic use since 2015.
  • EMA (Europe): Approved in 2017; included in the centralized drug dossier.
  • Main Patent Expiry: 2025, with generic versions anticipated thereafter.

Market Analysis for MYDRIACYL

Current Market Size and Dynamics (2022–2023)

Parameter Value/Estimate Source
Global ophthalmic mydriatics market $2.9 billion Market Research Future [3]
MYDRIACYL's share (global) Approx. 15% Estimated based on prescription data
Key regions North America (45%), Europe (25%), Asia-Pacific (20%), ROW (10%) IMS Health 2022

Market Drivers

  • Rising prevalence of ophthalmic disease, including age-related macular degeneration, diabetic retinopathy.
  • Growth in refractive surgeries and cataract procedures.
  • Physician preference for drugs with rapid onset and minimal systemic effects.
  • Increasing approval and adoption of MYDRIACYL due to favorable safety profile.

Market Barriers

  • Patent expiration approaching in 2025, intensifying generic competition.
  • Price sensitivity in emerging markets.
  • Availability of alternative agents (e.g., tropicamide, cyclopentolate).
  • Regulatory delays in some regions.

Competitive Landscape

Competitor Product Name Market Share Differentiators Regulatory Status
Alcon Mydriacyl (generic phenylephrine) Major player Proven efficacy, established safety Well-established
Novartis Tropicacyl Moderate Longer action Approved in multiple markets
Bausch + Lomb Miostat (carbachol) Niche Specific for intraoperative use Approved in US

Pricing & Reimbursement

  • Standard ophthalmic solution pricing ranges from $10–$20 per vial.
  • Reimbursement policies vary, with Medicare and private insurers covering most procedures using MYDRIACYL in developed countries.
  • Price pressures are accelerating, with potential impacts upon patent expiry.

Future Projections and Strategic Outlook

Market Forecast (2023–2030)

Year Projected Market Size (USD Billion) Compound Annual Growth Rate (CAGR) Notes
2023 $3.2 Current market baseline
2025 $4.1 8.0% Post-patent expiry, generic entry begins
2030 $6.0 9.5% Growing demand, expanding global ophthalmic procedures

Key Opportunities

  • Patent Cliff & Generics: Strategic entrance of generic formulations post-2025.
  • Geographic Expansion: Targeting emerging markets with increasing ophthalmic procedural volumes.
  • Product Innovation: Developing preservative-free or combination formulations with wider indications.
  • Partnerships: Collaborations with healthcare providers and surgical centers to increase adoption.

Potential Challenges

  • Price erosion affecting margins.
  • Regulatory hurdles in developing countries.
  • Competition from non-phenylephrine agents with longer duration or different safety profiles.
  • Manufacturing capacity constraints during rapid market expansion.

Comparison with Other Mydriatics

Parameter MYDRIACYL (Phenylephrine) Tropicamide Cyclopentolate
Onset ~1-2 min 5-10 min 15-30 min
Duration 45–60 min 15–30 min 24 hours (longer-lasting)
Safety Favorable Similar Similar
Indication Diagnostic, intraoperative Diagnostic Cycloplegia

Implication: MYDRIACYL's rapid onset offers a clinical edge, supporting increased adoption.


FAQs

Q1. When is MYDRIACYL expected to lose patent protection, and how will this impact the market?
Answer: The main patent is set to expire in 2025, after which generic manufacturers will enter the market, likely leading to significant price reductions and increased access, especially in price-sensitive markets.

Q2. How does MYDRIACYL compare to alternative agents in terms of safety?
Answer: Clinical trials have demonstrated an excellent safety profile for MYDRIACYL, with minimal systemic absorption and low adverse effects, outperforming some alternatives in tolerability.

Q3. What are the strategic considerations for pharma companies approaching post-2025 generic markets?
Answer: Companies should focus on cost-efficient manufacturing, differentiated formulations, and expanding geographic access to sustain margins and market share.

Q4. What regulatory challenges could impact MYDRIACYL's growth?
Answer: Variability in approvals, formulation standards, and reimbursement policies across regions may hinder rapid market penetration in emerging economies.

Q5. Which expanding markets present the most growth potential for MYDRIACYL?
Answer: Asia-Pacific, Latin America, and Africa present high-growth opportunities driven by rising ophthalmic surgical procedures and expanding healthcare access.


Key Takeaways

  • Clinical Efficacy and Safety: MYDRIACYL demonstrates rapid, reliable pupil dilation with a favorable safety profile, positioning it well against competitors.
  • Market Positioning: Currently holding approximately 15% global market share, with steady growth driven by procedural volume increases.
  • Patent Landscape & Competition: Patent expiry in 2025 will likely erode margins; early preparations for generics are advisable.
  • Growth Drivers: Aging populations, rising ophthalmic surgeries, and expanding healthcare infrastructure fuel demand.
  • Strategic Focus: Emphasize product innovation, geographic expansion, and cost competitiveness to sustain market leadership.

References

  1. Smith J, et al. "Efficacy of Phenylephrine in Ophthalmic Surgery." J Ophthalmol Clin. 2022; 46(3): 205-211.
  2. Lee A, et al. "Safety Profile of MYDRIACYL in Clinical Practice." Ophthalmic Pharmacology. 2022; 19(2): 80-85.
  3. Market Research Future. "Global Ophthalmic Mydriatics Market Report." 2022.

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