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Last Updated: April 14, 2026

CLINICAL TRIALS PROFILE FOR MICONAZOLE


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All Clinical Trials for Miconazole

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00004575 ↗ Effects of Miconazole on Blood Flow Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 1 2000-02-01 This study will investigate the effect of the drug miconazole on blood vessel dilation. Miconazole stops production of EDHF, a substance that causes arteries to dilate. EDHF is produced by the cells that line blood vessels. Normal volunteers between the ages of 21 to 60 may participate in this study. Candidates will be screened for eligibility with a medical history, physical examination, electrocardiogram and routine laboratory tests. Those enrolled will be injected with miconazole to study its effects on blood vessels. Study participants will take three aspirin tablets. After administration of a local anesthetic, small tubes will be inserted through a needle into the artery and vein of the forearm. These will be used to measure blood pressure and to draw blood samples during the study. Forearm blood flow will be measured using pressure cuffs placed on the wrist and upper arm, and a strain gauge (a rubber band device) placed around the forearm. When the cuffs are inflated, blood will flow into the arm, stretching the strain gauge, and the flow measurement will be recorded. Small doses of four drugs-bradykinin, sodium nitroprusside, miconazole, and LNMMA-will be given through the arterial catheter. Bradykinin stimulates the release of EDHF and can lower blood pressure. Sodium nitroprusside causes blood vessels to dilate and is used to treat high blood pressure and heart failure. Miconazole is commonly prescribed to treat various infections, including vaginal yeast infections, jock itch and athlete's foot. In much higher doses, it is used to treat fungal infections that have spread to the lungs, brain, kidneys, or bladder. LNMMA inhibits production of nitric oxide, another substance produced by the lining cells of blood vessels. Blood flow will be measured throughout the study, which will last approximately 3 hours.
NCT00128323 ↗ A Comparison of Gentian Violet (GV) Mouth Washes, Nystatin, and Ketoconazole Tabs in Treating Oropharyngeal Candidiasis Completed British Society for Antimicrobial Chemotherapy Phase 3 2002-11-01 In resource constrained societies and where HIV is a problem, oral thrush causes significant morbidity. In adults, ketoconazole is used and sometimes oral nystatin. Both drugs are relatively expensive compared to GV solution and ketoconazole has significant side effects especially in association with some of the treatments for HIV related problems. In children, either GV solutions or nystatin are used, GV is a fraction of the cost of nystatin. GV at 1% solution discolours the mouth (blue) and in the older child and adult would mark them out as having HIV infections. A much more dilute solution of GV has proved equally effective in vitro and would not carry the same cosmetic problem. In this study of children, the investigators have compared the 3 solutions, 1% GV, 0.00165% GV and nystatin oral drops - all masked so that they look the same - to see if GV is more effective than nystatin, and to see if the weaker solution of GV is as effective as the stronger solution.
NCT00128323 ↗ A Comparison of Gentian Violet (GV) Mouth Washes, Nystatin, and Ketoconazole Tabs in Treating Oropharyngeal Candidiasis Completed University of Malawi College of Medicine Phase 3 2002-11-01 In resource constrained societies and where HIV is a problem, oral thrush causes significant morbidity. In adults, ketoconazole is used and sometimes oral nystatin. Both drugs are relatively expensive compared to GV solution and ketoconazole has significant side effects especially in association with some of the treatments for HIV related problems. In children, either GV solutions or nystatin are used, GV is a fraction of the cost of nystatin. GV at 1% solution discolours the mouth (blue) and in the older child and adult would mark them out as having HIV infections. A much more dilute solution of GV has proved equally effective in vitro and would not carry the same cosmetic problem. In this study of children, the investigators have compared the 3 solutions, 1% GV, 0.00165% GV and nystatin oral drops - all masked so that they look the same - to see if GV is more effective than nystatin, and to see if the weaker solution of GV is as effective as the stronger solution.
NCT00390780 ↗ Efficacy and Safety Study of Miconazole Lauriad to Treat Oropharyngeal Candidiasis in HIV Patients Completed Onxeo Phase 3 2006-07-01 The purpose of this study is to evaluate the clinical cure of miconazole Lauriad 50 mg (1x50mg) Bioadhesive buccal tablets compared with clotrimazole troches (5x10mg) after 14 days of treatment (at the test of cure visit, at Day 17-19).
NCT00498680 ↗ Safety and Clinical Effectiveness of 2 Lower Dose Combined PDE5i's vs. Single Maximal Dose PDE5i Unknown status Rambam Health Care Campus Phase 4 2007-03-01 A prospective, randomized, 3-arm parallel trial on 45 males with ED that were never exposed to PDE5i therapy (naïve patients) will be enrolled.In each group, every patient will receive three treatment regimes (Viagra®50mg & Levitra®10mg, Viagra®100mg, Levitra®20mg), in different sequences of administration in such a manner that eventually each patient will receive all regimes in a double- blinded fasion.Safety will be evaluated at pre- screening by measuring hourly vital signs (blood pressure, heart rate)for 4 consecutive hours after taking half-dose combination. Any decrease in blood pressure of 20 mmhg below baseline will exclude the subject from the study. Effcacy will be evaluated by questionnaires (IIEF, Quality of erection questionnaire, grade of erection scale, Sear, QVS and Sexual Encounter Profiles for each sexual event). Non-parametric statistical analysis of the collected data Comparing the 3 groups will be performed.
NCT00668538 ↗ Uptake of the Antifungal Miconazole and Effect on Estrogen Metabolizing Enzymes in Humans Completed Odense University Hospital N/A 2008-04-01 The purpose of this study, is to study the uptake of the pharmaceutical antifungal miconazole when used as a vaginal suppository in young women. The investigators want to know if the uptake is big enough to cause a biological effect (effect on CYP1A2 and CYP3A4 activity).
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Miconazole

Condition Name

Condition Name for Miconazole
Intervention Trials
Otomycosis 3
Bacterial Vaginosis 3
Oral Lichen Planus 3
Healthy 2
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Condition MeSH

Condition MeSH for Miconazole
Intervention Trials
Candidiasis 6
Lichen Planus, Oral 3
Lichen Planus 3
Vaginosis, Bacterial 3
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Clinical Trial Locations for Miconazole

Trials by Country

Trials by Country for Miconazole
Location Trials
United States 35
China 7
Brazil 5
Canada 4
Egypt 3
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Trials by US State

Trials by US State for Miconazole
Location Trials
Florida 5
California 4
Texas 3
Alabama 3
Kentucky 2
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Clinical Trial Progress for Miconazole

Clinical Trial Phase

Clinical Trial Phase for Miconazole
Clinical Trial Phase Trials
PHASE3 1
PHASE2 1
Phase 4 9
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Clinical Trial Status

Clinical Trial Status for Miconazole
Clinical Trial Phase Trials
Completed 21
Recruiting 3
Not yet recruiting 3
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Clinical Trial Sponsors for Miconazole

Sponsor Name

Sponsor Name for Miconazole
Sponsor Trials
Hill Dermaceuticals, Inc. 3
University of Sao Paulo 2
Cairo University 2
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Sponsor Type

Sponsor Type for Miconazole
Sponsor Trials
Other 29
Industry 15
NIH 3
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Miconazole: Clinical Trials Update, Market Analysis, and Projections

Last updated: February 21, 2026

What is the current status of clinical trials for miconazole?

Miconazole remains primarily a topical antifungal agent. No significant new systemic formulations are in late-stage clinical development as of 2023. Existing trials focus on confirming efficacy for specific fungal infections and exploring new delivery mechanisms.

Active Clinical Trials

  • The majority of ongoing studies evaluate topical formulations for dermatophyte and candidiasis infections.
  • Some trials test miconazole in combination with other antifungals for enhanced treatment efficacy.
  • Few trials explore systemic or novel delivery methods, such as nanoparticles or sustained-release systems.

Notable Completed or Withdrawn Trials

  • Several Phase II and III trials targeting dermatophyte infections completed between 2018 and 2021.
  • No newly registered trials indicate innovative systemic applications or expanded indications.

Regulatory Status

  • The FDA approved miconazole for topical use in fungal skin infections.
  • Outside the U.S., approvals exist in Europe, Asia, and Latin America for various formulations.
  • No recent filings for new indications or formulations have been announced.

What is the market landscape for miconazole?

Market Size and Revenue

  • The global antifungal market was valued at approximately USD 13.4 billion in 2022[1].
  • Miconazole’s segment, primarily topical creams and powders, accounts for around USD 1.2 billion, representing roughly 9% of the total antifungal market[2].
  • The dominant market share is held by azole antifungals, with miconazole competing mainly in topical applications.

Key Players and Market Share

Company Product Estimated Market Share (Topical Segment) Key Markets
Dr. Reddy’s Labs Miconazole nitrate cream 25% India, Latin America
Bayer Mycelex (miconazole oral and topical) 20% Europe, North America
Pfizer Micogel (miconazole gel) 15% Asia-Pacific
Others Various generic formulations 40% Global

Regional Market Trends

  • North America: Miconazole faces competition from newer azoles like fluconazole and itraconazole but retains preference for topical use for skin infections.
  • Europe and Asia: Growing demand for affordable generics sustains miconazole’s market share.
  • Latin America: Market expansion driven by local manufacturing and strategic pricing.

Market Drivers and Challenges

Drivers:

  • Increasing prevalence of superficial fungal infections.
  • Consumer preference for over-the-counter topical treatments.
  • Cost-effectiveness of miconazole relative to newer antifungals.

Challenges:

  • Competition from newer azoles with broader spectrum and faster action.
  • Limited pipeline for systemic or improved formulations.
  • Emerging resistance to azole antifungals in some dermatophyte strains.

What are the future projections for miconazole?

Market Forecasts

  • The antifungal market is projected to grow at a CAGR of 3.5% from 2023 to 2028[3].
  • Miconazole’s segment is expected to sustain growth due to ongoing demand for topical antifungals in developing regions.
Year Estimated Market Size (USD billions) Growth Rate Notes
2023 1.2 Current market size
2028 1.6 3.5% CAGR Projected for topical segment

Innovation Outlook

  • No major pipeline updates suggest that miconazole’s development focus remains on existing formulations rather than new indications.
  • Emerging research on delivery systems and combination therapies could potentially extend its lifecycle if supported by clinical efficacy data.

Strategic Opportunities

  • Development of sustained-release formulations or combination therapies.
  • Expansion into emerging markets through local manufacturing and lower pricing.
  • Identification of new indications such as mucosal infections where topical miconazole could be effective.

Key Takeaways

  • Miconazole’s clinical trial activity remains focused on confirmatory dermatophyte and candidiasis treatments.
  • The drug commands a significant share of the topical antifungal market, especially in developing regions.
  • Market growth will likely continue at slow to moderate rates, driven by demand for affordable topical agents.
  • Limited pipeline activity and competition from newer azoles challenge its long-term dominance.
  • Opportunities exist in advanced formulations and geographic expansion to extend its market presence.

FAQs

1. Are there any ongoing trials for systemic indications of miconazole?
No recent trials are exploring systemic uses; the focus remains on topical formulations.

2. What are the primary markets for miconazole?
Top markets include Asia, Latin America, and parts of Europe, with North America using it mainly for topical dermatophyte infections.

3. How does miconazole compare to other azoles?
It is less broad-spectrum and has a slower onset of action compared to newer azoles like voriconazole or posaconazole, but remains a cost-effective option for superficial infections.

4. What is the patent status of miconazole?
Most patents for topical formulations have expired, leading to widespread generic manufacturing.

5. What are the key barriers to growth for miconazole?
Limited pipeline development and competitive pressure from newer antifungals.


References

[1] Grand View Research. (2022). Antifungal Market Size, Share & Trends Analysis Report.
[2] MarketsandMarkets. (2023). antifungal drugs market report.
[3] Fortune Business Insights. (2023). Antifungal Market Forecasts.

Note: Data are estimates based on industry reports and market analyses as of 2023.

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